Incidence and predictors of mental health outcomes among survivors of adolescent and young adult cancer: A population-based study using the impact cohort
Journal of Clinical Oncology Jan 29, 2021
De R, Sutradhar R, Kurdyak P, et al. - Researchers sought to characterize the risk and predictors of long-term mental health outcomes in survivors of adolescent and young adult (AYA) cancers. They identified 2,208 survivors for inclusion using a population-based database and compared them with 10,457 matched controls. Rates of outpatient (family physician and psychiatrist) visits for psychiatric indications and time to severe psychiatric events (emergency room visit, hospitalization, and suicide) were determined via provincial healthcare data. Findings revealed higher rates of outpatient mental health visits among 5-year survivors than controls. Multivariable analysis revealed substantially higher outpatient visit rates among survivors treated in adult centers compared with those treated in pediatric settings. Although a low absolute incidence was observed, survivors were at greater risk of psychotic disorder–associated severe events.
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