The paradoxical impact of depression on mortality, length of stay, and hospitalization charges in patients with prostate and bladder cancer: Using the 2021 NIS database.
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Le résumé fourni par la source
e17148 Background: Depression is a prevalent comorbidity in patients with cancer, potentially influencing treatment outcomes. This study evaluates the association of depression with mortality, length of stay (LOS), and hospitalisation charges (TOTCHG) among patients with prostate cancer and bladder cancer. Methods: We conducted a retrospective analysis of the NIS 2021 database. Hospitalised patients with prostate cancer, bladder cancer and depression were identified using the appropriate ICD-10 codes. Survey-weighted descriptive statistics were utilized to analyze patient demographics, mortality rates, LOS, and TOTCHG. Multivariable logistic and linear regression models evaluated the impact of depression on outcomes, adjusting for age, sex, race, income quartiles, Charlson comorbidity index, hospital region, teaching status, and bed size. Results: In this study, 182,280 hospitalised prostate cancer patients and 40,855 hospitalised bladder cancer patients were analyzed. Among prostate cancer patients, 9.3% (16,785 patients) were depressed, with depressed individuals slightly younger (adjusted coefficient -0.42 years, p=0.036), predominantly White (76.2%, p<0.001), privately insured (76.1%, p<0.001), with higher comorbidity (85.9%, p<0.001), & in the Midwest region (25.9%, p<0.001). Among bladder cancer patients, 11.4% (4,645 patients) were depressed, with depression more common in younger individuals (adjusted coefficient -1.07 years, p=0.004), women (31.4%, p<0.001), White patients (86.9%, p<0.001), those with higher comorbidity (85.8%, p<0.001), Northeast (29.1%, p=0.019) and privately insured (63.2%). Depressed prostate cancer patients had lower mortality rates (3.75% vs. 4.67%, adjusted OR 0.76, p=0.004), shorter hospital stays (5.33 vs 6.13 days, adjusted - 0.72 days, p<0.001), & lower hospitalization charges ($73,977 vs. $85,966, adjusted reduction -$11,699, p<0.001). Depressed bladder cancer patients had lower mortality rates (6.45% vs. 9.53%, adjusted OR 0.63, p=0.001), slightly shorter hospital stays (7.25 vs. 7.66 days, adjusted - 0.42 days, p=0.032), and reduced hospitalization charges ($92,321 vs. $104,156, adjusted reduction -$10,327, p=0.023). Conclusions: This study reveals that depression was more prevalent in younger, White, privately insured patients with higher comorbidities. Interestingly, depressed patients in both cohorts had lower mortality rates, shorter hospital stays, and reduced hospitalisation charges despite their higher comorbidity burdens, suggesting potential differences in healthcare utilisation, disease management, or psychosocial factors. These findings underscore the importance of recognising and addressing depression, as it may not only affect patient quality of life but also play a significant role in shaping clinical and economic outcomes.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The paradoxical impact of depression on mortality, length of stay, and hospitalization charges in patients with prostate and bladder cancer: Using the 2021 NIS database.
- Date Crossref
- 01/06/2025
- Éditeur
- American Society of Clinical Oncology (ASCO)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Allegheny General Hospital pays non établi dans la noticeÉtablissement de santé
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University of Oklahoma Health Sciences Center pays non établi dans la noticeÉtablissement de santé
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Wichita State University pays non établi dans la noticeUniversité ou école supérieure
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Brooklyn Hospital Center pays non établi dans la noticeÉtablissement de santé
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Saint Vincent Hospital pays non établi dans la noticeÉtablissement de santé
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Allegheny Health Network pays non établi dans la noticeÉtablissement de santé
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Henry Ford Allegiance Health pays non établi dans la noticeÉtablissement de santé
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Mercy Catholic Medical Center pays non établi dans la noticeÉtablissement de santé
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University of Pittsburgh Medical Center Internal Medicine pays non établi dans la noticeÉtablissement de santé
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The University of Texas MD Anderson Cancer Center pays non établi dans la noticeÉtablissement de santé
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Kansas University School of Medicine - Wichita pays non établi dans la noticeUniversité ou école supérieure
Allegheny General Hospital, University of Oklahoma Health Sciences Center et Wichita State University, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.