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Psychiatric comorbidities among patients with esophageal cancer in South Korea: a nationwide population-based, longitudinal study

BACKGROUND: This longitudinal study aimed to analyze the prevalence of psychological distress in esophageal cancer survivors, using claims data in South Korea. METHODS: From January 2010 to December 2014, we identified the four most frequent psychological distress in a nationwide cohort of 8,879 pat...

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Autores principales: Heo, Jaesung, Noh, O Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212153/
https://www.ncbi.nlm.nih.gov/pubmed/32395268
http://dx.doi.org/10.21037/jtd.2020.02.55
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author Heo, Jaesung
Noh, O Kyu
author_facet Heo, Jaesung
Noh, O Kyu
author_sort Heo, Jaesung
collection PubMed
description BACKGROUND: This longitudinal study aimed to analyze the prevalence of psychological distress in esophageal cancer survivors, using claims data in South Korea. METHODS: From January 2010 to December 2014, we identified the four most frequent psychological distress in a nationwide cohort of 8,879 patients diagnosed with esophageal cancer. We analyzed the prevalence and the pattern of psychological distress before and after the initial treatment. RESULTS: Among esophageal cancer patients, 669 patients (7.5%) were diagnosed with a psychological distress between 1 year prior to initial treatment and the time of last follow-up. Among them, depression and anxiety had a similar frequency of 237 (35.4%). The overall frequency of psychological distress peaked within 2 months after the initial treatment. Stress reaction/adjustment disorders showed the highest increase rate after treatment. The rate of patients who had psychological distress was higher among those who underwent surgery as their initial treatment than in those who received radiotherapy [odds ratio (OR): 1.39, P<0.001]. Further, female patients were more likely to be diagnosed with psychological distress compared with male patients (OR: 1.30, P<0.001). CONCLUSIONS: Psychological distress in esophageal cancer survivors showed different patterns of prevalence depending on the nature of disease, sex, and initial treatment. Considering individual factors, timely diagnosis and intervention for psychological distress could improve the quality of life for esophageal cancer survivors.
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spelling pubmed-72121532020-05-11 Psychiatric comorbidities among patients with esophageal cancer in South Korea: a nationwide population-based, longitudinal study Heo, Jaesung Noh, O Kyu J Thorac Dis Original Article BACKGROUND: This longitudinal study aimed to analyze the prevalence of psychological distress in esophageal cancer survivors, using claims data in South Korea. METHODS: From January 2010 to December 2014, we identified the four most frequent psychological distress in a nationwide cohort of 8,879 patients diagnosed with esophageal cancer. We analyzed the prevalence and the pattern of psychological distress before and after the initial treatment. RESULTS: Among esophageal cancer patients, 669 patients (7.5%) were diagnosed with a psychological distress between 1 year prior to initial treatment and the time of last follow-up. Among them, depression and anxiety had a similar frequency of 237 (35.4%). The overall frequency of psychological distress peaked within 2 months after the initial treatment. Stress reaction/adjustment disorders showed the highest increase rate after treatment. The rate of patients who had psychological distress was higher among those who underwent surgery as their initial treatment than in those who received radiotherapy [odds ratio (OR): 1.39, P<0.001]. Further, female patients were more likely to be diagnosed with psychological distress compared with male patients (OR: 1.30, P<0.001). CONCLUSIONS: Psychological distress in esophageal cancer survivors showed different patterns of prevalence depending on the nature of disease, sex, and initial treatment. Considering individual factors, timely diagnosis and intervention for psychological distress could improve the quality of life for esophageal cancer survivors. AME Publishing Company 2020-04 /pmc/articles/PMC7212153/ /pubmed/32395268 http://dx.doi.org/10.21037/jtd.2020.02.55 Text en 2020 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Heo, Jaesung
Noh, O Kyu
Psychiatric comorbidities among patients with esophageal cancer in South Korea: a nationwide population-based, longitudinal study
title Psychiatric comorbidities among patients with esophageal cancer in South Korea: a nationwide population-based, longitudinal study
title_full Psychiatric comorbidities among patients with esophageal cancer in South Korea: a nationwide population-based, longitudinal study
title_fullStr Psychiatric comorbidities among patients with esophageal cancer in South Korea: a nationwide population-based, longitudinal study
title_full_unstemmed Psychiatric comorbidities among patients with esophageal cancer in South Korea: a nationwide population-based, longitudinal study
title_short Psychiatric comorbidities among patients with esophageal cancer in South Korea: a nationwide population-based, longitudinal study
title_sort psychiatric comorbidities among patients with esophageal cancer in south korea: a nationwide population-based, longitudinal study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212153/
https://www.ncbi.nlm.nih.gov/pubmed/32395268
http://dx.doi.org/10.21037/jtd.2020.02.55
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