Risk of depressive disorder among patients with head and neck cancer: A nationwide population‐based study

Fan, Chao-Yueh; Chao, Hsing‐Lung; Lin, Chun–Shu; Huang, Wen‐Yen; Chen, Chang-Ming; Lin, Kuen‐Tze; Lin, Cheng‐Li; Kao, Chia‐Hung

doi:10.1002/hed.24961

Cited by 25 publications

(45 citation statements)

References 30 publications

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“…In total 33 of these articles fulfilled the eligibility criteria. In addition, two studies were included after screening the reference lists, resulting in 35 articles . These 35 articles provided results on 27 separate studies.…”

Section: Resultsmentioning

confidence: 99%

“…In Table , the characteristics of the 35 included studies are described. Twenty‐one studies reported on factors associated with depression at a single time point, 10 studies on factors associated with the course of depression and four on both . Results on factors associated with depression at a single time point and the course of depression are presented separately.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 25 studies that focused on factors associated with depression at a single time point, publication year ranged from 1999 to 2018 . Most studies focused on mixed HNC patients, while four studies focused on nasopharyngeal, oropharyngeal, or oral cancer .…”

Section: Resultsmentioning

confidence: 99%

“…Most studies focused on mixed HNC patients, while four studies focused on nasopharyngeal, oropharyngeal, or oral cancer . The majority measured symptoms of depression, while four studies measured a clinical diagnosis of depression . Symptoms of depression were measured using the Hospital Anxiety and Depression Scale (HADS) depression domain, Center for Epidemiological Studies Depression Scale (CES‐D), Beck Depression Inventory (BDI), self‐rating depression scale (SDS), and the Symptom Checklist (SCL) depression domain .…”

Section: Resultsmentioning

confidence: 99%

“…Symptoms of depression were measured using the Hospital Anxiety and Depression Scale (HADS) depression domain, Center for Epidemiological Studies Depression Scale (CES‐D), Beck Depression Inventory (BDI), self‐rating depression scale (SDS), and the Symptom Checklist (SCL) depression domain . With respect to a clinical diagnosis of depression, two studies extracted data from an insurance database on the International Classification of Diseases (ICD) diagnosis on depression, and two studies used a structured clinical interview to identify the presence of a Diagnostic and Statistical Manual of Mental Disorders (DSM)‐IV diagnosis of depression . Of the included studies, nine measured depression less than or equal to 3 months, 14 studies measured depression 3 to 12 months, and nine studies measured depression less than 1 year after treatment (some performed several analyses).…”

Section: Resultsmentioning

confidence: 99%

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Factors associated with depression over time in head and neck cancer patients: A systematic review

et al. 2019

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Objective To systematically review the literature on factors associated with a clinical diagnosis of depression or symptoms of depression (depression) among head and neck cancer (HNC) patients. Methods The search was conducted in PubMed, PsycINFO, and CINAHL. Studies were included if they investigated factors associated with depression among HNC patients, they were of prospective or longitudinal nature, and English full text was available. The search, data extraction, and quality assessment were performed by two authors. Based on the data extraction and quality assessment, the level of evidence was determined. Results In total, 35 studies were included: 21 on factors associated with depression at a single (later) time point, 10 on the course of depression, and four on both. In total, 77 sociodemographic, lifestyle, clinical, patient‐reported outcome measures, and inflammatory factors were extracted. Regarding depression at a single time point, there was strong evidence that depression at an earlier time point was significantly associated. For all other factors, evidence was inconclusive, although evidence suggests that age, marital status, education, ethnicity, hospital/region, sleep, smoking, alcohol, surgery, treatment, tumor location, and recurrence are not important associated factors. Regarding the course of depression, we found inconclusive evidence for all factors, although evidence suggests that gender, age, chemotherapy, pain, disease stage, treatment, and tumor location are not important associated factors. Conclusion Depression at an earlier time point is significantly associated with depression later on. Several sociodemographic and clinical factors seem not to be important factors associated with depression. For other factors, further research is warranted.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Factors associated with depression over time in head and neck cancer patients: A systematic review

et al. 2019

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Evaluation of Older Age and Frailty as Factors Associated With Depression and Postoperative Decision Regret in Patients Undergoing Major Head and Neck Surgery

Thomas

Sklar

et al. 2019

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Clinicians should understand the prevalence of depression and decision regret in patients with head and neck cancer and whether these factors differ with age or frailty. OBJECTIVES To assess whether age and frailty are associated with preoperative and/or worsening postoperative depression and postoperative decision regret in patients undergoing major head and neck surgery and to identify additional factors associated with depression and decision regret. DESIGN, SETTING, AND PARTICIPANTS This prospective cohort study was conducted at a single institution, with patients aged 50 years or older undergoing major head and neck surgery recruited from

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A core outcome set for patient‐reported dysphagia for use in head and neck cancer clinical trials: An international multistakeholder Delphi study

Manduchi,

Fitch,

Ringash

et al. 2024

Head & Neck

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BackgroundMeasuring dysphagia‐related patient‐reported outcomes (PROs) in Head and Neck Cancer (HNC) patients is challenging due to dysphagia's multidimensional impact, causing inconsistency in outcome reporting. To address this issue, this study derived a consensus‐based core outcome set (COS) for patient‐reported dysphagia in HNC clinical trials where swallowing is a primary or secondary endpoint.MethodsA sample of HNC clinicians, researchers, patients, and caregivers participated in a 2‐Round Delphi technique. A Delphi survey, containing a comprehensive list of dysphagia‐related PROs, was developed. In Round 1, participants rated item importance on a 5‐point scale. Items rated ≥4 by >70% advanced to Round 2, where a consensus meeting addressed items with varied opinions, and the Delphi survey with remaining items was completed. Items rated ≥4 by >70% formed the final COS.ResultsForty‐five participants from nine countries were recruited. After Round 1, 40 items were excluded and 64 advanced to Round 2. After Round 2, a 7‐outcome COS was established, comprising the domains of dysphagia symptoms, health status and quality of life.ConclusionThis study achieved consensus among HNC stakeholders on essential dysphagia PROs for HNC clinical trials. It is advisable to include these 7‐core concepts in clinical trials involving people with HNC to facilitate treatment comparisons and data synthesis.

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Risk of depressive disorder among patients with head and neck cancer: A nationwide population‐based study

Abstract: Patients with head and neck cancer had >3 times the incidence of depressive disorder, relative to the comparison group. Psychological evaluation and support are essential in head and neck cancer survivors.

Cited by 25 publications

References 30 publications

Factors associated with depression over time in head and neck cancer patients: A systematic review

Factors associated with depression over time in head and neck cancer patients: A systematic review

Evaluation of Older Age and Frailty as Factors Associated With Depression and Postoperative Decision Regret in Patients Undergoing Major Head and Neck Surgery

A core outcome set for patient‐reported dysphagia for use in head and neck cancer clinical trials: An international multistakeholder Delphi study

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