Evidence map›Paper›PMID 29971970›Full record

ArticleCancer medicine2018

Trends in incidence and associated risk factors of suicide mortality in patients with non-small cell lung cancer.

Huaqiang Zhou, Wei Xian, Yaxiong Zhang, Gang Chen, Shen Zhao, Xi Chen, Zhonghan Zhang, Jiayi Shen, Shaodong Hong, Yan Huang and 1 more

Abstract readHistorical Article
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Global prevalence and risk factors of suicidality among head and neck cancer patients-systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  2. Article
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  4. Review
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  8. Incidence and risk factors of suicide in patients with lung cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  9. Article
  10. Article
  11. Article
  12. Article
  13. Risk factors associated with suicide among hepatocellular carcinoma patients: A surveillance, epidemiology, and end results analysis.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2021
    Article
  14. Biological Function of Long Non-coding RNA (LncRNA) Xist.Frontiers in cell and developmental biology · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Huaqiang ZhouDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID 0000-0003-3538-4481
Wei XianZhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0001-6078-8053
Yaxiong ZhangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Gang ChenDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID 0000-0002-2378-6056
Shen ZhaoDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Xi ChenDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Zhonghan ZhangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Jiayi ShenZhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China.
Shaodong HongDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yan HuangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Li ZhangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID 0000-0002-6672-4808

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung cancer patients have an increased risk for committing suicide. But no comprehensive study about the suicide issues among non-small-cell lung cancer (NSCLC) patients has been published. We aimed to estimate the trend of suicide rate and identify the high-risk group of NSCLC patients. Patients diagnosed with primary NSCLC were identified from Surveillance, Epidemiology, and End Results (SEER) database (1973-2013). Suicide mortality rate (SMR) were calculated. Multivariable logistic regression was employed to find out independent risk factors for suicide. Among 495 889 NSCLC patients, 694 (0.14%) of them died from suicide. The suicide mortality rates have significantly decreased (before 1993: 0.21%, 1994-2003: 0.16%, after 2004: 0.09%, P < .001). Male (OR 6.22, 95% CI: 4.96-7.98, P < .001), white (OR 3.89, 95% CI: 2.66-5.97, P < .001), being unmarried (OR 1.43, 95% CI: 1.22-1.67, P < .001), the elderly (60-74 vs <60: OR 1.24, 95% CI: 1.03-1.50, P = .024, >75 vs <60: OR 1.31, 95% CI: 1.05-1.63, P = .018) were independently associated with higher risk of suicide mortality. Surgery (OR: 1.44, 95% CI: 1.19-1.73, P < .001) was also relative with higher risk of suicide. Our study observed significant decrease in suicide mortality among NSCLC patients in US over past decades. Older age, male sex, unmarried status, and surgery were risk factors of committing suicide. Clinicians should be aware of these high-risk groups.

Indexed as

Carcinoma, Non-Small-Cell LungFemaleHistory, 20th CenturyHistory, 21st CenturyHumansIncidenceLung NeoplasmsMaleOdds RatioPublic Health SurveillanceRisk AssessmentRisk FactorsSEER ProgramSuicideUnited Statesnon-small cell lung carcinomaprognosisrisk factorsSEERsuicide

Identifiers

PMID29971970
PMCPMC6089196

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.