New-onset psychiatric morbidity in surgically treated patients with esophageal cancer

the ONA take:

According to a new study published in the Journal of Clinical Oncology, researchers have found that in patients with esophageal cancer and no history of psychiatric morbidity, psychiatric morbidity increases following surgery. For the study, researchers at the Karolinska Institutet in Stockholm, Sweden, sought to determine the risk factors for and the incidence of psychiatric morbidity and to investigate the impact on mortality among patients postoperative patients with esophageal cancer. Researchers identified 1,615 patients who were surgically treated for esophageal cancer between 1987 and 2010 who were followed until 2012. Results showed that in patients with no history of psychiatric morbidity, the 2-year cumulative incidence for in-patient psychiatric care was 2.5% versus 4.2% for out-patient psychiatric care. In addition, the 2-year cumulative incidence of treatment with psychotropic drugs was 32.3%. Patients with higher tumor stage were more likely to be treated in out-patient psychiatric care (OR = 4.99; 95% CI: 1.16 - 21.38) or with psychotropic drugs (OR = 2.78; 95% CI: 1.10 - 7.01) compared with those with a lower tumor stage. In addition, married patients were less likely to be treated in in-patient psychiatric care (OR = 0.42; 95% CI: 0.22 - 0.80) or in out-patient care (OR = 0.41; 95% CI: 0.17 - 1.02). New-onset psychiatric morbidity was also associated with mortality. Ultimately, the findings suggest that clinicians should identify and treat psychiatric morbidity in postoperative patients with esophageal cancer.

New-onset psychiatric morbidity in surgically treated patients with esophageal cancer
New-onset psychiatric morbidity in surgically treated patients with esophageal cancer
The study aim to determine the cumulative incidence of and risk factors for psychiatric morbidity and establish the impact on survival among surgically treated patients with esophageal cancer. The results highlight the importance of recognizing and addressing psychiatric morbidity in surgically treated patients with esophageal cancer.
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