Association of Head and Neck Cancer With Mental Health Disorders in a Large Insurance Claims Database

JAMA Otolaryngology-- Head & Neck Surgery
Ji Hyae LeeNeerav Goyal

Abstract

Although a few studies have shown that mental health disorders (MHDs) are strongly associated with the 5-year survival and recurrence rates in patients with head and neck cancer (HNC), none have been replicated in a large-scale study. To describe the prevalence of MHDs in patients with HNC and the potential associations with survival and recurrence using a large insurance claims database. This retrospective cohort study assessed data queried from the MarketScan database from January 1, 2005, through December 31, 2014, for 52 641 patients with a diagnosis of HNC. To exclude patients with a preexisting HNC diagnosis or those with incomplete data, patients were included if they were in the database for at least 12 months before the index diagnosis and continuously enrolled. Data were analyzed from February 20, 2017, through January 22, 2019. To compare the frequency of MHDs before and after diagnosis of HNC, χ2 tests for independence were used. Adjusted adds ratios (aORs) were obtained using multivariable logistic regression by comparing the prevalence of MHDs in patients with oral cavity cancer and those with other cancer sites in the head and neck. Among the 52 641 patients included in the analysis (mean [SD] age, 51.31 [9.79] y...Continue Reading

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Citations

Jan 24, 2020·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Camilla DawsonPaul Pracy
May 3, 2020·Head & Neck·Victoria W HuangShaun A Nguyen
Jul 24, 2021·JAMA Otolaryngology-- Head & Neck Surgery·Nosayaba Osazuwa-PetersWalter T Lee

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