Papers by Beatrice Lepine
, coordenador do Grupo de Estudos dos Distúrbios Afetivos (GRUDA) do Instituto de Psiquiatria do ... more , coordenador do Grupo de Estudos dos Distúrbios Afetivos (GRUDA) do Instituto de Psiquiatria do Hospital das Clínicas, pelo interesse e colaboração no estudo. Aos Drs. Ana Cláudia Taveira e Carlos Henrique Rodrigues, do GRUDA, pela coleta dos dados de prontuário. À Eliane Soares do Nascimento (GRUDA) pela solicitude e por me acompanhar e me apresentar aos responsáveis das enfennarias do IPq, ambulatório, farmácia, departamento de estatística e depósito de materiais. Ao José Roberto Góes Barroso (Beto) por seu amor, sua compreensão e seu apoio em todos os momentos dificeis. À Dca. Anna Maria Niccolai Costa pelo incentivo, enonne ajuda no delineamento do tema e por acreditar nesta empreitada Aos colegas de mestrado Cláudio Robson Fracalanza, Maria Ignez Garcia A veiro e Ana Letícia Silva pela ajuda em inúmeros momentos, pelo espírito de equipe e pela amizade. À Antônia Jineti Girardi Mangione, do Instituto da Criança, pelo empenho na obtenção de valiosas infonn8ÇÕes. À Paula Sou2a Moura (UNICAMP) por sua inestimável contnbuição, sua enonne paciência e serenidade. Ao Ricardo Maissa, por sua ajuda na digitação dos dados. À Pror Maria do Rosário Dias de Oliveira Latorre (Faruldade de Saúde Pública da USP), pela contnbuição nas análises estatísticas. À Ora. Sheila Assunção pelas importantes sugestões e críticas na fase final do trabalho. À Cleide Harue Maluvayshi, do Instituto da Criança, por sua atenção e por viabiliZU" a colem de infonn3ÇÕes sobre preços de materiais. Ao Laboratório Eli LilJy do Brasi~ pelo investimento nesta pesquisa.
Objective: Major Depressive Disorder (MDD) is a debilitating condition with a marked social impac... more Objective: Major Depressive Disorder (MDD) is a debilitating condition with a marked social impact. The impact of MDD and Treatment-Resistant Depression (TRD+) within the Brazilian health system is largely unknown. The goal of this study was to compare resource utilization and costs of care for treatment-resistant MDD relative to non-treatment-resistant depression (TRD-). Methods: We retrospectively analyzed the records of 212 patients who had been diagnosed with MDD according to the ICD-10 criteria. Specific criteria were used to identify patients with TRD+. Resource utilization was estimated, and the consumption of medication was annualized. We obtained information on medical visits, procedures, hospitalizations, emergency department visits and medication use related or not to MDD. Results: The sample consisted of 90 TRD+ and 122 TRD- patients. TRD+ patients used significantly more resources from the psychiatric service, but not from non-psychiatric clinics, compared to TRD- patie...
Revista Brasileira de Psiquiatria, 2012
Objective: Major Depressive Disorder (MDD) is a debilitating condition with a marked social impac... more Objective: Major Depressive Disorder (MDD) is a debilitating condition with a marked social impact. The impact of MDD and Treatment-Resistant Depression (TRD+) within the Brazilian health system is largely unknown. The goal of this study was to compare resource utilization and costs of care for treatment-resistant MDD relative to non-treatment-resistant depression (TRD-). Methods: We retrospectively analyzed the records of 212 patients who had been diagnosed with MDD according to the ICD-10 criteria. Specific criteria were used to identify patients with TRD+. Resource utilization was estimated, and the consumption of medication was annualized. We obtained information on medical visits, procedures, hospitalizations, emergency department visits and medication use related or not to MDD. Results: The sample consisted of 90 TRD+ and 122 TRD-patients. TRD+ patients used significantly more resources from the psychiatric service, but not from non-psychiatric clinics, compared to TRD-patients. Furthermore, TRD+ patients were significantly more likely to require hospitalizations. Overall, TRD+ patients imposed significantly higher (81.
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Papers by Beatrice Lepine