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Depression among Endometrial Cancer hospitalizations - Preliminary results of a nationwide retrospective study

Published online by Cambridge University Press:  01 September 2022

P. Vieito ,
A.R. Ferreira ,
M. Gonçalves-Pinho ,
F. Costa ,
M. Coelho ,
A. Freitas  and
L. Fernandes
P. Vieito*
Affiliation:
University of Porto, Faculty Of Medicine, Porto, Portugal
A.R. Ferreira
Affiliation:
University of Porto, Faculty Of Medicine, Porto, Portugal CINTESIS - Center for Health Technology and Services, Faculty of Medicine, University of Porto, Department Of Community Medicine, Information And Health Decisions Sciences, Porto, Portugal Faculty of Medicine, University of Porto, Department Of Clinical Neurosciences And Mental Health, Porto, Portugal
M. Gonçalves-Pinho
Affiliation:
CINTESIS - Center for Health Technology and Services, Faculty of Medicine, University of Porto, Department Of Community Medicine, Information And Health Decisions Sciences, Porto, Portugal Centro Hospitalar do Tâmega e Sousa, Departamento De Psiquiatria E Saúde Mental, Penafiel, Portugal Faculty of Medicine, University of Porto, Department Of Community Medicine, Information And Health Decision Sciences (medcids), Porto, Portugal
F. Costa
Affiliation:
Centro Hospitalar do Tâmega e Sousa, Departamento De Ginecologia E Obstetrícia, Penafiel, Portugal
M. Coelho
Affiliation:
Centro Hospitalar do Tâmega e Sousa, Departamento De Ginecologia E Obstetrícia, Penafiel, Portugal
A. Freitas
Affiliation:
CINTESIS - Center for Health Technology and Services, Faculty of Medicine, University of Porto, Department Of Community Medicine, Information And Health Decisions Sciences, Porto, Portugal Faculty of Medicine, University of Porto, Department Of Community Medicine, Information And Health Decision Sciences (medcids), Porto, Portugal
L. Fernandes
Affiliation:
CINTESIS - Center for Health Technology and Services, Faculty of Medicine, University of Porto, Department Of Community Medicine, Information And Health Decisions Sciences, Porto, Portugal Faculty of Medicine, University of Porto, Department Of Clinical Neurosciences And Mental Health, Porto, Portugal Psychiatry Service, Centro Hospitalar Universitário De São João, Porto, Portugal
*
*Corresponding author.

Abstract

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Introduction

Uterine cancer is the most common gynecologic malignant neoplasm in developed countries. While depression is up to 3-5 times more common in patients with cancer than in the general population, literature is still limited regarding the relation between Endometrial Cancer and depression.

Objectives

To analyze Depression among Endometrial Cancer hospitalizations in mainland Portuguese public hospitals (2008-2015).

Methods

A retrospective observational study was conducted using administrative data from all hospitalizations in Portuguese mainland public hospitals between 2008-2015. All women’s hospitalizations(≥18 years) with a primary diagnosis of Endometrial Cancer (ICD-9-CM 182.x) were selected. Secondary diagnosis of depression was identified with ICD-9-CM 296.2x, 296.3x and 311x codes. Surgical procedures codes 68.4x, 65.6x, 40.3x, 40.5x, 68.6x, 68.9x and 68.8x were used to divide the hospitalizations into surgical vs non-surgical. Groups were compared with Pearson Chi-square test and crude odds ratio(OR) was used to estimate the association between surgery and depression.

Results

From 10227 hospitalizations with a primary diagnosis of Endometrial Cancer, 533 had a registry of depression(5.2%). Annual depression frequency rose from 2.0% (2008) to 8.3% (2015). Among patients with a record of depression, 73.2% had surgery. Women who had surgery were significantly more likely to have registered depression (p<0.001). The OR for depression in surgical vs non-surgical patients was 1.73 (95%IC:1.42-2.10).

Conclusions

Patients hospitalized due to Endometrial Cancer and submitted to surgery had almost two-fold more risk of having a registry of depression. This trend reinforces the importance of early depression screening of these patients, enabling the implementation of timely therapeutic strategies before and after surgery.

Disclosure

No significant relationships.

Keywords

Endometrial CancersurgeryDepressionAdministrative data
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S215
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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