https://orcid.org/0000-0001-8861-6907
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Abstract
Objectives
While the Minimum Data Set (MDS) 3.0 has adopted Patient Health Questionnaire (PHQ)-9 to screen for depression and rephrased language for behavioral symptoms among nursing home residents, it remains unclear how well the assessment data agree with medical records.
Design
Using a retrospective review of MDS 3.0 linked to medical records between October 2010 and November 2017, we included residents with at least one quarterly or short-term (day 30 or day 60) MDS 3.0 assessment of depression PHQ-9 (n = 446) or behavioral symptoms (n = 460). For each resident of each cohort, we randomly selected an eligible MDS 3.0 depression and behavioral symptom assessment and compared against the respective medical diagnoses recorded within 30 days before the MDS 3.0 assessment.
Results
Percent agreement was high for depression (90.1%) and behavioral symptoms (89.3%). Negative agreement was high for depression (94.8%) and behavioral symptoms (94.3%), while positive agreement was low for both conditions (4.3% and 10.9%).
Conclusion
MDS 3.0 depression and behavioral symptoms had high overall and negative agreement, but low positive agreement with clinician diagnoses. MDS 3.0 data may be useful in ruling out depression and behavioral symptoms. Confirmation of the findings in a representative sample of nursing homes is warranted.
Acknowledgement
Sponsor’s Role: This project was funded by a Mentored Research Scientist Award (K01AG054764, Dr. Wei) from the National Institute on Aging (NIA) at National Institutes of Health.The NIA had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication.
Disclosure statement
No potential conflict of interest was reported by the authors.
Author’s contributions
Wei and Winterstein contributed to study concept and design, and Wei and Solberg contributed to acquisition of subjects and/or data. All authors contributed to analysis and interpretation of data, and preparation of the manuscript.
Data availability statement
The data that support the findings of this study are available from a regional nursing home. Restrictions apply to the availability of these data, which were used under license for this study. Data are available from the corresponding author with the permission of the contracted regional nursing home.