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Master's Dissertation
DOI
https://doi.org/10.11606/D.6.2004.tde-05102022-175554
Document
Author
Full name
Beatrice Alinka Lepine
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2004
Supervisor
Committee
Couttolenc, Bernard François (President)
Andrade, Laura Helena Silveira Guerra de
Kilsztajn, Samuel
Title in Portuguese
Utilização de recursos do transtorno depressivo maior e da depressão resistente a tratamento em um hospital terciário de São Paulo
Keywords in Portuguese
Custos do Tratamento
Custos Hospitalares
Depressão
Resistência ao Tratamento
Utilização de Recursos
Abstract in Portuguese
Objetivo: O Transtorno Depressivo Maior (TDM) é uma condição debilitante com grande impacto social. Estimativas indicam que 30% dos indivíduos com TDM são resistentes a tratamento (DRT). Os objetivos deste estudo são identificar e comparar a utilização de recursos por pacientes com DRT e com TDM não resistente no Hospital das Clínicas da FM-USP. Método: Foram analisados retrospectivamente prontuários de 212 pacientes do Instituto de Psiquiatria do hospital com diagnóstico de TDM, de acordo com os critérios da CID-10. Utilizaram-se critérios específicos para identificar os pacientes com DRT dentre aqueles diagnosticados com TDM. A utilização de recursos foi estimada contando procedimentos e insumos listados nos prontuários de 1997 a 2002. Resultados: Os pacientes com DRT utilizaram em média significantemente mais exames anualmente (11,23 vs. 8,47) e tiveram maior consumo de medicamentos e mais hospitalizações (3,53 diárias vs. 1,72). Pacientes com depressão resistente a tratamento tiveram um maior custo direto anual, R$ 6.171,78, do que pacientes com depressão não resistente, R$ 4.351,08 (reais de novembro de 2003). Conclusões: Pacientes com DRT utilizaram mais recursos e tiveram um custo mais elevado do que pacientes não resistentes. Este estudo é o primeiro no Brasil a avaliar o custo de tratamento da depressão e poderá ajudar a estimar o custo social da depressão.
Title in English
Resource utilization for major depressive disorder and treatment-resistant depression in a São Paulo tertiary Hospital
Keywords in English
Depression
Hospital Costs
Resource Utilization
Treatment Costs
Treatment Resistance
Abstract in English
Objective: Major Depressive Disorder (MDD) is a debilitating condition with a marked social impact. Estimates indicate that 30% of individuals with MDD have treatment-resistant depression (TRD). The study objectives were to identify and compare the resource utilization by non-resistant MDD and TRD patients in a university psychiatric hospital in São Paulo- Brazil. Methods: We analyzed retrospectively 212 hospital charts of patients from the Hospital's Psychiatry Institute, diagnosed with MDD according to CID-10 criteria. Specific criteria were used to identify patients with TRD among those with MDD. Resource utilization was estimated by counting procedures listed on the hospital charts from 1997 to 2002. Results: Patients with TRD had on average significantly more laboratory exams yearly (11.23 vs. 8.47) than non-TRD patients, as well as more medication consumption and hospitalizations (3.53 hospital days vs.1.72). TRD patients had higher yearly treatment costs (R$ 6,171.78) than MDD patients (R$ 4,351.08 ) did. Conclusions: Patients with TRD used more resources and had higher direct costs than non-TRD patients. This study is the first in Brazil to evaluate depression treatment costs, and might be helpful to evaluate the economic burden of depression to society.
 
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Publishing Date
2022-10-05
 
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