Hugo ten Cate

Professor

Prof. Hugo ten Cate graduated in Medicine at the University of Amsterdam in 1987. The title of his PhD thesis was 'Clinical and experimental studies with a low molecular weight heparinoid'. Hugo had his post-doctoral training at the laboratory of Prof. Robert Rosenberg and Dr Kenneth Bauer at the Beth Israel Hospital and Harvard Medical School Boston on mechanisms of inflammation associated coagulation activity (1988-1990). He completed his internal medicine training in 1996 and became a general internist in conjunction with research at Academic Medical Center (laboratory of Experimental Internal medicine, Prof. Pieter Reitsma). He received a Clinical Established Investigator grant from the Dutch Heart Foundation in 1998.

In 2002, Hugo ten Cate was appointed Professor of Clinical Thrombosis and Haemostasis at CARIM. In addition, Prof. ten Cate was appointed adjunct professor at the Center for Thrombosis and Haemostasis (CTH) at Gutenberg University Medical Center, Mainz, Germany in 2017

Since the transfer to CARIM in 2002 his research focus shifted from coagulation-inflammation research in sepsis models, to the broader field of cardiovascular (CV) disease (atherothrombosis and 'thrombo-inflammation'). A specific focus of current research is the pleiotropic actions of coagulation proteases in atherosclerosis, atherothrombosis and ischemia reperfusion injury. Clinical research is aimed at chronic thrombotic disease including peripheral artery disease, high risk patients with coronary disease on antithrombotic medication and, together with Dr Arina ten Cate-Hoek, on venous thrombosis and post thrombotic syndrome (PTS). He is workpackage leader in CVON consortia RACE-5 (coagulation and its impact on atrial fibrillation) and CONTRAST (acute ischemic stroke) and involved in the ITN consortia TAPAS and TICARDIO. His group has an ongoing target finding programme with Bayer (steered from CARIM by Dr Henri Spronk and Prof. Hugo ten Cate) as well as with 2M (on POC development).

Department of Biochemistry
Department of Internal Medicine
Universiteitssingel 50, 6229 ER Maastricht
PO Box 616, 6200 MD Maastricht
Room number: 4.344
T: +31(0)43 388 42 62

  • 2022
    • Ghossein-Doha, C., Wintjens, M. S. J. N., Janssen, E. B. N. J., Klein, D., Heemskerk, S. C. M., Asselbergs, F. W., Birnie, E., Bonsel, G. J., van Bussel, B. C. T., Cals, J. W. L., Ten Cate, H., Haagsma, J., Hemmen, B., van der Horst, I. C. C., Kietselaer, B. L. J. H., Klok, F. A., de Kruif, M. D., Linschoten, M., van Santen, S., ... van Kuijk, S. M. J. (2022). Prevalence, pathophysiology, prediction and health-related quality of life of long COVID: study protocol of the longitudinal multiple cohort CORona Follow Up (CORFU) study. BMJ Open, 12(11), Article e065142. https://doi.org/10.1136/bmjopen-2022-065142
    • Nagy, M., van der Meijden, P. E. J., Glunz, J., Schurgers, L., Lutgens, E., Ten Cate, H., Heitmeier, S., & Spronk, H. M. H. (2022). Integrating Mechanisms in Thrombotic Peripheral Arterial Disease. Pharmaceuticals, 15(11), Article 1428. https://doi.org/10.3390/ph15111428
    • Wauthier, L., Favresse, J., Hardy, M., Douxfils, J., Le Gal, G., Roy, P.-M., van Es, N., Ay, C., Ten Cate, H., Vander Borght, T., Dupont, M. V., Lecompte, T., Lippi, G., & Mullier, F. (2022). D-dimer Testing in Pulmonary Embolism with a Focus on Potential Pitfalls: A Narrative Review. Diagnostics, 12(11), Article 2770. https://doi.org/10.3390/diagnostics12112770
