Skip to main content
  • More from ADA
    • Diabetes
    • Clinical Diabetes
    • Diabetes Spectrum
    • ADA Standards of Medical Care
    • ADA Scientific Sessions Abstracts
    • BMJ Open Diabetes Research & Care
  • Subscribe
  • Log in
  • My Cart
  • Follow ada on Twitter
  • RSS
  • Visit ada on Facebook
Diabetes Care

Advanced Search

Main menu

  • Home
  • Current
    • Current Issue
    • Online Ahead of Print
    • Special Article Collections
    • ADA Standards of Medical Care
  • Browse
    • By Topic
    • Issue Archive
    • Saved Searches
    • Special Article Collections
    • ADA Standards of Medical Care
  • Info
    • About the Journal
    • About the Editors
    • ADA Journal Policies
    • Instructions for Authors
    • Guidance for Reviewers
  • Reprints/Reuse
  • Advertising
  • Subscriptions
    • Individual Subscriptions
    • Institutional Subscriptions and Site Licenses
    • Access Institutional Usage Reports
    • Purchase Single Issues
  • Alerts
    • E­mail Alerts
    • RSS Feeds
  • Podcasts
    • Diabetes Core Update
    • Special Podcast Series: Therapeutic Inertia
    • Special Podcast Series: Influenza Podcasts
    • Special Podcast Series: SGLT2 Inhibitors
    • Special Podcast Series: COVID-19
  • Submit
    • Submit a Manuscript
    • Journal Policies
    • Instructions for Authors
    • ADA Peer Review
  • More from ADA
    • Diabetes
    • Clinical Diabetes
    • Diabetes Spectrum
    • ADA Standards of Medical Care
    • ADA Scientific Sessions Abstracts
    • BMJ Open Diabetes Research & Care

User menu

  • Subscribe
  • Log in
  • My Cart

Search

  • Advanced search
Diabetes Care
  • Home
  • Current
    • Current Issue
    • Online Ahead of Print
    • Special Article Collections
    • ADA Standards of Medical Care
  • Browse
    • By Topic
    • Issue Archive
    • Saved Searches
    • Special Article Collections
    • ADA Standards of Medical Care
  • Info
    • About the Journal
    • About the Editors
    • ADA Journal Policies
    • Instructions for Authors
    • Guidance for Reviewers
  • Reprints/Reuse
  • Advertising
  • Subscriptions
    • Individual Subscriptions
    • Institutional Subscriptions and Site Licenses
    • Access Institutional Usage Reports
    • Purchase Single Issues
  • Alerts
    • E­mail Alerts
    • RSS Feeds
  • Podcasts
    • Diabetes Core Update
    • Special Podcast Series: Therapeutic Inertia
    • Special Podcast Series: Influenza Podcasts
    • Special Podcast Series: SGLT2 Inhibitors
    • Special Podcast Series: COVID-19
  • Submit
    • Submit a Manuscript
    • Journal Policies
    • Instructions for Authors
    • ADA Peer Review
Epidemiology/Health Services/Psychosocial Research

Cost-Effectiveness and Net Benefit of Enhanced Treatment of Depression for Older Adults With Diabetes and Depression

  1. Wayne Katon, MD1,
  2. Jürgen Unützer, MD, MPH1,
  3. Ming-Yu Fan, PHD1,
  4. John W. Williams, Jr, MD, MHS2,
  5. Michael Schoenbaum, PHD3,
  6. Elizabeth H.B. Lin, MD, MPH4 and
  7. Enid M. Hunkeler, MA5
  1. 1Department of Psychiatry, University of Washington School of Medicine, Seattle, Washington
  2. 2Department of Medicine, Durham Veterans Administration Medical Hospital, Durham, North Carolina
  3. 3RAND, Arlington, Virginia
  4. 4Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington
  5. 5Kaiser Permanente, Oakland, California
  1. Address correspondence and reprint requests to Wayne Katon, MD, Department of PsychiatryBehavioral Sciences, Box 356560, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA 98195-6560. E-mail: wkaton{at}u.washington.edu
Diabetes Care 2006 Feb; 29(2): 265-270. https://doi.org/10.2337/diacare.29.02.06.dc05-1572
PreviousNext
  • Article
  • Figures & Tables
  • Info & Metrics
  • PDF
Loading

