Temporal order of cancers and mental disorders in an adult population

BackgroundPopulation-based examination of comorbidity is an emerging field of study.AimsThe purpose of the present population level study is to expand our understanding of how cancer and mental illness are temporally associated.MethodA sample of 83 648 056 physician billing records for 664 838 (56%...

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Main Authors: David Cawthorpe, Marc Kerba, Aru Narendran, Harleen Ghuttora, Gabrielle Chartier, Norman Sartorius
Format: Article
Language:English
Published: Cambridge University Press 2018-05-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472418000054/type/journal_article
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author David Cawthorpe
Marc Kerba
Aru Narendran
Harleen Ghuttora
Gabrielle Chartier
Norman Sartorius
author_facet David Cawthorpe
Marc Kerba
Aru Narendran
Harleen Ghuttora
Gabrielle Chartier
Norman Sartorius
author_sort David Cawthorpe
collection DOAJ
description BackgroundPopulation-based examination of comorbidity is an emerging field of study.AimsThe purpose of the present population level study is to expand our understanding of how cancer and mental illness are temporally associated.MethodA sample of 83 648 056 physician billing records for 664 838 (56% female) unique individuals over the age of 18 was stratified on ages 19–49 years and 50+ years, with temporal order of mental disorder and cancer forming the basis of comparison.ResultsMental disorders preceded cancers for both genders within each age strata. The full range of cancers and mental disorders preceding or following each pivot ICD class are described in terms of frequency of diagnosis and duration in days, with specific examples illustrated.ConclusionsThe temporal comorbidity between specific cancers and mental disorders may be useful in screening or clinical planning and may represent indicators of disease mechanism that warrant further screening or investigation.Declaration of interestNone.
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spelling doaj.art-ebb61854c11849a59b1faa647bf0f67a2023-03-09T12:28:45ZengCambridge University PressBJPsych Open2056-47242018-05-0149510510.1192/bjo.2018.5Temporal order of cancers and mental disorders in an adult populationDavid Cawthorpe0Marc Kerba1Aru Narendran2Harleen Ghuttora3Gabrielle Chartier4Norman Sartorius5Faculty of Medicine, Departments of Psychiatry & Community Health Sciences, Institute for Child and Maternal Health, University of Calgary, Alberta, CanadaDepartment of Oncology, University of Calgary, Alberta, CanadaPediatric Oncology Experimental Therapeutics Investigators Consortium (POETIC) Laboratory, Department of Oncology, Cumming School of Medicine, University of Calgary, Alberta, CanadaMaster of Biomedical Technology, University of Calgary, and Program Coordinator – Health, Genome Alberta, CanadaDepartment of Psychiatry, University of British Columbia, Vancouver, CanadaVisiting Professor at the Institute of Psychiatry, London, UK, Adjunct Professor at the University of St Louis, New York, USA, and President Association for the Improvement of Mental Health Programmes, Geneva, Switzerland.BackgroundPopulation-based examination of comorbidity is an emerging field of study.AimsThe purpose of the present population level study is to expand our understanding of how cancer and mental illness are temporally associated.MethodA sample of 83 648 056 physician billing records for 664 838 (56% female) unique individuals over the age of 18 was stratified on ages 19–49 years and 50+ years, with temporal order of mental disorder and cancer forming the basis of comparison.ResultsMental disorders preceded cancers for both genders within each age strata. The full range of cancers and mental disorders preceding or following each pivot ICD class are described in terms of frequency of diagnosis and duration in days, with specific examples illustrated.ConclusionsThe temporal comorbidity between specific cancers and mental disorders may be useful in screening or clinical planning and may represent indicators of disease mechanism that warrant further screening or investigation.Declaration of interestNone.https://www.cambridge.org/core/product/identifier/S2056472418000054/type/journal_articleTemporal comorbiditycancermental disorderphysician diagnosispopulationadultpsychiatric disorder
spellingShingle David Cawthorpe
Marc Kerba
Aru Narendran
Harleen Ghuttora
Gabrielle Chartier
Norman Sartorius
Temporal order of cancers and mental disorders in an adult population
BJPsych Open
Temporal comorbidity
cancer
mental disorder
physician diagnosis
population
adult
psychiatric disorder
title Temporal order of cancers and mental disorders in an adult population
title_full Temporal order of cancers and mental disorders in an adult population
title_fullStr Temporal order of cancers and mental disorders in an adult population
title_full_unstemmed Temporal order of cancers and mental disorders in an adult population
title_short Temporal order of cancers and mental disorders in an adult population
title_sort temporal order of cancers and mental disorders in an adult population
topic Temporal comorbidity
cancer
mental disorder
physician diagnosis
population
adult
psychiatric disorder
url https://www.cambridge.org/core/product/identifier/S2056472418000054/type/journal_article
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