The outcomes of surgery in lung cancer patients with schizophrenia

Obuchi, Toshiro; Okabayashi, Kan; Imakiire, Takanori; Yoneda, Satoshi; Iwasaki, Atsushi

doi:10.1007/s00595-013-0599-0

Cited by 9 publications

(15 citation statements)

References 9 publications

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“…38 Other studies similarly found that patients with a major mental illness are less likely to receive chemotherapy, radiation, or surgery for colon cancer 64 and are less likely to have surgery for oral cancer. 130 Individuals with schizophrenia are less likely to receive stageappropriate treatment for lung cancer, 127 surgery for esophageal cancer, 61 and referrals to clinical trials. 61 There are a few exceptions to this pattern of treatment disparities, most notably for chemotherapy rates among breast cancer patients with schizophrenia.…”

Section: Treatmentmentioning

confidence: 99%

“…61 Increased prevalence of health risk behaviors and comorbidities, such as chronic obstructive pulmonary disease, obesity, diabetes, and cardiovascular disease, can complicate treatment and contribute to poorer outcomes. 38,44,127 Fragmented primary, oncology, and mental health services 129 ; providers' stigmatizing beliefs or behaviors 128 ; and "diagnostic overshadowing"when clinicians misattribute physical symptoms to a mental illness rather than, correctly, to a physical illness-may also delay appropriate diagnosis and treatment, especially for individuals with schizophrenia and other SMI. 44,61 Once diagnosed, patients often face perceptions that they are "difficult patients" who lack the capacity to make treatment decisions or adhere to treatment regimens or may become violent.…”

Section: Treatmentmentioning

confidence: 99%

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Cancer screening, prevention, and treatment in people with mental illness

Weinstein

Stefancic

Cunningham

et al. 2015

CA A Cancer J Clinicians

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People with mental illness die decades earlier in our country when compared to the general public Most of this disparity is related to preventable and treatable chronic conditions, with many studies finding cancer as the second leading cause of death. Individual lifestyle factors, such as smoking or limited adherence to treatment, are often cited as highly significant issues in shaping risk among persons with mental illness. However, many contextual or systems-level factors exacerbate these individual factors and may fundamentally drive health disparities among people with mental illness. We conducted an integrative review in order to summarize the empirical literature on cancer prevention, screening, and treatment for people with mental illness. While multiple interventions are being developed and tested to address tobacco dependence and obesity in these populations, the evidence for effectiveness is quite limited, and essentially all prevention interventions focus at the individual level. This review was able to find only one published article describing evidence-based interventions to promote cancer screening and improve cancer treatment in people with mental illness. Based on our review of the literature and the experience and expertise of the authors, we conclude each section with suggestions at the individual, interpersonal, organizational, community, and policy level that may improve cancer prevention, screening, and treatment in people with mental illness.

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Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Cancer screening, prevention, and treatment in people with mental illness

Weinstein

Stefancic

Cunningham

et al. 2015

CA A Cancer J Clinicians

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“…Concern regarding violence in individuals with schizophrenia may also influence oncology care. One case series describing surgical care for patients with lung cancer and schizophrenia emphasized the importance of restricting surgical candidates to patients with schizophrenia who are at low risk for agitation . At the systems level, patients are often treated for schizophrenia in mental health clinics that are physically separate from general hospitals and use different electronic records.…”

Section: Introductionmentioning

confidence: 99%

Cancer care for individuals with schizophrenia

Irwin

Henderson

Knight

et al. 2013

Cancer

145

265

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Individuals with schizophrenia are a vulnerable population that has been relatively neglected in health disparities research. Despite having an equivalent risk of developing most cancers, patients with schizophrenia are more likely to die of cancer than the general population. Cancer care disparities are likely the result of patient-, provider-, and systems-level factors and influenced by the pervasive stigma of mental illness. Individuals with schizophrenia have higher rates of health behaviors linked with cancer mortality including cigarette smoking. They also have significant medical comorbidity, are less likely to have up-to-date cancer screening, and may present at more advanced stages of illness. Patients with schizophrenia may be less likely to receive chemotherapy or radiotherapy, have more postoperative complications, and have less access to palliative care. However, opportunities exist for the interdisciplinary team, including medical, surgical, and radiation oncologists; psychiatrists; and primary care physicians, to intervene throughout the continuum of cancer care to promote survival and quality of life. This review summarizes data on overall and cancer-specific mortality for individuals with schizophrenia and reviews specific disparities across the cancer care continuum of screening, diagnosis, treatment, and end-of-life care. Using a case, the authors illustrate clinical challenges for this population including communication, informed consent, and risk of suicide, and provide suggestions for care. Finally, recommendations for research to address the disparities in cancer care for individuals with schizophrenia are discussed. Despite significant challenges, with collaboration between oncology and mental health teams, individuals with schizophrenia can receive high-quality cancer care. Cancer 2014;120:323-34.

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“…Schizophrenic patients are impaired in their biological response to stress, so it is important to take careful consideration when evaluating such patients for surgical interventions, especially in cardiac surgery (2). We aimed to present an acute paranoid schizophrenic patient with huge left atrial myxoma treated with robotic techniques.…”

Section: Introductionmentioning

confidence: 98%

Unrecognized indication for robot-assisted cardiac surgery: Patients with acute psychotic disorders

Demirkılıç

Kadan

Doğancı

et al. 2015

Minimally Invasive Therapy & Allied Technologies

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Patients with acute psychotic disorders are often considered as inappropriate candidates for cardiac surgery as well as for other surgical interventions. Post-operative care and patient compliance, which are the main problems associated with such patients, are the most important issues for conventional cardiac surgery. Robot-assisted cardiac surgery may be a new solution in this respect. In this report we aimed to present our acute psychotic patient with serious mitral insufficiency secondary to huge atrial myxoma, treated with robotic cardiac surgery.

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The outcomes of surgery in lung cancer patients with schizophrenia

Abstract: The postoperative morbidity and long-term results of schizophrenic patients with lung cancer were acceptable. Therefore, even in patients with schizophrenia, surgical treatment for lung cancer should be recommended when deemed to be necessary.

Cited by 9 publications

References 9 publications

Cancer screening, prevention, and treatment in people with mental illness

Cancer screening, prevention, and treatment in people with mental illness

Cancer care for individuals with schizophrenia

Unrecognized indication for robot-assisted cardiac surgery: Patients with acute psychotic disorders

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