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Research ArticleOriginal Research

Using Electronic Health Record–Based Tools To Screen for Bipolar Disorder in Primary Care Patients With Depression

James M. Gill, Ying Xia Chen, Angela Grimes and Michael S. Klinkman
The Journal of the American Board of Family Medicine May 2012, 25 (3) 283-290; DOI: https://doi.org/10.3122/jabfm.2012.03.110217
James M. Gill
MD, MPH
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Ying Xia Chen
MS
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Angela Grimes
MS
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Michael S. Klinkman
MD, MS
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    Figure 1.

    Bipolar screening form.

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    Table 1. Clinician Characteristics
    ClinicianIntervention (n = 75)Control (n = 81)
    Sex
        Male5258
        Female4842
    Race
        White8790
        Asian93
        Other47
    Clinician
        Physician8889
        Nurse practitioner or physician assistant1211
    Specialty
        Family Medicine7688
        Internal Medicine2411
        Other01
    Years since residency*
        <255
        2–5167
        6–101237
        11–306048
        >3073
    Practice location*
        Urban930
        Suburban7958
        Rural1212
    • Values provided as %.

    • ↵* P < .01 for difference between intervention and control groups.

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    Table 2. Primary Outcomes for Intervention and Comparison Patients
    OutcomeInterventionComparisonP
    Patient Populationn (%)Patient Populationn (%)
    New diagnoses of bipolar disorder833593 (1.11)879932 (0.36)<.01
    New bipolar medication7884146 (1.85)8370100 (1.19)<.01
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    Table 3. Results of Screening for Bipolar Disorder
    Patient OutcomesIntervention Patient Population (n = 8355), n (%)
    Screened for bipolar disorder3,969 (47.5)
    Bipolar screen not appropriate184 (2.2)
    Completed CIDI screening questions261 (3.1)
    Accessed quick answers34 (0.04)
    CIDI Risk LevelCIDI ScorePatients Completing CIDI (n = 261), n (%)
    Very low risk0–486 (33)
    Low risk536 (13.8)
    Moderate risk641 (15.7)
    High risk7 or 874 (28.4)
    Very high risk924 (9.2)
    • CIDI, Composite International Diagnostic Interview.

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The Journal of the American Board of Family     Medicine: 25 (3)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 3
May-June 2012
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Using Electronic Health Record–Based Tools To Screen for Bipolar Disorder in Primary Care Patients With Depression
James M. Gill, Ying Xia Chen, Angela Grimes, Michael S. Klinkman
The Journal of the American Board of Family Medicine May 2012, 25 (3) 283-290; DOI: 10.3122/jabfm.2012.03.110217

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Using Electronic Health Record–Based Tools To Screen for Bipolar Disorder in Primary Care Patients With Depression
James M. Gill, Ying Xia Chen, Angela Grimes, Michael S. Klinkman
The Journal of the American Board of Family Medicine May 2012, 25 (3) 283-290; DOI: 10.3122/jabfm.2012.03.110217
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