    • Kremers, B. M. M., Posma, J. N., Heitmeier, S., Glunz, J., Ten Cate, H., Pallares Robles, A., Daemen, J. H. C., Ten Cate-Hoek, A. J., Mees, B. M. E., & Spronk, H. M. H. (2022). Discovery of four plasmatic biomarkers potentially predicting cardiovascular outcome in peripheral artery disease. Scientific Reports, 12(1), Article 18388. https://doi.org/10.1038/s41598-022-23260-3
    • Willers, A., Swol, J., Van Kuijk, S. M. J., Buscher, H., McQuilten, Z., Ten Cate, H., Rycus, P. T., McKellar, S., Lorusso, R., & Tonna, J. E. (2022). HEROES V-A-HEmoRrhagic cOmplications in veno-arterial Extracorporeal life Support-Development and internal validation of a multivariable prediction model in adult patients. Artificial Organs, 46(11), 2266-2283. https://doi.org/10.1111/aor.14340
    • Willems, L. H., Thijssen, D. H. J., Groh, L. A., Kooijman, N. I., Ten Cate, H., Spronk, H. M. H., Donders, A. R. T., Van der Vijver-Coppen, R. J., van Hoek, F., Nagy, M., Reijnen, M. M. P. J., & Warle, M. C. (2022). Dual pathway inhibition as compared to acetylsalicylic acid monotherapy in relation to endothelial function in peripheral artery disease, a phase IV clinical trial. Frontiers in Cardiovascular Medicine, 9, Article 979819. https://doi.org/10.3389/fcvm.2022.979819
    • van de Berg, T. W., Mulder, M. M. G., Alnima, T., Nagy, M., van Oerle, R., Beckers, E. A. M., Hackeng, T. M., Hulshof, A. M., Sels, J. W. E. M., Henskens, Y. M. C., van der Horst, I. C. C., ten Cate, H., Spronk, H. M. H., van Bussel, B. C. T., & Dutch COVID & Thrombosis Coalition (2022). Serial thrombin generation and exploration of alternative anticoagulants in critically ill COVID-19 patients: Observations from Maastricht Intensive Care COVID Cohort. Frontiers in Cardiovascular Medicine, 9, Article 929284. https://doi.org/10.3389/fcvm.2022.929284
    • van Paridon, P. C. S., Panova-Noeva, M., van Oerle, R., Schulz, A., Prochaska, J. H., Arnold, N., Schmidtmann, I., Beutel, M., Pfeiffer, N., Munzel, T., Lackner, K. J., ten Cate, H., Wild, P. S., & Spronk, H. M. H. (2022). Lower levels of vWF are associated with lower risk of cardiovascular disease. Research and practice in thrombosis and haemostasis, 6(7), Article e12797. https://doi.org/10.1002/rth2.12797
    • Haas, S., Farjat, A. E., Pieper, K., Ageno, W., Angchaisuksiri, P., Bounameaux, H., Goldhaber, S. Z., Goto, S., Mantovani, L., Prandoni, P., Schellong, S., Turpie, A. G. G., Weitz, J. I., MacCallum, P., Cate, H. T., Panchenko, E., Carrier, M., Jerjes-Sanchez, C., Gibbs, H., ... GARFIELD-VTE Investigators (2022). On-treatment Comparative Effectiveness of Vitamin K Antagonists and Direct Oral Anticoagulants in GARFIELD-VTE, and Focus on Cancer and Renal Disease. TH open : companion journal to thrombosis and haemostasis, 6(4), e354-e364. https://doi.org/10.1055/s-0042-1757744
    • Ten Cate, H. (2022). Editorial: Insights in thrombosis: 2021. Frontiers in Cardiovascular Medicine, 9, Article 1021626. https://doi.org/10.3389/fcvm.2022.1021626
    • De Simone, I., Baaten, C. C. F. M. J., Jandrot-Perrus, M., Gibbins, J. M., Ten Cate, H., Heemskerk, J. W. M., Jones, C. I., & van der Meijden, P. E. J. (2022). Coagulation Factor XIIIa and Activated Protein C Activate Platelets via GPVI and PAR1. International journal of molecular sciences, 23(18), Article 10203. https://doi.org/10.3390/ijms231810203
