2023
Effects of Electroconvulsive Therapy on Functional Outcomes Among Medicare Patients With Comorbid Depression and Dementia: A Nationwide 1-Year Follow-Up Study.
Wilkinson S, Sint K, Forester B, Rhee T. Effects of Electroconvulsive Therapy on Functional Outcomes Among Medicare Patients With Comorbid Depression and Dementia: A Nationwide 1-Year Follow-Up Study. The Journal Of Clinical Psychiatry 2023, 84 PMID: 36700843, DOI: 10.4088/jcp.22m14583.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedDementiaDepressionElectroconvulsive TherapyFollow-Up StudiesHumansMedicareTreatment OutcomeUnited StatesConceptsElectroconvulsive therapyFunctional outcomeComorbid depressionPrincipal psychiatric diagnosisRandomized clinical trialsECT cohortECT patientsComparable cohortsSafe treatmentClinical trialsMedicare patientsCurrent treatmentFunctional declineLimited efficacyPropensity score methodsPsychiatric disordersSummary scoresPsychiatric diagnosisLarger sample sizeMultivariate analysisPsychological symptomsDementiaPatientsOlder adultsCohort
2022
Efficacy and Safety of Ketamine vs Electroconvulsive Therapy Among Patients With Major Depressive Episode
Rhee TG, Shim SR, Forester BP, Nierenberg AA, McIntyre RS, Papakostas GI, Krystal JH, Sanacora G, Wilkinson ST. Efficacy and Safety of Ketamine vs Electroconvulsive Therapy Among Patients With Major Depressive Episode. JAMA Psychiatry 2022, 79: 1162-1172. PMID: 36260324, PMCID: PMC9582972, DOI: 10.1001/jamapsychiatry.2022.3352.Peer-Reviewed Original ResearchMeSH KeywordsDepressive Disorder, MajorElectroconvulsive TherapyHumansKetamineRandomized Controlled Trials as TopicSuicide, AttemptedConceptsStandardized mean differenceMajor depressive episodeSerious adverse eventsElectroconvulsive therapyAdverse eventsDepressive episodeClinical trialsDepression severityEfficacy outcomesSystematic reviewUnique adverse effect profileMeta-analyses (PRISMA) reporting guidelinesSafety of ketamineAdverse effect profileData extractionEuropean clinical trialsDiagnosis of depressionModerate methodological qualityMedical Subject Headings termsPreferred Reporting ItemsCognition/memoryRandom-effects modelSubject Headings termsAcute phaseEffect profile
2021
Association of ECT With Risks of All-Cause Mortality and Suicide in Older Medicare Patients
Rhee TG, Sint K, Olfson M, Gerhard T, H Busch S, Wilkinson ST. Association of ECT With Risks of All-Cause Mortality and Suicide in Older Medicare Patients. American Journal Of Psychiatry 2021, 178: 1089-1097. PMID: 34503341, PMCID: PMC8639649, DOI: 10.1176/appi.ajp.2021.21040351.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCause of DeathElectroconvulsive TherapyFemaleHumansMaleMedicareMortalityRisk FactorsSuicideUnited StatesConceptsElectroconvulsive therapyCause mortalityObservational studyControl groupAssociation of ECTOlder Medicare patientsPrincipal hospital diagnosisOlder psychiatric patientsCause mortality riskElixhauser Comorbidity IndexYear of hospitalizationProportional hazards modelInpatients age 65Rural-Urban Continuum CodesShort-term riskComorbidity indexIndex hospitalizationECT groupHazard ratioHospital dischargeHospital diagnosisMedicare patientsPsychiatric hospitalizationProtective effectMood disordersBarriers to the Implementation of Electroconvulsive Therapy (ECT): Results From a Nationwide Survey of ECT Practitioners
Wilkinson ST, Kitay BM, Harper A, Rhee TG, Sint K, Ghosh A, Lopez MO, Saenz S, Tsai J. Barriers to the Implementation of Electroconvulsive Therapy (ECT): Results From a Nationwide Survey of ECT Practitioners. Psychiatric Services 2021, 72: 752-757. PMID: 33971727, DOI: 10.1176/appi.ps.202000387.Peer-Reviewed Original ResearchMeSH KeywordsAgedDepressive Disorder, MajorElectroconvulsive TherapyHumansMedicareNew EnglandSurveys and QuestionnairesUnited States
2020
Characterization of the Quality of Electroconvulsive Therapy Among Older Medicare Beneficiaries.
Rhee TG, Olfson M, Sint K, Wilkinson ST. Characterization of the Quality of Electroconvulsive Therapy Among Older Medicare Beneficiaries. The Journal Of Clinical Psychiatry 2020, 81 PMID: 32659875, DOI: 10.4088/jcp.19m13186.Peer-Reviewed Original ResearchConceptsElectroconvulsive therapyMedicare beneficiariesECT treatmentElderly individualsMaintenance courseRecipients of ECTMore ECT sessionsReceipt of psychotherapyProportion of patientsTreatment-resistant depressionOlder Medicare beneficiariesElderly Medicare beneficiariesMajor depressive disorderSubtherapeutic courseECT sessionsElderly patientsTreatment patternsImportant therapyDepressive disorderAdequate courseClinical measuresProportion of individualsGeneral populationTotal treatmentTherapy