Table 21Summary of included studies for inpatient versus outpatient subgroup analysis for comparison 3d SNRIs versus SSRIs

StudyPopulationInterventionComparisonComments
Inpatient setting (K=4, N=476)

Clerc 1994

RCT

France & Belgium

Inpatient

N=68

Baseline severity: More severe

Mean age (years): 51.3

Sex (% female): 68

Ethnicity (% BME): NR

Venlafaxine 200mg/dayFluoxetine 40mg/day

Treatment duration (weeks): 6

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Hwang 2004

RCT

Taiwan

Inpatient

N=105

Baseline severity: More severe

Mean age (years): 65.1

Sex (% female): 58

Ethnicity (% BME): NR

Venlafaxine 75-150mg/dayParoxetine 20-40mg/day

Treatment duration (weeks): 4

Outcome (for inpatient versus outpatient subgroup analysis):

  • Response

Sheehan 2009ba

RCT

US

Inpatient

N=194

Baseline severity: More severe

Mean age (years): 39.7

Sex (% female): 59

Ethnicity (% BME): NR

Venlafaxine 225-375mg/dayFluoxetine 60-80mg/day

Treatment duration (weeks): 6

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Remission
  • Response

Tzanakaki 2000

RCT

Greece & Italy

Inpatient

N=109

Baseline severity: More severe

Mean age (years): 48

Sex (% female): 79

Ethnicity (% BME): NR

Venlafaxine 225mg/dayFluoxetine 60mg/day

Treatment duration (weeks): 6

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Outpatient setting (K=32, N=6,238)

Allard 2004

RCT

Sweden & Denmark

Outpatient

N=151

Baseline severity: More severe

Mean age (years): 73

Sex (% female): 80

Ethnicity (% BME): NR

Venlafaxine 75-150mg/dayCitalopram 10-20mg/day

Treatment duration (weeks): 22

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Remission
  • Response

Alves 1999

RCT

Portugal

Outpatient

N=87

Baseline severity: More severe

Mean age (years): 43.7

Sex (% female): 92

Ethnicity (% BME): NR

Venlafaxine 75-150mg/dayFluoxetine 20-40mg/day

Treatment duration (weeks): 12

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Bielski 2004

RCT

US

Outpatient

N=202

Baseline severity: More severe

Mean age (years): 37.4

Sex (% female): 58

Ethnicity (% BME): 25

Venlafaxine 225mg/dayEscitalopram 20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score
  • Remission
  • Response

Casabona 2004

RCT

Country NR

Outpatient

N=114

Baseline severity: More severe

Mean age (years): NR

Sex (% female): 77

Ethnicity (% BME): NR

Venlafaxine 75mg/dayParoxetine 20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Remission
  • Response

Chang 2015

RCT

Taiwan

Outpatient

N=112

Baseline severity: More severe

Mean age (years): 39.7

Sex (% female): 73

Ethnicity (% BME): NR

Venlafaxine 75-225mg/dayFluoxetine 20-80mg/day

Treatment duration (weeks): 6

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score

Costa 1998

RCT

Argentina, Brazil, Chile, Colombia, Uruguay, & Venezuela

Outpatient

N=382

Baseline severity: More severe

Mean age (years): 40.2

Sex (% female): 79

Ethnicity (% BME): NR

Venlafaxine 75-150mg/dayFluoxetine 20-40mg/day

Treatment duration (weeks): 6

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Remission
  • Response

DeNayer 2002

RCT

Belgium

Outpatient

N=146

Baseline severity: More severe

Mean age (years): 42.8

Sex (% female): 68

Ethnicity (% BME): NR

Venlafaxine 75-150mg/dayFluoxetine 20-40mg/day

Treatment duration (weeks): 12

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score
  • Remission
  • Response

Detke 2004a

RCT

US

Outpatient

N=274

Baseline severity: More severe

Mean age (years): 43.3

Sex (% female): 72

Ethnicity (% BME): 0

Duloxetine 80mg/day or 120mg/dayParoxetine 20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score
  • Remission
  • Response

