Impact of Preexisting Mental Illness on All-Cause and Breast Cancer–Specific Mortality in Elderly Patients With Breast Cancer

• DOI: 10.1200/jco.2017.73.4947
• Publication Date: 2017-09-21T19:59:24Z
• Authors: Kristy Iglay; Melissa L. Santor...; Kim M. Hirshfield; Jill M. Williams; George G. Rhoads; Yong Lin; Kitaw Demissie
• Keywords: Marital status

Purpose Limited data are available on the survival of patients with breast cancer preexisting mental illness, and elderly women special interest because they experience highest incidence cancer. Therefore, we compared all-cause cancer-specific mortality for without illness. Methods A retrospective cohort study was conducted by using SEER-Medicare data, including 19,028 ≥ 68 years age who were diagnosed stage I to IIIa in United States from 2005 2007. Patients classified as having severe illness if an International Classification Diseases, Ninth Edition, Clinical Modification code bipolar disorder, schizophrenia, or other psychotic disorder recorded at least one inpatient two outpatient claims during 3 before diagnosis. followed up 5 after diagnosis assess outcomes, which then those Results Nearly 3% had We observed a two-fold increase hazard between adjusting age, income, race, ethnicity, geographic location, marital status (adjusted ratio, 2.19; 95% CI, 1.84 2.60). 20% observed, but association not significant 1.20; 0.82 1.74). more likely be advanced aggressive tumor characteristics. They also increased tobacco use comorbidities. Conclusion may need assistance coordinating medical services.