Cancer mortality among psychiatric patients treated in a community-based system of care: a 25-year case register study

Perini, Giovanni; Grigoletti, Laura; Hanife, Batul; Biggeri, Annibale; Tansella, Michele; Amaddeo, Francesco

doi:10.1007/s00127-013-0765-0

Cited by 21 publications

(28 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This register has contributed continuously to the international literature over a span of more than 30 years, documenting the importance of smaller, intensive clinical registers. Examples of this are studies about a highly relevant topic: mortality among psychiatric patients , avoidable mortality , and health economic aspects of community psychiatry .…”

Section: Discussionmentioning

confidence: 99%

Fifty years' development and future perspectives of psychiatric register research

Munk‐Jørgensen

Okkels

Golberg

et al. 2014

Acta Psychiatr Scand

View full text Add to dashboard Cite

Fifty years' development and future perspectives of psychiatric register research Munk-Jørgensen P, Okkels N, Golberg D, Ruggeri M, Thornicroft G. Fifty years' development and future perspectives of psychiatric register research.Objective: This article illustrates the development of psychiatric register research and discusses the strengths, limitations, and possible directions for future activities. Method: Examples illustrating the development from the post-World War II introduction of psychiatric register research until today are selected.Results: The strengths of register research are seen especially within health service. Until recently, when starting linking registers to biobanks, register research had limited value in cause-seeking. Register research benefits from the possibilities for following identifiable persons over long time (lifelong) and the possibilities for linking to other registers and databases. Important limitations of register research are the heterogeneity and questionable validity of the clinical data collected. Conclusion: Future register research can go in the direction of big is beautiful collecting data from all possible sources creating giga-registers. In that case, low data quality will still be an unsolved problem. Or it can take the direction of smaller local clinical databases which has many advantages, for example, integrating clinical knowledge and experience into register research. However, in that case, registers will not be able to deal with rare conditions and diseases. Clinical recommendations• Modern psychiatric register research has its strength in linking registers, databases, and biobanks.• Psychiatric registers are in specific useful tools in health service research.• When interpreting psychiatric register research, the reader must be aware of limited data quality. Additional comments• Direction of future organization may choose different ways, for example giga-registers and smaller clinically integrated registers.• Huge register research centers risk floating away from daily clinical practice and research.• Initiatives from international organizations, for example WHO, to set standards for quality and interpretation of register research should be most welcomed when future directions for psychiatric register research will be developed.

show abstract

Section: Discussionmentioning

confidence: 99%

Fifty years' development and future perspectives of psychiatric register research

Munk‐Jørgensen

Okkels

Golberg

et al. 2014

Acta Psychiatr Scand

View full text Add to dashboard Cite

show abstract

“…From these results, it seems important the implementation, by specialist psychiatric services, of health promotion and preventive programmes specifically targeted to psychiatric patients . Long lasting follow‐ups, that is, 25‐years in our case , allowed also to study different patterns of site‐specific cancer mortality among psychiatric patients, showing an increased SMRs for cancer of the oral cavity (22.93), lymphoma, leukaemias, Hodgkin's lymphoma (8.01) and central nervous system (CNS) and cranial nerve tumours (4.75). The SMR decreased for stomach tumours (0.49).…”

mentioning

confidence: 73%

The small scale clinical psychiatric case registers

Amaddeo

2014

Acta Psychiatr Scand

View full text Add to dashboard Cite

“…follow-up may not have been suffi cient for any conclusions to reach a level of signifi cance. There are no survival studies specifi c to Axis II patients, however one that evaluated cancer deaths among a psychiatric population (Perini et al 2013) found personality disorders as being one of the independent risk factors to higher mortality in specifi c anatomic sites (standardized mortality ratios ϭ 28 for the central nervous system) together with alcoholism (5.9 for the larynx) and affective disorders (20 for lymphomas).…”

Section: Discussionmentioning

confidence: 99%

Impact of lifetime psychiatric diagnosis on long-term retention and survival of former opiate addicts in methadone maintenance treatment

Peles

Schreiber

Domany

et al. 2014

The World Journal of Biological Psychiatry

View full text Add to dashboard Cite

show abstract

Cancer mortality among psychiatric patients treated in a community-based system of care: a 25-year case register study

Cited by 21 publications

References 31 publications

Fifty years' development and future perspectives of psychiatric register research

Fifty years' development and future perspectives of psychiatric register research

The small scale clinical psychiatric case registers

Impact of lifetime psychiatric diagnosis on long-term retention and survival of former opiate addicts in methadone maintenance treatment

Contact Info

Product

Resources

About