Scroll Up
Scroll Down
Play Play Play Play
Unregistered User
Click here if this is not your Personal Edition
 
Contact Us | Free E-Mail Updates | Journals | Register a colleague
 
 
Oncology Other
 
   
 
SEARCH   
Doctor's Guide Free CME
Medline
Congress Resource Centre
 

 EXPLORE :
   Most Read News
 All News  All News
 All Webcasts / CME  All Webcasts / CME
 All Cases  All Cases
 Congress Resource Centre  Congress Resource Centre
 All Medical Resources  All Medical Resources
 Medical  My Personal Edition



Warning | Privacy

 

 
 Recent news - Oncology Other
    ATA Publishes Revised Guidelines for Managing Thyroid Cancer - (DGNews)
    Brain Tumours In Childhood Leave a Lasting Mark On Cognition, Life Status - (DGNews)
    Patients With Diverticulosis May Require Less Aggressive Screening for Colonic Polyps: Presented at ACG - (DGDispatch)
    High Definition Colonoscopy Increases Polyp Detection: Presented at ACG - (DGDispatch)
    Ascorbic Acid-Based Prep Improves Bowel Cleansing, Increases Small Adenoma Detection Rate During Colonoscopy: Presented at ACG - (DGDispatch)

    News archive

     Recent webcasts/CME - Oncology Other
    • Questioning Clinical Assumptions in Accelerated-Phase and Blast-Crisis CML
    • Carcinoid Tumors of the Gastrointestinal Tract
      Cancer, Liver, Infections, Cardiovascular Disease, and other Biologic Agents
      Multidisciplinary Approach to Management of Neuroendocrine Tumors
      Cancer and Venous Thromboembolism: Current Clinical Issues

      Webcasts/CME archive

       Recent cases - Oncology Other
        Giant Thoracic Schwannoma Presenting with Abrupt Onset of Abdominal Pain: A Case Report
        Novel Deployment of a Covered Duodenal Stent in Open Surgery to Facilitate Closure of a Malignant Duodenal Perforation
        Clinical Experience of Novel Interconnected Porous Hydroxyapatite Ceramics for the Revision of Tumor Prosthesis: A Case Report
        Superior Vena Cava (SVC) Reconstruction Using Autologous Tissue in Two Cases of Differentiated Thyroid Carcinoma Presenting with SVC Syndrome
        Surgical Treatment of a Giant Tibial High-Grade Mixofibrosarcoma with Preservation of Limb Function: A Case Report

        Cases archive
          




        my personal edition > oncology other > news
        divider

          E-Mail this DGReview to a colleague

        DGReview


        Survivors of Childhood and Adolescent Cancerous Brain Tumours Have Increased Risk of Psychiatric Hospital Admissions

        New England Journal of Medicine (NEJM)

        08/14/2003
        By Joene Hendry


        Individuals who have survived cancerous brain tumours during childhood or adolescence have a significantly increased overall risk of admission to a hospital psychiatric department or a psychiatric facility, compared with rates of hospitalisation for psychiatric disease among the general population.

        Lone Ross, MD, PhD, of the Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark, and colleagues identified 3710 individuals from the Danish Cancer Registry who were diagnosed with a cancer prior to age 20 years during the period of January 1, 1943 to December 31, 1990, and were either still alive or born after January 1, 1970. They linked these data with information on all admissions to psychiatric hospitals or psychiatric departments of general hospitals as recorded in the Danish Psychiatric Central Register. Average follow-up of the study cohort was 14.9 years from diagnosis.

        Overall, 126 survivors accounted for 217 first admissions for psychiatric disease. Compared with psychiatric patients in the general population, the highest standard hospitalisation ratios were observed for psychoses of somatic cerebral cause (3.0), psychiatric disorders in somatic diseases (2.5), psychiatric disorders in children (2.2), and schizophrenia and related disorders (1.6).

        Among the 973 survivors of brain tumours, 51 had one or more psychiatric hospitalisations for a total of 88 admissions. Among this subgroup, the standard hospitalisation ratios for the risk of admission for schizophrenia and related disorders was 2.4, for psychoses of somatic cerebral causes was 7.7, for psychiatric disorders in children was 5.2, and for psychiatric disorders in somatic diseases was 5.1, compared with psychiatric hospitalisations among the general population.

        The overall study population, "did not have a significantly altered risk of any other psychiatric diagnose, including affective disorders," the researchers write.

        Dr. Ross and colleagues conclude, "The significantly increased risk of any psychiatric hospitalisation after a diagnosis of cancer during childhood or adolescence in our study was confined to the subgroup of survivors who had had brain tumours." They add that, "high hospitalisation rates for psychoses with a somatic component point to a biologic rather than a psychological vulnerability among survivors of cancer."
        N Engl J Med 2003;349:650-7.

        E-Mail this DGReview to a colleague   To print, use this version






        All contents Copyright (c) 1995-2009 Doctor's Guide Publishing Limited. All rights reserved.



        The NTK initiative. Physicians helping physicians identify Need-To-Know science
           Feedback
        Please rate this article: Strongly DISAGREE...Strongly AGREE NTK logo
        Question 1 - Physicians need to become aware of this information as soon as possible. Question 2 - This information is likely to have an impact on the way physicians practice medicine.
        1
        2
        3
        4
        5
        6
        7
        Send