Key result
Pre-ESRD depression screening was associated with a lower risk of all-cause mortality (HR 0.94; 95% CI 0.90-0.99) and hospitalization during the 12 months post-transition to hemodialysis.
Why the study?
Does depression screening in the year prior to hemodialysis initiation reduce mortality and hospitalization in adults transitioning to maintenance hemodialysis?
Population
30,013 Veterans with end-stage renal disease (ESRD) transitioning to maintenance hemodialysis
Comparison
Depression screening in the year prior to… vs No depression screening in the year prior to…
Design
Cohort
Follow-up
12 months post-transition
Authors
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Pre-HD depression screening was associated with better outcomes; leaves open whether routine screening improves post-initiation prognosis in ESRD.
Cohort (n=30,013)
Yes
Does depression screening in the year prior to hemodialysis initiation reduce mortality and hospitalization in adults transitioning to maintenance hemodialysis?
Hazard Ratio: 0.94 (95% CI 0.9–0.99)
Absolute Event Rate: 0.32% vs 0.35%
Depression screening prior to maintenance hemodialysis transition is associated with lower mortality and hospitalization rates in the following year.
Fischer et al. (2021) conducted a cohort in End-stage renal disease (n=30,013). Depression screening vs. No depression screening was evaluated on All-cause mortality (HR 0.94, 95% CI 0.90-0.99). Pre-ESRD depression screening was associated with a lower risk of all-cause mortality (HR 0.94; 95% CI 0.90-0.99) and hospitalization during the 12 months post-transition to hemodialysis.
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