20
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Death or hospitalization of patients on chronic hemodialysis is associated with a physician-based diagnosis of depression.

      Kidney International
      Adult, Aged, Death, Depressive Disorder, complications, diagnosis, mortality, Female, Follow-Up Studies, Hospitalization, Humans, Interviews as Topic, Kidney Failure, Chronic, psychology, Male, Middle Aged, Physicians, Prognosis, Proportional Hazards Models, Prospective Studies, Renal Dialysis, Survival Analysis

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Depressive symptoms, assessed using a self-report type of questionnaire, have been associated with poor outcomes in dialysis patients. Here we determined if depressive disorders diagnosed by physicians are also associated with such outcomes. Ninety-eight consecutive patients on chronic hemodialysis underwent the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders administered by a physician. Depression was diagnosed in about a quarter of the patients. Associations adjusted for age, gender, race, time on dialysis and co-morbidity were determined using survival analysis. Using time to event (death or hospitalization) models of analysis the hazard ratios were 2.11 and 2.07 in unadjusted and adjusted models respectively. The finding of poor outcome using a formal structured physician interview suggests that a prospective study is needed to determine whether treatment of depression affects clinical outcomes.

          Related collections

          Author and article information

          Comments

          Comment on this article