    • Willems, L. H., Maas, D. P. M. S. M., Kramers, K., Reijnen, M. M. P. J., Riksen, N. P., Ten Cate, H., van der Vijver-Coppen, R. J., de Borst, G. J., Mees, B. M. E., Zeebregts, C. J., Hannink, G., & Warlé, M. C. (2022). Correction to: Antithrombotic Therapy for Symptomatic Peripheral Arterial Disease: A Systematic Review and Network Meta-Analysis. Drugs, 82(13), 1435-1435. https://doi.org/10.1007/s40265-022-01776-2
    • Gulpen, A. J. W., Braeken, D. C. W., Schalla, S., Ten Cate, H., Crijns, H. J., & Ten Cate-Hoek, A. J. (2022). Long-Term Adherence to Direct Oral Anticoagulants in Patients with Atrial Fibrillation: A Comparative Cross-Sectional Study. Acta Haematologica, 145(5), 476-483. https://doi.org/10.1159/000524094
    • Schreurs, R. H. P., Joore, M. A., De Bruijn-Geraets, D. P., Ten Cate, H., & Ten Cate-Hoek, A. J. (2022). A realist evaluation to identify targets to improve the organization of compression therapy for deep venous thrombosis- and chronic venous disease patients. PLOS ONE, 17(8), Article e0272566. https://doi.org/10.1371/journal.pone.0272566
    • Camm, C. F., Virdone, S., Goto, S., Bassand, J. P., van Eickels, M., Haas, S., Gersh, B. J., Pieper, K., Fox, K. A. A., Misselwitz, F., Turpie, A. G. G., Goldhaber, S. Z., Verheugt, F., Camm, J., Kayani, G., Panchenko, E., Oh, S., Luciardi, H. L., Sawhney, J. P. S., ... GARFIELD-AF Investigators (2022). Association of body mass index with outcomes in patients with newly diagnosed atrial fibrillation: GARFIELD-AF. Open Heart, 9(2), Article e002038. https://doi.org/10.1136/openhrt-2022-002038
    • Willems, L. H., Maas, D. P. M. S. M., Kramers, K., Reijnen, M. M. P. J., Riksen, N. P., Ten Cate, H., van der Vijver-Coppen, R. J., de Borst, G. J., Mees, B. M. W., Zeebregts, C. J., Hannink, G., & Warlé, M. C. (2022). Antithrombotic Therapy for Symptomatic Peripheral Arterial Disease: A Systematic Review and Network Meta-Analysis. Drugs, 82(12), 1287-1302. https://doi.org/10.1007/s40265-022-01756-6
    • Falanga, A., Leader, A., Ambaglio, C., Bagoly, Z., Castaman, G., Elalamy, I., Lecumberri, R., Niessner, A., Pabinger, I., Szmit, S., Trinchero, A., Ten Cate, H., & Rocca, B. (2022). EHA Guidelines on Management of Antithrombotic Treatments in Thrombocytopenic Patients With Cancer. HemaSphere, 6(8), e750. https://doi.org/10.1097/HS9.0000000000000750
    • de Laat, B., Stragier, H., de Laat-Kremers, R., Ninivaggi, M., Mesotten, D., Thiessen, S., Van Pelt, K., Roest, M., Penders, J., Vanelderen, P., Huskens, D., De Jongh, R., Vander Laenen, M., Fivez, T., ten Cate, H., Heylen, R., Heylen, L., & Steensels, D. (2022). Population-wide persistent hemostatic changes after vaccination with ChAdOx1-S. Frontiers in Cardiovascular Medicine, 9, Article 966028. https://doi.org/10.3389/fcvm.2022.966028
    • Nagy, M., & ten Cate, H. (2022). What to expect from drug targeting factor XI?Cardiovascular Research, 118(10), E72-E74. https://doi.org/10.1093/cvr/cvac091
    • Carlo, A., Yan, Q., Ten Cate, H., De Laat-Kremers, R., De Laat, B., & Ninivaggi, M. (2022). Semi-automated thrombin dynamics applying the ST Genesia thrombin generation assay. Frontiers in Cardiovascular Medicine, 9, Article 912433. https://doi.org/10.3389/fcvm.2022.912433
    • Winckers, K., & Ten Cate, H. (2022). Tromboseprofylaxe anno 2022: tijd voor pillen?Nederlands Tijdschrift voor Geneeskunde, 166, Article D6882. https://www.ntvg.nl/artikelen/tromboseprofylaxe-anno-2022-tijd-voor-pillen#auteursinformatie
