Observational studyThe Journal of international medical research2020
Factors associated with loss to follow-up of outpatients with depression in general hospitals.
Observational study in The Journal of international medical research, 2020. 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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Who cites it
2 citing papers in PubMed.
- Initial adherence by psychiatric outpatients in a general hospital and relevant personal factors.BMC psychiatry · 2022Article
- Do psychiatric disorders affect patient reported outcomes and clinical outcomes post total hip and knee arthroplasty?SAGE open medicine · 2021Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe aimed to understand the reasons behind outpatient loss to follow-up and the views of Chinese patients with depression regarding disease diagnosis and antidepressant therapy.
methodsConsecutive outpatients with newly diagnosed depressive disorder between September 2012 and August 2013 at the Shanghai First People's Hospital (a tertiary hospital) were categorized into follow-up and lost-to-follow-up groups. We collected information on demographics, the Hamilton depression (HAMD) scale, Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale, and Symptom Checklist-90. Patients were routinely followed at 2, 4, 8, and 12 weeks. Any missed appointment was considered lost to follow-up.
resultsAfter 12 weeks of treatment, only 42.2% (70/166) of patients were continuing follow-up. Patients lost to follow-up were significantly younger (median, 42.5 vs. 56.5 years), had different marital status, higher education level, higher SDS score (43.8 ± 10.8 vs. 40.2 ± 10.9), and higher HAMD score (median, 21 vs. 19). Age (odds ratio (OR) = 0.97, 95% confidence interval (CI): 0.95-0.997), and HAMD score (OR = 1.14, 95% CI: 1.01-1.29) were independently associated with loss to follow-up.
conclusionYoung age, higher HAMD score, and poor knowledge of depression and treatment were the main factors associated with loss to follow-up during depression management among our Chinese patients.
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