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Blackwell Synergy: J Am Geriatr Soc, Vol 52, Issue 1, pp. 106-111: Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer (Abstract)
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University of Plymouth
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Journal of the American Geriatrics SocietyVolume 52 Page 106 - January 2004doi:10.1111/j.1532-5415.2004.52018.x
Volume 52 Issue 1
Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer
James S. Goodwin, MD1, Dong D. Zhang, PhD1, and Glenn V. Ostir, PhD1
Objectives: To assess the effect of a prior diagnosis of depression on the diagnosis, treatment, and survival of older women with breast cancer.
Design: Retrospective analysis of records from Surveillance, Epidemiology and End Results (SEER) and Medicare claims.
Setting: Registries from seven major cities and five states.
Participants: A total of 24,696 women aged 67 to 90 diagnosed with breast cancer between 1993 and 1996 and included in the SEER Medicare linked database were studied.
Measurements: Information on patient demographics, tumor characteristics, treatment received, and survival were obtained from SEER, and the Medicare inpatient and professional charges for the 2 years before diagnosis were searched for a diagnosis of depression.
Results: A total of 1,841 of the 24,696 women (7.5%) had been given a diagnosis of depression sometime in the 2 years before the diagnosis of breast cancer. There was no difference in tumor size or stage at diagnosis between depressed and nondepressed women. Women diagnosed with depression were less likely to receive treatment generally considered definitive (59.7% vs 66.2%, P< .0001), and this difference remained after controlling for age, ethnicity, comorbidity, and SEER site. Also, women with a prior diagnosis of depression had a higher risk of death (hazard ratio=1.42; 95% confidence interval= 1.13–1.79) after controlling for other factors that might affect survival. The higher risk of death associated with a prior diagnosis of depression was also seen in analyses restricted to women who received definitive treatment.
Conclusion: Women with a recent diagnosis of depression are at greater risk for receiving nondefinitive treatment and experience worse survival after a diagnosis of breast cancer, but differences in treatment do not explain the worse survival.
This article is cited by the following articles in Blackwell Synergy and CrossRef
•
Naoki Nakaya, Kumi Saito-Nakaya, Nobuya Akizuki, Eisho Yoshikawa, Makoto Kobayakawa, Maiko Fujimori, Kanji Nagai, Yutaka Nishiwaki, Shin Fukudo, Yoshitaka Tsubono and Yosuke Uchitomi. (2006) Depression and survival in patients with non-small cell lung cancer after curative resection: a preliminary study. Cancer Science 97:3, 199-205
QuickSearch in:
SynergyPubMed (MEDLINE)CrossReffor
Authors:
James S. Goodwin
Dong D. Zhang
Glenn V. Ostir
Key words:
depression
breast cancer
access to care
survival; treatment
Article published online 24 Dec 2003
Affiliations
From the 1Department of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
Correspondence
Address correspondence to Dr. James S. Goodwin, Sealy Center on Aging, University of Texas Medical Branch, 301 University Blvd., Galveston, Texas 77555. E-mail: jsgoodwi@utmb.edu
Supported by Grants AG 17231 and CA 71773 from the U.S. Public Health Service.
To cite this articleGoodwin, James S., Zhang, Dong D. & Ostir, Glenn V. (2004)Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer.Journal of the American Geriatrics Society 52 (1), 106-111.doi: 10.1111/j.1532-5415.2004.52018.x
Blackwell Synergy® is a Blackwell Publishing, Inc. registered trademarkMore information about Blackwell Synergy - online journals from www.blackwellpublishing.com.We welcome your Feedback. See our Privacy Statement and Terms and Conditions.Technology Partner - Atypon Systems, Inc.
Home > List of Issues > Table of Contents > Abstract
University of Plymouth
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Journal of the American Geriatrics SocietyVolume 52 Page 106 - January 2004doi:10.1111/j.1532-5415.2004.52018.x
Volume 52 Issue 1
Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer
James S. Goodwin, MD1, Dong D. Zhang, PhD1, and Glenn V. Ostir, PhD1
Objectives: To assess the effect of a prior diagnosis of depression on the diagnosis, treatment, and survival of older women with breast cancer.
Design: Retrospective analysis of records from Surveillance, Epidemiology and End Results (SEER) and Medicare claims.
Setting: Registries from seven major cities and five states.
