Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population

Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to i...
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Autor*in:	Andersson, David [verfasserIn] Magnusson, Henrik Carstensen, John Borgquist, Lars

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Schlagwörter:	Obstructive Sleep Apnea Obstructive Sleep Apnea Syndrome Health Care Utilisation Physician Visit Obstructive Sleep Apnea Syndrome Patient

Anmerkung:	© Andersson et al; licensee BioMed Central Ltd. 2011

Übergeordnetes Werk:	Enthalten in: BMC public health - London : BioMed Central, 2001, 11(2011), 1 vom: 12. Juli
Übergeordnetes Werk:	volume:11 ; year:2011 ; number:1 ; day:12 ; month:07

Links:	Volltext

DOI / URN:	10.1186/1471-2458-11-552

Katalog-ID:	SPR027857530

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520			\|a Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important.
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allfields	10.1186/1471-2458-11-552 doi (DE-627)SPR027857530 (SPR)1471-2458-11-552-e DE-627 ger DE-627 rakwb eng Andersson, David verfasserin aut Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Andersson et al; licensee BioMed Central Ltd. 2011 Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important. Obstructive Sleep Apnea (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome (dpeaa)DE-He213 Health Care Utilisation (dpeaa)DE-He213 Physician Visit (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome Patient (dpeaa)DE-He213 Magnusson, Henrik aut Carstensen, John aut Borgquist, Lars aut Enthalten in BMC public health London : BioMed Central, 2001 11(2011), 1 vom: 12. Juli (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:11 year:2011 number:1 day:12 month:07 https://dx.doi.org/10.1186/1471-2458-11-552 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1 12 07
spelling	10.1186/1471-2458-11-552 doi (DE-627)SPR027857530 (SPR)1471-2458-11-552-e DE-627 ger DE-627 rakwb eng Andersson, David verfasserin aut Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Andersson et al; licensee BioMed Central Ltd. 2011 Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important. Obstructive Sleep Apnea (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome (dpeaa)DE-He213 Health Care Utilisation (dpeaa)DE-He213 Physician Visit (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome Patient (dpeaa)DE-He213 Magnusson, Henrik aut Carstensen, John aut Borgquist, Lars aut Enthalten in BMC public health London : BioMed Central, 2001 11(2011), 1 vom: 12. Juli (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:11 year:2011 number:1 day:12 month:07 https://dx.doi.org/10.1186/1471-2458-11-552 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1 12 07
allfields_unstemmed	10.1186/1471-2458-11-552 doi (DE-627)SPR027857530 (SPR)1471-2458-11-552-e DE-627 ger DE-627 rakwb eng Andersson, David verfasserin aut Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Andersson et al; licensee BioMed Central Ltd. 2011 Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important. Obstructive Sleep Apnea (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome (dpeaa)DE-He213 Health Care Utilisation (dpeaa)DE-He213 Physician Visit (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome Patient (dpeaa)DE-He213 Magnusson, Henrik aut Carstensen, John aut Borgquist, Lars aut Enthalten in BMC public health London : BioMed Central, 2001 11(2011), 1 vom: 12. Juli (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:11 year:2011 number:1 day:12 month:07 https://dx.doi.org/10.1186/1471-2458-11-552 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1 12 07
allfieldsGer	10.1186/1471-2458-11-552 doi (DE-627)SPR027857530 (SPR)1471-2458-11-552-e DE-627 ger DE-627 rakwb eng Andersson, David verfasserin aut Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Andersson et al; licensee BioMed Central Ltd. 2011 Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important. Obstructive Sleep Apnea (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome (dpeaa)DE-He213 Health Care Utilisation (dpeaa)DE-He213 Physician Visit (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome Patient (dpeaa)DE-He213 Magnusson, Henrik aut Carstensen, John aut Borgquist, Lars aut Enthalten in BMC public health London : BioMed Central, 2001 11(2011), 1 vom: 12. Juli (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:11 year:2011 number:1 day:12 month:07 https://dx.doi.org/10.1186/1471-2458-11-552 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1 12 07
allfieldsSound	10.1186/1471-2458-11-552 doi (DE-627)SPR027857530 (SPR)1471-2458-11-552-e DE-627 ger DE-627 rakwb eng Andersson, David verfasserin aut Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Andersson et al; licensee BioMed Central Ltd. 2011 Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important. Obstructive Sleep Apnea (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome (dpeaa)DE-He213 Health Care Utilisation (dpeaa)DE-He213 Physician Visit (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome Patient (dpeaa)DE-He213 Magnusson, Henrik aut Carstensen, John aut Borgquist, Lars aut Enthalten in BMC public health London : BioMed Central, 2001 11(2011), 1 vom: 12. Juli (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:11 year:2011 number:1 day:12 month:07 https://dx.doi.org/10.1186/1471-2458-11-552 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1 12 07
