{"id":17066,"date":"2023-11-28T10:08:00","date_gmt":"2023-11-28T15:08:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=17066"},"modified":"2023-12-04T10:41:38","modified_gmt":"2023-12-04T15:41:38","slug":"mental-health-and-addiction-service-utilization-among-people-living-with-chronic-kidney-disease","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/mental-health-and-addiction-service-utilization-among-people-living-with-chronic-kidney-disease\/","title":{"rendered":"Mental health and addiction service utilization among people living with chronic kidney disease"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 Mental health problems, particularly anxiety and depression, are common in patients with chronic kidney disease (CKD), and negatively impact quality of life, treatment adherence, and mortality. However, the degree to which mental health and addictions services are utilized by those with CKD is unknown. We examined the history of mental health and addictions service use of individuals across levels of kidney function.<\/p>\n<p><strong>Methods<\/strong> \u2014 We performed a population-based cross-sectional study using linked healthcare databases from Ontario, Canada from 2009 to 2017. We abstracted the prevalence of individuals with mental health and addictions service use within the previous 3 years across levels of kidney function (eGFR 60, 45 to &lt; 60, 30 to &lt; 45, 15 to &lt; 30, &lt;15 mL\/min per 1.73m<sup>2<\/sup> and maintenance dialysis). We calculated prevalence ratios (PR) to compare prevalence across kidney function strata, while adjusting for age, sex, year of cohort entry, urban versus rural location, area-level marginalization, and Charlson comorbidity scores.<\/p>\n<p><strong>Results<\/strong> \u2014 Of 5 956 589 adults, 9% (n = 534 605) had an eGFR&lt;60 mL\/min per 1.73m<sup>2<\/sup> or were receiving maintenance dialysis. Fewer individuals with eGFR &lt; 60 had a history of any mental health and addictions service utilization (crude prevalence range 28% to 31%), compared to individuals with eGFR \u2265 60 (35%). Compared to eGFR \u2265 60, the lowest prevalence of individuals with any mental health and addictions service utilization was among those with eGFR 15 to &lt; 30 (adjusted PR 0.86, 95% CI 0.85 to 0.88), eGFR &lt; 15 (adjusted PR 0.81, 95% CI 0.76 to 0.86) and those receiving maintenance dialysis (adjusted PR 0.83, 95% CI 0.81 to 0.84). Less use of outpatient services accounted for differences in service utilization.<\/p>\n<p><strong>Conclusions<\/strong> \u2014 Mental health and addictions service utilization is common but less so in individuals with advanced CKD in Ontario, Canada.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 Mental health problems, particularly anxiety and depression, are common in patients with chronic kidney disease (CKD), and negatively impact quality of life, treatment adherence, and mortality. However, the degree to which mental health and addictions services are utilized by those with CKD is unknown. We examined the history of mental health and addictions [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[42,49,34],"migration-helper-qa-sample-set":[],"class_list":["post-17066","journal_article","type-journal_article","status-publish","hentry","topic-chronic-diseases-and-multimorbidity","topic-kidney-disease","topic-mental-health-and-addictions"],"acf":{"citation":"Bhasin AA, Molnar AO, McArthur E, Nash DM, Busse JW, Cooper R, Heale E, Ip J, Pang J, Blake PG, Garg AX, Kurdyak P, Kim SJ, Sultan H, Walsh M. <em>Nephrol Dial Transplant<\/em>. 2023; Nov 28 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1093\/ndt\/gfad240","ices_scientist":[1316,1242,1152,1153],"site":[6739],"research_program":[6743],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Mental health and addiction service utilization among people living with chronic kidney disease<\/title>\n<meta name=\"description\" content=\"Background \u2014 Mental health problems, particularly anxiety and depression, are common in patients with chronic kidney disease (CKD), and negatively impact\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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