Participants: A total of 24,696 women aged 67 to 90 diagnosed with breast cancer between 1993 and 1996 and included in the SEER Medicare linked database were studied.
Measurements: Information on patient demographics, tumor characteristics, treatment received, and survival were obtained from SEER, and the Medicare inpatient and professional charges for the 2 years before diagnosis were searched for a diagnosis of depression.
Results: A total of 1,841 of the 24,696 women (7.5%) had been given a diagnosis of depression sometime in the 2 years before the diagnosis of breast cancer. There was no difference in tumor size or stage at diagnosis between depressed and nondepressed women. Women diagnosed with depression were less likely to receive treatment generally considered definitive (59.7% vs 66.2%, P< .0001), and this difference remained after controlling for age, ethnicity, comorbidity, and SEER site. Also, women with a prior diagnosis of depression had a higher risk of death (hazard ratio=1.42; 95% confidence interval= 1.13–1.79) after controlling for other factors that might affect survival. The higher risk of death associated with a prior diagnosis of depression was also seen in analyses restricted to women who received definitive treatment. Conclusion: Women with a recent diagnosis of depression are at greater risk for receiving nondefinitive treatment and experience worse survival after a diagnosis of breast cancer, but differences in treatment do not explain the worse survival.
This article is cited by the following articles in Blackwell Synergy and CrossRef
•
Naoki Nakaya, Kumi Saito-Nakaya, Nobuya Akizuki, Eisho Yoshikawa, Makoto Kobayakawa, Maiko Fujimori, Kanji Nagai, Yutaka Nishiwaki, Shin Fukudo, Yoshitaka Tsubono and Yosuke Uchitomi. (2006) Depression and survival in patients with non-small cell lung cancer after curative resection: a preliminary study. Cancer Science 97:3, 199-205
QuickSearch in:
SynergyPubMed (MEDLINE)CrossReffor
Authors:
James S. Goodwin
Dong D. Zhang
Glenn V. Ostir
Key words:
depression
breast cancer
access to care
survival; treatment
Article published online 24 Dec 2003
Affiliations
From the 1Department of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
Correspondence
Address correspondence to Dr. James S. Goodwin, Sealy Center on Aging, University of Texas Medical Branch, 301 University Blvd., Galveston, Texas 77555. E-mail: jsgoodwi@utmb.edu
Supported by Grants AG 17231 and CA 71773 from the U.S. Public Health Service.
To cite this articleGoodwin, James S., Zhang, Dong D. & Ostir, Glenn V. (2004)Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer.Journal of the American Geriatrics Society 52 (1), 106-111.doi: 10.1111/j.1532-5415.2004.52018.x
Blackwell Synergy® is a Blackwell Publishing, Inc. registered trademarkMore information about Blackwell Synergy - online journals from http://www.blackwellpublishing.com/.We welcome your Feedback. See our Privacy Statement and Terms and Conditions.Technology Partner - Atypon Systems, Inc.
Home > List of Issues > Table of Contents > Abstract
University of Plymouth
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Journal of the American Geriatrics SocietyVolume 52 Page 106 - January 2004doi:10.1111/j.1532-5415.2004.52018.x
Volume 52 Issue 1
Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer
James S. Goodwin, MD1, Dong D. Zhang, PhD1, and Glenn V. Ostir, PhD1
Objectives: To assess the effect of a prior diagnosis of depression on the diagnosis, treatment, and survival of older women with breast cancer.
Design: Retrospective analysis of records from Surveillance, Epidemiology and End Results (SEER) and Medicare claims.
Setting: Registries from seven major cities and five states.
Participants: A total of 24,696 women aged 67 to 90 diagnosed with breast cancer between 1993 and 1996 and included in the SEER Medicare linked database were studied.
Measurements: Information on patient demographics, tumor characteristics, treatment received, and survival were obtained from SEER, and the Medicare inpatient and professional charges for the 2 years before diagnosis were searched for a diagnosis of depression.
