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Longitudinal impact of bladder cancer diagnosis on common psychiatric disorders
- Source :
- Cancer Medicine, Vol 10, Iss 23, Pp 8412-8420 (2021), Cancer Medicine
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Background The presence of psychiatric disorders in patients with cancer is associated with increased morbidity and poorer outcomes. We sought to determine the impact of a new bladder cancer diagnosis on the incidence of depression and anxiety. Methods We used a database of billing claims (MarketScan®) to identify patients newly diagnosed with bladder cancer between 2009 and 2018. Patients with preexisting psychiatric disorders or use of anxiolytics/antidepressants were excluded. We matched cases to patients without a bladder cancer or psychiatric diagnosis. Our primary outcome was a new diagnosis of depression, anxiety, or use of anxiolytics/antidepressants. Other exposures of interest included gender and treatment received. We used multivariable regression to estimate odds ratios for these exposures. Results We identified 65,846 cases with a new diagnosis of bladder cancer (31,367 privately insured; 34,479 Medicare‐eligible). Compared to controls, bladder cancer patients were more likely to develop new‐onset depression/anxiety at 6 months (privately insured: 6.9% vs. 3.4%, p<br />Using a large, nationally representative sample, we found that a new diagnosis of bladder cancer was associated with increased burden of mental health diagnoses and medication utilization compared with matched controls. Female patients and those receiving more radical treatments for bladder cancer had higher rates of major depressive disorder, generalized anxiety disorder, and psychiatric medication utilization.
- Subjects :
- Male
Cancer Research
medicine.medical_specialty
Databases, Factual
Medicare
New diagnosis
Medicine
Humans
Radiology, Nuclear Medicine and imaging
Psychiatry
Depression (differential diagnoses)
Research Articles
RC254-282
Aged
Aged, 80 and over
Bladder cancer
business.industry
Depression
Incidence (epidemiology)
Incidence
Cancer
Clinical Cancer Research
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Odds ratio
Middle Aged
medicine.disease
Mental health
Anxiety Disorders
United States
cancer survivorship
Oncology
Urinary Bladder Neoplasms
Anxiety
bladder cancer
Female
medicine.symptom
business
mental health
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 20457634
- Volume :
- 10
- Issue :
- 23
- Database :
- OpenAIRE
- Journal :
- Cancer Medicine
- Accession number :
- edsair.doi.dedup.....6f11401eb10a0146d0ef574a49d96f3d