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Prevalence and factors associated with diagnosed depression among hospitalized cancer patients with metastatic disease.

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Title: Prevalence and factors associated with diagnosed depression among hospitalized cancer patients with metastatic disease.
Authors: Adjei Boakye, Eric (AUTHOR), Osazuwa-Peters, Nosayaba (AUTHOR), Mohammed, Kahee A. (AUTHOR), Challapalli, Sai (AUTHOR), Buchanan, Paula (AUTHOR), Burroughs, Thomas E. (AUTHOR), Varvares, Mark A. (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Jan2020, Vol. 55 Issue 1, p15-23. 9p.
Subjects: Cancer patients, Hospital patients, Metastasis, Mental depression, Hospital records, Comorbidity, Tumors & psychology, Psychology of Black people, Psychology of hospital patients, Cross-sectional method, Disease prevalence, Tumors, White people
Abstract: Purpose: This study aimed to examine the factors associated with diagnosed depression among patients with a metastatic cancer.Methods: We conducted a cross-sectional analysis of 39,223 hospital records from 2008 to 2013 National Inpatient Sample for patients with metastatic cancer. Diagnosed depression was defined using ICD-9-CM for major depression. Weighted, multivariable hierarchical regression model was used to examine the association between sociodemographic and clinical factors and depression among patients with a metastatic cancer.Results: The prevalence of clinically diagnosed depression in patients with a metastatic cancer in our study sample was 7.3% (5.9% for males and 8.6% for females). The prevalence rate of diagnosed depression increased from 5.3 to 9.4% between 2008 and 2013. In multivariable analysis, patients were more likely to be diagnosed with depression if they were females (aOR = 1.44; 95% CI 1.25-1.66) compared to males; and had higher number of comorbidities (aOR = 1.11 per 1-unit increase in Elixhauser comorbidity score, 95% CI 1.07-1.15). In contrast, patients were less likely to be diagnosed with depression if they were blacks (aOR = 0.59; 95% CI 0.47-0.74) or other race (aOR = 0.58; 95% CI 0.47-0.72) compared with white patients.Conclusions: Women and individuals with more comorbidities were diagnosed with depression more frequently, whereas black patients were diagnosed less. Our findings could help providers to identify hospitalized patients with the higher risk of depression and screened patients with signs and symptoms of clinical depression. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Prevalence and factors associated with diagnosed depression among hospitalized cancer patients with metastatic disease.
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  Data: <searchLink fieldCode="AR" term="%22Adjei+Boakye%2C+Eric%22">Adjei Boakye, Eric</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Osazuwa-Peters%2C+Nosayaba%22">Osazuwa-Peters, Nosayaba</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mohammed%2C+Kahee+A%2E%22">Mohammed, Kahee A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Challapalli%2C+Sai%22">Challapalli, Sai</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Buchanan%2C+Paula%22">Buchanan, Paula</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burroughs%2C+Thomas+E%2E%22">Burroughs, Thomas E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Varvares%2C+Mark+A%2E%22">Varvares, Mark A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Jan2020, Vol. 55 Issue 1, p15-23. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+patients%22">Hospital patients</searchLink><br /><searchLink fieldCode="DE" term="%22Metastasis%22">Metastasis</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+records%22">Hospital records</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors+%26+psychology%22">Tumors & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+Black+people%22">Psychology of Black people</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+hospital+patients%22">Psychology of hospital patients</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors%22">Tumors</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink>
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  Data: <bold>Purpose: </bold>This study aimed to examine the factors associated with diagnosed depression among patients with a metastatic cancer.<bold>Methods: </bold>We conducted a cross-sectional analysis of 39,223 hospital records from 2008 to 2013 National Inpatient Sample for patients with metastatic cancer. Diagnosed depression was defined using ICD-9-CM for major depression. Weighted, multivariable hierarchical regression model was used to examine the association between sociodemographic and clinical factors and depression among patients with a metastatic cancer.<bold>Results: </bold>The prevalence of clinically diagnosed depression in patients with a metastatic cancer in our study sample was 7.3% (5.9% for males and 8.6% for females). The prevalence rate of diagnosed depression increased from 5.3 to 9.4% between 2008 and 2013. In multivariable analysis, patients were more likely to be diagnosed with depression if they were females (aOR = 1.44; 95% CI 1.25-1.66) compared to males; and had higher number of comorbidities (aOR = 1.11 per 1-unit increase in Elixhauser comorbidity score, 95% CI 1.07-1.15). In contrast, patients were less likely to be diagnosed with depression if they were blacks (aOR = 0.59; 95% CI 0.47-0.74) or other race (aOR = 0.58; 95% CI 0.47-0.72) compared with white patients.<bold>Conclusions: </bold>Women and individuals with more comorbidities were diagnosed with depression more frequently, whereas black patients were diagnosed less. Our findings could help providers to identify hospitalized patients with the higher risk of depression and screened patients with signs and symptoms of clinical depression. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00127-019-01763-1
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