J Prudic1, M Olfson, H A Sackeim. 1. Department of Biological Psychiatry, New York State Psychiatric Institute, New York 10032, USA.
Abstract
BACKGROUND: Controlled studies have demonstrated that variations in electro-convulsive therapy (ECT) technique impacts on efficacy and cognitive side effects. However, there is little information on the extent of variation in how ECT is practiced in community settings in the United States. METHODS: A survey of practice patterns was conducted at ECT facilities in the greater New York City metropolitan area. RESULTS: The 59 facilities varied considerably in many aspects of ECT practice, often clearly departing from the standards in the field. The more intensive the form of ECT used at facilities, the less likely was cognitive status assessed following the treatment course. CONCLUSION: There is marked variability in the nature of ECT practices in community settings. The extent to which this variability impacts on the benefits and risks of ECT needs to be examined.
BACKGROUND: Controlled studies have demonstrated that variations in electro-convulsive therapy (ECT) technique impacts on efficacy and cognitive side effects. However, there is little information on the extent of variation in how ECT is practiced in community settings in the United States. METHODS: A survey of practice patterns was conducted at ECT facilities in the greater New York City metropolitan area. RESULTS: The 59 facilities varied considerably in many aspects of ECT practice, often clearly departing from the standards in the field. The more intensive the form of ECT used at facilities, the less likely was cognitive status assessed following the treatment course. CONCLUSION: There is marked variability in the nature of ECT practices in community settings. The extent to which this variability impacts on the benefits and risks of ECT needs to be examined.
Authors: Joan Prudic; Roger F Haskett; W Vaughn McCall; Keith Isenberg; Thomas Cooper; Peter B Rosenquist; Benoit H Mulsant; Harold A Sackeim Journal: J ECT Date: 2013-03 Impact factor: 3.635
Authors: Charles Timäus; Jonathan Vogelgsang; Bernhard Kis; Katrin Radenbach; Claus Wolff-Menzler; Kiriaki Mavridou; Stephan Gyßer; Philipp Hessmann; Jens Wiltfang Journal: Eur Arch Psychiatry Clin Neurosci Date: 2020-01-29 Impact factor: 5.270
Authors: Peter P Zandi; Michael Morreale; Irving M Reti; Daniel F Maixner; William M McDonald; Paresh D Patel; Eric Achtyes; Mahendra T Bhati; Brent R Carr; Susan K Conroy; Mario Cristancho; Marc J Dubin; Andrew Francis; Kara Glazer; Wendy Ingram; Khurshid Khurshid; Shawn M McClintock; Omar F Pinjari; Kevin Reeves; Nelson F Rodriguez; Shirlene Sampson; Stephen J Seiner; Salih Selek; Yvette Sheline; Roy W Smetana; Takahiro Soda; Nicholas T Trapp; Jesse H Wright; Mustafa Husain; Richard D Weiner Journal: J ECT Date: 2022-03-04 Impact factor: 3.692