Diaz-Martinez 1998

RCT

Mexico

Outpatient

N=145

Baseline severity: More severe

Mean age (years): NR

Sex (% female): 72

Ethnicity (% BME): NR

Venlafaxine 75-150mg/dayFluoxetine 20-40mg/day

Treatment duration (weeks): 8

Outcome (for inpatient versus outpatient subgroup analysis):

  • Response

Dierick 1996

RCT

Belgium, Italy, Switzerland & France

Outpatient

N=314

Baseline severity: More severe

Mean age (years): 43.4

Sex (% female): 65

Ethnicity (% BME): NR

Venlafaxine 75-150mg/dayFluoxetine 20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Response

Eli Lilly HMAT-Aa

RCT

US

Outpatient

N=173

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Duloxetine 80mg/dayParoxetine 20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score
  • Remission
  • Response

Goldstein 2002a

RCT

US

Outpatient

N=103

Baseline severity: More severe

Mean age (years): 41.5

Sex (% female): 61

Ethnicity (% BME): 17

Duloxetine 40-120mg/dayFluoxetine 20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Goldstein 2004a

RCT

US

Outpatient

N=178

Baseline severity: More severe

Mean age (years): 40.5

Sex (% female): 63

Ethnicity (% BME): 21

Duloxetine 80mg/dayParoxetine 20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Hackett 1996

RCT

Europe

Outpatient

N=241

Baseline severity: More severe

Mean age (years): NR

Sex (% female): NR

Ethnicity (% BME): NR

Venlafaxine 150mg/dayParoxetine (dose NR)

Treatment duration (weeks): 8

Outcome (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint

Heller 2009

RCT

US

Outpatient

N=29

Baseline severity: More severe

Mean age (years): 31.9

Sex (% female): 55

Ethnicity (% BME): NR

Venlafaxine 75-300mg/dayFluoxetine 20-80mg/day

Treatment duration (weeks): 26

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score

Jiang 2017

RCT

China

Outpatient

N=26

Baseline severity: More severe

Mean age (years): 45.5

Sex (% female): 73

Ethnicity (% BME): NR

Duloxetine (dose NR)Escitalopram (dose NR)

Treatment duration (weeks): 8

Outcome (for inpatient versus outpatient subgroup analysis):

  • Response

Khan 2007

RCT

US

Outpatient

N=278

Baseline severity: More severe

Mean age (years): 42.4

Sex (% female): 61

Ethnicity (% BME): 20

Duloxetine 60mg/dayEscitalopram 10-20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score
  • Remission
  • Response

Kornaat 2000

RCT

Country NR

Outpatient

N=156

Baseline severity: More severe

Mean age (years): NR

Sex (% female): 64

Ethnicity (% BME): NR

Venlafaxine 75-225mg/dayFluoxetine 20-40mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Mehtonen 2000

RCT

Finland

Outpatient

N=147

Baseline severity: More severe

Mean age (years): 42.6

Sex (% female): 66

Ethnicity (% BME): NR

Venlafaxine 75-150mg/daySertraline 50-100mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Montgomery 2004

RCT

Denmark, Finland, France, Germany, Ireland, Spain, & Switzerland

Outpatient

N=293

Baseline severity: More severe

Mean age (years): 48

Sex (% female): 71

Ethnicity (% BME): NR

Venlafaxine 75-150mg/dayEscitalopram 10-20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Mowla 2016

RCT

Iran

Outpatient

N=63

Baseline severity: More severe

Mean age (years): 41.2

Sex (% female): 60

Ethnicity (% BME): NR

Duloxetine 20-60mg/daySertraline 50-200mg/day

Treatment duration (weeks): 6

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score

Nemeroff 2007a

RCT

US

Outpatient

N=206

Baseline severity: More severe

Mean age (years): 39

Sex (% female): 65

Ethnicity (% BME): 11

Venlafaxine 75-225mg/dayFluoxetine 20-60mg/day

Treatment duration (weeks): 6

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Nierenberg 2007a

RCT

US

Outpatient

N=547

Baseline severity: More severe

Mean age (years): 42.2

Sex (% female): 66

Ethnicity (% BME): 24

Duloxetine 60mg/dayEscitalopram 10mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score
  • Remission
  • Response

