Depression Response at Twelve Months, Progress Towards Remission
Adult patients age 18 and older with major depression or dysthymia and an initial PHQ-9 score > 9 who demonstrate a response to treatment at twelve months defined as a PHQ-9 score that is reduced by 50% or greater from the initial PHQ-9 score. This measure applies to both patients with newly diagnosed and existing depression identified during the defined measurement period whose current PHQ-9 score indicates a need for treatment.
ACP does not support this measure. It is an unrealistic expectation for patients to achieve a 50% reduction rate from the initial PHQ- 9 score. It would be meaningful to re-evaluate this measure after receiving the evidence on well validated reduction rates.