Association of Head and Neck Cancer With Mental Health Disorders in a Large Insurance Claims Database

Lee, Ji Hyae; Ba, Djibril M.; Liu, Guodong; Leslie, Douglas L.; Zacharia, Brad E.; Goyal, Neerav

doi:10.1001/jamaoto.2018.4512

Cited by 30 publications

(23 citation statements)

References 48 publications

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“…Following HNC diagnosis, the prevalence increased to 29.9%. 20 A separate study highlighted that the prevalence of a functional genetic polymorphism of the serotonin transporter gene was not significantly different between control depression patients and HNC depression patients who had completed treatment. 21 Of note, 19% of patients developed depression after undergoing concurrent chemoradiation, suggesting a strong interaction of treatment with depression.…”

Section: Discussionmentioning

confidence: 98%

Head and neck survivorship care in the times of the SARS‐CoV‐2 pandemic

2020

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With the arrival of the coronavirus disease (SARS-CoV-2) in the United States, care practice paradigms have drastically changed. Data from China suggest that the new virus poses additional risks as case fatality of patients with cancer was higher at 5.6% compared to 2.3% of the general population. There are three proposed major strategies to address care for patients with cancer in this SARS-CoV-2 pandemic with postponing treatment for those with stable cancer, increasing personal protection provisions for patients with cancer, and increasing monitoring if a patient becomes infected with SARS-CoV-2. In this present commentary, we discuss the unique mental health challenges and burdens of patients with head and neck cancer in the times of the SARS-CoV-2 pandemic and approaches to mitigate these stressors through telemedicine to reduce future burdens to the patient and the health care system.

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Section: Discussionmentioning

confidence: 98%

Head and neck survivorship care in the times of the SARS‐CoV‐2 pandemic

2020

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“…The available literature indicates an increased prevalence of mental disorders among patients with head and neck cancer. In a retrospective analysis of a large insurance claims database, including mental health disorders such as depression, anxiety, nonalcohol drug dependence, adjustment reaction, and depressive disorder not otherwise specified, Lee et al found that patients with a head and neck cancer diagnosis had a prevalence of mental disorders of 29.9% compared with 20.6% before the cancer diagnosis 3 . Moreover, according to a study by Kam et al, there were increased rates of psychological distress and suicide among patients with head and neck cancer compared with the general US population 15 .…”

Section: Discussionmentioning

confidence: 99%

“…An estimated one in five adults experience a mental disorder in the United States (US) each year and it is estimated that almost half of the population in the US will have a mental disorder at some point in their life 1,2 . The prevalence of mental health disorders has been estimated in one study using a national claims database to be even higher (9% increase) in patients with a head and neck cancer diagnosis 3 . Psychiatric comorbidities have additionally been shown to be associated with increased costs and number of hospitalizations for patients with head and neck 4 …”

Section: Introductionmentioning

confidence: 99%

“…1,2 The prevalence of mental health disorders has been estimated in one study using a national claims database to be even higher (9% increase) in patients with a head and neck cancer diagnosis. 3 Psychiatric comorbidities have additionally been shown to be associated with increased costs and number of hospitalizations for patients with head and neck. 4 Patients with mental health disorders had higher mortality rates and worse outcomes overall when treated Presented as an oral presentation at the 2020 Combined Sections Meeting of the Triological Society, Coronado, California, USA, January 25, 2020.…”

Section: Introductionmentioning

confidence: 99%

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Exploratory analysis on the association of mental health disorders with in‐hospital postoperative complications and mortality in head and neck cancer surgery

et al. 2021

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Background The objective was to assess the association of mental health disorders with in‐hospital complication and mortality rates in patients undergoing head and neck cancer surgery. Methods In this exploratory retrospective study, the Nationwide Inpatient Sample was queried from 2003 to 2014 for all patients with a diagnosis of head and neck cancer who underwent surgery. Univariate cross‐tabulation, logistic regression, and propensity score matching (PSM) were used to compare demographics, procedure‐related variables, and in‐hospital postoperative complications and mortality between patients with and without selected comorbid mental health disorders. Results Of 39 600 included patients, 3390 (8.6%) had a selected comorbid mental health disorder diagnosis. After PSM, patients with selected mental health disorders had increased risk of overall medical complications on multivariable analysis (OR 1.28 [CI 1.12–1.46], P < 0.001) but not overall surgical complications or mortality. Conclusions Patients with a mental health disorder diagnosis have increased risk of in‐hospital medical, certain surgical, and total complications.

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“…An investigation into mental health insurance claims found that HNC patients had a higher prevalence of mental health diseases at 20.6%, higher than the national estimate at 17.9%. Following HNC diagnosis, the prevalence increased to 29.9% 20 . A separate study highlighted that the prevalence of a functional genetic polymorphism of the serotonin transporter gene was not significantly different between control depression patients and HNC depression patients who had completed treatment 21 .…”

Section: Discussionmentioning

confidence: 99%