Association of Depression Risk with Patient Experience, Healthcare Expenditure, and Health Resource Utilization Among Adults with Atherosclerotic Cardiovascular Disease
Association of Depression Risk with Patient Experience, Healthcare Expenditure, and Health Resource Utilization Among Adults with Atherosclerotic Cardiovascular Disease
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DOI：
10.1007/s11606-019-05325-8
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发表时间：
2019-11-01
影响因子：
5.7
通讯作者：
Nasir, Khurram
中科院分区：
文献类型：
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作者：
Okunrintemi, Victor;Valero-Elizondo, Javier;Nasir, Khurram
背景大约20%的动脉粥样硬化性心血管疾病(ASCVD)患者患有抑郁症。目的比较ASCVD患者(无抑郁者)和抑郁者(与风险分层的非抑郁者)的医疗支出和利用、与医疗保健相关的生活质量和以患者为中心的结果。设计和设置采用2004-2015年医疗支出小组调查(MEPS)进行本研究。参与者=18年患有ASCVD，由ICD-9编码和/或自我报告数据确定。被诊断为抑郁症的人被ICD-9代码311识别。根据患者健康问卷-2对参与者进行抑郁风险分层。结果共有19840名参与者，相当于1830万美国成年人，其中8.6%(约130万美国成年人)有抑郁症的高风险，18%有抑郁症的临床诊断。在无抑郁的ASCVD患者中，高危患者(与低风险患者相比)总体支出和自付支出增加(边际差异分别为2880美元和287美元，P
BackgroundApproximately 20% of patients with atherosclerotic cardiovascular disease (ASCVD) suffer from depression.ObjectiveTo compare healthcare expenditures and utilization, healthcare-related quality of life, and patient-centered outcomes among ASCVD patients, based on their risk for depression (among those without depression), and those with depression (vs. risk-stratified non-depressed).Design and SettingThe 2004-2015 Medical Expenditure Panel Survey (MEPS) was used for this study.ParticipantsAdults >= 18 years with a diagnosis of ASCVD, ascertained by ICD-9 codes and/or self-reported data. Individuals with a diagnosis of depression were identified by ICD-9 code 311. Participants were stratified by depression risk, based on the Patient Health Questionnaire-2.ResultsA total of 19,840 participants were included, translating into 18.3 million US adults, of which 8.6% (approximate to 1.3 million US adults) had a high risk for depression and 18% had a clinical diagnosis of depression. Among ASCVD patients without depression, those with a high risk (compared with low risk) had increased overall and out-of-pocket expenditures (marginal differences of $2880 and $287, respectively, both p