Increased use of primary care during 6 years of prodromal schizophrenia
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Increased use of primary care during 6 years of prodromal schizophrenia. / Nørgaard, H C B; Søndergaard Pedersen, H; Fenger-Grøn, M; Mors, O; Nordentoft, M; Vestergaard, M; Munk Laursen, Thomas.
I: Acta Psychiatrica Scandinavica, Bind 134, Nr. 3, 09.2016, s. 225-33.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Increased use of primary care during 6 years of prodromal schizophrenia
AU - Nørgaard, H C B
AU - Søndergaard Pedersen, H
AU - Fenger-Grøn, M
AU - Mors, O
AU - Nordentoft, M
AU - Vestergaard, M
AU - Munk Laursen, Thomas
N1 - © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2016/9
Y1 - 2016/9
N2 - BACKGROUND: Early diagnosis is important for the course of schizophrenia.AIM: To investigate whether prodromal symptoms of schizophrenia lead to increased use of primary care.METHOD: A register-based cohort study of 21 894 cases with incident schizophrenia and 437 880 matched controls.RESULTS: Cases used daytime primary care 43% more than controls during the 6 years before diagnosis (IRR = 1.43; 95% CI: 1.39; 1.48) and 132% more during the last 2 months (IRR = 2.32; 95% CI: 2.27; 2.37), and 34% (IRR = 1.34; 95% CI: 1.23; 1.48) vs. 374% more for out-of-hours services (IRR = 3.74; 95% CI: 3.52; 3.98). Six years before index diagnosis, 30% of cases had at least one psychiatric contact without being diagnosed with schizophrenia, increasing to 75% 1 month before diagnosis.CONCLUSION: Increased help-seeking behaviour was seen at least 6 years before index diagnosis, suggesting a 'window' for earlier diagnosis of prodromal schizophrenia.
AB - BACKGROUND: Early diagnosis is important for the course of schizophrenia.AIM: To investigate whether prodromal symptoms of schizophrenia lead to increased use of primary care.METHOD: A register-based cohort study of 21 894 cases with incident schizophrenia and 437 880 matched controls.RESULTS: Cases used daytime primary care 43% more than controls during the 6 years before diagnosis (IRR = 1.43; 95% CI: 1.39; 1.48) and 132% more during the last 2 months (IRR = 2.32; 95% CI: 2.27; 2.37), and 34% (IRR = 1.34; 95% CI: 1.23; 1.48) vs. 374% more for out-of-hours services (IRR = 3.74; 95% CI: 3.52; 3.98). Six years before index diagnosis, 30% of cases had at least one psychiatric contact without being diagnosed with schizophrenia, increasing to 75% 1 month before diagnosis.CONCLUSION: Increased help-seeking behaviour was seen at least 6 years before index diagnosis, suggesting a 'window' for earlier diagnosis of prodromal schizophrenia.
KW - Journal Article
U2 - 10.1111/acps.12600
DO - 10.1111/acps.12600
M3 - Journal article
C2 - 27295520
VL - 134
SP - 225
EP - 233
JO - Acta Psychiatrica Scandinavica
JF - Acta Psychiatrica Scandinavica
SN - 0001-690X
IS - 3
ER -
ID: 178958919