The relationship between clinically relevant depressive symptoms and episodes and duration of all cause hospitalization in Southern Chinese elderly

Wong, Samuel Yeung Shan; Mercer, Stewart W; Leung, Jason; Woo, Jean

doi:10.1016/j.jad.2008.06.008

Cited by 17 publications

(15 citation statements)

References 31 publications

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“…Those results showed that depressed patients were at 36% increased risk (pooled RR = 1.36) for hospitalization relative to non-depressed patients. Similarly, both Wong [24] and Prina [25] found that depressed, community-dwelling adults were at significant risk for re-hospitalization relative to non-depressed patients (RR = 1.5 and 1.3, respectively). In sum, results of our study are very similar to those presented elsewhere, with depressed cancer patients being at comparable risk for medical service use to that of patients with chronic diseases, while being at greater risk compared to community-dwelling adults.…”

Section: Discussionmentioning

confidence: 90%

Depression and healthcare service utilization in patients with cancer

Mausbach

Irwin

2016

Psycho-Oncology

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Objective It is estimated that as many as 38% of cancer patients suffer from depression, which may have distal impacts on cancer care, including clinical outcomes, health care utilization, and cost of care. The purpose of this study was to determine the impact of depression on overall healthcare utilization among patients with cancer. Methods A retrospective analysis of administrative data was conducted on 5,055 patients with an ICD-9 diagnosis of cancer from a single large healthcare system. Of these, 561 (11.1%) had ICD-9 diagnoses consistent with a depressive disorder. Negative binomial regression modeling was used to test the association between depression status and total annual healthcare visits for the year 2011. Logistic regression was used to examine the association between depression and secondary outcomes of emergency department visit, overnight hospitalization, and 30-day hospital readmission. Results After adjusting for age, gender, race/ethnicity, insurance type, medical comorbidities, length of time with cancer, and metastatic status, depressed patients had significantly more annual non-mental health provider healthcare visits (aRR = 1.76, 95% CI = 1.61–1.93), and were significantly more likely to have an ED visit (OR = 2.45; 95% CI = 1.97-3.04), overnight hospitalization (OR = 1.81; 95% CI = 1.49–2.20), and 30-day hospital readmission (OR = 2.03; 95% CI = 1.48–2.79) than non-depressed patients with cancer. Conclusions Among patients with cancer, the presence of depression was associated with greater healthcare utilization. Effective screening for, and management of, depression may help reduce overall healthcare utilization and cost while improving care quality.

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Section: Discussionmentioning

confidence: 90%

Depression and healthcare service utilization in patients with cancer

Mausbach

Irwin

2016

Psycho-Oncology

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“…Another limitation is "time-dependent confounding," where confounders (high cost) and risk factors (depression) mutually affect each other. Although our approach to depression was similar to several other studies, 6,10,12,15,20,[34][35][36][37][38] our study included potentially "mixed prevalent and incident depression cohorts" and rarely do these studies differentiate if depression was incident or prevalent. The estimated "average" total health care cost may therefore underemphasize effects related to onset of depression and may overemphasize effects of long-term depression.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Health care costs of depression in patients diagnosed with cancer

2018

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“…The depressive disorder is multifaceted in its clinical presentation, as general signs there are body weight loss, memory impairment, exacerbate disabilities and symptoms of chronic diseases [8], as psychopathological signs there are difficulty in decision making, feeling of loneliness, fear of illness, becoming dependent, an uncertain future, untidy appearance, psychomotor agitation/slowness, anxiety pathological guilt, delusions, mood states -demoralization (hopelessness/helplessness) and anhedonia, autonomic anxiety and somatoform symptoms [1, 10, 11].…”

Section: The Depression Post-hospitalization and Its Risk Factorsmentioning

confidence: 99%

“…Elevated levels of depressive symptoms are associated with bad treatment adhesion, longer stays, more hospital readmissions, and reduced functional status, inattentive of their comorbidities [8]. Those symptoms of hospital-related depression have a dynamic nature at different time-points: admission, discharge and post-discharge in accordance to Ciro et al (2012) [6].…”

Section: Introductionmentioning

confidence: 99%