NEW YORK (MedscapeWire) May 29
The US Preventive Services Task Force (USPSTF) now recommends that primary care physicians screen all adult patients for depression, according to a systematic review of the evidence published in the May 21 issue of the Annals of Internal Medicine.
“The USPSTF concluded the benefits of screening are likely to outweigh any potential harms,” according to the guidelines. The grade B recommendation for primary care physicians to screen adults for depression is a change from the 1996 USPSTF recommendations, which found insufficient evidence to recommend for or against regular formal screening for depression. Since then, the task force reviewed new evidence from randomized trials testing various screening instruments and interventions.
Depression affects 5% to 9% of adult patients in primary care settings, and nearly half of these cases are undetected and therefore, untreated. Risk factors for depression include female sex, family history of depression, unemployment, and chronic disease. The task force did not address relative cost-benefits of different screening instruments, nor optimal frequency of depression screening. It did not find sufficient evidence to recommend for or
against routine depression screening of children or adolescents.
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