    • Arnoldussen, C. W. K. P., Notten, P., Brans, R., Vroegindeweij, D., Tick, L. W., van de Poel, M. H. W., Wikkeling, O. R. M., Vleming, L. J., Koster, A., Jie, K. S. G., Jacobs, E. M. G., Planken, N., Wittens, C. H. A., ten Cate, H., Wildberger, J. E., & ten Cate-Hoek, A. J. (2022). Clinical impact of assessing thrombus age using magnetic resonance venography prior to catheter-directed thrombolysis. European Radiology, 32(7), 4555-4564. https://doi.org/10.1007/s00330-022-08599-5
    • Gorog, D. A., Storey, R. F., Gurbel, P. A., Tantry, U. S., Berger, J. S., Chan, M. Y., Duerschmied, D., Smyth, S. S., Parker, W. A. E., Ajjan, R. A., Vilahur, G., Badimon, L., ten Berg, J. M., ten Cate, H., Peyvandi, F., Wang, T. T., & Becker, R. C. (2022). Current and novel biomarkers of thrombotic risk in COVID-19: a Consensus Statement from the International COVID-19 Thrombosis Biomarkers Colloquium. Nature Reviews Cardiology, 19(7), 475-495. https://doi.org/10.1038/s41569-021-00665-7
    • Aarnink, E. W., Huijboom, M. F. M., Bor, W. L., Maarse, M., Zheng, K. L., Ten Cate, H., Ten Berg, J. M., & Boersma, L. V. A. (2022). Hemostatic biomarkers and antithrombotic strategy in percutaneous left atrial interventions: State-of-the-art review. Thrombosis Research, 215, 41-51. https://doi.org/10.1016/j.thromres.2022.05.009
    • Robles, A. P., ten Cate, V., Schulz, A., Prochaska, J. H., Rapp, S., Koeck, T., Panova-Noeva, M., Heitmeier, S., Schwers, S., Leineweber, K., Seyfarth, H. J., Opitz, C. F., Spronk, H., Espinola-Klein, C., Lackner, K. J., Munzel, T., Andrade-Navarro, M. A., Konstantinides, S. V., ten Cate, H., & Wild, P. S. (2022). Association of FXI activity with thrombo-inflammation, extracellular matrix, lipid metabolism and apoptosis in venous thrombosis. Scientific Reports, 12(1), Article 9761. https://doi.org/10.1038/s41598-022-13174-5
    • van Paridon, P. C. S., Panova-Noeva, M., van Oerle, R., Schulz, A., Prochaska, J. H., Arnold, N., Schmidtmann, I., Beutel, M., Pfeiffer, N., Münzel, T., Lackner, K. J., Ten Cate, H., Wild, P. S., & Spronk, H. M. H. (2022). Relationships between coagulation factors and thrombin generation in a general population with arterial and venous disease background. Thrombosis Journal, 20(1), Article 32. https://doi.org/10.1186/s12959-022-00392-0
    • Willers, A., Swol, J., Buscher, H., McQuilten, Z., van Kuijk, S. M. J., Ten Cate, H., Rycus, P. T., McKellar, S., Lorusso, R., & Tonna, J. E. (2022). Longitudinal Trends in Bleeding Complications on Extracorporeal Life Support Over the Past Two Decades-Extracorporeal Life Support Organization Registry Analysis. Critical Care Medicine, 50(6), E569-E580. https://doi.org/10.1097/CCM.0000000000005466
    • Schreurs, R. H. P., Joore, M. A., Ten Cate, H., & Ten Cate-Hoek, A. J. (2022). Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study. Frontiers in Cardiovascular Medicine, 9, Article 891364. https://doi.org/10.3389/fcvm.2022.891364
    • Willems, R. A. L., Winckers, K., Biesmans, C., de Vos-Geelen, J., & ten Cate, H. (2022). Evolving data on cardiovascular complications in cancer. Thrombosis Research, 213, S87-S94. https://doi.org/10.1016/j.thromres.2022.01.003
    • Alnima, T., Mulder, M. M. G., van Bussel, B. C. T., & Ten Cate, H. (2022). COVID-19 Coagulopathy: From Pathogenesis to Treatment. Acta Haematologica, 145(3), 282-296. https://doi.org/10.1159/000522498
