Capture of patient-reported anxiety and depression in patients’ primary care records
| Read codes for symptoms/diagnoses in the patients’ electronic health records by time prior to LCD | Relevant drug prescription by time prior to LCD* | |||||||||||||||||
| Patient-reported outcomes | 3 months | 6 months | 12 months | 24 months | 3 months | 6 months | 12 months | 24 months | ||||||||||
| N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % | |
| HADS | ||||||||||||||||||
| Anxiety | ||||||||||||||||||
| Normal | 357 | 59.6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 53 | 14.9 | 55 | 15.4 | 67 | 18.8 | 84 | 23.5 |
| Borderline | 124 | 19.7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 33 | 28.0 | 34 | 33.9 | 40 | 33.9 | 49 | 41.5 |
| Abnormal | 118 | 20.7 | 1 | 0.8 | 1 | 0.8 | 2 | 1.6 | 2 | 1.6 | 40 | 32.3 | 42 | 28.8 | 53 | 42.7 | 59 | 50.0 |
| Depression | ||||||||||||||||||
| Normal | 509 | 84.7 | 0 | 0 | 0 | 0 | 75 | 14.7 | 77 | 15.1 | 96 | 18.9 | 120 | 23.6 | ||||
| Borderline | 66 | 4.3 | 0 | 0 | 0 | 0 | 26 | 39.4 | 26 | 39.4 | 30 | 45.5 | 34 | 51.5 | ||||
| Abnormal | 26 | 11.0 | 0 | 0 | 0 | 0 | 13 | 50.0 | 13 | 50.0 | 16 | 61.5 | 17 | 65.4 | ||||
| QLACS | ||||||||||||||||||
| Negative feelings | ||||||||||||||||||
| ≥5 | 100 | 16.8 | 1 | 1.0 | 1 | 1.0 | 1 | 1.0 | 1 | 1.0 | 36 | 36.0 | 37 | 37.0 | 47 | 47.0 | 51 | 51.0 |
| ≥3 | 386 | 64.7 | 1 | 0.3 | 1 | 0.3 | 2 | 0.5 | 2 | 0.5 | 89 | 23.1 | 90 | 23.3 | 109 | 28.2 | 129 | 33.4 |
| 1 item ≥5 | 227 | 37.3 | 1 | 0.4 | 1 | 0.4 | 1 | 0.4 | 1 | 0.4 | 65 | 28.6 | 66 | 29.1 | 82 | 36.1 | 95 | 41.9 |
*Anxiolytics or antidepressants for anxiety; antidepressants for depression.
HADS, Hospital Anxiety and Depression Scale; LCD, last collection date for the practice; PRO, patient-reported outcomes; QLACS, Quality of Life in Adults Cancer Survivors Scale.