The DOI matches its Crossref record.
Excess cancer mortality in Western Australian psychiatric patients due to higher case fatality rates
Abstract
Objective: To investigate the association between mental illness and cancer incidence, mortality and case fatality. Method: A population‐based record linkage study was undertaken based on 172 932 patients of mental health services in Western Australia. Records of mental health service contacts were linked with cancer registrations and death records. Results: While there was little difference in overall cancer incidence rates between psychiatric patients and the general community (RR in males 1.05, 95% CI 1.02–1.09, RR in females 1.02, 0.98–1.05), cancer mortality was 39% higher in males (95% CI: 32–46%) and 24% higher in females (17–32%). Conclusion: People with mental illness in Western Australia do not show an increased incidence rate of cancer, but do have higher cancer mortality. This was attributed to a higher cancer case fatality rate among people with mental illness.
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“This interpretation is supported by studies documenting that patients with psychiatric disorders receive less treatment for physical conditions than do people without psychiatric disorders (Kisely et al. 2009, Laursen et al. 2009, Lawrence et al. 2000).”
From Excess early mortality in schizophrenia. (2014) · cites this paper as Lawrence et al. 2000
In the citing paper
“Some studies have demonstrated a decreased cancer risk in schizophrenia (440-448).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [444]
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Metadata
- Authors
- Lawrence, D., D'Arcy, C., Holman, J., Jablensky, A. V., Threfall, T. J., & Fuller, S. A.
- Affiliations
- The University of Western Australia (AU)
- Government of Western Australia Department of Health (AU)
- Corresponding author
- Lawrence, D.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2000-05
- Volume
- 101
- Issue
- 5
- Pages
- 382-388
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W1986898046
- Cited by
- 174
- References
- 0
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 9 · 2022: 7 · 2021: 7 · 2020: 6 · 2019: 10 · 2018: 5 · 2017: 9 · 2016: 6 · 2015: 14 · 2014: 9 · 2013: 12 · 2012: 13
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Funders
- Department of Health, Government of Western Australia
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Stress, Anesthesia, and Immune Response
- Keywords
- cancer mortality, mental illness, psychiatric patients, cancer incidence, case fatality rate, Western Australia, sex differences
- MeSH terms
- Australia, Mental Disorders, Catchment Area, Health, Female, Humans, Male, Mental Health Services, Neoplasms, Population Surveillance, Registries, Incidence, Survival Rate, Databases as Topic
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