National Network of Depression Centers' Recommendations on Harmonizing Clinical Documentation of Electroconvulsive Therapy.
National Network of Depression Centers' Recommendations on Harmonizing Clinical Documentation of Electroconvulsive Therapy.
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DOI：
10.1097/yct.0000000000000840
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发表时间：
2022-09-01
期刊：
影响因子：
--
通讯作者：
Weiner RD
中科院分区：
文献类型：
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作者：
Zandi PP;Morreale M;Reti IM;Maixner DF;McDonald WM;Patel PD;Achtyes E;Bhati MT;Carr BR;Conroy SK;Cristancho M;Dubin MJ;Francis A;Glazer K;Ingram W;Khurshid K;McClintock SM;Pinjari OF;Reeves K;Rodriguez NF;Sampson S;Seiner SJ;Selek S;Sheline Y;Smetana RW;Soda T;Trapp NT;Wright JH;Husain M;Weiner RD
电休克治疗（ECT）是一种治疗性和成本效益高的治疗严重和/或难治性抑郁症。然而，由于临床实践的多样性，在如何实施和记录ECT方面存在很大的异质性。这既是研究实施差异如何影响临床结果的机会，也是在多个ECT中心开展协调质量改进和研究工作的挑战。国家抑郁症中心网络是一个由26多个美国学术医疗中心组成的联盟，为情绪障碍患者提供护理，成立了一个任务组，其目标是促进ECT的最佳临床实践，并促进大规模，多地点的质量改进和研究，以促进更有效和安全地使用这种治疗方式。国家抑郁症中心网络ECT工作组开始定义协调ECT治疗中心临床文档的最佳实践，以促进临床互操作性，并促进全国范围内的合作，从而实现多站点质量改进和现实环境中的纵向研究。这篇文章报道了这项工作。它侧重于使用ECT治疗重度抑郁症，这占大多数国家ECT转诊的大部分。然而，本文提出的大多数临床文件建议将适用于ECT的任何适应症。
Electroconvulsive therapy (ECT) is a highly therapeutic and cost-effective treatment for severe and/or treatment-resistant major depression. However, because of the varied clinical practices, there is a great deal of heterogeneity in how ECT is delivered and documented. This represents both an opportunity to study how differences in implementation influence clinical outcomes and a challenge for carrying out coordinated quality improvement and research efforts across multiple ECT centers. The National Network of Depression Centers, a consortium of 26+ US academic medical centers of excellence providing care for patients with mood disorders, formed a task group with the goals of promoting best clinical practices for the delivery of ECT and to facilitate large-scale, multisite quality improvement and research to advance more effective and safe use of this treatment modality. The National Network of Depression Centers Task Group on ECT set out to define best practices for harmonizing the clinical documentation of ECT across treatment centers to promote clinical interoperability and facilitate a nationwide collaboration that would enable multisite quality improvement and longitudinal research in real-world settings. This article reports on the work of this effort. It focuses on the use of ECT for major depressive disorder, which accounts for the majority of ECT referrals in most countries. However, most of the recommendations on clinical documentation proposed herein will be applicable to the use of ECT for any of its indications.