Results: A total of 1,841 of the 24,696 women (7.5%) had been given a diagnosis of depression sometime in the 2 years before the diagnosis of breast cancer. There was no difference in tumor size or stage at diagnosis between depressed and nondepressed women. Women diagnosed with depression were less likely to receive treatment generally considered definitive (59.7% vs 66.2%, P< .0001), and this difference remained after controlling for age, ethnicity, comorbidity, and SEER site. Also, women with a prior diagnosis of depression had a higher risk of death (hazard ratio=1.42; 95% confidence interval= 1.13–1.79) after controlling for other factors that might affect survival. The higher risk of death associated with a prior diagnosis of depression was also seen in analyses restricted to women who received definitive treatment. Conclusion: Women with a recent diagnosis of depression are at greater risk for receiving nondefinitive treatment and experience worse survival after a diagnosis of breast cancer, but differences in treatment do not explain the worse survival.
This article is cited by the following articles in Blackwell Synergy and CrossRef
•
Naoki Nakaya, Kumi Saito-Nakaya, Nobuya Akizuki, Eisho Yoshikawa, Makoto Kobayakawa, Maiko Fujimori, Kanji Nagai, Yutaka Nishiwaki, Shin Fukudo, Yoshitaka Tsubono and Yosuke Uchitomi. (2006) Depression and survival in patients with non-small cell lung cancer after curative resection: a preliminary study. Cancer Science 97:3, 199-205
QuickSearch in:
SynergyPubMed (MEDLINE)CrossReffor
Authors:
James S. Goodwin
Dong D. Zhang
Glenn V. Ostir
Key words:
depression
breast cancer
access to care
survival; treatment
Article published online 24 Dec 2003
Affiliations
From the 1Department of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
Correspondence
Address correspondence to Dr. James S. Goodwin, Sealy Center on Aging, University of Texas Medical Branch, 301 University Blvd., Galveston, Texas 77555. E-mail: jsgoodwi@utmb.edu
Supported by Grants AG 17231 and CA 71773 from the U.S. Public Health Service.
To cite this articleGoodwin, James S., Zhang, Dong D. & Ostir, Glenn V. (2004)Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer.Journal of the American Geriatrics Society 52 (1), 106-111.doi: 10.1111/j.1532-5415.2004.52018.x
Blackwell Synergy® is a Blackwell Publishing, Inc. registered trademarkMore information about Blackwell Synergy - online journals from http://www.blackwellpublishing.com/.We welcome your Feedback. See our Privacy Statement and Terms and Conditions.Technology Partner - Atypon Systems, Inc.
Home > List of Issues > Table of Contents > Abstract
University of Plymouth
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Journal of the American Geriatrics SocietyVolume 52 Page 106 - January 2004doi:10.1111/j.1532-5415.2004.52018.x
Volume 52 Issue 1
Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer
James S. Goodwin, MD1, Dong D. Zhang, PhD1, and Glenn V. Ostir, PhD1
Objectives: To assess the effect of a prior diagnosis of depression on the diagnosis, treatment, and survival of older women with breast cancer.
Design: Retrospective analysis of records from Surveillance, Epidemiology and End Results (SEER) and Medicare claims.
Setting: Registries from seven major cities and five states.
Participants: A total of 24,696 women aged 67 to 90 diagnosed with breast cancer between 1993 and 1996 and included in the SEER Medicare linked database were studied.
Measurements: Information on patient demographics, tumor characteristics, treatment received, and survival were obtained from SEER, and the Medicare inpatient and professional charges for the 2 years before diagnosis were searched for a diagnosis of depression.
Results: A total of 1,841 of the 24,696 women (7.5%) had been given a diagnosis of depression sometime in the 2 years before the diagnosis of breast cancer. There was no difference in tumor size or stage at diagnosis between depressed and nondepressed women. Women diagnosed with depression were less likely to receive treatment generally considered definitive (59.7% vs 66.2%, P< .0001), and this difference remained after controlling for age, ethnicity, comorbidity, and SEER site. Also, women with a prior diagnosis of depression had a higher risk of death (hazard ratio=1.42; 95% confidence interval= 1.13–1.79) after controlling for other factors that might affect survival. The higher risk of death associated with a prior diagnosis of depression was also seen in analyses restricted to women who received definitive treatment.
Conclusion: Women with a recent diagnosis of depression are at greater risk for receiving nondefinitive treatment and experience worse survival after a diagnosis of breast cancer, but differences in treatment do not explain the worse survival.
