Background
Methods
Data source
Study design and study population
Severity | ICD-10 | Description |
---|---|---|
Mild | F32.0 | Mild depressive episode |
F33.0 | Recurrent depressive disorder, current episode mild | |
F34.1 | Dysthymia | |
Moderate | F32.1 | Moderate depressive episode |
F33.1 | Recurrent depressive disorder, current episode moderate | |
Severe | F32.2 | Severe depressive episode without psychotic symptoms |
F32.3 | Severe depressive episode with psychotic symptoms | |
F33.2 | Recurrent depressive disorder, current episode severe without psychotic symptoms | |
F33.3 | Recurrent depressive disorder, current episode severe with psychotic symptoms | |
Unspecified/ Other | F32.8 | Other depressive episodes |
F32.9 | Depressive episode, unspecified | |
F33.8 | Other recurrent depressive disorders | |
F33.9 | Recurrent depressive disorder, unspecified | |
F33.4 | Recurrent depressive disorder, currently in remission |
Selection of comorbid mental and somatic diseases
Statistical analysis
Results
Sociodemographic characteristics and service utilization of the study population
mild depression | moderate depression | severe depression | ||||
---|---|---|---|---|---|---|
cases | controls | cases | controls | cases | controls | |
Number of insurants | 1.685.113 | 6.740.452 | 3.213.925 | 12.855.700 | 1.404.250 | 5.617.000 |
Age (mean, SD) | 56.1 (18.8) | 56.1 (18.8) | 55.4 (17.8) | 54.3 (17.9) | 55.5 (17.2) | 55.4 (17.3) |
Women (%) | 67.4 | 67.4 | 67.8 | 67.8 | 65.3 | 65.3 |
Number of different doctors seen in 2017 (median, Q1, Q3) | 8 (5, 12) | 5 (3, 8) | 8 (5, 12) | 5 (3, 8) | 8 (5, 12) | 5 (2, 8) |
Number of diagnosis groups (%) | ||||||
≤ 10 diagnosis groups | 43 | 69 | 44 | 71 | 41 | 70 |
11- ≤ 20 diagnosis groups | 41 | 26 | 40 | 24 | 41 | 25 |
21+ diagnosis groups | 16 | 5 | 16 | 5 | 18 | 5 |
Number of treatment cases in 2017 (median, Q1, Q3) | 12 (8, 17) | 8 (4, 12) | 12 (8, 18) | 7 (4, 12) | 13 (9, 19) | 7 (4, 12) |
Total cost of ambulatory care (€) in 2017 (median, Q1, Q3)a | 724 (393, 1248) | 357 (155, 684) | 832 (448, 1484) | 340 (148, 652) | 892 (495, 1552) | 345 (150, 661) |
Mental comorbidity
Somatic comorbidity
Ranking of mental and somatic comorbidity
mild depressive disorder | moderate depressive disorder | severe depressive disorder | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Rank among cases | Rank among controls | ICD group | prevalence among cases (%) | PR | Rank among cases | Rank among controls | ICD group | prevalence among cases (%) | PR | Rank among cases | Rank among controls | ICD group | prevalence among cases (%) | PR |
1 | 2 | M50-M54 | 53.3 | 1.54 | 1 | 12 | F40-F48 | 61.2 | 3.84 | 1 | 13 | F40-F48 | 65.5 | 4.18 |
2 | 14 | F40-F48 | 52.4 | 3.29 | 2 | 2 | M50-M54 | 53.9 | 1.56 | 2 | 2 | M50-M54 | 55.1 | 1.57 |
3 | 1 | I10-I15 | 47.7 | 1.21 | 3 | 1 | I10-I15 | 45.3 | 1.23 | 3 | 1 | I10-I15 | 47.7 | 1.25 |
4 | 3 | E70-E90 | 40.4 | 1.31 | 4 | 4 | E70-E90 | 38.4 | 1.33 | 4 | 3 | E70-E90 | 40.6 | 1.35 |
5 | 4 | N80-N98 | 35.3 | 1.26 | 5 | 3 | N80-N98 | 34.0 | 1.16 | 5 | 23 | G40-G47 | 34.2 | 2.94 |
6 | 6 | E00-E07 | 30.2 | 1.39 | 6 | 22 | G40-G47 | 31.1 | 2.68 | 6 | 9 | M70-M79 | 31.2 | 1.61 |
7 | 9 | M15-M19 | 30.1 | 1.45 | 7 | 9 | M70-M79 | 30.2 | 1.61 | 7 | 4 | N80-N98 | 30.9 | 1.12 |
8 | 10 | M70-M79 | 29.3 | 1.57 | 8 | 7 | E00-E07 | 29.9 | 1.40 | 8 | 7 | E00-E07 | 30.8 | 1.43 |
9 | 5 | H49-H52 | 28.6 | 1.23 | 9 | 5 | J00-J06 | 28.6 | 1.28 | 9 | 8 | M15-M19 | 29.8 | 1.51 |
10 | 24 | G40-G47 | 28.2 | 2.41 | 10 | 8 | M15-M19 | 28.5 | 1.50 | 10 | 16 | K20-K31 | 29.5 | 2.08 |
11 | 7 | J00-J06 | 27.5 | 1.30 | 11 | 17 | K20-K31 | 27.1 | 1.97 | 11 | 12 | J40-J47 | 26.1 | 1.67 |
12 | 17 | K20-K31 | 26.4 | 1.85 | 12 | 6 | H49-H52 | 26.0 | 1.20 | 12 | 6 | J00-J06 | 26.0 | 1.20 |
13 | 11 | M20-M25 | 25.2 | 1.48 | 13 | 10 | M20-M25 | 25.1 | 1.48 | 13 | 5 | H49-H52 | 25.8 | 1.16 |
14 | 15 | J40-J47 | 23.8 | 1.53 | 14 | 13 | J40-J47 | 24.5 | 1.60 | 14 | 10 | M20-M25 | 25.4 | 1.48 |
15 | 20 | M45-M49 | 23.5 | 1.78 | 15 | 18 | M45-M49 | 22.9 | 1.84 | 15 | 18 | M45-M49 | 24.5 | 1.89 |
16 | 12 | I30-I52 | 23.1 | 1.40 | 16 | 15 | J30-J39 | 20.8 | 1.48 | 16 | 14 | I30-I52 | 21.7 | 1.45 |
17 | 13 | D10-D36 | 20.8 | 1.30 | 17 | 14 | I30-I52 | 20.8 | 1.44 | 17 | 20 | E65-E68 | 21.2 | 1.69 |
18 | 18 | J30-J39 | 20.5 | 1.49 | 18 | 11 | D10-D36 | 19.8 | 1.24 | 18 | 22 | K55-K64 | 20.6 | 1.76 |
19 | 16 | I80-I89 | 20.2 | 1.36 | 19 | 19 | E65-E68 | 19.4 | 1.58 | 19 | 38 | F10-F19 | 20.1 | 2.89 |
20 | 23 | K55-K64 | 20.0 | 1.66 | 20 | 23 | K55-K64 | 19.4 | 1.71 | 20 | 17 | J30-J39 | 20.1 | 1.43 |