Incidence and risk factors of depression after diagnosis of lung cancer: A nationwide population-based study

• Published in: Medicine (Baltimore) 2017-05, Vol.96 (19), p.e6864-e6864
• Main Authors: Hung, Ming-Szu, Chen, I-Chuan, Lee, Chuan-Pin, Huang, Ru-Jiun, Chen, Pau-Chung, Tsai, Ying-Huang, Yang, Yao-Hsu
• Format: Article
• Language: English
• Subjects: Aged; Comorbidity; Databases, Factual; Depression - epidemiology; Depression - etiology; Emergency Medical Services - statistics & numerical data; Female; Follow-Up Studies; Humans; Incidence; Longitudinal Studies; Lung Neoplasms - complications; Lung Neoplasms - epidemiology; Lung Neoplasms - psychology; Lung Neoplasms - therapy; Male; Middle Aged; National Health Programs; Observational Study; Prevalence; Proportional Hazards Models; Retrospective Studies; Risk Factors; Socioeconomic Factors; Taiwan - epidemiology
• ISSN: 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000006864

This study aimed to explore the incidence and risk factors of depression after lung cancer diagnosis. Using the Taiwan National Health Insurance Research Database (NHIRD), incidences and risk factors of depression in lung cancer and nonlung cancer cohorts were analyzed.From 1998 to 2006, a total of 22,125 patients were included in each matched cohort of lung cancer and nonlung cancer patients from NHIRD. The incidence of depression was higher in the lung cancer cohort than in the nonlung cancer cohort (1545.8 vs 1366.6 per 100,000 person-years). An increased risk of depression was observed in the lung cancer cohort [adjusted hazard ratio (aHR): 1.16, 95% confidence interval (95% CI): 1.01-1.34, P = .0377]. In lung cancer patients, age ≤50 years (aHR: 2.72, 95% CI: 2.02-3.66, P