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Incidence and risk factors of depression after diagnosis of lung cancer: A nationwide population-based study.

Abstract This study aimed to explore the incidence and risk factors of depression after lung cancer diagnosis. Using the Taiwan National Health Insurance Research Database (NHIRD), incidences and risk factors of depression in lung cancer and nonlung cancer cohorts were analyzed.From 1998 to 2006, a total of 22,125 patients were included in each matched cohort of lung cancer and nonlung cancer patients from NHIRD. The incidence of depression was higher in the lung cancer cohort than in the nonlung cancer cohort (1545.8 vs 1366.6 per 100,000 person-years). An increased risk of depression was observed in the lung cancer cohort [adjusted hazard ratio (aHR): 1.16, 95% confidence interval (95% CI): 1.01-1.34, P = .0377]. In lung cancer patients, age ≤50 years (aHR: 2.72, 95% CI: 2.02-3.66, P < .0001), age 50 to 69 years (aHR: 2.34, 95% CI: 1.87-2.94, P < .0001), female gender (aHR: 1.50, 95% CI: 1.26-1.80, P < .0001), coronary artery disease (CAD) (aHR: 1.40, 95% CI: 1.08-1.82, P = .0113), and operation (aHR: 1.78, 95% CI: 1.46-2.16, P < .0001) were associated with an increased risk of depression. In addition, higher incidences of emergency room (ER) visit (4.76 vs 2.82, per person-year) and admission (5.73 vs 4.33, per person-year) were observed in lung cancer patients with depression than those without depression.Our results showed that early surveillance and intervention of depression should be advocated after a diagnosis of lung cancer.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28489782
OWN - NLM
STAT- MEDLINE
DA  - 20170510
DCOM- 20170612
LR  - 20170612
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 19
DP  - 2017 May
TI  - Incidence and risk factors of depression after diagnosis of lung cancer: A
      nationwide population-based study.
PG  - e6864
LID - 10.1097/MD.0000000000006864 [doi]
AB  - This study aimed to explore the incidence and risk factors of depression after
      lung cancer diagnosis. Using the Taiwan National Health Insurance Research
      Database (NHIRD), incidences and risk factors of depression in lung cancer and
      nonlung cancer cohorts were analyzed.From 1998 to 2006, a total of 22,125
      patients were included in each matched cohort of lung cancer and nonlung cancer
      patients from NHIRD. The incidence of depression was higher in the lung cancer
      cohort than in the nonlung cancer cohort (1545.8 vs 1366.6 per 100,000
      person-years). An increased risk of depression was observed in the lung cancer
      cohort [adjusted hazard ratio (aHR): 1.16, 95% confidence interval (95% CI):
      1.01-1.34, P = .0377]. In lung cancer patients, age &lt;/=50 years (aHR: 2.72, 95%
      CI: 2.02-3.66, P &lt; .0001), age 50 to 69 years (aHR: 2.34, 95% CI: 1.87-2.94, P &lt; 
      .0001), female gender (aHR: 1.50, 95% CI: 1.26-1.80, P &lt; .0001), coronary artery 
      disease (CAD) (aHR: 1.40, 95% CI: 1.08-1.82, P = .0113), and operation (aHR:
      1.78, 95% CI: 1.46-2.16, P &lt; .0001) were associated with an increased risk of
      depression. In addition, higher incidences of emergency room (ER) visit (4.76 vs 
      2.82, per person-year) and admission (5.73 vs 4.33, per person-year) were
      observed in lung cancer patients with depression than those without
      depression.Our results showed that early surveillance and intervention of
      depression should be advocated after a diagnosis of lung cancer.
FAU - Hung, Ming-Szu
AU  - Hung MS
AD  - aDivision of Thoracic Oncology, Department of Pulmonary and Critical Care
      Medicine, Chang Gung Memorial Hospital, Chiayi Branch, Puzi City bDepartment of
      Medicine, College of Medicine, Chang Gung University, Taoyuan cDepartment of
      Respiratory Care, Chang Gung University of Science and Technology, Chiayi Campus 
      dDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi Branch
      eDepartment of Nursing, Chang Gung University of Science and Technology, Chiayi
      Campus fCenter of Excellence for Chang Gung Research Datalink, Chang Gung
      Memorial Hospital, Chiayi gInstitute of Occupational Medicine and Industrial
      Hygiene, National Taiwan University College of Public Health hDepartment of
      Environmental and Occupational Medicine, National Taiwan University Hospital and 
      National Taiwan University, College of Medicine, Taipei iDepartment of
      Respiratory Care, College of Medicine, Chang Gung University, Taoyuan jDepartment
      of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Chiayi Branch,
      Puzi City kSchool of Traditional Chinese Medicine, College of Medicine, Chang
      Gung University, Taoyuan, Taiwan ROC.
FAU - Chen, I-Chuan
AU  - Chen IC
FAU - Lee, Chuan-Pin
AU  - Lee CP
FAU - Huang, Ru-Jiun
AU  - Huang RJ
FAU - Chen, Pau-Chung
AU  - Chen PC
FAU - Tsai, Ying-Huang
AU  - Tsai YH
FAU - Yang, Yao-Hsu
AU  - Yang YH
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Comorbidity
MH  - Databases, Factual
MH  - Depression/*epidemiology/etiology
MH  - Emergency Medical Services/statistics &amp; numerical data
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - Longitudinal Studies
MH  - Lung Neoplasms/complications/*epidemiology/*psychology/therapy
MH  - Male
MH  - Middle Aged
MH  - National Health Programs
MH  - Prevalence
MH  - Proportional Hazards Models
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Socioeconomic Factors
MH  - Taiwan/epidemiology
PMC - PMC5428616
EDAT- 2017/05/11 06:00
MHDA- 2017/06/13 06:00
CRDT- 2017/05/11 06:00
AID - 10.1097/MD.0000000000006864 [doi]
AID - 00005792-201705120-00049 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 May;96(19):e6864. doi: 10.1097/MD.0000000000006864.

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