A5013609235- Chronic Disease Management Strategies
- Diabetes Management and Education
- Childhood Cancer Survivors' Quality of Life
- Family Support in Illness
- Mental Health Treatment and Access
- Diabetes Management and Research
- Family and Disability Support Research
- Diabetes Treatment and Management
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Health Literacy and Information Accessibility
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Clinical practice guidelines implementation
- Reliability and Agreement in Measurement
- Cancer survivorship and care
- Patient Satisfaction in Healthcare
- Pharmacovigilance and Adverse Drug Reactions
- Schizophrenia research and treatment
- Health and Medical Studies
- Medication Adherence and Compliance
Heinrich Heine University Düsseldorf
2016-2025
Düsseldorf University Hospital
2021-2024
Deutsches Diabetes-Zentrum e.V.
2016-2023
German Center for Diabetes Research
2016-2021
Abstract Purpose Single motherhood is associated with increased psychosocial risks, affecting both mothers and their minor children. However, little known about the specific impact of maternal cancer in single (SMs). This study compared psychological burden, quality life, problems, parental concerns between SMs partnered (PMs) affected by caring for Methods Cross-sectional analysis baseline data from a multicenter, non-randomized, controlled trial Germany (Family-SCOUT). PMs were assessed...
Introduction: Parental cancer affects the whole family and can have negative impact on as a system well single members. This multicentre, prospective, interventional non‐randomized family‐SCOUT study aimed to implement comprehensive psychosocial intervention provide support for during after disease. The purpose of this is analyse contextual factors that subjective perceived effectiveness family‐scout families affected by parental from healthy parents’ perspective. Methods: Semi‐structured...
Abstract Persons with diabetes mellitus have complex healthcare needs. Existing disease management programmes (DMPs) are based on a one-size-fits-all approach. However, individuals might require more individualised care. This study aims to identify groups different patterns of utilization among people in Germany and factors associated these patterns. A cross-sectional survey was conducted random sample from statutory health insurance (SHI) (n = 1332) linked longitudinal SHI data. Latent...
Abstract Background Families with minor children affected by parental cancer are at risk of considerable emotional and organizational stress that can severely burden all family members. So far, there has been a lack comprehensive support services for families. The aim this project is to implement evaluate complex psychosocial intervention these families providing advice, information, care on an emotional, psycho-social, communicative level during after the experience across healthcare...
This study aimed to assess the feasibility of a comprehensive psychosocial intervention for families coping with parental cancer.
OBJECTIVE Increased health care use and costs have been reported in individuals with diabetes comorbid depression. Knowledge regarding cost differences between alone those diagnosed/undiagnosed depression is, however, scarce. We therefore compared for patients no documented diagnosis or self-reported symptoms several components, including mental costs. RESEARCH DESIGN AND METHODS Data from a 2013 cross-sectional survey of randomly sampled members nationwide German statutory insurance (SHI)...
Low response rates do not indicate poor representativeness of study populations if non-response occurs completely at random. A analysis can help to investigate whether is a potential source for bias within study.A cross-sectional survey among random sample health insurance population with diabetes (n = 3642, 58.9% male, mean age 65.7 years), assessing depression in diabetes, was conducted 2013 Germany. Health data were available responders and non-responders assess bias. The rate 51.1%. Odds...
Patients with diabetes are probably often unaware of their comorbidities. We estimated agreement between self-reported comorbidities and administrative data.In a random sample 464 patients, data from questionnaire asking about the presence 14 closely related to were individually linked statutory health insurance data.Specificities >97%, except cardiac insufficiency (94.5%), eye diseases (93.8%), peripheral arterial disease (92.6%), hypertension (90.9%), neuropathy (85.8%). Sensitivities...
Objective For the first time, this population-based study sought to analyze healthcare utilization and associated costs in people with normal fasting glycemia (NFG), impaired (IFG), as well previously undetected diabetes diagnosed linking data from prospective German Heinz Nixdorf Recall (HNR) individual claims statutory health insurances. Research design methods A total of 1709 participants HNR 5-year follow-up (mean age (SD) 64.9 (7.5) years, 44.5% men) were included study....
