title: Electroconvulsive Therapy in Sweden 2013: Data From the National Quality Register for ECT.
abstract: OBJECTIVE
  The use of electroconvulsive therapy (ECT) varies across countries. The aim of this study was to describe and explore the use of ECT in Sweden in 2013.
  
  
  METHODS
  The Swedish mandatory patient register of the National Board of Health and Welfare includes information on diagnoses and treatments, including ECT. All 56 hospitals that provide ECT in Sweden also report to the nonmandatory national quality register for ECT, which contains information on patient and treatment characteristics. In this study, we combined data from both registers. In addition, all hospitals responded to a survey concerning equipment and organization of ECT.
  
  
  RESULTS
  We identified 3972 unique patients who received ECT in Sweden in 2013. This translates into 41 ECT-treated individuals per 100,000 inhabitants. Of these patients, 85% opted to participate in the quality register. The median age was 55 years (range, 15-94 years), and 63% were women. The indication was depression in 78% of the treatment series. Of 4 711 hospitalized patients with severe depression, 38% received ECT. The median number of treatments per index series was 7. Unilateral treatment was used in 86% of the series.
  
  
  CONCLUSIONS
  In Sweden, ECT is used at a relatively high rate as compared with other western countries, and the rate was unchanged from the last survey in 1975. However, there is room for improvement in the specificity of use and availability of ECT for disorders where ECT is considered a first-line treatment.
authors.affiliation: From the *Department of Medical and Health Sciences, Linköping University, Linköping; †Psychiatric Neuromodulation Unit (PNU), Dept of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund; ‡Institute of Neuroscience and Physiology, The Sahlgrenska Academy at Gothenburg University, Gothenburg; §Department of Clinical Neuroscience, Karolinska Institutet and Section for Affective Disorders, Northern Stockholm Psychiatry, Stockholm; ∥Department of Neuroscience, Psychiatry, Uppsala university, Uppsala; and ¶Department of Psychiatry, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
authors.forename: Pia
authors.initials: P
authors.lastname: Nordanskog
authors.forename: Martin
authors.initials: M
authors.lastname: Hultén
authors.forename: Mikael
authors.initials: M
authors.lastname: Landén
authors.forename: Johan
authors.initials: J
authors.lastname: Lundberg
authors.forename: Lars
authors.initials: L
authors.lastname: von Knorring
authors.forename: Axel
authors.initials: A
authors.lastname: Nordenskjöld
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000758:Anesthesia / Q000706:statistics & numerical data; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D004565:Electroconvulsive Therapy / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007258:Informed Consent; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D012042:Registries; D013548:Sweden / Q000453:epidemiology; D055815:Young Adult