Meiho University Institutional Repository:Item 987654321/2288
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    Please use this identifier to cite or link to this item: http://ir.meiho.edu.tw/ir/handle/987654321/2288


    Title: A Cohort Study on the Incidence of Depression in Patients with Rheumatoid Arthritis in Taiwan
    Authors: Tzung-Yi Tsai
    Keywords: Rheumatoid arthritis;National Health Insurance Research Database;depression;incidence
    Date: 2013
    Issue Date: 2013-12-26T08:52:51Z (UTC)
    Abstract: Rheumatoid arthritis (RA) is a disease that causes chronic inflammatory of
    the joints, which may lead to depressive mood for the patients. However, no research on the issues
    regarding depression among Asian RA patients has been conducted. The study aimed to explore
    the incidence of depression among Taiwanese RA patients.
    Methods: All subjects were extracted from Longitudinal Health Insurance Database 2000, which
    was a subset of the National Health Insurance Research Database and contained all medical claims
    data for one million beneficiaries. Study cohort was comprised of the patients who had received a
    newly diagnosis of RA from 2000 to 2003. Controls were randomly selected from the remaining
    cases at a ratio of 1:2 frequency matched by age and sex. All subjects were followed up until the
    end of 2010, and were estimated the incidence rate with Cox proportional-hazard regression.
    Results: We found the incidence rate of depression were 2.69 per 1000 person-years of follow-up
    in RA cases and 1.70 per 1000 person-years in controls. In other words, RA cases had a 1.56-fold
    increasing risk in depression as compared to general population.
    Conclusions: Regularly surveyed for psychiatric symptoms, especially for those younger RA patients,
    during medical consultation was recommended.
    Appears in Collections:[Seminar] 2013 International Conference on Health Care and Health Industry

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