Death or hospitalization of patients on chronic hemodialysis is associated with a physician-based diagnosis of depression.

Published

Journal Article

Depressive symptoms, assessed using a self-report type of questionnaire, have been associated with poor outcomes in dialysis patients. Here we determined if depressive disorders diagnosed by physicians are also associated with such outcomes. Ninety-eight consecutive patients on chronic hemodialysis underwent the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders administered by a physician. Depression was diagnosed in about a quarter of the patients. Associations adjusted for age, gender, race, time on dialysis and co-morbidity were determined using survival analysis. Using time to event (death or hospitalization) models of analysis the hazard ratios were 2.11 and 2.07 in unadjusted and adjusted models respectively. The finding of poor outcome using a formal structured physician interview suggests that a prospective study is needed to determine whether treatment of depression affects clinical outcomes.

Full Text

Duke Authors

Cited Authors

  • Hedayati, SS; Bosworth, HB; Briley, LP; Sloane, RJ; Pieper, CF; Kimmel, PL; Szczech, LA

Published Date

  • October 2008

Published In

Volume / Issue

  • 74 / 7

Start / End Page

  • 930 - 936

PubMed ID

  • 18580856

Pubmed Central ID

  • 18580856

Electronic International Standard Serial Number (EISSN)

  • 1523-1755

Digital Object Identifier (DOI)

  • 10.1038/ki.2008.311

Language

  • eng

Conference Location

  • United States