Detection of anxiety disorders in Primary Care: a meta-analysis of assisted andunassisted diagnoses
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- dc.contributor.author Olariu, Elena, 1984-ca
- dc.contributor.author García Forero, Carlosca
- dc.contributor.author Castro-Rodriguez, José-Ignacioca
- dc.contributor.author Rodrigo Calvo, Maria Teresaca
- dc.contributor.author Álvarez López, Pilarca
- dc.contributor.author Martín-López, Luis Miguelca
- dc.contributor.author Sánchez-Toro, Aliciaca
- dc.contributor.author Adroher, Núria D.ca
- dc.contributor.author Blasco Cubedo, Maria Jesúsca
- dc.contributor.author Vilagut Saiz, Gemma, 1975-ca
- dc.contributor.author Fullana Rivas, Miguel Ángelca
- dc.contributor.author Alonso Caballero, Jordica
- dc.date.accessioned 2015-07-16T08:12:27Z
- dc.date.available 2016-07-31T02:00:04Z
- dc.date.issued 2015
- dc.description.abstract BACKGROUND: Evidence suggests that general practitioners (GPs) fail to diagnose up to half of common mental disorder cases. Yet no previous research has systematically summarized the evidence in the case of anxiety disorders. The aim of this review was to systematically assess and meta-analyze the diagnostic accuracy of GPs' assisted (i.e., using severity scales/diagnostic instruments) and unassisted (without such tools) diagnoses of anxiety disorders. METHODS: Systematic review (PROSPERO registry CRD42013006736) was conducted. Embase, Ovid Journals - Ovid SP Medline, Pubmed, PsycINFO, Scopus, Web of Science, and Science Direct were searched from January 1980 through June 2014. Seven investigators, working in pairs, evaluated studies for eligibility. The quality of included studies was assessed with the Quality Assessment of Diagnostic Accuracy Studies tool version 2 (QUADAS-2). The main outcome measures were sensitivity and specificity of clinical diagnoses of any anxiety disorder. We pooled sensitivity and specificity levels from included studies using bivariate meta-analyses. RESULTS: Twenty-four studies were included in the meta-analysis with a total sample of 34,902 patients. Pooled sensitivity and specificity were estimated at 44.5% (95% CI 33.7-55.9%) and 90.8% (95% CI 87-93.5%). GPs' sensitivity was higher when diagnoses were assisted (63.6%, 95% CI 50.3-75.1%) than when unassisted (30.5%, 95% CI 20.7-42.5%) to the expense of some specificity loss (87.9%, 95% CI 81.3-92.4% vs. 91.4%, 95% CI 86.6-94.6%, respectively). Identification rates remained constant over time (P-value = .998). CONCLUSIONS: The use of diagnostic tools might improve detection of anxiety disorders in "primary care."ca
- dc.description.sponsorship This study was funded by a grant from the Spanish Ministry of Health, Instituto de Salud Carlos III, FEDER PI10/00530, Fondo de Investigación Sanitaria ISCIII (FI11/00154), and by DIUE Generalitat de Catalunya (2014 SGR 748)
- dc.format.mimetype application/pdfca
- dc.identifier.citation Olariu E, Forero CG, Castro-Rodriguez JI, Rodrigo-Calvo MT, Álvarez P, Martín-López LM. et al. Detection of anxiety disorders in Primary Care: a meta-analysis of assisted andunassisted diagnoses. Depress Anxiety. 2015 Jul;32(7):471-84. doi:ca
- dc.identifier.doi http://dx.doi.org/10.1002/da.22360
- dc.identifier.issn 1091-4269
- dc.identifier.uri http://hdl.handle.net/10230/24604
- dc.language.iso engca
- dc.publisher Wileyca
- dc.relation.ispartof Depression and Anxiety. 2015 Jul;32(7):471-84
- dc.rights © Wiley-Blackwell. The definitive version is available online at: http://dx.doi.org/10.1002/da.22360ca
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.other Ansietat -- Diagnosica
- dc.subject.other Atenció primàriaca
- dc.title Detection of anxiety disorders in Primary Care: a meta-analysis of assisted andunassisted diagnosesca
- dc.type info:eu-repo/semantics/articleca
- dc.type.version info:eu-repo/semantics/acceptedVersionca