The Impact of Depression on Health Care Utilization in Patients with Cancer
Autor: | Chao-Hui Huang, Aidan Gilbert, Courtney P. Williams, Gabrielle B. Rocque, Terri Salter, Star Ye |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Medicare Neoplasms Intervention (counseling) Health care medicine Humans In patient General Nursing Depression (differential diagnoses) Aged Depression business.industry Cancer General Medicine Emergency department Patient Acceptance of Health Care medicine.disease United States Confidence interval Hospitalization Cross-Sectional Studies Anesthesiology and Pain Medicine Relative risk Emergency medicine Emergency Service Hospital business |
Zdroj: | Journal of Palliative Medicine. 24:755-759 |
ISSN: | 1557-7740 1096-6218 |
Popis: | Background: Depression is common in the oncology patient population. Little data exist on the impact of depression on health care utilization. Objectives: We evaluated the prevalence of depression and the relationship between depression and health care utilization in patients with cancer. Design: This cross-sectional study utilized patient-reported outcome data from predominately Medicare beneficiaries with cancer. We examined the emergency department visits and inpatient admissions within 3 months from survey. The relationship between depression and hospital visits was assessed using generalized linear models. Results: Of 1038 patients included in the study, 13% had moderate to severe depression. In adjusted models, patients with moderate or severe depression trended toward increased risk of hospitalizations compared with patients without depression (risk ratio: 1.25, 95% confidence interval: 0.97-1.62). Conclusions: Clinically significant depression is not uncommon in cancer patients. Further research is needed evaluating the relationship between depression, health care utilization, and early psychiatric intervention in oncology. |
Databáze: | OpenAIRE |
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