    • Seelig, J., Trinks-Roerdink, E. M., Chu, G., Pisters, R., Theunissen, L., Trines, S. A., Pos, L., Kirchhof, C., de Jong, S., den Hartog, F. R., van Alem, A. P., Polak, P. E., Tieleman, R. G., van der Voort, P. H., Lenderink, T., Otten, A. M., de Jong, J., Gu, Y. L., Luermans, J., ... Hemels, M. (2022). Determinants of label non-adherence to non-vitamin K oral anticoagulants in patients with newly diagnosed atrial fibrillation. European heart journal open, 2(3), oeac022. https://doi.org/10.1093/ehjopen/oeac022
    • Willers, A., Swol, J., von Kuijk, S. M. J., Buscher, H., McQuilten, Z., ten Cate, H., Rycus, P. T., McKellar, S., Lorusso, R., & Tonna, J. E. (2022). HEROES V-V-HEmorRhagic cOmplications in Veno-Venous Extracorporeal life Support-Development and internal validation of multivariable prediction model in adult patients. Artificial Organs, 46(5), 932-952. https://doi.org/10.1111/aor.14148
    • Seelig, J., Chu, G., Trinks-Roerdink, E. M., Pisters, R., de Vries, T. A. C., Ten Cate, H., Geersing, G.-J., Rutten, F. H., Huisman, M. V., & Hemels, M. E. W. (2022). Unequal prescription of anticoagulants among females and males with atrial fibrillation and similar stroke risk: Should we omit sex category from the CHA2DS2-VASc score?Heart Rhythm, 19(5), 860-861. https://doi.org/10.1016/j.hrthm.2022.01.014
    • Dauwerse, S., ten Cate, H., Spronk, H. M. H., & Nagy, M. (2022). The Composition and Physical Properties of Clots in COVID-19 Pathology. Diagnostics, 12(3), Article 580. https://doi.org/10.3390/diagnostics12030580
    • Panova-Noeva, M., Wagner, B., Nagler, M., Koeck, T., Ten Cate, V., Eggebrecht, L., Prochaska, J. H., Meyer, I., Gerdes, C., Spronk, H. M., Lackner, K. J., Ten Cate, H., Leineweber, K., Heitmeier, S., Konstantinides, S., & Wild, P. S. (2022). Variation of platelet function in clinical phenotypes of acute venous thromboembolism - Results from the GMP-VTE project. Journal of Thrombosis and Haemostasis, 20(3), 705-715. https://doi.org/10.1111/jth.15595
    • De With, R. R., Artola Arita, V., Nguyen, B.-O., Linz, D., Ten Cate, H., Spronk, H., Schotten, U., van Zonneveld, A. J., Erküner, Ö., Bayón, M. A., Schmidt, A. S., Luermans, J. G. L. M., Crijns, H. J. G. M., Van Gelder, I. C., & Rienstra, M. (2022). Different circulating biomarkers in women and men with paroxysmal atrial fibrillation: results from the AF-RISK and RACE V studies. EP Europace, 24(2), 193-201. https://doi.org/10.1093/europace/euab179
    • Spaetgens, B., Nagy, M., & ten Cate, H. (2022). Antiplatelet Therapy in Patients With COVID-19-More Is Less?JAMA-Journal of the American Medical Association, 327(3), 223-224. https://doi.org/10.1001/jama.2021.23866
    • Willems, L. H., Nagy, M., Ten Cate, H., Spronk, H. M. H., Groh, L. A., Leentjens, J., Janssen, N. A. F., Netea, M. G., Thijssen, D. H. J., Hannink, G., van Petersen, A. S., & Warle, M. C. (2022). Sustained inflammation, coagulation activation and elevated endothelin-1 levels without macrovascular dysfunction at 3 months after COVID-19. Thrombosis Research, 209, 106-114. https://doi.org/10.1016/j.thromres.2021.11.027
    • Vignoli, A., Gamba, S., van der Meijden, P. E. J., Marchetti, M., Russo, L., Tessarolo, S., Giaccherini, C., Swieringa, F., Cate, H. T., Finazzi, G., Heemskerk, J. W. M., & Falanga, A. (2022). Increased platelet thrombus formation under flow conditions in whole blood from polycythaemia vera patients. Blood Transfusion, 20(2), 143-151. https://doi.org/10.2450/2021.0456-20
  • 2021
    • Hulshof, A.-M., Olie, R. H., Vries, M. J. A., Verhezen, P. W. M., van der Meijden, P. E. J., Ten Cate, H., & Henskens, Y. M. C. (2021). Rotational Thromboelastometry in High-Risk Patients on Dual Antithrombotic Therapy After Percutaneous Coronary Intervention. Frontiers in Cardiovascular Medicine, 8, Article 788137. https://doi.org/10.3389/fcvm.2021.788137
