Table 1 Studies of guideline concordance in bipolar disorder
| Â | Population | N | Guidelines | % Concordance |
|---|---|---|---|---|
Unutzer et al. 2000 [30] | Out-patients | 1246 BD | Expert consensus panel | 83% |
Lim et al. 2001 [24] | In-patients | 1421 BDI | Expert consensus panel | Manic with psychotic features: 38% without: 16%; Depressive with psychotic features: 31%; without: 17% |
Simon et al. 2004 [31] | Out-patients | 665 BDI + 239 BDII | Several guidelines | BDI: 65.4% BDII: 52.7% |
Kilbourne et al. 2005 [32] | In- and out-patients | 2316 BDI | APA and Department of Veterans Affairs | Bipolar specific MS: 74.6% Any MS or neuroleptics second generation: 84.4% |
Farrelly et al. 2006 [33] | Out-patients | 224 mood episodes in 84 BD I and II | British Association for Psychopharmacology | Manic: 81% Depressive: 64% Mixed: 62% |
Dennehy et al. 2007 [29] | Out-patients | 469 BDI 198 BDII | Several guidelines | Depressive: 83.4% Hypomanic/manic: 81.9% Mixed: 81.8% |
Bush et al. 2007 [34] | In- and out-patients | 2644 BDI | Several guidelines | 67% |
Arvilommi et al. 2007 [25] | In- and out-patients | BDI – 90 BDII- 101 | Several guidelines | BDI: 55.6% BDII: 30.7% |
Smith et al. 2008 [27] | In-patients | 23 BD | Expert consensus panel | 52% in naturalistic settings, increased to 75% after intervention |
Bauer et al. 2009 [28] | Â | 306 (87% BDI) | Department of Veterans Affairs | 50%-60% at index hospitalization in collaborative model; declined to 30%-40% after two years |
Altinbas et al. 2011 [26] | Out-patients | 263 depressive episodes in 142 patients (131 BDI) | Turkish Psychiatric Association Guidelines for Bipolar Disorder | Severity of the episode: Mild: 29.%; Moderate or severe without psychosis: 27.4%; severe with psychos: 87.5% |