General practice management of depression among patients with coronary heart disease in Australia
Abstract Background Incident depression is associated with coronary heart disease (CHD) and increased morbidity and mortality. Treatment of depression with antidepressants and psychotherapy can be beneficial for these patients to reduce the risk of further CHD events. Ongoing management of CHD and d...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Primary Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-022-01938-x |
| _version_ | 1811291597296369664 |
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| author | Habiba Jahan Carla Bernardo David Gonzalez-Chica Jill Benson Nigel Stocks |
| author_facet | Habiba Jahan Carla Bernardo David Gonzalez-Chica Jill Benson Nigel Stocks |
| author_sort | Habiba Jahan |
| collection | DOAJ |
| description | Abstract Background Incident depression is associated with coronary heart disease (CHD) and increased morbidity and mortality. Treatment of depression with antidepressants and psychotherapy can be beneficial for these patients to reduce the risk of further CHD events. Ongoing management of CHD and depression mainly occurs in the community, but little is known about the identification and care of patients with comorbid CHD and depression in general practice. This study explores the prescription of antidepressants for these patients by sociodemographic variables. Methods This is an open cohort study with de-identified data based on electronic medical records of 880,900 regular patients aged 40 + years from a national general practice database in Australia (MedicineInsight). Data from 2011–2018 was used to classify patients as newly recorded CHD (CHD recorded in 2018 but not in previous years), previously recorded CHD (CHD recorded between 2011–2017) or no recorded history of CHD. Antidepressant prescribing in 2018 considered active ingredients and commercial brand names. The association between sociodemographic variables and antidepressant prescribing was tabulated according to the CHD status. Results The proportion of current depression among patients with newly recorded CHD was 11.4% (95%CI 10.3–12.6), 10.5% among those with previously recorded CHD (95%CI 10.0–11.1) and 9.6% among those with no recorded history of CHD (95%CI 9.2–10.1). Antidepressant prescribing was slightly higher among those with newly recorded CHD (76.4%; 95%CI 72.1–80.6) than among those with previously recorded CHD (71.6%; 95%CI 69.9–73.2) or no history of CHD (69.5%; 95%CI 68.6–70.4). Among males with newly recorded CHD and depression, antidepressant prescribing was more frequent in major cities or inner regional areas (~ 81%) than in outer/remote Australia (66.6%; 95% CI 52.8–80.4%). Conclusions Although antidepressant prescribing was slightly greater in those with newly recorded CHD compared to those with depression alone, its clinical significance is uncertain. Much larger differences in prescribing were seen by geographic location and could be addressed by innovations in clinical practice. |
| first_indexed | 2024-04-13T04:31:52Z |
| format | Article |
| id | doaj.art-eb19cc76c687462ba257deb24eb79db5 |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-04-13T04:31:52Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-eb19cc76c687462ba257deb24eb79db52022-12-22T03:02:18ZengBMCBMC Primary Care2731-45532022-12-0123111010.1186/s12875-022-01938-xGeneral practice management of depression among patients with coronary heart disease in AustraliaHabiba Jahan0Carla Bernardo1David Gonzalez-Chica2Jill Benson3Nigel Stocks4Discipline of General Practice, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of AdelaideDiscipline of General Practice, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of AdelaideDiscipline of General Practice, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of AdelaideDiscipline of General Practice, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of AdelaideDiscipline of General Practice, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of AdelaideAbstract Background Incident depression is associated with coronary heart disease (CHD) and increased morbidity and mortality. Treatment of depression with antidepressants and psychotherapy can be beneficial for these patients to reduce the risk of further CHD events. Ongoing management of CHD and depression mainly occurs in the community, but little is known about the identification and care of patients with comorbid CHD and depression in general practice. This study explores the prescription of antidepressants for these patients by sociodemographic variables. Methods This is an open cohort study with de-identified data based on electronic medical records of 880,900 regular patients aged 40 + years from a national general practice database in Australia (MedicineInsight). Data from 2011–2018 was used to classify patients as newly recorded CHD (CHD recorded in 2018 but not in previous years), previously recorded CHD (CHD recorded between 2011–2017) or no recorded history of CHD. Antidepressant prescribing in 2018 considered active ingredients and commercial brand names. The association between sociodemographic variables and antidepressant prescribing was tabulated according to the CHD status. Results The proportion of current depression among patients with newly recorded CHD was 11.4% (95%CI 10.3–12.6), 10.5% among those with previously recorded CHD (95%CI 10.0–11.1) and 9.6% among those with no recorded history of CHD (95%CI 9.2–10.1). Antidepressant prescribing was slightly higher among those with newly recorded CHD (76.4%; 95%CI 72.1–80.6) than among those with previously recorded CHD (71.6%; 95%CI 69.9–73.2) or no history of CHD (69.5%; 95%CI 68.6–70.4). Among males with newly recorded CHD and depression, antidepressant prescribing was more frequent in major cities or inner regional areas (~ 81%) than in outer/remote Australia (66.6%; 95% CI 52.8–80.4%). Conclusions Although antidepressant prescribing was slightly greater in those with newly recorded CHD compared to those with depression alone, its clinical significance is uncertain. Much larger differences in prescribing were seen by geographic location and could be addressed by innovations in clinical practice.https://doi.org/10.1186/s12875-022-01938-xDepressionCoronary heart diseaseGeneral practiceAntidepressantsGender differences |
| spellingShingle | Habiba Jahan Carla Bernardo David Gonzalez-Chica Jill Benson Nigel Stocks General practice management of depression among patients with coronary heart disease in Australia BMC Primary Care Depression Coronary heart disease General practice Antidepressants Gender differences |
| title | General practice management of depression among patients with coronary heart disease in Australia |
| title_full | General practice management of depression among patients with coronary heart disease in Australia |
| title_fullStr | General practice management of depression among patients with coronary heart disease in Australia |
| title_full_unstemmed | General practice management of depression among patients with coronary heart disease in Australia |
| title_short | General practice management of depression among patients with coronary heart disease in Australia |
| title_sort | general practice management of depression among patients with coronary heart disease in australia |
| topic | Depression Coronary heart disease General practice Antidepressants Gender differences |
| url | https://doi.org/10.1186/s12875-022-01938-x |
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