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Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over

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Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over. / Hohls, Johanna Katharina; König, Hans-Helmut; van den Bussche, Hendrik; Eisele, Marion; Wiese, Birgitt; Oey, Anke; Weyerer, Siegfried; Werle, Jochen; Fuchs, Angela; Pentzek, Michael; Stein, Janine; Röhr, Susanne; Mösch, Edelgard; Bickel, Horst; Heser, Kathrin; Miebach, Lisa; Scherer, Martin; Maier, Wolfgang; Riedel-Heller, Steffi G; Hajek, André.

in: INT J GERIATR PSYCH, Jahrgang 34, Nr. 5, 05.2019, S. 765-776.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Hohls, JK, König, H-H, van den Bussche, H, Eisele, M, Wiese, B, Oey, A, Weyerer, S, Werle, J, Fuchs, A, Pentzek, M, Stein, J, Röhr, S, Mösch, E, Bickel, H, Heser, K, Miebach, L, Scherer, M, Maier, W, Riedel-Heller, SG & Hajek, A 2019, 'Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over', INT J GERIATR PSYCH, Jg. 34, Nr. 5, S. 765-776. https://doi.org/10.1002/gps.5089

APA

Hohls, J. K., König, H-H., van den Bussche, H., Eisele, M., Wiese, B., Oey, A., Weyerer, S., Werle, J., Fuchs, A., Pentzek, M., Stein, J., Röhr, S., Mösch, E., Bickel, H., Heser, K., Miebach, L., Scherer, M., Maier, W., Riedel-Heller, S. G., & Hajek, A. (2019). Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over. INT J GERIATR PSYCH, 34(5), 765-776. https://doi.org/10.1002/gps.5089

Vancouver

Hohls JK, König H-H, van den Bussche H, Eisele M, Wiese B, Oey A et al. Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over. INT J GERIATR PSYCH. 2019 Mai;34(5):765-776. https://doi.org/10.1002/gps.5089

Bibtex

@article{b1e3a0dc05c64e18a6a1c7bbbff608d3,
title = "Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over",
abstract = "OBJECTIVE: To analyze the association of anxiety symptoms with health care use and costs in people aged 85 and older.METHODS: Baseline data from AgeQualiDe (N = 856), a multicenter prospective cohort study of primary care patients aged 85 and older, were analyzed. Anxiety symptoms (Geriatric Anxiety Inventory-Short Form) and health care use were assessed via questionnaires. Health care use was monetarily valued using German unit costs to obtain sectoral (inpatient, outpatient, nursing care, medical supplies, and medication) and total costs. Health care use and costs were analyzed in regression models as a function of anxiety symptoms, as well as relevant covariates (predisposing, enabling, and other need characteristics based on the Behavioral Model of Health Care Use).RESULTS: On a descriptive level, people with increased anxiety symptoms (12% of the sample) incurred on average € 10 909 (SD: 16 023) in the last 6 months, 31% more than those without increased anxiety (€ 8303, SD: 11 175; P = 0.12). Adjusting for predisposing, enabling, and other need characteristics, anxiety symptoms were not significantly associated with health care use or costs. Specifically, need characteristics (morbidity, cognitive decline, and functional impairment) were associated with total or sectoral costs, depending on the cost category analyzed.CONCLUSION: In a sample of people of the oldest-old age group, the severity of anxiety symptoms was not associated with health care use or costs, when adjusting for relevant covariates. A longitudinal analysis could assess whether a change in anxiety symptom severity is associated with health care use or costs in old age.",
keywords = "Journal Article",
author = "Hohls, {Johanna Katharina} and Hans-Helmut K{\"o}nig and {van den Bussche}, Hendrik and Marion Eisele and Birgitt Wiese and Anke Oey and Siegfried Weyerer and Jochen Werle and Angela Fuchs and Michael Pentzek and Janine Stein and Susanne R{\"o}hr and Edelgard M{\"o}sch and Horst Bickel and Kathrin Heser and Lisa Miebach and Martin Scherer and Wolfgang Maier and Riedel-Heller, {Steffi G} and Andr{\'e} Hajek",
note = "This article is protected by copyright. All rights reserved.",
year = "2019",
month = may,
doi = "10.1002/gps.5089",
language = "English",
volume = "34",
pages = "765--776",
journal = "INT J GERIATR PSYCH",
issn = "0885-6230",
publisher = "John Wiley and Sons Ltd",
number = "5",

