Treatment and Mortality Following Cancer Diagnosis Among People With Non-affective Psychotic Disorders in Ontario, Canada: A Retrospective Cohort Study
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View abstract on PubMed
Summary
This summary is machine-generated.People with psychotic disorders receive less cancer treatment and face a higher mortality risk post-diagnosis. This study highlights disparities in cancer care access for this population, contributing to poorer outcomes.
Area Of Science
- Oncology
- Psychiatry
- Health Services Research
Background
- Individuals with psychotic disorders exhibit elevated mortality rates after cancer diagnosis.
- Disparities in cancer-related treatment's impact on this mortality gap remain unclear.
Purpose Of The Study
- To investigate if individuals with psychotic disorders receive less cancer treatment.
- To compare cancer-related mortality between individuals with and without psychotic disorders.
Main Methods
- Retrospective cohort study using Ontario Health administrative data (1995-2019).
- Included 24,944 cancer patients, comparing those with non-affective psychotic disorder (NAPD) to a general population cohort.
- Utilized Cox proportional hazards models to analyze treatment receipt and all-cause/cancer-related mortality, adjusting for clinical factors.
Main Results
- People with NAPD were less likely to receive cancer treatment (HR=0.87).
- Individuals with NAPD faced a significantly higher risk of all-cause mortality (HR=1.68) compared to those without psychosis.
Conclusions
- Lower treatment rates for individuals with psychotic disorders may contribute to their increased cancer mortality risk.
- Identified disparities in cancer care access warrant further investigation into mediating factors and targeted interventions.
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