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Depression

Evengelos Kontopantelis, David Reeves, Jose M Valderas, Stephen Campbell, Tim Doran

Type
Disease or Syndrome
ID
PH517
Version ID
1034
Data Sources
Valid event data range
01/01/2000 - 31/12/2007
Sex
Female, Male
Agreement Date
2012-08-22
Coding system
Read codes v2 OXMIS codes
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Background:

The UK’s Quality and Outcomes Framework (QOF) was introduced in 2004/5, linking remuneration for general practices to recorded quality of care for chronic conditions, including diabetes mellitus. We assessed the effect of the incentives on recorded quality of care for diabetes patients and its variation by patient and practice characteristics.

Methods:

Using the General Practice Research Database we selected a stratified sample of 148 English general practices in England, contributing data from 2000/1 to 2006/7, and obtained a random sample of 653 500 patients in which 23 920 diabetes patients identified. We quantified annually recorded quality of care at the patient-level, as measured by the 17 QOF diabetes indicators, in a composite score and analysed it longitudinally using an Interrupted Time Series design.

Results:

Recorded quality of care improved for all subgroups in the pre-incentive period. In the first year of the incentives, composite quality improved over-and-above this pre-incentive trend by 14.2% (13.7–14.6%). By the third year the improvement above trend was smaller, but still statistically significant, at 7.3% (6.7–8.0%). After 3 years of the incentives, recorded levels of care varied significantly for patient gender, age, years of previous care, number of co-morbid conditions and practice diabetes prevalence.

Conclusions:

The introduction of financial incentives was associated with improvements in the recorded quality of diabetes care in the first year. These improvements included some measures of disease control, but most captured only documentation of recommended aspects of clinical assessment, not patient management or outcomes of care. Improvements in subsequent years were more modest. Variation in care between population groups diminished under the incentives, but remained substantial in some cases.

Publications

  • Evangelos Kontopantelis, David Reeves, Jose M Valderas, Stephen Campbell, Tim Doran, Recorded quality of primary care for patients with diabetes in England before and after the introduction of a financial incentive scheme a longitudinal observational study. BMJ Qual Saf, 22, 53-64, 2013.

