Cost-Effectiveness and Net Benefit of Enhanced Treatment of Depression for Older Adults With Diabetes and Depression
Article Figures & Tables
Tables
- Table 1—
Patient characteristics
Characteristic Diabetes subgroup Usual care (n = 214) Intervention (n = 204) Female 112 (52) 111 (54) Mean age (years) 70.2 ± 0.5 70.1 ± 0.5 Married or living with partner 103 (48) 93 (46) Ethnic group White 136 (64) 132 (65) African American 39 (18) 46 (23) Hispanic 33 (15) 21 (10) Other 6 (3) 5 (2) At least high school graduate 160 (75) 150 (74) Mean annual income (in $1000s) 26.0 (1.7) 27.5 (2.4) Depression status (SCID diagnosis) Major depression 27 (13) 24 (12) Dysthymia 61 (28) 59 (29) Major depression and dysthymia 126 (59) 121 (59) Mean HSCL-20 depression score (range 0–4) (±SE) 1.7 ± 0.04 1.7 ± 0.01 Mean chronic disease score 7.9 ± 0.3 7.5 ± 0.3 Mean duration of diabetes 11.6 ± 0.7 10.5 ± 0.7 Diabetes treatment Diet only 26 (12) 36 (18) Oral hypoglycemic agents only 110 (51) 96 (47) Insulin only 50 (23) 46 (23) Oral hypoglycemic agents and insulin 28 (13) 26 (13) Mean A1C level* 7.3 ± 0.1 7.3 ± 0.1 -
Data are means ± SD or n (%), unless otherwise indicated.
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↵* n = 293 for A1C results: 147 usual care and 146 intervention. SCID, structured clinical interview for DSM-IV.
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- Table 2—
Twenty-four month health care costs
Intervention Usual care Difference (95% CI) Intervention costs $597 (560–635) $0 (0–0) $597 (560–635) Median $553 0 Antidepressant medications $933 (794–1072) $462 (363–560) $471 (306–636) Median $805 $240 Outpatient mental health $293 (163–422) $342 (198–487) −$50 (−244 to 145) Median $0 $0 Total mental health $1,823 (1,614–2,032) $804 (613–995) $1,019 (739–1,299) Median $1,527 $392 Other medications $3,245 (3,848, 3,642) $3,516 (3,100, 3,933) −$271 (−832 to 289) Median $2,782 $2,881 Other outpatient mean $7,846 (6,951–8,740) $8,568 (7,460–9,675) −$722 (−2,134 to 689) Median $6,360 $6,821 Total outpatient $12,913 (11,800, 14,026) $12,888 (16,605, 14,170) $25 (−1,638 to 1,689) Median $11,561 $11,381 Inpatient mental health $10 (−9 to 29) $52 (−50 to 154) −$42 (−146 to 62) Median $0 $0 Inpatient medical costs $5,112 (3,651–6,574) $5,992 (3,337–8,647) −$880 (−3,826 to 2,066) Median $0 $144 Grand total $18,035 (15,948–20,123) $18,932 (15,860–22,004) −$896 (−4,549 to 2,755) Median $14,400 $14,184 -
Data are means (95% CI), unless otherwise indicated.
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