Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes
Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes
复制标题
DOI：
10.2337/diacare.25.3.464
复制
发表时间：
2002-03-01
期刊：
影响因子：
16.2
通讯作者：
Simpson, K
中科院分区：
文献类型：
--
作者：
Egede, LE;Zheng, D;Simpson, K
目的 - 本研究确定了糖尿病患者诊断为抑郁症的几率以及抑郁症与医疗保健使用和支出之间的关系。研究设计和方法 - 首先，我们使用 1996 年医疗支出面板调查 (MEPS) 比较了 825 名患有糖尿病的成人与 20,688 名未患糖尿病的成人的数据。其次，在糖尿病患者中，我们比较抑郁症和非抑郁症患者，以确定医疗保健使用和支出的差异。第三，我们通过协方差分析，根据年龄、性别、种族/民族、健康保险和合并症的差异调整了使用和支出估计。最后，我们使用消费者价格指数来调整通货膨胀支出，并使用 SAS 和 SUDAAN 软件进行统计分析。结果 - 糖尿病患者诊断出抑郁症的可能性是美国普通人群中可比样本的两倍（比值比 1.9，95% CI 1.5-2.5）。年轻人（
Objective-This study ascertained the odds of diagnosed depression in individuals with diabetes and the relation between depression and health care use and expenditures.Research Design and Methods-First, we compared data from 825 adults with diabetes with that from 20,688 adults without diabetes using the 1996 Medical Expenditure Panel Survey (MEPS). Second, in patients with diabetes, we compare depressed and nondepressed individuals to identify differences in health care use and expenditures. Third, we adjusted use and expenditure estimates for differences in age, sex, race/ethnicity, health insurance, and comorbidity with analysis of covariance. Finally, we used the Consumer Price Index to adjust exenditures for inflation and used SAS and SUDAAN software for statisical analyses.Results-Individuals with diabetes were twice as likely as a comparable sample from the general U.S. population to have diagnosed depression (odds ratio 1.9, 95% CI 1.5-2.5). Younger adults (