language	English
source	Enthalten in BMC public health 11(2011), 1 vom: 12. Juli volume:11 year:2011 number:1 day:12 month:07
sourceStr	Enthalten in BMC public health 11(2011), 1 vom: 12. Juli volume:11 year:2011 number:1 day:12 month:07
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Obstructive Sleep Apnea Obstructive Sleep Apnea Syndrome Health Care Utilisation Physician Visit Obstructive Sleep Apnea Syndrome Patient
isfreeaccess_bool	true
container_title	BMC public health
authorswithroles_txt_mv	Andersson, David @@aut@@ Magnusson, Henrik @@aut@@ Carstensen, John @@aut@@ Borgquist, Lars @@aut@@
publishDateDaySort_date	2011-07-12T00:00:00Z
hierarchy_top_id	326643583
id	SPR027857530
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The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. 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author	Andersson, David
spellingShingle	Andersson, David misc Obstructive Sleep Apnea misc Obstructive Sleep Apnea Syndrome misc Health Care Utilisation misc Physician Visit misc Obstructive Sleep Apnea Syndrome Patient Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population
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topic_title	Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population Obstructive Sleep Apnea (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome (dpeaa)DE-He213 Health Care Utilisation (dpeaa)DE-He213 Physician Visit (dpeaa)DE-He213 Obstructive Sleep Apnea Syndrome Patient (dpeaa)DE-He213
topic	misc Obstructive Sleep Apnea misc Obstructive Sleep Apnea Syndrome misc Health Care Utilisation misc Physician Visit misc Obstructive Sleep Apnea Syndrome Patient
topic_unstemmed	misc Obstructive Sleep Apnea misc Obstructive Sleep Apnea Syndrome misc Health Care Utilisation misc Physician Visit misc Obstructive Sleep Apnea Syndrome Patient
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title	Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population
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title_full	Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population
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title_sort	co-morbidity and health care utilisation five years prior to diagnosis for depression. a register-based study in a swedish population
title_auth	Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population
abstract	Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important. © Andersson et al; licensee BioMed Central Ltd. 2011
abstractGer	Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important. © Andersson et al; licensee BioMed Central Ltd. 2011
abstract_unstemmed	Background Depressive disorders have been associated with a number of co-morbidities, and we hypothesized that patients with a depression diagnosis would be heavy users of health care services, not only when first evaluated for depression, but also for preceding years. The aim of this study was to investigate whether increased health care utilisation and co-morbidity could be seen during five years prior to an initial diagnosis of depression. Methods We used a longitudinal register-based study design. The setting comprised the general population in the county of Östergötland, south-east Sweden. All 2470 patients who were 20 years or older in 2006 and who received a new diagnosis of depression (F32 according to ICD-10) in 2006, were selected and followed back to the year 2001, five years before their depression diagnosis. A control group was randomly selected among those who were aged 20 years or over in 2006 and who had received no depression diagnosis during the period 2001-2006. Results Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. Patients who received a diagnosis of depression used twice the amount of health care (e.g. physician visits and hospital days) during the five year period prior to diagnosis compared to the control group. A particularly strong increase in health care utilisation was seen the last year before diagnosis. These findings were supported with a high level of co-morbidity as for example musculoskeletal disorders during the whole five-year period for patients with a depression diagnosis. Conclusions Predictors of a depression diagnosis were a high number of physician visits, female gender, age below 60, age above 80 and a low socioeconomic status. To find early signs of depression in the clinical setting and to use a preventive strategy to handle these patients is important. © Andersson et al; licensee BioMed Central Ltd. 2011
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title_short	Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population
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Co-morbidity and health care utilisation five years prior to diagnosis for depression. A register-based study in a Swedish population

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