ArticleCancer2018
Impact of psychiatric illness on decreased survival in elderly patients with bladder cancer in the United States.
Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 51 citations in OpenAlex.
- Associations between psychological symptoms and treatment outcomes of a massage therapy intervention: Secondary analyses of a randomized controlled trial.Complementary therapies in medicine · 2019Trial
- Association of Postoperative Antidepressant and Anxiolytic Exposure With Overall Survival Following Radical Cystectomy for Bladder Cancer.Psycho-oncology · 2026Article
- A Clinically Practical Nomogram for Predicting Survival in Elderly Patients (≥ 65 Years) With Bladder Urothelial Carcinoma: A Study Based on SEER Database and External Validation.Cancer reports (Hoboken, N.J.) · 2025Article
- Psychological Impact of Bladder Cancer: Insights from 219 Patients and Caregivers in Indonesia Using DASS-21 (2019-2023).Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Predictors of Psychiatric Complications in Patients with Pancreatic Cancer: A Retrospective Cohort Study.Actas espanolas de psiquiatria · 2024Article
- Article
- Psychiatric disorders in older adults with cancer referred to psycho-oncology service in a tertiary care cancer centre: a 7-year real world experience from India.BMC psychiatry · 2024Article
- New Mental Health Diagnosis as a Prognostic Factor for Muscle-Invasive Bladder Cancer.Clinical genitourinary cancer · 2023Article
- Basics for Physicians and Psychiatrists for Effective Practice of Consultation-Liaison Psychiatry Services.Indian journal of psychiatry · 2022Article
- Mental Health in Urologic Oncology.Health psychology research · 2022Article
- Variation of Anxiety and Depression During a 3-Year Period as Well as Their Risk Factors and Prognostic Value in Postoperative Bladder Cancer Patients.Frontiers in surgery · 2022Article
- Longitudinal impact of bladder cancer diagnosis on common psychiatric disorders.Cancer medicine · 2021Article
- The Significant Role of Depression in Elderly Patients with Bladder Cancer.European urology open science · 2021Article
- Incorporating palliative care principles to improve patient care and quality of life in urologic oncology.Nature reviews. Urology · 2021Review
- Mental Health Resource Use Among Patients Undergoing Curative Intent Treatment for Bladder Cancer.Journal of the National Cancer Institute · 2021Article
- Increased Risk of Recurrence of Non-Muscle Invasive Bladder Cancer Associated With Psychological Distress: A Prospective Cohort Study.Psychiatry investigation · 2021Article
- Incidence trends and survival prediction of urothelial cancer of the bladder: a population-based study.World journal of surgical oncology · 2021Article
- Assessing patient risk from cancer and COVID-19: Managing patient distress.Urologic oncology · 2021Review
- Post-traumatic stress disorder symptoms in non-muscle-invasive bladder cancer survivors: A population-based study.Urologic oncology · 2021Article
- Addressing Mental Health in Urology Patients: The Time is Now.European urology focus · 2020Article
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13 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundTreatments for muscle-invasive bladder cancer are multimodal, complex, and often carry significant risks of physical and psychological morbidity. The objectives of this study were to define the incidence and types of psychiatric illnesses diagnosed after treatment and to determine their impact on survival outcomes.
methodsIn total, 3709 patients who were diagnosed with clinical stage T2 through T4a bladder cancer from January 1, 2002, to December 31, 2011, from the Surveillance, Epidemiology, and End Results-Medicare were analyzed. Multivariable analysis and Cox proportional-hazards models were used to determine the predictors associated with psychiatric diagnosis and impact on survival outcomes.
resultsOf 3709 patients, 1870 (50.4%) were diagnosed with posttreatment psychiatric disorders. Patients who underwent radical cystectomy were identified as being at significantly greater risk of having a posttreatment psychiatric illness compared with those who received radiotherapy and/or chemotherapy (hazard ratio [HR], 1.19; 95% confidence interval [CI], 1.07-1.31; P = .001). In adjusted analyses, diagnosis of a psychiatric disorder resulted in significantly worse overall survival (HR, 2.80; 95% CI, 2.47-3.17; P < .001) and cancer-specific survival (HR, 2.39; 95% CI, 2.05-2.78; P < .001).
conclusionsOne-half of patients with muscle-invasive bladder cancer who underwent treatment were diagnosed with a psychiatric disorder, which resulted in worse survival outcomes compared with patients who did not have a posttreatment psychiatric diagnosis. This information can be used to inform interventions to educate patients with muscle-invasive bladder cancer regarding the impact of different treatments on mental health. Cancer 2018. © 2018 American Cancer Society.
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