ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2013
Depressive disorder in the last phase of life in patients with cardiovascular disease, cancer, and COPD: data from a 20-year follow-up period in general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Advanced Chronic Obstructive Pulmonary Disease: Innovative and Integrated Management Approaches.Chinese medical journal · 2015Review
- Depression as a culture-bound syndrome: implications for primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Article
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7 authors.
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Abstract
backgroundDepression is assumed to be common in chronically ill patients during their last phase of life and is associated with poorer outcomes. The prevalence of depression is widely varying in previous studies due to the use of different terminology, classification, and assessment methods.
aimTo explore the reported incidence of depressive disorder, as registered in the last phase of life of patients who died from cardiovascular disease, cancer or COPD, in a sample of primary care patients. DESIGN AND
settingA historic cohort study, using a 20-year period registration database of medical records in four Dutch general practices (a dynamic population based on the Continuous Morbidity Registration database).
methodMedical history of the sample cohort was analysed for the diagnosis of a new episode of depressive disorder and descriptive statistics were used.
resultsIn total 982 patients were included, and 19 patients (1.9%) were diagnosed with a new depressive disorder in the last year of their life. The lifetime prevalence of depressive disorder in this sample was 8.2%.
conclusionThe incidence of depressive disorder in the last phase of life is remarkably low in this study. These data were derived from actual patient care in general practice. Psychiatric diagnoses were made by GPs in the context of both patient needs and delivered care. A broader concept of depression in general practice is recommended to improve the diagnosis and treatment of mood disorders in patients in the last phase of life.
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