Smoking,depression,and hospital costs of respiratory cancers:Examining race and sex variation

作     者：Baqar A.Husaini Robert S.Levine Phillip Lammers Pam Hull Meggan Novotny Majaz Moonis 

作者机构：Tennessee State UniversityNashvilleTNUSA Department of Family and Community MedicineBaylor College of MedicineHoustonTXUSA Meharry Medical CollegeNashvilleTNUSA Division of EpidemiologyVanderbilt UniversityNashvilleTNUSA Counseling PsychologyTennessee State UniversityNashvilleTNUSA Department of Medicine-NeurologyUniversity of Massachusetts Medical SchoolWorcesterMAUSA 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2017年第5卷第1期

页      面：29-42页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：This presentation given at the annual American Association for Cancer Research meeting 2016 in New Orleans was partially supported by a Centers for Disease Control and Prevention grant(#U58CCU422782)to Tennessee Department of Health(subcontract#ED-07-20811-00 to Tennessee State University)and a National Cancer Institute/National Institutes of Health grant(5U54CA163066)to Tennessee State University(B.Husaini principal investigator) 

主　　题：Smoking depression lung cancer race sex 

摘      要：Objective:To investigate the effect of smoking and depression on hospital costs for lung cancer(LC).Methods:We extracted data on depression,smoking history,demographics,and hospital charges for patients with respiratory cancers(ICD-9 codes 161-163,165)from the 2008 Tennessee Hospital Discharge Data *** sample(n=6665)was mostly white(86%)and male(57%).Age-adjusted rates were developed in accordance with Centers for Disease Control and Prevention methods,and hospital costs were compared for patients with LC with versus without depression and a smoking ***:Three findings(P0.001)emerged:(1)the LC rate was higher among blacks than among whites,and higher among men than among women;(2)while 66%of LC patients smoked(more men than women without racial variation),24%had depression(more females and whites were depressed);(3)the LC hospital cost was 54%higher than the non-LC hospital cost,and this cost doubled for patients with LC with depression and smoking versus those without such ***:While LC is more prevalent among blacks and men,depression is higher among female and white *** depression with higher costs existed among LC patients,our find-ings point to(1)the possibility of cost savings by diagnosing and treating depression among LC patients,and(2)implementation of proven smoking cessation programs to reduce LC morbidity and hospital costs.