This article is cited by the following articles in Blackwell Synergy and CrossRef
•
Naoki Nakaya, Kumi Saito-Nakaya, Nobuya Akizuki, Eisho Yoshikawa, Makoto Kobayakawa, Maiko Fujimori, Kanji Nagai, Yutaka Nishiwaki, Shin Fukudo, Yoshitaka Tsubono and Yosuke Uchitomi. (2006) Depression and survival in patients with non-small cell lung cancer after curative resection: a preliminary study. Cancer Science 97:3, 199-205
QuickSearch in:
SynergyPubMed (MEDLINE)CrossReffor
Authors:
James S. Goodwin
Dong D. Zhang
Glenn V. Ostir
Key words:
depression
breast cancer
access to care
survival; treatment
Article published online 24 Dec 2003
Affiliations
From the 1Department of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
Correspondence
Address correspondence to Dr. James S. Goodwin, Sealy Center on Aging, University of Texas Medical Branch, 301 University Blvd., Galveston, Texas 77555. E-mail: jsgoodwi@utmb.edu
Supported by Grants AG 17231 and CA 71773 from the U.S. Public Health Service.
To cite this articleGoodwin, James S., Zhang, Dong D. & Ostir, Glenn V. (2004)Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer.Journal of the American Geriatrics Society 52 (1), 106-111.doi: 10.1111/j.1532-5415.2004.52018.x
Blackwell Synergy® is a Blackwell Publishing, Inc. registered trademarkMore information about Blackwell Synergy - online journals from www.blackwellpublishing.com.We welcome your Feedback. See our Privacy Statement and Terms and Conditions.Technology Partner - Atypon Systems, Inc.
Home > List of Issues > Table of Contents > Abstract
University of Plymouth
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Journal of the American Geriatrics SocietyVolume 52 Page 106 - January 2004doi:10.1111/j.1532-5415.2004.52018.x
Volume 52 Issue 1
Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer
James S. Goodwin, MD1, Dong D. Zhang, PhD1, and Glenn V. Ostir, PhD1
Objectives: To assess the effect of a prior diagnosis of depression on the diagnosis, treatment, and survival of older women with breast cancer.
Design: Retrospective analysis of records from Surveillance, Epidemiology and End Results (SEER) and Medicare claims.
Setting: Registries from seven major cities and five states.
Participants: A total of 24,696 women aged 67 to 90 diagnosed with breast cancer between 1993 and 1996 and included in the SEER Medicare linked database were studied.
Measurements: Information on patient demographics, tumor characteristics, treatment received, and survival were obtained from SEER, and the Medicare inpatient and professional charges for the 2 years before diagnosis were searched for a diagnosis of depression.
Results: A total of 1,841 of the 24,696 women (7.5%) had been given a diagnosis of depression sometime in the 2 years before the diagnosis of breast cancer. There was no difference in tumor size or stage at diagnosis between depressed and nondepressed women. Women diagnosed with depression were less likely to receive treatment generally considered definitive (59.7% vs 66.2%, P< .0001), and this difference remained after controlling for age, ethnicity, comorbidity, and SEER site. Also, women with a prior diagnosis of depression had a higher risk of death (hazard ratio=1.42; 95% confidence interval= 1.13–1.79) after controlling for other factors that might affect survival. The higher risk of death associated with a prior diagnosis of depression was also seen in analyses restricted to women who received definitive treatment. Conclusion: Women with a recent diagnosis of depression are at greater risk for receiving nondefinitive treatment and experience worse survival after a diagnosis of breast cancer, but differences in treatment do not explain the worse survival.
This article is cited by the following articles in Blackwell Synergy and CrossRef
•
Naoki Nakaya, Kumi Saito-Nakaya, Nobuya Akizuki, Eisho Yoshikawa, Makoto Kobayakawa, Maiko Fujimori, Kanji Nagai, Yutaka Nishiwaki, Shin Fukudo, Yoshitaka Tsubono and Yosuke Uchitomi. (2006) Depression and survival in patients with non-small cell lung cancer after curative resection: a preliminary study. Cancer Science 97:3, 199-205
QuickSearch in:
SynergyPubMed (MEDLINE)CrossReffor
Authors:
James S. Goodwin
Dong D. Zhang
Glenn V. Ostir
Key words:
depression
breast cancer
access to care
survival; treatment
Article published online 24 Dec 2003
Affiliations
From the 1Department of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
Correspondence
Address correspondence to Dr. James S. Goodwin, Sealy Center on Aging, University of Texas Medical Branch, 301 University Blvd., Galveston, Texas 77555. E-mail: jsgoodwi@utmb.edu
Supported by Grants AG 17231 and CA 71773 from the U.S. Public Health Service.