Article Figures & Tables

Tables

  • Table 1—

    Patient characteristics

    CharacteristicDiabetes subgroup
    Usual care (n = 214)Intervention (n = 204)
    Female112 (52)111 (54)
    Mean age (years)70.2 ± 0.570.1 ± 0.5
    Married or living with partner103 (48)93 (46)
    Ethnic group
        White136 (64)132 (65)
        African American39 (18)46 (23)
        Hispanic33 (15)21 (10)
        Other6 (3)5 (2)
    At least high school graduate160 (75)150 (74)
    Mean annual income (in $1000s)26.0 (1.7)27.5 (2.4)
    Depression status (SCID diagnosis)
        Major depression27 (13)24 (12)
        Dysthymia61 (28)59 (29)
        Major depression and dysthymia126 (59)121 (59)
    Mean HSCL-20 depression score (range 0–4) (±SE)1.7 ± 0.041.7 ± 0.01
    Mean chronic disease score7.9 ± 0.37.5 ± 0.3
    Mean duration of diabetes11.6 ± 0.710.5 ± 0.7
    Diabetes treatment
        Diet only26 (12)36 (18)
        Oral hypoglycemic agents only110 (51)96 (47)
        Insulin only50 (23)46 (23)
        Oral hypoglycemic agents and insulin28 (13)26 (13)
    Mean A1C level*7.3 ± 0.17.3 ± 0.1
    • Data are means ± SD or n (%), unless otherwise indicated.

    • *

      ↵* n = 293 for A1C results: 147 usual care and 146 intervention. SCID, structured clinical interview for DSM-IV.

  • Table 2—

    Twenty-four month health care costs

    InterventionUsual careDifference (95% CI)
    Intervention costs$597 (560–635)$0 (0–0)$597 (560–635)
        Median$5530
    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.

PreviousNext
Back to top
Diabetes Care: 29 (2)

In this Issue

February 2006, 29(2)
  • Table of Contents
  • About the Cover
  • Index by Author
Sign up to receive current issue alerts
View Selected Citations (0)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about Diabetes Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Cost-Effectiveness and Net Benefit of Enhanced Treatment of Depression for Older Adults With Diabetes and Depression
(Your Name) has forwarded a page to you from Diabetes Care
(Your Name) thought you would like to see this page from the Diabetes Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Cost-Effectiveness and Net Benefit of Enhanced Treatment of Depression for Older Adults With Diabetes and Depression
Wayne Katon, Jürgen Unützer, Ming-Yu Fan, John W. Williams, Michael Schoenbaum, Elizabeth H.B. Lin, Enid M. Hunkeler
Diabetes Care Feb 2006, 29 (2) 265-270; DOI: 10.2337/diacare.29.02.06.dc05-1572

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Add to Selected Citations
Share

Cost-Effectiveness and Net Benefit of Enhanced Treatment of Depression for Older Adults With Diabetes and Depression
Wayne Katon, Jürgen Unützer, Ming-Yu Fan, John W. Williams, Michael Schoenbaum, Elizabeth H.B. Lin, Enid M. Hunkeler
Diabetes Care Feb 2006, 29 (2) 265-270; DOI: 10.2337/diacare.29.02.06.dc05-1572
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • RESEARCH DESIGN AND METHODS
    • RESULTS
    • CONCLUSIONS
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Tables
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Suboptimal Use of Cardioprotective Drugs in Newly Treated Elderly Individuals With Type 2 Diabetes
  • Disparities in Diabetes Care Between Smokers and Nonsmokers
  • Elevated Cystatin C Concentration and Progression to Pre-Diabetes
Show more Epidemiology/Health Services/Psychosocial Research

Similar Articles

Navigate

  • Current Issue
  • Standards of Care Guidelines
  • Online Ahead of Print
  • Archives
  • Submit
  • Subscribe
  • Email Alerts
  • RSS Feeds

More Information

  • About the Journal
  • Instructions for Authors
  • Journal Policies
  • Reprints and Permissions
  • Advertising
  • Privacy Policy: ADA Journals
  • Copyright Notice/Public Access Policy
  • Contact Us

Other ADA Resources

  • Diabetes
  • Clinical Diabetes
  • Diabetes Spectrum
  • Scientific Sessions Abstracts
  • Standards of Medical Care in Diabetes
  • BMJ Open - Diabetes Research & Care
  • Professional Books
  • Diabetes Forecast

 

  • DiabetesJournals.org
  • Diabetes Core Update
  • ADA's DiabetesPro
  • ADA Member Directory
  • Diabetes.org

© 2021 by the American Diabetes Association. Diabetes Care Print ISSN: 0149-5992, Online ISSN: 1935-5548.