Clinical Code List

Rows: 100
Code Description Entity type Coding System (OXMIS Read) Category
1465.00 H/O: depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
1B17.00 Depressed res43: depression_kontopantelis_bmjqs2012 Read diagnostic
1B17.11 C/O - feeling depressed res43: depression_kontopantelis_bmjqs2012 Read symptom
1B1U.00 Symptoms of depression res43: depression_kontopantelis_bmjqs2012 Read symptom
1B1U.11 Depressive symptoms res43: depression_kontopantelis_bmjqs2012 Read symptom
1BT..00 Depressed mood res43: depression_kontopantelis_bmjqs2012 Read symptom
212S.00 Depression resolved res43: depression_kontopantelis_bmjqs2012 Read diagnostic
2257.00 O/E - depressed res43: depression_kontopantelis_bmjqs2012 Read diagnostic
62T1.00 Puerperal depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
8CAa.00 Patient given advice about management of depression res43: depression_kontopantelis_bmjqs2012 Read test
8HHq.00 Referral for guided self-help for depression res43: depression_kontopantelis_bmjqs2012 Read test
9H90.00 Depression annual review res43: depression_kontopantelis_bmjqs2012 Read test
9H91.00 Depression medication review res43: depression_kontopantelis_bmjqs2012 Read test
9H92.00 Depression interim review res43: depression_kontopantelis_bmjqs2012 Read test
9HA0.00 On depression register res43: depression_kontopantelis_bmjqs2012 Read test
9HA1.00 Removed from depression register res43: depression_kontopantelis_bmjqs2012 Read test
E001300 Presenile dementia with depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E002100 Senile dementia with depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E004300 Arteriosclerotic dementia with depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112.00 Single major depressive episode res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112.11 Agitated depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112.12 Endogenous depression first episode res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112.13 Endogenous depression first episode res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112.14 Endogenous depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112000 Single major depressive episode, unspecified res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112100 Single major depressive episode, mild res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112200 Single major depressive episode, moderate res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112300 Single major depressive episode, severe, without psychosis res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112500 Single major depressive episode, partial or unspec remission res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112600 Single major depressive episode, in full remission res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E112z00 Single major depressive episode NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113.00 Recurrent major depressive episode res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113.11 Endogenous depression - recurrent res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113000 Recurrent major depressive episodes, unspecified res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113100 Recurrent major depressive episodes, mild res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113200 Recurrent major depressive episodes, moderate res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113300 Recurrent major depressive episodes, severe, no psychosis res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113500 Recurrent major depressive episodes,partial/unspec remission res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113600 Recurrent major depressive episodes, in full remission res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113700 Recurrent depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E113z00 Recurrent major depressive episode NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E118.00 Seasonal affective disorder res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E11y200 Atypical depressive disorder res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E11z200 Masked depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E135.00 Agitated depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E200300 Anxiety with depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E204.00 Neurotic depression reactive type res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E204.11 Postnatal depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E211200 Depressive personality disorder res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E290.00 Brief depressive reaction res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E290z00 Brief depressive reaction NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E291.00 Prolonged depressive reaction res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E2B..00 Depressive disorder NEC res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E2B0.00 Postviral depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
E2B1.00 Chronic depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32.00 [X]Depressive episode res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32.11 [X]Single episode of depressive reaction res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32.12 [X]Single episode of psychogenic depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32.13 [X]Single episode of reactive depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32000 [X]Mild depressive episode res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32100 [X]Moderate depressive episode res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32200 [X]Severe depressive episode without psychotic symptoms res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32211 [X]Single episode agitated depressn w'out psychotic symptoms res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32212 [X]Single episode major depression w'out psychotic symptoms res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32213 [X]Single episode vital depression w'out psychotic symptoms res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32400 [X]Mild depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32y00 [X]Other depressive episodes res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32y11 [X]Atypical depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32y12 [X]Single episode of masked depression NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32z00 [X]Depressive episode, unspecified res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32z11 [X]Depression NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32z12 [X]Depressive disorder NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32z13 [X]Prolonged single episode of reactive depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu32z14 [X] Reactive depression NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33.00 [X]Recurrent depressive disorder res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33.11 [X]Recurrent episodes of depressive reaction res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33.12 [X]Recurrent episodes of psychogenic depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33.13 [X]Recurrent episodes of reactive depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33.14 [X]Seasonal depressive disorder res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33.15 [X]SAD - Seasonal affective disorder res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33000 [X]Recurrent depressive disorder, current episode mild res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33100 [X]Recurrent depressive disorder, current episode moderate res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33200 [X]Recurr depress disorder cur epi severe without psyc sympt res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33211 [X]Endogenous depression without psychotic symptoms res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33212 [X]Major depression, recurrent without psychotic symptoms res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33214 [X]Vital depression, recurrent without psychotic symptoms res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33400 [X]Recurrent depressive disorder, currently in remission res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33y00 [X]Other recurrent depressive disorders res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33z00 [X]Recurrent depressive disorder, unspecified res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu33z11 [X]Monopolar depression NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu34100 [X]Dysthymia res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu34111 [X]Depressive neurosis res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu34113 [X]Neurotic depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu34114 [X]Persistant anxiety depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu3y111 [X]Recurrent brief depressive episodes res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu41200 [X]Mixed anxiety and depressive disorder res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu41211 [X]Mild anxiety depression res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu53011 [X]Postnatal depression NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu53012 [X]Postpartum depression NOS res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Eu92000 [X]Depressive conduct disorder res43: depression_kontopantelis_bmjqs2012 Read diagnostic
Rows: 24
Code Description Entity type Coding System (OXMIS Read) Category
2960AC CHRONIC AGITATED DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
2960AD DEPRESSION AGITATED res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
2962A DEPRESSION CHRONIC res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
2962AF REACTION DEPRESSIVE AFFECTIVE res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
2962B DEPRESSION ACUTE res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
2962EN ENDOGENOUS DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
2962R RECURRENT DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3000E ANXIETY DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004 NEUROSIS DEPRESSIVE res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004A DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004AB OBSERVED DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004AM MOOD DEPRESSED res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004B PREGNANCY DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004C PUERPERAL DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004CA POSTNATAL DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004E EXOGENOUS DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004ER REACTIVE DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004M MORNING DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3004PP POSTOPERATIVE DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3091N INFLUENZAL DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3091PF POSTINFECTIVE DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3091PL DEPRESSION POSTVIRAL res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
3091PN POSTINFLUENZA DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic
7902DC POSTVIRAL DEPRESSION res43: depression_kontopantelis_bmjqs2012 OXMIS diagnostic

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH517/version/1034/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH517/version/1034/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH517', '1034', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH517/version/1034/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH517/version/1034/export/codes/?format=json
CSV site_root/phenotypes/PH517/version/1034/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH517', '1034', api_client=client)

Version History

Version
ID
Name Owner Publish date
1034 Depression ieuan.scanlon 2021-10-06 currently shown

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

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