Diabetes is a highly prevalent chronic disease with substantial impact on quality of life and societal cost.Depressive disorders have been found to be more among individuals diabetes than those without diabetes.Studies reported 4.5 times higher total annual healthcare costs for Medicare patients comorbid depression but no depression.Data regarding the appropriateness treatment outcomes in real world setting depressive disorder lacking.Our aim investigate prevalence undiagnosed diagnosed...
Several instruments are used to identify depression among patients with diabetes and have been compared for their test criteria, but, not the overlaps differences, example, in sociodemographic clinical characteristics of individuals identified different instruments.We conducted a cross-sectional survey random sample statutory health insurance (SHI) (n = 1,579) linked it longitudinal SHI data. Depression symptoms were using either Centre Epidemiological Studies (CES-D) scale or Patient Health...
Abstract The aim of this study was to investigating the impact major depression symptoms and diabetes-related distress on future health care costs lost workdays in individuals with diabetes. We linked survey data from a random sample German statutory insurance (SHI) diabetes (n = 1488, 63.0% male, mean age 66.9 years) their SHI one year after survey. Within we identified (Patient Health Questionnaire-9) (Problem Areas Diabetes Scale). retrieved data. To assess workdays, adjusted regression...
ABSTRACT Objective Children in families with parental cancer may experience emotional, social or physical problems. The aims are to analyze child, parent and family‐based determinants of children's health‐related quality life (HRQoL) their experiences cancer. Methods As part a mixed‐methods, multicenter, prospective, interventional non‐randomized study “Family‐SCOUT,” family‐centered intervention the form care case management was developed. Children's HRQoL (KIDSCREEN‐10) assessed at...
Abstract Background: Families with minor children affected by parental cancer are at risk of considerable emotional and organizational stress that can severely burden all family members. So far, there has been a lack comprehensive support services for families. The aim this project is to implement evaluate complex psychosocial intervention these families providing advice, information care on an emotional, psycho-social communicative level during after the experience across healthcare...
Increased healthcare utilization and costs have been reported for individuals with diabetes comorbid depression. Knowledge on how differ between documented depression diagnosis and/or self-reported symptoms is scarce.
Abstract Purpose To analyze the concordance of new prescription antihyperglycemic agents between two data sources: patients' self‐reports and statutory health insurance (SHI) among patients with diabetes. Methods Within a cross‐sectional study, 494 diabetes were interviewed if which prescriptions medication they received within last 3 or 6 months. SHI for 12 months linked to cover these periods. For agreement measurement, was set as reference, kappa, positive predictive value (PPV),...
Objective <p>Increased healthcare utilization and costs have been reported in individuals with diabetes comorbid depression. Knowledge regarding cost differences between alone those diagnosed/undiagnosed depression is however scarce. We therefore compared for patients no documented diagnosis or self-reported symptoms several components, including mental costs.</p> <p>Research Design Methods</p> <p>Data from a 2013 cross-sectional survey of randomly sampled...
Objective <p>Increased healthcare utilization and costs have been reported in individuals with diabetes comorbid depression. Knowledge regarding cost differences between alone those diagnosed/undiagnosed depression is however scarce. We therefore compared for patients no documented diagnosis or self-reported symptoms several components, including mental costs.</p> <p>Research Design Methods</p> <p>Data from a 2013 cross-sectional survey of randomly sampled...
Objective <p>Increased healthcare utilization and costs have been reported in individuals with diabetes comorbid depression. Knowledge regarding cost differences between alone those diagnosed/undiagnosed depression is however scarce. We therefore compared for patients no documented diagnosis or self-reported symptoms several components, including mental costs.</p> <p>Research Design Methods</p> <p>Data from a 2013 cross-sectional survey of randomly sampled...
Zusammenfassung Im Rahmen einer Studie wurden Fragebogen- und Krankenkassendaten verknüpft. Ausgewertet Leistungsinanspruchnahme Kosten von 450 Personen mit Diabetes Depression 1.184 ohne Depression. Die Gruppe nahm mehr Leistungen in Anspruch hatte höhere Gesamtkosten (5.629,00 € vs. 3.252,00 €). Der Anteil der spezifischen Depressionsbehandlung war dabei gering.