Perahia 2006a

RCT

Bulgaria, Croatia, Hungary, Poland, Romania, Russia, & Slovakia

Outpatient

N=293

Baseline severity: More severe

Mean age (years): 45.4

Sex (% female): 71

Ethnicity (% BME): 0

Duloxetine 80mg/day or 120mg/dayParoxetine 20mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

Rickels 2000

RCT

Country NR

Outpatient

N=51

Baseline severity: More severe

Mean age (years): 37.4

Sex (% female): 75

Ethnicity (% BME): NR

Venlafaxine 150-225mg/dayFluoxetine 20-40mg/day

Treatment duration (weeks): 6

Outcome (for inpatient versus outpatient subgroup analysis):

  • Remission

Rudolph 1999a

RCT

US

Outpatient

N=203

Baseline severity: More severe

Mean age (years): 40

Sex (% female): 72

Ethnicity (% BME): NR

Venlafaxine 75-225mg/dayFluoxetine 20-60mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Remission
  • Response

Shelton 2006

RCT

US

Outpatient

N=160

Baseline severity: More severe

Mean age (years): 39.3

Sex (% female): 53

Ethnicity (% BME): 17

Venlafaxine 75-225mg/daySertraline 50-150mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms endpoint
  • Depression symptoms change score
  • Remission
  • Response

Sir 2005

RCT

Australia & Turkey

Outpatient

N=163

Baseline severity: More severe

Mean age (years): 37

Sex (% female): 69

Ethnicity (% BME): 2

Venlafaxine 75-225mg/daySertraline 50-150mg/day

Treatment duration (weeks): 8

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score
  • Remission
  • Response

Study F1J-MC-HMAQ-Study Group Ba

RCT

US

Outpatient

N=119

Baseline severity: More severe

Mean age (years): 39.8

Sex (% female): NR

Ethnicity (% BME): NR

Duloxetine 40-120mg/dayFluoxetine 20mg/day

Treatment duration (weeks): 10

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score
  • Remission
  • Response

Tylee 1997

RCT

UK

Outpatient

N=341

Baseline severity: More severe

Mean age (years): 44.5

Sex (% female): 71

Ethnicity (% BME): NR

Venlafaxine 75mg/dayFluoxetine 20mg/day

Treatment duration (weeks): 12

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

VEN XR 367 (FDA)a

RCT

Europe

Outpatient

N=246

Baseline severity: More severe

Mean age (years): NR

Sex (% female): 59

Ethnicity (% BME): NR

Venlafaxine 75mg/day or 150mg/dayParoxetine 20mg/day

Treatment duration (weeks): 8

Outcome (for inpatient versus outpatient subgroup analysis):

  • Depression symptoms change score

Wade 2007

RCT

Belgium, Canada, the Czech Republic, France, Germany, Italy, Spain, Sweden & UK

Outpatient

N=295

Baseline severity: More severe

Mean age (years): 43.9

Sex (% female): 72

Ethnicity (% BME): 4

Duloxetine 60mg/dayEscitalopram 20mg/day

Treatment duration (weeks): 24

Outcomes (for inpatient versus outpatient subgroup analysis):

  • Remission
  • Response

a

Three-armed trial but where possible the demographics reported here are for only the two relevant arms.

BME: black, minority, ethnic; mg: milligrams; N: number of participants; NR: not reported; RCT: randomised controlled trial.

From: Service delivery Models and settings for delivery of services

Cover of Service delivery Models and settings for delivery of services
Service delivery Models and settings for delivery of services: Depression in adults: Evidence review A.
NICE Guideline, No. 222.
Copyright © NICE 2022.

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