Evidence map›Paper›PMID 19247560›Full record

ArticleSocial psychiatry and psychiatric epidemiology2009

Association of mental distress with health care utilization and costs: a 5-year observation in a general population.

Hans Jörgen Grabe, Sebastian E Baumeister, Ulrich John, Harald J Freyberger, Henry Völzke

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  18. Mental health in ACOs: missed opportunities and low-hanging fruit.The American journal of managed care · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Hans Jörgen GrabeDepartment of Psychiatry and Psychotherapy, University of Greifswald, Rostocker Chaussee 70, 18437, Stralsund, Germany. grabeh@uni-greifswald.de
Sebastian E Baumeister
Ulrich John
Harald J Freyberger
Henry Völzke
Universität Greifswald · DEHelmholtz Zentrum München · DEUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious studies have associated mental distress and disorders with increased health care utilization and costs. However, most studies have selected subjects from treatment facilities or have applied retrospective designs.

methodsN = 3,300 subjects from the baseline cohort of the Study of Health in Pomerania were followed up 5 years later. Mental distress was assessed with the SF-12 Health Survey and the Composite Diagnostic Screener for mental disorders. Two-part econometric models were applied adjusting for medical confounders and baseline services use.

resultsAt 5-year follow-up somatization at baseline predicted an increase of inpatient (+39.9%) and outpatient costs (+11.9%). Depression predicted an increase of inpatient (+24.1%) and outpatient costs (+8.9%). Comorbidity of somatization and depression and somatization and anxiety predicted an increase in overall health care costs of > or =50%.

conclusionSimple and time-efficient screening procedures for mental disorders may help to identify subjects at risk for increased future health care utilization. Standardized therapeutic interventions should be evaluated in subjects at risk in primary care.

Indexed as

AdultAgedComorbidityContinuity of Patient CareDepressive DisorderFemaleHealth Care CostsHealth StatusHealth SurveysHumansLongitudinal StudiesMaleMass ScreeningMental DisordersMiddle AgedModels, Econometric

Identifiers

PMID19247560
OpenAlexW1973826686

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.