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Disparities in Oral Cancer Survival among Mentally Ill Patients

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  • Ting-Shou Chang
  • Szu-Jen Hou
  • Yu-Chieh Su
  • Li-Fu Chen
  • Hsu-Chieh Ho
  • Moon-Sing Lee
  • Chun-Hsuan Lin
  • Pesus Chou
  • Ching-Chih Lee

Abstract

Background: Many studies have reported excess cancer mortality in patients with mental illness. However, scant studies evaluated the differences in cancer treatment and its impact on survival rates among mentally ill patients. Oral cancer is one of the ten most common cancers in the world. We investigated differences in treatment type and survival rates between oral cancer patients with mental illness and without mental illness. Methods: Using the National Health Insurance (NHI) database, we compared the type of treatment and survival rates in 16687 oral cancer patients from 2002 to 2006. The utilization rate of surgery for oral cancer was compared between patients with mental illness and without mental illness using logistic regression. The Cox proportional hazards model was used for survival analysis. Results: Oral cancer patients with mental disorder conferred a grave prognosis, compared with patients without mental illness (hazard ratios [HR] = 1.58; 95% confidence interval [CI] = 1.30–1.93; P

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  • Ting-Shou Chang & Szu-Jen Hou & Yu-Chieh Su & Li-Fu Chen & Hsu-Chieh Ho & Moon-Sing Lee & Chun-Hsuan Lin & Pesus Chou & Ching-Chih Lee, 2013. "Disparities in Oral Cancer Survival among Mentally Ill Patients," PLOS ONE, Public Library of Science, vol. 8(8), pages 1-8, August.
    • Handle: RePEc:plo:pone00:0070883
    DOI: 10.1371/journal.pone.0070883
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