    • Willems, L. H., Nagy, M., Ten Cate, H., Spronk, H. M. H., Jacobs, L. M. C., Kranendonk, J., van Leeuwen, M., Meijer, D., Middeldorp, S., Groh, L. A., & Warle, M. C. (2021). ChAdOx1 vaccination, blood coagulation, and inflammation: No effect on coagulation but increased interleukin-6. Research and practice in thrombosis and haemostasis, 5(8), Article e12630. https://doi.org/10.1002/rth2.12630
    • Sun, S. Y., Urbanus, R. T., ten Cate, H., de Groot, P. G., de Laat, B., Heemskerk, J. W. M., & Roest, M. (2021). Platelet Activation Mechanisms and Consequences of Immune Thrombocytopenia. Cells, 10(12), Article 3386. https://doi.org/10.3390/cells10123386
    • van Haaps, T. F. V., Collard, D., van Osch, F. H. M. V., Middeldorp, S., Coppens, M., de Kruif, M. D., Vlot, E. A., Douma, R. A., ten Cate, H., Juffermans, N. P., Gritters, N., Vlaar, A. P., Reidinga, A. C., Heuvelmans, M. A., Oudkerk, M., Buller, H. R., van den Bergh, J. P. W. V., Maas, A., Ten Wolde, M., ... Dutch COVID & Thrombosis Coalition (2021). Pre-admission anticoagulant therapy and mortality in hospitalized COVID-19 patients: A retrospective cohort study. Thrombosis Research, 208, 35-38. https://doi.org/10.1016/j.thromres.2021.10.006
    • D'Alessandro, E., Scaf, B., van Oerle, R., van Nieuwenhoven, F. A., van Hunnik, A., Verheule, S., Schotten, U., Ten Cate, H., & Spronk, H. M. H. (2021). Thrombin generation by calibrated automated thrombography in goat plasma: Optimization of an assay. Research and practice in thrombosis and haemostasis, 5(8), Article e12620. https://doi.org/10.1002/rth2.12620
    • van der Bruggen, M. M., Kremers, B., van Oerle, R., van Oostenbrugge, R. J., & ten Cate, H. (2021). Potential value of the calibrated automated thrombogram in patients after a cerebral venous sinus thrombosis; an exploratory study. Thrombosis Journal, 19(1), Article 81. https://doi.org/10.1186/s12959-021-00335-1
    • D'Alessandro, E., Scaf, B., Munts, C., van Hunnik, A., Trevelyan, C. J., Verheule, S., Spronk, H. M. H., Turner, N. A., ten Cate, H., Schotten, U., & van Nieuwenhoven, F. A. (2021). Coagulation Factor Xa Induces Proinflammatory Responses in Cardiac Fibroblasts via Activation of Protease-Activated Receptor-1. Cells, 10(11), Article 2958. https://doi.org/10.3390/cells10112958
    • Bruggemann, R. A. G., Alnima, T., Brouns, S. H. A., Hanssen, N. M. J., Schols, J. M. G. A., ten Cate, H., Spaetgens, B., & ten Cate-Hoek, A. J. (2021). A known unknown? Pharmacological prevention of venous thromboembolism in nursing home residents. Journal of the American Geriatrics Society, 69(11), 3338-3343. https://doi.org/10.1111/jgs.17422
    • Jiritano, F., Fina, D., Lorusso, R., ten Cate, H., Kowalewski, M., Matteucci, M., Serra, R., Mastroroberto, P., & Serraino, G. F. (2021). Systematic review and meta-analysis of the clinical effectiveness of point-of-care testing for anticoagulation management during ECMO. Journal of Clinical Anesthesia, 73, Article 110330. https://doi.org/10.1016/j.jclinane.2021.110330
    • Schreurs, R. H. P., Joore, M. A., ten Cate, H., & ten Cate-Hoek, A. J. (2021). Using the Functional Resonance Analysis Method to explore how elastic compression therapy is organised and could be improved from a multistakeholder perspective. BMJ Open, 11(10), Article e048331. https://doi.org/10.1136/bmjopen-2020-048331