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Depression and Mortality in People with Type 2 Diabetes Mellitus, 2003 to 2013: A Nationwide Population-Based Cohort Study
Diabetes & Metabolism Journal ; : 296-302, 2017.
Artigo em Inglês | WPRIM | ID: wpr-174849
ABSTRACT

BACKGROUND:

Previous reports have demonstrated a bidirectional relationship between depression and diabetes mellitus (DM), accentuating a need for more intensive depression screening in DM patients. There is a relative paucity of data on the mortality of depressed DM patients in Korea.

METHODS:

Retrospective data from January 2003 to December 2013 were collected for adult type 2 diabetes mellitus (T2DM) patients older than 30 years using the National Health Information database maintained by the Korean National Health Insurance Service (NHIS). Demographic characteristics were analyzed with descriptive statistics, and the annual prevalence of depression was estimated. Mortality rates and hazard ratios for each age group (stratified into six age groups) of patients diagnosed with T2DM in 2003 were estimated using a Cox proportional hazard method, with the Kaplan-Meier cumulative survival curve showing the overall survival rates according to the T2DM status until the given year of 2013.

RESULTS:

The annual prevalence of depression was consistently higher in T2DM group from 2003 to 2013. The mortality hazard ratio was higher in the depressed in all age groups, and the risk was higher in male groups and in younger-aged groups.

CONCLUSION:

Depression was significantly associated with a high mortality risk in T2DM patients; hence, a more systematic surveillance of T2DM patients to identify risk factors for depression might contribute significantly to reducing mortality risk in this group of patients.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Prognóstico / Programas de Rastreamento / Prevalência / Taxa de Sobrevida / Estudos Retrospectivos / Fatores de Risco / Estudos de Coortes / Mortalidade / Depressão / Diabetes Mellitus Tipo de estudo: Estudo de etiologia / Estudo de incidência / Estudo observacional / Estudo de prevalência / Estudo prognóstico / Fatores de risco / Estudo de rastreamento Limite: Adulto / Humanos / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Diabetes & Metabolism Journal Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Prognóstico / Programas de Rastreamento / Prevalência / Taxa de Sobrevida / Estudos Retrospectivos / Fatores de Risco / Estudos de Coortes / Mortalidade / Depressão / Diabetes Mellitus Tipo de estudo: Estudo de etiologia / Estudo de incidência / Estudo observacional / Estudo de prevalência / Estudo prognóstico / Fatores de risco / Estudo de rastreamento Limite: Adulto / Humanos / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Diabetes & Metabolism Journal Ano de publicação: 2017 Tipo de documento: Artigo