The association between a history of anxiety or depression and utilization of diagnostic imaging.

<h4>Objective</h4>While prior research shows that mental illness is associated with lower utilization of screening imaging, little is known about how mental illness impacts use of diagnostic imaging, other than for screening. This study explores the association between a history of anxie...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Adam C Powell, James W Long, Garry Carneal, Kathryn J Schormann, David P Friedman
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8fdd89b694534f1b9c206861a7c840ad
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:8fdd89b694534f1b9c206861a7c840ad
record_format	dspace
spelling	oai:doaj.org-article:8fdd89b694534f1b9c206861a7c840ad2021-12-02T20:15:26ZThe association between a history of anxiety or depression and utilization of diagnostic imaging.1932-620310.1371/journal.pone.0254572https://doaj.org/article/8fdd89b694534f1b9c206861a7c840ad2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254572https://doaj.org/toc/1932-6203<h4>Objective</h4>While prior research shows that mental illness is associated with lower utilization of screening imaging, little is known about how mental illness impacts use of diagnostic imaging, other than for screening. This study explores the association between a history of anxiety or depression in the prior year and utilization of diagnostic imaging.<h4>Methods</h4>Commercial and Medicare Advantage health plan claims from 2017 and 2018 from patients with plans from one national organization were extracted. Exclusions were made for patients without continuous plan enrollment. History of anxiety or depression was determined using 2017 claims, and downstream diagnostic imaging was determined using 2018 claims. Univariate associations were assessed with Chi-square tests. A matched sample was created using Coarsened Exact Matching, with history of mental illness serving as the treatment variable. Logistic regressions were used to calculate adjusted odds ratios, before and after matching, controlling for age, sex, urbanicity, local income, comorbidities, claims history, region, and health plan characteristics. Associations between mental illness and chest imaging, neuroimaging, and emergency department imaging were also evaluated.<h4>Results</h4>The sample included 2,381,851 patients before matching. Imaging was significantly more likely for patients with a history of anxiety (71.1% vs. 55.7%, P < .001) and depression (73.2% vs. 55.3%, P < .001). The adjusted odds of any imaging were 1.24 (95% confidence interval [CI]: 1.22-1.26) for patients with a history of anxiety, and 1.43 (CI: 1.41-1.45) for patients with a history of depression before matching, and 1.18 (CI: 1.16-1.20) for a history of anxiety and 1.33 (CI: 1.32-1.35) for a history of depression after matching. Adjusted analyses found significant, positive associations between mental illness and chest imaging, neuroimaging, and emergency department imaging both before and after matching.<h4>Discussion</h4>In contrast to prior findings on screening, anxiety and depression were associated with greater likelihood of diagnostic imaging within the population studied.Adam C PowellJames W LongGarry CarnealKathryn J SchormannDavid P FriedmanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254572 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Adam C Powell James W Long Garry Carneal Kathryn J Schormann David P Friedman The association between a history of anxiety or depression and utilization of diagnostic imaging.
description	<h4>Objective</h4>While prior research shows that mental illness is associated with lower utilization of screening imaging, little is known about how mental illness impacts use of diagnostic imaging, other than for screening. This study explores the association between a history of anxiety or depression in the prior year and utilization of diagnostic imaging.<h4>Methods</h4>Commercial and Medicare Advantage health plan claims from 2017 and 2018 from patients with plans from one national organization were extracted. Exclusions were made for patients without continuous plan enrollment. History of anxiety or depression was determined using 2017 claims, and downstream diagnostic imaging was determined using 2018 claims. Univariate associations were assessed with Chi-square tests. A matched sample was created using Coarsened Exact Matching, with history of mental illness serving as the treatment variable. Logistic regressions were used to calculate adjusted odds ratios, before and after matching, controlling for age, sex, urbanicity, local income, comorbidities, claims history, region, and health plan characteristics. Associations between mental illness and chest imaging, neuroimaging, and emergency department imaging were also evaluated.<h4>Results</h4>The sample included 2,381,851 patients before matching. Imaging was significantly more likely for patients with a history of anxiety (71.1% vs. 55.7%, P < .001) and depression (73.2% vs. 55.3%, P < .001). The adjusted odds of any imaging were 1.24 (95% confidence interval [CI]: 1.22-1.26) for patients with a history of anxiety, and 1.43 (CI: 1.41-1.45) for patients with a history of depression before matching, and 1.18 (CI: 1.16-1.20) for a history of anxiety and 1.33 (CI: 1.32-1.35) for a history of depression after matching. Adjusted analyses found significant, positive associations between mental illness and chest imaging, neuroimaging, and emergency department imaging both before and after matching.<h4>Discussion</h4>In contrast to prior findings on screening, anxiety and depression were associated with greater likelihood of diagnostic imaging within the population studied.
format	article
author	Adam C Powell James W Long Garry Carneal Kathryn J Schormann David P Friedman
author_facet	Adam C Powell James W Long Garry Carneal Kathryn J Schormann David P Friedman
author_sort	Adam C Powell
title	The association between a history of anxiety or depression and utilization of diagnostic imaging.
title_short	The association between a history of anxiety or depression and utilization of diagnostic imaging.
title_full	The association between a history of anxiety or depression and utilization of diagnostic imaging.
title_fullStr	The association between a history of anxiety or depression and utilization of diagnostic imaging.
title_full_unstemmed	The association between a history of anxiety or depression and utilization of diagnostic imaging.
title_sort	association between a history of anxiety or depression and utilization of diagnostic imaging.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/8fdd89b694534f1b9c206861a7c840ad
work_keys_str_mv	AT adamcpowell theassociationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT jameswlong theassociationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT garrycarneal theassociationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT kathrynjschormann theassociationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT davidpfriedman theassociationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT adamcpowell associationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT jameswlong associationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT garrycarneal associationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT kathrynjschormann associationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging AT davidpfriedman associationbetweenahistoryofanxietyordepressionandutilizationofdiagnosticimaging
_version_	1718374594435350528

The association between a history of anxiety or depression and utilization of diagnostic imaging.

Ejemplares similares