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A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older

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A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older. / Hohls, Johanna Katharina; König, Hans-Helmut; Raynik, Yulia I; Hajek, André.

In: J AFFECT DISORDERS, Vol. 232, 05.2018, p. 163-176.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Hohls, JK, König, H-H, Raynik, YI & Hajek, A 2018, 'A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older', J AFFECT DISORDERS, vol. 232, pp. 163-176. https://doi.org/10.1016/j.jad.2018.02.011

APA

Hohls, J. K., König, H-H., Raynik, Y. I., & Hajek, A. (2018). A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older. J AFFECT DISORDERS, 232, 163-176. https://doi.org/10.1016/j.jad.2018.02.011

Vancouver

Hohls JK, König H-H, Raynik YI, Hajek A. A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older. J AFFECT DISORDERS. 2018 May;232:163-176. https://doi.org/10.1016/j.jad.2018.02.011

Bibtex

@article{0c0399b562fd4768af481c1d3bec9f07,
title = "A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older",
abstract = "THEORETICAL BACKGROUND: In older people, anxiety disorders are among the most prevalent mental disorders and a high proportion suffers from clinically relevant anxiety symptoms. Despite studies suggesting an association of anxiety with health care utilization (HCU) and a resulting economic burden to the health care system, we found no review systematically analyzing evidence on this association in older people.OBJECTIVE: To analyze and synthesize evidence on the association of anxiety disorders and symptoms with HCU and costs in people aged 65 years and over in a systematic review.METHODS: A systematic search of peer-reviewed literature was conducted in three electronic databases. Additional references were identified through reference lists of included studies. Inclusion criteria were: studies reporting the association of anxiety disorders or symptoms with HCU or costs, specifically in people aged 65 years and over, with observational study design, in German or English language. Findings were synthesized qualitatively and study quality was assessed.RESULTS: N = 15 studies (HCU n = 10, costs n = 5) were included in the final synthesis. Overall, studies either reported significantly increased HCU in anxiety disorders compared to a healthy comparison group/according to degree of symptoms, or found no significant association between these variables. Total excess costs for anxiety disorders ranged from -116 to 19,003 $PPP per year.LIMITATIONS: Differences in methodology limited the comparability of included studies.CONCLUSION: Most studies suggest an increased economic burden due to anxiety in older people. Studies using standardized instruments are needed.",
keywords = "Journal Article, Review",
author = "Hohls, {Johanna Katharina} and Hans-Helmut K{\"o}nig and Raynik, {Yulia I} and Andr{\'e} Hajek",
note = "Copyright {\textcopyright} 2018 Elsevier B.V. All rights reserved.",
year = "2018",
month = may,
doi = "10.1016/j.jad.2018.02.011",
language = "English",
volume = "232",
pages = "163--176",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older

AU - Hohls, Johanna Katharina

AU - König, Hans-Helmut

AU - Raynik, Yulia I

AU - Hajek, André

N1 - Copyright © 2018 Elsevier B.V. All rights reserved.

PY - 2018/5

Y1 - 2018/5

N2 - THEORETICAL BACKGROUND: In older people, anxiety disorders are among the most prevalent mental disorders and a high proportion suffers from clinically relevant anxiety symptoms. Despite studies suggesting an association of anxiety with health care utilization (HCU) and a resulting economic burden to the health care system, we found no review systematically analyzing evidence on this association in older people.OBJECTIVE: To analyze and synthesize evidence on the association of anxiety disorders and symptoms with HCU and costs in people aged 65 years and over in a systematic review.METHODS: A systematic search of peer-reviewed literature was conducted in three electronic databases. Additional references were identified through reference lists of included studies. Inclusion criteria were: studies reporting the association of anxiety disorders or symptoms with HCU or costs, specifically in people aged 65 years and over, with observational study design, in German or English language. Findings were synthesized qualitatively and study quality was assessed.RESULTS: N = 15 studies (HCU n = 10, costs n = 5) were included in the final synthesis. Overall, studies either reported significantly increased HCU in anxiety disorders compared to a healthy comparison group/according to degree of symptoms, or found no significant association between these variables. Total excess costs for anxiety disorders ranged from -116 to 19,003 $PPP per year.LIMITATIONS: Differences in methodology limited the comparability of included studies.CONCLUSION: Most studies suggest an increased economic burden due to anxiety in older people. Studies using standardized instruments are needed.

AB - THEORETICAL BACKGROUND: In older people, anxiety disorders are among the most prevalent mental disorders and a high proportion suffers from clinically relevant anxiety symptoms. Despite studies suggesting an association of anxiety with health care utilization (HCU) and a resulting economic burden to the health care system, we found no review systematically analyzing evidence on this association in older people.OBJECTIVE: To analyze and synthesize evidence on the association of anxiety disorders and symptoms with HCU and costs in people aged 65 years and over in a systematic review.METHODS: A systematic search of peer-reviewed literature was conducted in three electronic databases. Additional references were identified through reference lists of included studies. Inclusion criteria were: studies reporting the association of anxiety disorders or symptoms with HCU or costs, specifically in people aged 65 years and over, with observational study design, in German or English language. Findings were synthesized qualitatively and study quality was assessed.RESULTS: N = 15 studies (HCU n = 10, costs n = 5) were included in the final synthesis. Overall, studies either reported significantly increased HCU in anxiety disorders compared to a healthy comparison group/according to degree of symptoms, or found no significant association between these variables. Total excess costs for anxiety disorders ranged from -116 to 19,003 $PPP per year.LIMITATIONS: Differences in methodology limited the comparability of included studies.CONCLUSION: Most studies suggest an increased economic burden due to anxiety in older people. Studies using standardized instruments are needed.

KW - Journal Article

KW - Review

U2 - 10.1016/j.jad.2018.02.011

DO - 10.1016/j.jad.2018.02.011

M3 - SCORING: Review article

C2 - 29494900

VL - 232

SP - 163

EP - 176

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -