Risk of developing depression from endocrine treatment: A nationwide cohort study of women administered treatment for breast cancer in South Korea

BackgroundAlthough previous studies demonstrated no association between depression and tamoxifen in patients with breast cancer, there is still a limited amount of long-term follow-up data. This study aimed to evaluate the relationship between endocrine treatment and the risk of depression.MethodsTh...

Full description

Bibliographic Details
Main Authors: Jooyoung Oh, Hye Sun Lee, Soyoung Jeon, Dooreh Kim, Jeong-Ho Seok, Woo-Chan Park, Jae-Jin Kim, Chang Ik Yoon
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.980197/full
_version_ 1818021331725189120
author Jooyoung Oh
Jooyoung Oh
Hye Sun Lee
Soyoung Jeon
Dooreh Kim
Jeong-Ho Seok
Jeong-Ho Seok
Woo-Chan Park
Jae-Jin Kim
Jae-Jin Kim
Chang Ik Yoon
author_facet Jooyoung Oh
Jooyoung Oh
Hye Sun Lee
Soyoung Jeon
Dooreh Kim
Jeong-Ho Seok
Jeong-Ho Seok
Woo-Chan Park
Jae-Jin Kim
Jae-Jin Kim
Chang Ik Yoon
author_sort Jooyoung Oh
collection DOAJ
description BackgroundAlthough previous studies demonstrated no association between depression and tamoxifen in patients with breast cancer, there is still a limited amount of long-term follow-up data. This study aimed to evaluate the relationship between endocrine treatment and the risk of depression.MethodsThis nationwide population-based cohort study used data obtained over a 14-year period (January 2007 to December 2021) from the Korean National Health Insurance claims database. All female patients with breast cancer were included. We examined the incidence of depression in patients who underwent endocrine treatment, and those who did not undergo endocrine treatment constituted the control group.ResultsThe data from 11,109 patients who underwent endocrine treatment and 6,615 control patients between 2009 and 2010 were analyzed. After performing matching for comorbidities and age, both groups comprised 6,532 patients. The median follow-up were 119.71 months. Before and after matching was performed, the endocrine treatment was not a significant risk factor for developing depression (p=0.7295 and p=0.2668, respectively), nor was it a significant factor for an increased risk for suicide attempt (p=0.6381 and p=0.8366, respectively).ConclusionsUsing a real-world population-based cohort, this study demonstrated that there is no evidence that the endocrine treatment increases the risk of depression.
first_indexed 2024-04-14T08:17:22Z
format Article
id doaj.art-6eb3d2628aa449ac86cc482c761632b8
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-04-14T08:17:22Z
publishDate 2022-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-6eb3d2628aa449ac86cc482c761632b82022-12-22T02:04:21ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-09-011210.3389/fonc.2022.980197980197Risk of developing depression from endocrine treatment: A nationwide cohort study of women administered treatment for breast cancer in South KoreaJooyoung Oh0Jooyoung Oh1Hye Sun Lee2Soyoung Jeon3Dooreh Kim4Jeong-Ho Seok5Jeong-Ho Seok6Woo-Chan Park7Jae-Jin Kim8Jae-Jin Kim9Chang Ik Yoon10Department of Psychiatry, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South KoreaInstitute of Behavioral Sciences in Medicine, Yonsei University College of Medicine, Seoul, South KoreaBiostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, South KoreaBiostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, South KoreaDivision of Breast Surgery, Department of Surgery, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, South KoreaDepartment of Psychiatry, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South KoreaInstitute of Behavioral Sciences in Medicine, Yonsei University College of Medicine, Seoul, South KoreaDivision of Breast Surgery, Department of Surgery, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, South KoreaDepartment of Psychiatry, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South KoreaInstitute of Behavioral Sciences in Medicine, Yonsei University College of Medicine, Seoul, South KoreaDivision of Breast Surgery, Department of Surgery, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, South KoreaBackgroundAlthough previous studies demonstrated no association between depression and tamoxifen in patients with breast cancer, there is still a limited amount of long-term follow-up data. This study aimed to evaluate the relationship between endocrine treatment and the risk of depression.MethodsThis nationwide population-based cohort study used data obtained over a 14-year period (January 2007 to December 2021) from the Korean National Health Insurance claims database. All female patients with breast cancer were included. We examined the incidence of depression in patients who underwent endocrine treatment, and those who did not undergo endocrine treatment constituted the control group.ResultsThe data from 11,109 patients who underwent endocrine treatment and 6,615 control patients between 2009 and 2010 were analyzed. After performing matching for comorbidities and age, both groups comprised 6,532 patients. The median follow-up were 119.71 months. Before and after matching was performed, the endocrine treatment was not a significant risk factor for developing depression (p=0.7295 and p=0.2668, respectively), nor was it a significant factor for an increased risk for suicide attempt (p=0.6381 and p=0.8366, respectively).ConclusionsUsing a real-world population-based cohort, this study demonstrated that there is no evidence that the endocrine treatment increases the risk of depression.https://www.frontiersin.org/articles/10.3389/fonc.2022.980197/fullbreast cancerendocrine treatmenttamoxifenaromatase inhibitordepression
spellingShingle Jooyoung Oh
Jooyoung Oh
Hye Sun Lee
Soyoung Jeon
Dooreh Kim
Jeong-Ho Seok
Jeong-Ho Seok
Woo-Chan Park
Jae-Jin Kim
Jae-Jin Kim
Chang Ik Yoon
Risk of developing depression from endocrine treatment: A nationwide cohort study of women administered treatment for breast cancer in South Korea
Frontiers in Oncology
breast cancer
endocrine treatment
tamoxifen
aromatase inhibitor
depression
title Risk of developing depression from endocrine treatment: A nationwide cohort study of women administered treatment for breast cancer in South Korea
title_full Risk of developing depression from endocrine treatment: A nationwide cohort study of women administered treatment for breast cancer in South Korea
title_fullStr Risk of developing depression from endocrine treatment: A nationwide cohort study of women administered treatment for breast cancer in South Korea
title_full_unstemmed Risk of developing depression from endocrine treatment: A nationwide cohort study of women administered treatment for breast cancer in South Korea
title_short Risk of developing depression from endocrine treatment: A nationwide cohort study of women administered treatment for breast cancer in South Korea
title_sort risk of developing depression from endocrine treatment a nationwide cohort study of women administered treatment for breast cancer in south korea
topic breast cancer
endocrine treatment
tamoxifen
aromatase inhibitor
depression
url https://www.frontiersin.org/articles/10.3389/fonc.2022.980197/full
work_keys_str_mv AT jooyoungoh riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT jooyoungoh riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT hyesunlee riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT soyoungjeon riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT doorehkim riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT jeonghoseok riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT jeonghoseok riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT woochanpark riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT jaejinkim riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT jaejinkim riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea
AT changikyoon riskofdevelopingdepressionfromendocrinetreatmentanationwidecohortstudyofwomenadministeredtreatmentforbreastcancerinsouthkorea