ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2016
The Impact of Preexisting Mental Health Disorders on the Diagnosis, Treatment, and Survival among Lung Cancer Patients in the U.S. Military Health System.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 37 citations in OpenAlex.
- Unplanned health service utilisation among people living with cancer and mental health conditions: A retrospective matched case-comparison study in Australia.The Australian and New Zealand journal of psychiatry · 2026Article
- Mental Health and Survival in Medicare Beneficiaries With Lung and Head and Neck Cancer.Psycho-oncology · 2026Article
- Psychometric assessment of the Moroccan version of the car, relax, alone, forget, friends, trouble (CRAFFT) scale among adolescent and young adults with a substance use disorder.Addiction science & clinical practice · 2025Article
- Psychiatric Comorbidities and Survival After Lobectomy for Stage I Non-Small Cell Lung Cancer.Annals of thoracic surgery short reports · 2025Article
- Diagnostic inequalities relating to physical healthcare among people with mental health conditions: a systematic review.EClinicalMedicine · 2025Review
- MilCanEpi: Increased Capability for Cancer Care Research in the Department of Defense.JCO clinical cancer informatics · 2023Article
- Risk and Protective Factors for Cancer Mortality among United States Service Members and Veterans (2001-2018).Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023Article
- Research Priorities for Interventions to Address Health Disparities in Lung Nodule Management: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2023Article
- Preexisting psychological illness and its association with mortality in lung cancer patients with access to support resources.The clinical respiratory journal · 2022Article
- The relationship between prior psychiatric diagnosis and brain cancer diagnosis in the U.S. military health system.Cancer causes & control : CCC · 2022Article
- Chronic Obstructive Pulmonary Disease and Lung Cancer: A Review for Clinicians.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022Article
- Management of Psychiatric Disorders in Patients with Respiratory Diseases.Indian journal of psychiatry · 2022Article
- Palliative and high-intensity end-of-life care in schizophrenia patients with lung cancer: results from a French national population-based study.European archives of psychiatry and clinical neuroscience · 2021Article
- Article
- Association of Mental Health Treatment With Outcomes for US Veterans Diagnosed With Non-Small Cell Lung Cancer.JAMA oncology · 2020Article
- Comorbidity and stage at diagnosis among lung cancer patients in the US military health system.Cancer causes & control : CCC · 2020Article
- The effect of a severe psychiatric illness on colorectal cancer treatment and survival: A population-based retrospective cohort study.PloS one · 2020Article
- Psychiatric disease in surgically treated colorectal cancer patients.The Journal of surgical research · 2018Article
- Do Future Limitation Perspective in Cancer Patients Predict Fear of Cancer Recurrence, Mental Distress, and the Ventromedial Prefrontal Cortex Activity?Frontiers in psychology · 2018Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundHigher cancer-related mortality has been observed among people with mental health disorders than in the general population. Both delay in diagnosis and inadequate treatment due to health care access have been found to explain the higher mortality. The U.S. Military Health System (MHS), in which all beneficiaries have equal access to health care, provides an ideal system to study this disparity where there are no or minimal barriers to health care access. This study assessed preexisting mental health disorders and stage at diagnosis, receipt of cancer treatment, and overall survival among patients with non-small cell lung cancer (NSCLC) in the U.S. MHS.
methodsThe study used data from the linked database from the Department of Defense's Central Cancer Registry and the MHS Data Repository (MDR). The study subjects included 5,054 patients with histologically confirmed primary NSCLC diagnosed between 1998 and 2007.
resultsPatients with a preexisting mental disorder did not present with more advanced disease at diagnosis than those without. There were no significant differences in receiving cancer treatments between the two groups. However, patients with a mental health disorder had a higher mortality than those without [adjusted HR, 1.11; 95% confidence interval (CI), 1.03-1.20].
conclusionsPoor survival in NSCLC in patients with a preexisting mental health disorder is not necessarily associated with delay in diagnosis and/or inadequate cancer treatment. IMPACT: This study contributes to the current understanding that health care access may not be sufficient to explain the poor survival among patients with NSCLC with preexisting mental health disorders. Cancer Epidemiol Biomarkers Prev; 25(12); 1564-71. ©2016 AACR.
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