严重精神障碍患者罹患癌症的性别差异。

IF 7.5 2区 医学 Q1 PSYCHIATRY
Current Opinion in Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI:10.1097/YCO.0000000000000958
Žarko Bajić, Sandra Vuk-Pisk, Igor Filipčić, Ivona Šimunović Filipčić
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引用次数: 0

摘要

综述目的:虽然严重精神障碍患者(SMD)与普通人群(GP)的癌症发病率相似,但存活率较低,尤其是精神分裂症患者。虽然科学界和医学界都承认癌症发病机制(包括风险因素和癌症类型)存在性别差异,但对严重精神障碍患者在发病率、死亡率和护理途径方面的性别差异却知之甚少。本综述旨在探讨 SMD 患者在癌症方面的这些差异:目前有关 SMD 癌症护理中的性别差异的证据有限。目前尚不清楚这些因素如何影响 SMD 患者的癌症发病率和死亡率,也不清楚这些因素是否与全科医生的情况一致。文献经常遗漏 SMD 相关癌症发病率的性别差异的详细信息,从而使结论性分析变得复杂。此外,与全科医生相比,SMD 患者在接受癌症筛查方面面临巨大挑战,在这种情况下,有关性别和性 别差异的研究结果仍未得出结论。综述强调,尽管全科医生在癌症发病机制、发病率和存活率方面存在显著的性别差异,但这些差异尚未完全纳入临床实践。综述强调,有必要解决癌症发病率、结果、死亡率和护理途径方面的这些差异,以加强对 SMD 患者的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sex and gender differences in cancer in individuals with severe mental disorders.

Purpose of review: Although cancer incidence is similar between individuals with severe mental disorders (SMD) and the general population (GP), survival rates are lower, particularly in those with schizophrenia. While the scientific and medical communities acknowledge sex differences in cancer mechanisms, including risk factors and cancer types, less is known about sex and gender disparities in incidence, mortality, and care pathways among those with SMD. This review aims to explore these differences in cancer among individuals with SMD.

Recent findings: Current evidence on sex and gender differences in cancer care for SMD is limited. It is unclear how these factors affect cancer incidence and mortality in the SMD population, and if they correspond to those in the GP. The literature frequently omits detailed information on sex-based differences in SMD-related cancer rates, complicating conclusive analysis. Moreover, people with SMD experience significant challenges in accessing cancer screenings compared to the GP, and findings on sex and gender disparities in this context remain inconclusive.

Summary: This review emphasizes that while significant sex and gender-based differences in cancer mechanisms, incidence, and survival exist within the GP, they have not been fully integrated into clinical practice. It underscores the need of addressing these differences in cancer incidence, outcomes, mortality, and care pathways to enhance treatment for individuals with SMD.

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来源期刊
Current Opinion in Psychiatry
Current Opinion in Psychiatry 医学-精神病学
CiteScore
12.20
自引率
1.40%
发文量
76
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.
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