作者: Kelly E. Irwin , David C. Henderson , Helen P. Knight , William F. Pirl
DOI: 10.1002/CNCR.28431
关键词: Cancer screening 、 Family medicine 、 Population 、 Palliative care 、 Medicine 、 Psychiatry 、 Health equity 、 Mental illness 、 Informed consent 、 Mental health 、 Health care
摘要: Individuals with schizophrenia are a vulnerable population that has been relatively neglected in health disparities research. Despite having an equivalent risk of developing most cancers, patients more likely to die cancer than the general population. Cancer care result patient-, provider-, and systems-level factors influenced by pervasive stigma mental illness. have higher rates behaviors linked mortality including cigarette smoking. They also significant medical comorbidity, less up-to-date screening, may present at advanced stages Patients be receive chemotherapy or radiotherapy, postoperative complications, access palliative care. However, opportunities exist for interdisciplinary team, medical, surgical, radiation oncologists; psychiatrists; primary physicians, intervene throughout continuum promote survival quality life. This review summarizes data on overall cancer-specific individuals reviews specific across diagnosis, treatment, end-of-life Using case, authors illustrate clinical challenges this communication, informed consent, suicide, provide suggestions Finally, recommendations research address discussed. challenges, collaboration between oncology teams, can high-quality