Mental disorders around cancer diagnosis and increased hospital admission rate - a nationwide cohort study of Swedish cancer patients

Table 4 Associations of stress-related mental disorders around cancer diagnosis with hospital admission, among different cancer types^a

Cancer types	Main discharge diagnosis of hospitalization
	Any hospital admission; HR (95% CI)^b	External injury; HR (95% CI)	Infection; HR (95% CI)	Cardiovascular disease; HR (95% CI)
Prostate cancer	1.56 (1.39–1.76)	2.33 (1.71–3.18)	0.91 (0.58–1.45)	1.15 (0.87–1.52)
Breast cancer	1.44 (1.28–1.61)	1.54 (1.18–2.01)	1.51 (1.05–2.17)	1.29 (0.99–1.69)
Lung cancer	1.30 (1.13–1.49)	1.43 (0.84–2.41)	0.72 (0.37–1.40)	0.99 (0.66–1.48)
Colorectal cancer	1.46 (1.27–1.68)	1.89 (1.44–2.49)	1.60 (1.08–2.39)	1.39 (1.06–1.83)
Melanoma	1.05 (0.79–1.40)	0.96 (0.42–2.21)	NA	1.41 (0.83–2.40)
Hemetological cancers	1.42 (1.22–1.65)	1.99 (1.26–3.16)	1.47 (1.05–2.07)	0.97 (0.66–1.44)
Renal/Bladder cancer	1.37 (1.16–1.61)	2.01 (1.31–3.07)	1.54 (0.98–2.42)	1.15 (0.78–1.71)
Severe cancers^c	1.13 (0.93–1.37)	1.12 (0.38–3.36)	1.87 (0.81–4.35)	1.17 (0.57–2.41)

^aStress-related mental disorders included depression, anxiety, stress reaction and adjustment disorder, mental and behavioral disorders due to psychoactive substance use, and somatoform/conversion disorder
^bHR Hazard ratio, CI Confidence interval; models adjusted for age at cancer diagnosis, sex, calendar period of cancer diagnosis, cancer type, cancer stage at diagnosis, educational level, and history of mental disorders more than 90 days before cancer diagnosis; patients without any mental disorders from 90 days before to 90 days after cancer diagnosis were used as the reference group
^cSevere cancers included esophageal, liver, and pancreatic cancers

ISSN: 1471-2407