Effect of Mental Disorders on Diagnosis, Treatment, and Survival of Older Adults with Colon Cancer

摘要: OBJECTIVES: To evaluate the extent to which preexisting mental disorders influence diagnosis, treatment, and survival in older adults with colon cancer. DESIGN: Retrospective cohort study. SETTING: The Surveillance, Epidemiology End Results (SEER)‐Medicare linked database. PARTICIPANTS: Eighty thousand six hundred seventy participants, aged 67 a diagnosis of MEASUREMENTS: association between presence disorder stage cancer at receipt overall cancer-specific mortality were assessed using Cox proportional hazards regression logistic regression. RESULTS: Participants more likely have been diagnosed autopsy (4.4% vs 1.1%; Po.001) an unknown (14.6% 6.2%; Po.001); received no surgery, chemotherapy, or radiation therapy (adjusted risk ratio (ARR) 52.09, 95% confidence interval (CI) 51.86‐2.35); chemotherapy for Stage 3 (ARR 51.63, CI 51.49‐1.79). rate (hazard (HR) 51.33, 51.31‐1.36) (HR 51.23, 51.19‐1.27) was substantially higher participants than their counterparts. All these associations particularly pronounced psychotic those dementia.