Evidence map›Paper›PMID 42244105›Full record

ArticlePsycho-oncology2026

Mental Health and Survival in Medicare Beneficiaries With Lung and Head and Neck Cancer.

Stephanie Misono, Jesse R Fann, Nosayaba Osazuwa-Peters, Schelomo Marmor

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Article in Psycho-oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Stephanie MisonoDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Jesse R FannDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA.
Nosayaba Osazuwa-PetersDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-1390-9753
Schelomo MarmorDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health (MH) conditions can significantly influence cancer outcomes, yet associations with survival and potential impacts of MH care utilization remain underexplored.

aimsExamine associations between (1) MH diagnoses and (2) MH utilization and survival among Medicare beneficiaries with lung or head and neck (HN) cancers.

methodsPatients diagnosed with lung or HN cancers between 2004 and 2018 were stratified by MH diagnosis status in the two years prior to cancer diagnosis. We examined factors associated with MH diagnosis and MH services and evaluated overall and cancer specific survival analyses using Kaplan-Meier survival analyses and multivariable Cox regressions.

results19% of patients with a lung cancer diagnosis (n = 333,875) and 15% of HN patients (n = 39,253) received a MH diagnosis within two years before cancer diagnosis. Kaplan-Meier survival analysis indicated significantly worse survival among patients with a MH diagnosis and higher rates of survival among those receiving MH services. Among individuals with a MH diagnosis, the mortality hazard for individuals that received MH services was lower compared to those who did not receive MH services, in both HN and Lung cancer.

conclusionsMH conditions were common in people with lung and HN cancers and associated with worse overall and cancer-specific survival for head and neck cancer. Among those with MH diagnoses, receipt of MH services was associated with lower hazard of death, highlighting the need for early identification of this at-risk population and integration of MH care into oncology care.

Indexed as

Head and Neck NeoplasmsLung NeoplasmsMedicareMental HealthPatient Acceptance of Health CareAgedAged, 80 and overFemaleHumansKaplan-Meier EstimateMaleProportional Hazards ModelsSurvival AnalysisSurvival RateUnited Statesdistressmedicaremental healthoncologysurvival

Identifiers

PMID42244105
PMCPMC13238330

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