To cite this articleGoodwin, James S., Zhang, Dong D. & Ostir, Glenn V. (2004)Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer.Journal of the American Geriatrics Society 52 (1), 106-111.doi: 10.1111/j.1532-5415.2004.52018.x
Blackwell Synergy® is a Blackwell Publishing, Inc. registered trademarkMore information about Blackwell Synergy - online journals from http://www.blackwellpublishing.com/.We welcome your Feedback. See our Privacy Statement and Terms and Conditions.Technology Partner - Atypon Systems, Inc.
Home > List of Issues > Table of Contents > Abstract
University of Plymouth
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Journal of the American Geriatrics SocietyVolume 52 Page 106 - January 2004doi:10.1111/j.1532-5415.2004.52018.x
Volume 52 Issue 1
Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer
James S. Goodwin, MD1, Dong D. Zhang, PhD1, and Glenn V. Ostir, PhD1
Objectives: To assess the effect of a prior diagnosis of depression on the diagnosis, treatment, and survival of older women with breast cancer.
Design: Retrospective analysis of records from Surveillance, Epidemiology and End Results (SEER) and Medicare claims.
Setting: Registries from seven major cities and five states.
Participants: A total of 24,696 women aged 67 to 90 diagnosed with breast cancer between 1993 and 1996 and included in the SEER Medicare linked database were studied.
Measurements: Information on patient demographics, tumor characteristics, treatment received, and survival were obtained from SEER, and the Medicare inpatient and professional charges for the 2 years before diagnosis were searched for a diagnosis of depression.
Results: A total of 1,841 of the 24,696 women (7.5%) had been given a diagnosis of depression sometime in the 2 years before the diagnosis of breast cancer. There was no difference in tumor size or stage at diagnosis between depressed and nondepressed women. Women diagnosed with depression were less likely to receive treatment generally considered definitive (59.7% vs 66.2%, P< .0001), and this difference remained after controlling for age, ethnicity, comorbidity, and SEER site. Also, women with a prior diagnosis of depression had a higher risk of death (hazard ratio=1.42; 95% confidence interval= 1.13–1.79) after controlling for other factors that might affect survival. The higher risk of death associated with a prior diagnosis of depression was also seen in analyses restricted to women who received definitive treatment. Conclusion: Women with a recent diagnosis of depression are at greater risk for receiving nondefinitive treatment and experience worse survival after a diagnosis of breast cancer, but differences in treatment do not explain the worse survival.
This article is cited by the following articles in Blackwell Synergy and CrossRef
•
Naoki Nakaya, Kumi Saito-Nakaya, Nobuya Akizuki, Eisho Yoshikawa, Makoto Kobayakawa, Maiko Fujimori, Kanji Nagai, Yutaka Nishiwaki, Shin Fukudo, Yoshitaka Tsubono and Yosuke Uchitomi. (2006) Depression and survival in patients with non-small cell lung cancer after curative resection: a preliminary study. Cancer Science 97:3, 199-205
QuickSearch in:
SynergyPubMed (MEDLINE)CrossReffor
Authors:
James S. Goodwin
Dong D. Zhang
Glenn V. Ostir
Key words:
depression
breast cancer
access to care
survival; treatment
Article published online 24 Dec 2003
Affiliations
From the 1Department of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
Correspondence
Address correspondence to Dr. James S. Goodwin, Sealy Center on Aging, University of Texas Medical Branch, 301 University Blvd., Galveston, Texas 77555. E-mail: jsgoodwi@utmb.edu
Supported by Grants AG 17231 and CA 71773 from the U.S. Public Health Service.
To cite this articleGoodwin, James S., Zhang, Dong D. & Ostir, Glenn V. (2004)Effect of Depression on Diagnosis, Treatment, and Survival of Older Women with Breast Cancer.Journal of the American Geriatrics Society 52 (1), 106-111.doi: 10.1111/j.1532-5415.2004.52018.x
Blackwell Synergy® is a Blackwell Publishing, Inc. registered trademarkMore information about Blackwell Synergy - online journals from http://www.blackwellpublishing.com/.We welcome your Feedback. See our Privacy Statement and Terms and Conditions.Technology Partner - Atypon Systems, Inc.
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