Defining Depression and Anxiety in Individuals With Rheumatic Diseases Using Administrative Health Databases: A Systematic Review.
Objective: To conduct a systematic review to describe how administrative health databases have been used to study depression and anxiety in patients with rheumatic diseases and to synthesize the case definitions that have been applied.Methods: Search strategies to identify articles evaluating depres...
| Publicado en: | Arthritis Care & Research Vol. 72; no. 2; pp. 243 - 256 |
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| Autores principales: | , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141450863&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141450863 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2151464X B8M4 jtl: Arthritis Care & Research issn: 2151464X maglogo: N pubinfo: dt: Feb2020 vid: 72 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 141450863 141450863 NLM31421021 141450863 10.1002/acr.24048 NLM31421021 141450863 ppf: 243 ppct: 13 formats: tig: atl: Defining Depression and Anxiety in Individuals With Rheumatic Diseases Using Administrative Health Databases: A Systematic Review. aug: au: Howren, Alyssa Aviña‐Zubieta, J. Antonio Puyat, Joseph H. Esdaile, John M. Da Costa, Deborah De Vera, Mary A. Aviña-Zubieta, J Antonio affil: University of British Columbia and Collaboration for Outcomes Research and Evaluation, Vancouver, and Arthritis Research Canada, Richmond British Columbia, Canada sug: subj: Depression Diagnosis Anxiety Diagnosis Rheumatic Diseases Diagnosis Resource Databases Trends Rheumatic Diseases Epidemiology Depression Psychosocial Factors Anxiety Psychosocial Factors Prospective Studies International Classification of Diseases Trends Rheumatic Diseases Psychosocial Factors Depression Epidemiology Anxiety Epidemiology Human Validation Studies Comparative Studies Evaluation Research Multicenter Studies ab: Objective: To conduct a systematic review to describe how administrative health databases have been used to study depression and anxiety in patients with rheumatic diseases and to synthesize the case definitions that have been applied.Methods: Search strategies to identify articles evaluating depression and anxiety among individuals with rheumatic diseases were employed in Medline, Embase, CINAHL, Cochrane Database of Systematic Reviews, and PsycINFO. Studies included were those using administrative health data and reporting case definitions for depression and anxiety using International Classification of Diseases (ICD) codes. We extracted information on study design and objectives, administrative health database, specific data sources (e.g., inpatient, pharmacy records), ICD codes, operational definitions, and validity of case definitions.Results: Of the 36 studies included in this review, all studies assessed depression, and 13 studies (36.1%) evaluated anxiety. A number of specific ICD-9/10 codes were consistently applied to identify depression and anxiety, but the overall combination of ICD codes and operational definitions varied across studies. Twenty-four studies reported operational definitions, and 19 of these studies (79.2%) combined claims from more than 1 type of administrative data source (e.g., inpatient, outpatient). Validated case definitions were used by 6 studies (16.7%), with sensitivity estimates for depression and anxiety case definitions ranging from 33% to 74% and 42% to 76%, respectively.Conclusion: We identified numerous case definitions used to evaluate depression and anxiety among individuals with rheumatic diseases within administrative health databases. Recommendations include using case definitions with demonstrated validity as well as operationalizing case definitions within multiple data sources. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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