(Sept. 27, 2020) "Classics in ECT": Lisanby ECT Review in the NEJM
"Classics in ECT" brings you this review by Holly Lisanby in The NEJM from 2007:
Electroconvulsive therapy for depression
N Engl J Med. 2007 Nov 8;357(19):1939-45. doi: 10.1056/NEJMct075234.PMID: 17989386
The pdf is here.
This is one of the most-cited reviews of ECT. It appeared in the "Clinical Therapeutics" feature of the NEJM in November, 2007. This feature uses a clinical vignette as the starting point for a review of the therapy in question, and ends with a recommendation. Dr. Lisanby skillfully described the seriousness of depression ("The Clinical Problem"), reviewed the evidence base for ECT in depression and gave a very clear precis of modern ECT technique. She ended with specific recommendations about the use of ECT for the elderly woman of the vignette with psychotic depression and suicidality.
As I have noted previously, it is the responsibility of leaders in the field to keep ECT front and center in the general medical literature- there is no better forum for that than the NEJM.
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