}

RIS

TY - JOUR

T1 - Association of Anxiety Symptoms with Health Care Use and Costs in People Aged 85 and Over

AU - Hohls, Johanna Katharina

AU - König, Hans-Helmut

AU - van den Bussche, Hendrik

AU - Eisele, Marion

AU - Wiese, Birgitt

AU - Oey, Anke

AU - Weyerer, Siegfried

AU - Werle, Jochen

AU - Fuchs, Angela

AU - Pentzek, Michael

AU - Stein, Janine

AU - Röhr, Susanne

AU - Mösch, Edelgard

AU - Bickel, Horst

AU - Heser, Kathrin

AU - Miebach, Lisa

AU - Scherer, Martin

AU - Maier, Wolfgang

AU - Riedel-Heller, Steffi G

AU - Hajek, André

N1 - This article is protected by copyright. All rights reserved.

PY - 2019/5

Y1 - 2019/5

N2 - OBJECTIVE: To analyze the association of anxiety symptoms with health care use and costs in people aged 85 and older.METHODS: Baseline data from AgeQualiDe (N = 856), a multicenter prospective cohort study of primary care patients aged 85 and older, were analyzed. Anxiety symptoms (Geriatric Anxiety Inventory-Short Form) and health care use were assessed via questionnaires. Health care use was monetarily valued using German unit costs to obtain sectoral (inpatient, outpatient, nursing care, medical supplies, and medication) and total costs. Health care use and costs were analyzed in regression models as a function of anxiety symptoms, as well as relevant covariates (predisposing, enabling, and other need characteristics based on the Behavioral Model of Health Care Use).RESULTS: On a descriptive level, people with increased anxiety symptoms (12% of the sample) incurred on average € 10 909 (SD: 16 023) in the last 6 months, 31% more than those without increased anxiety (€ 8303, SD: 11 175; P = 0.12). Adjusting for predisposing, enabling, and other need characteristics, anxiety symptoms were not significantly associated with health care use or costs. Specifically, need characteristics (morbidity, cognitive decline, and functional impairment) were associated with total or sectoral costs, depending on the cost category analyzed.CONCLUSION: In a sample of people of the oldest-old age group, the severity of anxiety symptoms was not associated with health care use or costs, when adjusting for relevant covariates. A longitudinal analysis could assess whether a change in anxiety symptom severity is associated with health care use or costs in old age.

AB - OBJECTIVE: To analyze the association of anxiety symptoms with health care use and costs in people aged 85 and older.METHODS: Baseline data from AgeQualiDe (N = 856), a multicenter prospective cohort study of primary care patients aged 85 and older, were analyzed. Anxiety symptoms (Geriatric Anxiety Inventory-Short Form) and health care use were assessed via questionnaires. Health care use was monetarily valued using German unit costs to obtain sectoral (inpatient, outpatient, nursing care, medical supplies, and medication) and total costs. Health care use and costs were analyzed in regression models as a function of anxiety symptoms, as well as relevant covariates (predisposing, enabling, and other need characteristics based on the Behavioral Model of Health Care Use).RESULTS: On a descriptive level, people with increased anxiety symptoms (12% of the sample) incurred on average € 10 909 (SD: 16 023) in the last 6 months, 31% more than those without increased anxiety (€ 8303, SD: 11 175; P = 0.12). Adjusting for predisposing, enabling, and other need characteristics, anxiety symptoms were not significantly associated with health care use or costs. Specifically, need characteristics (morbidity, cognitive decline, and functional impairment) were associated with total or sectoral costs, depending on the cost category analyzed.CONCLUSION: In a sample of people of the oldest-old age group, the severity of anxiety symptoms was not associated with health care use or costs, when adjusting for relevant covariates. A longitudinal analysis could assess whether a change in anxiety symptom severity is associated with health care use or costs in old age.

KW - Journal Article

U2 - 10.1002/gps.5089

DO - 10.1002/gps.5089

M3 - SCORING: Journal article

C2 - 30821399

VL - 34

SP - 765

EP - 776

JO - INT J GERIATR PSYCH

JF - INT J GERIATR PSYCH

SN - 0885-6230

IS - 5

ER -