Evidence map›Paper›PMID 29947863›Full record

ArticleSocial psychiatry and psychiatric epidemiology2019

Associations between untreated depression and secondary health care utilization in patients with hypertension and/or diabetes.

Anita Pálinkás, János Sándor, Magor Papp, László Kőrösi, Zsófia Falusi, László Pál, Zsuzsanna Bélteczki, Zoltán Rihmer, Péter Döme

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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 29 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Anita PálinkásDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, POB. 400, 4002, Hungary.
János SándorDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, POB. 400, 4002, Hungary. sandor.janos@sph.unideb.hu.
Magor PappNational Institute of Health Promotion, Budapest, Hungary.
László KőrösiDepartment of Financing, National Institute of Health Insurance Fund Management, Budapest, Hungary.
Zsófia FalusiDepartment of Financing, National Institute of Health Insurance Fund Management, Budapest, Hungary.
László PálDepartment of Financing, National Institute of Health Insurance Fund Management, Budapest, Hungary.
Zsuzsanna BélteczkiSantha Kalman Mental Health Centre and Special Hospital, Nagykallo, Hungary.
Zoltán RihmerDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
Péter DömeDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
Semmelweis University · HUUniversity of Debrecen · HU

Funding

European Union and the European Regional Development Fund GINOP-2.3.2-15-2016-00005Swiss Contribution Programme SH/8/1
6 · The paper itself

Abstract

purposeWe determined the prevalence of untreated depression in patients with hypertension (HT) and/or diabetes (DM) and estimated the extra health care use and expenditures associated with this comorbidity in a rural Hungarian adult population. We also assessed the potential workload of systematic screening for depression in this patient group.

methodsGeneral health check database from a primary care programme containing survey data of 2027 patients with HT and/or DM was linked to the outpatient secondary care use database of National Institute of Health Insurance Fund Management. Depression was ascertained by Beck Depression Inventory score and antidepressant drug use. The association between untreated depression and secondary healthcare utilization indicated by number of visits and expenses was evaluated by multiple logistic regression analysis controlled for socioeconomic/lifestyle factors and comorbidity. The age-, sex- and education-specific observations were used to estimate the screening workload for an average general medical practice.

resultsThe frequency of untreated depression was 27.08%. The untreated severe depression (7.45%) was associated with increased number of visits (OR 1.60, 95% CI 1.11-2.31) and related expenses (OR 2.20, 95% CI 1.50-3.22) in a socioeconomic status-independent manner. To identify untreated depression cases among patients with HT and/or DM, an average GP has to screen 42 subjects a month.

conclusionIt seems to be reasonable and feasible to screen for depression in patients with HT and/or DM in the primary care, in order to detect cases without treatment (which may be associated with increase of secondary care visits and expenditures) and to initiate the adequate treatment of them.

Indexed as

AdultAgedAmbulatory CareAntidepressive AgentsComorbidityDatabases, FactualDepressionDiabetes MellitusFemaleHealth ExpendituresHumansHungaryHypertensionInsurance, HealthMaleMiddle AgedAntidepressive AgentsComorbid depressionDiabetesHealth care utilizationHypertensionLinkage study

Identifiers

PMID29947863
OpenAlexW2808523701

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.