Evidence brief: The comparative effectiveness, harms, and cost-effectiveness of pharmacogenomics-guided antidepressant treatment versus usual care for major depressive disorder

Antidepressants are a mainstay of treatment for Major Depressive Disorder (MDD). To guide the choice of antidepressants, clinicians have typically taken a "trial and error" approach, informed by various clinical factors thought to be associated with variable treatment response. But rates o...

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Bibliographic Details
Main Authors: Peterson, Kim, Dieperink, Eric (Author), Ferguson, Lauren (Author), Anderson, Johanna (Author)
Corporate Authors: United States Department of Veterans Affairs, Portland VA Medical Center Evidence-based Synthesis Program Center, Quality Enhancement Research Initiative (U.S.)
Format: eBook
Language:English
Published: Washington, DC Department of Veterans Affairs, Health Services Research & Development Service 2016, May 2016
Series:Evidence-based synthesis program
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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246 3 1 |a Comparative effectiveness, harms, and cost-effectiveness of pharmacogenomics-guided antidepressant treatment versus usual care for major depressive disorder 
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700 1 |a Ferguson, Lauren  |e [author] 
700 1 |a Anderson, Johanna  |e [author] 
710 2 |a United States  |b Department of Veterans Affairs 
710 2 |a Portland VA Medical Center  |b Evidence-based Synthesis Program Center 
710 2 |a Quality Enhancement Research Initiative (U.S.) 
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520 |a Antidepressants are a mainstay of treatment for Major Depressive Disorder (MDD). To guide the choice of antidepressants, clinicians have typically taken a "trial and error" approach, informed by various clinical factors thought to be associated with variable treatment response. But rates of remission are low and variable, with approximately 11-30% of patients remitting, even after one year of antidepressant treatment. As a result, there is intense interest in identifying additional factors that could help clinicians optimize the effectiveness of available treatments. Genetic variation has long been explored as another potential contributor to individual differences in antidepressant treatment outcome. Whether using genetic information can help predict how an individual might respond to a particular antidepressant - referred to as 'pharmacogenomics' - is of great interest for further advancing precision medicine efforts