Table 4.
Study a | Year | Intervention | Duration (mo.) | Costs captured b | Depression-Free Days Per Patient | Incremental Outpatient Costs Per Patient (dollars) | QALY Method d | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
Int | Dir | Ind | In Trial | Annualized | Total | Per DFD | |||||
Katon et al d [42,43] | 1995 1998 |
Psychiatrist collaborative care | 6 | ✓ | ✓ | 15.8 | 31.6 | 383 | 24.24 | None | |
Katon et al d [43,44] | 1996 1998 |
Psychologist collaborative care | 6 | ✓ | ✓ | 13.4 | 26.8 | 471 | 35.15 | None | |
Schulberg et al [13,45] | 1996 1998 |
Pharmacotherapy or Interpersonal psychotherapy | 12 | ✓ | ✓ | ✓ | 49–58 | 49–58 | - | 13.14–17.56 | DFD $11,270–$19 510 |
Katzelnick et al [46,47] | 2000 2001 |
Depression care management | 12 | ✓ | ✓ | 47.4 | 47.4 | 675 | 14.24 | None | |
Simon et al d [48] | 2000 | Telephone care management | 6 | ✓ | ✓ | 12.6 | 25.2 | 130 | 10.32 | None | |
Simon et al [14] | 2001 | Stepped collaborative care | 6 | ✓ | ✓ | 16.7 | 33.4 | 242 | 14.49 | None | |
Schoenbaum et al [15] | 2001 | Quality improvement | 24 | ✓ | ✓ | 36.5 | 36.5 | - | - | DFD, SF-12 $9.478–$36,467 |
|
Katon et al [16] | 2005 | Collaborative care (late-life) | 12 | ✓ | ✓ | 52.6 | 52.6 | - | 2.76 | DFD $2,519–$5,037 |
|
Rost et al [49] | 2005 | Depression care management | 24 | ✓ | ✓ | ✓ | 59.4 | 29.7 | 470–701 | 7.91–11.80 | DFD $9,592 to $14,306 |
Choi-Yoo et al | 2014 | Telecare management (cancer) | 12 | ✓ | 60.3 | 60.3 | 1189 | 19.72 | DFD, SF-12, EQ5D, Global QoL $10,829–$73,287 |
All studies except that by Choi-Yoo were conducted in primary care populations. An additional primary care study by Pyne et al [33] showed no significant incremental effect of the intervention on depression-free days.
Int = intervention costs. Dir = other direct health care costs not related to intervention. Ind = indirect costs
If quality-adjusted life years (QALYs) calculated in article, the method (metric) used to calculate QALYs. DFD = depression-free days. SF-12 = Medical Outcome Study 12-item Short-Form. EQ5D = 5-item EuroQoL. Global QoL = single item overall quality of life.
Some of DFD data and/or cost per DFD not in original article(s) but in summary table in Simon et al 2001 article [14]