| Excess cancer mortality in psychiatric patients. | |
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MedLine Citation:
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PMID: 19087469 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: There are conflicting data on cancer incidence and mortality in psychiatric patients, although most studies suggest that while cancer mortality is higher, incidence is no different from that in the general population. Different methodologies and outcomes may account for some of the conflicting results. We investigated the association between mental illness and cancer incidence, first admission rates, and mortality in Nova Scotia using a standard methodology. METHOD: A population-based record-linkage study of 247,344 patients in contact with primary care or specialist mental health services during 1995 to 2001 was used. Records were linked with cancer registrations and death records. RESULTS: Cancer mortality was 72% higher in males (95%CI, 63% to 82%) and 59% higher in females (95%CI, 49% to 69%) among patients in contact with mental health services. This was reflected in similarly elevated first admission rates. However, there was weaker and less consistent evidence for increased incidence. For several cancer sites, incidence rate ratios were lower than might be expected given the mortality and first admission rate ratios, and no higher than that of the general population. These were melanoma, prostate, bladder, and colorectal cancers in males. CONCLUSION: People with mental illness in Nova Scotia have increased mortality from cancer, which cannot always be explained by increased incidence. Possible explanations for further study include delays in detection or initial presentation leading to more advanced staging at diagnosis, and difficulties in communication or access to health care. |
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Authors:
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Stephen Kisely; Joseph Sadek; Adrian MacKenzie; David Lawrence; Leslie Anne Campbell |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Canadian journal of psychiatry. Revue canadienne de psychiatrie Volume: 53 ISSN: 0706-7437 ISO Abbreviation: Can J Psychiatry Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-12-17 Completed Date: 2009-01-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7904187 Medline TA: Can J Psychiatry Country: Canada |
Other Details:
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Languages: eng Pagination: 753-61 Citation Subset: IM |
Affiliation:
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Community Care and Epidemiology, School of Medicine, Griffith University, Meadowbrook, Queensland, Australia. s.kisely@griffith.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diagnostic and Statistical Manual of Mental Disorders Female Humans Incidence International Classification of Diseases Male Mental Disorders / classification, diagnosis, epidemiology* Neoplasms / mortality* Nova Scotia / epidemiology Prevalence |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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