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Excess health care costs of late-life depression - Results of the AgeMooDe study

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Excess health care costs of late-life depression - Results of the AgeMooDe study. / Bock, Jens-Oliver; Brettschneider, Christian; Weyerer, Siegfried; Werle, Jochen; Wagner, Michael; Maier, Wolfgang; Scherer, Martin; Kaduszkiewicz, Hanna; Wiese, Birgitt; Moor, Lilia; Stein, Janine; Riedel-Heller, Steffi G; König, Hans-Helmut.

in: J AFFECT DISORDERS, Jahrgang 199, 15.07.2016, S. 139-47.

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

Harvard

Bock, J-O, Brettschneider, C, Weyerer, S, Werle, J, Wagner, M, Maier, W, Scherer, M, Kaduszkiewicz, H, Wiese, B, Moor, L, Stein, J, Riedel-Heller, SG & König, H-H 2016, 'Excess health care costs of late-life depression - Results of the AgeMooDe study', J AFFECT DISORDERS, Jg. 199, S. 139-47. https://doi.org/10.1016/j.jad.2016.04.008

APA

Bock, J-O., Brettschneider, C., Weyerer, S., Werle, J., Wagner, M., Maier, W., Scherer, M., Kaduszkiewicz, H., Wiese, B., Moor, L., Stein, J., Riedel-Heller, S. G., & König, H-H. (2016). Excess health care costs of late-life depression - Results of the AgeMooDe study. J AFFECT DISORDERS, 199, 139-47. https://doi.org/10.1016/j.jad.2016.04.008

Vancouver

Bock J-O, Brettschneider C, Weyerer S, Werle J, Wagner M, Maier W et al. Excess health care costs of late-life depression - Results of the AgeMooDe study. J AFFECT DISORDERS. 2016 Jul 15;199:139-47. https://doi.org/10.1016/j.jad.2016.04.008

Bibtex

@article{fabe137dfd894c5ea53e2d220cbe0ea9,
title = "Excess health care costs of late-life depression - Results of the AgeMooDe study",
abstract = "INTRODUCTION: The study aimed at determining excess costs of late-life depression from a societal perspective. Moreover, the impact of recognition of depression by GPs on costs was investigated.METHODS: Cross-sectional data were obtained from a large multicenter observational cohort study (AgeMooDe). Participants (n=1197) aged 75 years or older and were recruited via their GPs in Leipzig, Bonn, Hamburg, and Mannheim in Germany from May 2012 until December 2013. In the base case analysis, depression was assessed using the Geriatric Depression Scale (GDS; cutoff GDS≥6). Data on health care utilization and costs were based on participants' self-reports for inpatient treatment, outpatient treatment, pharmaceuticals, and formal and informal nursing care.RESULTS: Unadjusted mean costs in a six-month period for depressed individuals (€5031) exceeded those of non-depressed (€2700) by the factor 1.86 and were higher in all health care sectors considered. Statistically significant positive excess costs persisted in all formal health care sectors after adjusting for comorbidity and socio-demographics. Recognition of depression by the GP did not moderate the relationship of depression and health care costs.LIMITATIONS: Analyses were restricted to a cross-sectional design, not permitting any conclusions on causal interference of the variables considered.CONCLUSION: The findings stress the enormous burden of depression in old age for all sectors of the health care system. The fact that GPs' recognition of depression does not moderate the relationship between depression and costs adds further insights into the economics of this frequent psychiatric disorder.",
author = "Jens-Oliver Bock and Christian Brettschneider and Siegfried Weyerer and Jochen Werle and Michael Wagner and Wolfgang Maier and Martin Scherer and Hanna Kaduszkiewicz and Birgitt Wiese and Lilia Moor and Janine Stein and Riedel-Heller, {Steffi G} and Hans-Helmut K{\"o}nig",
note = "Copyright {\textcopyright} 2016 Elsevier B.V. All rights reserved.",
year = "2016",
month = jul,
day = "15",
doi = "10.1016/j.jad.2016.04.008",
language = "English",
volume = "199",
pages = "139--47",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Excess health care costs of late-life depression - Results of the AgeMooDe study

AU - Bock, Jens-Oliver

AU - Brettschneider, Christian

AU - Weyerer, Siegfried

AU - Werle, Jochen

AU - Wagner, Michael

AU - Maier, Wolfgang

AU - Scherer, Martin

AU - Kaduszkiewicz, Hanna

AU - Wiese, Birgitt

AU - Moor, Lilia

AU - Stein, Janine

AU - Riedel-Heller, Steffi G

AU - König, Hans-Helmut

N1 - Copyright © 2016 Elsevier B.V. All rights reserved.

PY - 2016/7/15

Y1 - 2016/7/15

N2 - INTRODUCTION: The study aimed at determining excess costs of late-life depression from a societal perspective. Moreover, the impact of recognition of depression by GPs on costs was investigated.METHODS: Cross-sectional data were obtained from a large multicenter observational cohort study (AgeMooDe). Participants (n=1197) aged 75 years or older and were recruited via their GPs in Leipzig, Bonn, Hamburg, and Mannheim in Germany from May 2012 until December 2013. In the base case analysis, depression was assessed using the Geriatric Depression Scale (GDS; cutoff GDS≥6). Data on health care utilization and costs were based on participants' self-reports for inpatient treatment, outpatient treatment, pharmaceuticals, and formal and informal nursing care.RESULTS: Unadjusted mean costs in a six-month period for depressed individuals (€5031) exceeded those of non-depressed (€2700) by the factor 1.86 and were higher in all health care sectors considered. Statistically significant positive excess costs persisted in all formal health care sectors after adjusting for comorbidity and socio-demographics. Recognition of depression by the GP did not moderate the relationship of depression and health care costs.LIMITATIONS: Analyses were restricted to a cross-sectional design, not permitting any conclusions on causal interference of the variables considered.CONCLUSION: The findings stress the enormous burden of depression in old age for all sectors of the health care system. The fact that GPs' recognition of depression does not moderate the relationship between depression and costs adds further insights into the economics of this frequent psychiatric disorder.

AB - INTRODUCTION: The study aimed at determining excess costs of late-life depression from a societal perspective. Moreover, the impact of recognition of depression by GPs on costs was investigated.METHODS: Cross-sectional data were obtained from a large multicenter observational cohort study (AgeMooDe). Participants (n=1197) aged 75 years or older and were recruited via their GPs in Leipzig, Bonn, Hamburg, and Mannheim in Germany from May 2012 until December 2013. In the base case analysis, depression was assessed using the Geriatric Depression Scale (GDS; cutoff GDS≥6). Data on health care utilization and costs were based on participants' self-reports for inpatient treatment, outpatient treatment, pharmaceuticals, and formal and informal nursing care.RESULTS: Unadjusted mean costs in a six-month period for depressed individuals (€5031) exceeded those of non-depressed (€2700) by the factor 1.86 and were higher in all health care sectors considered. Statistically significant positive excess costs persisted in all formal health care sectors after adjusting for comorbidity and socio-demographics. Recognition of depression by the GP did not moderate the relationship of depression and health care costs.LIMITATIONS: Analyses were restricted to a cross-sectional design, not permitting any conclusions on causal interference of the variables considered.CONCLUSION: The findings stress the enormous burden of depression in old age for all sectors of the health care system. The fact that GPs' recognition of depression does not moderate the relationship between depression and costs adds further insights into the economics of this frequent psychiatric disorder.

U2 - 10.1016/j.jad.2016.04.008

DO - 10.1016/j.jad.2016.04.008

M3 - SCORING: Journal article

C2 - 27104802

VL - 199

SP - 139

EP - 147

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -