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Depression and Health Care Use in Patients With Inflammatory Bowel Disease
Jessie J Wong1, Lindsay Sceats2, Melody Dehghan3
1Pediatric Endocrinology, Stanford University School of Medicine, Stanford, CA, USA.
Depression significantly increases healthcare costs and emergency department visits for inflammatory bowel disease patients. Integrating mental health services could improve outcomes and reduce overall care expenses.
Area of Science:
- Gastroenterology
- Psychiatry
- Health Services Research
Background:
- Depression is a common comorbidity in inflammatory bowel disease (IBD) patients.
- This comorbidity significantly contributes to increased healthcare utilization and costs.
Purpose of the Study:
- To investigate the association between depression and healthcare costs in IBD patients.
- To examine the relationship between depression and emergency department (ED) visits, computed tomography (CT) scans, and IBD-related surgeries.
Main Methods:
- Utilized a national administrative claims database (Truven Health MarketScan®) with 331,772 IBD patients.
- Employed Gamma and Poisson regression analyses to assess differences related to depression, controlling for covariates.
Main Results:
- Approximately 16% of the IBD cohort had depression, associated with a $17,706 increase in annual healthcare costs.
- Depression correlated with higher incidence of ED visits (aIRR 1.5) and increased odds of repeated CT scans (aOR 1.6-4.6) and IBD-related surgery (aOR 1.2).
- A pediatric subsample showed similar trends for costs and ED/CT use, but not surgery.
Conclusions:
- Significant disparities in healthcare costs and utilization exist between IBD patients with and without depression.
- Integrating mental health services into IBD care pathways is recommended to enhance patient outcomes and manage costs effectively.
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