Many Women With Schizophrenia Do Not Receive Mammograms, Meta-Analysis Suggests

Women with schizophrenia are only half as likely as women in the general population to receive mammograms, reports ameta-analysis published inPsychiatric Services in Advance.“Lower screening rates could explain why women with schizophrenia and other serious mental illnesses are found to have more advanced breast cancer at time of diagnosis,” wrote Alison Hwong, M.D., Ph.D., and colleagues at the University of California, San Francisco. “Given the high prevalence o f breast cancer and the promising prognosis of breast cancer if detected early, mammography screening is a key first step in improving diagnosis and treatment for people living with schizophrenia.”Hwong and colleagues compiled data from 11 clinical studies that looked at mammography screening rates in women with schizophrenia or other psychotic disorders. The 11 studies were conducted in four countries with diverse health care systems (United States, Canada, England, and Denmark) and totaled more than 470,000 women; this included 25,447 women with a diagnosis of schizophrenia or other psychotic disorders.“With time constraints, primary care providers and psychiatrists may not prioritize cancer screening for patients with serious mental illness,” Hwong and colleagues wrote. Physicians may focus on psychiatric and metabolic symptoms first, which “may lead to deferring routine preventive screenin g discussion for future visits, but the future discussion never occurs.”The ...
Source: Psychiatr News - Category: Psychiatry Tags: Alison Hwong breast cancer cancer screening mammogram meta-analysis preventive service Psychiatric Services in Advance psychotic disorders schizophrenia Source Type: research

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This study is registered with PROSPERO, CRD42018114781.Findings47 publications provided data from 46 samples including 4 717 839 individuals (501 559 patients with mental illness, and 4 216 280 controls), of whom 69·85% were women, for screening for breast cancer (k=35; 296 699 individuals with mental illness, 1 023 288 in the general population), cervical cancer (k=29; 295 688 with mental illness, 3 540 408 in general population), colorectal cancer (k=12; 153 283 with mental illness, 2 228 966 in general population), lung and gastric cancer (both k=1; 420 with mental illness, none in gener...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research
Authors: Hwong A, Wang K, Bent S, Mangurian C Abstract OBJECTIVE: Women with schizophrenia appear to receive breast cancer diagnoses at later stages of the disease compared with the general population. To study this disparity, this report reviewed and quantified the differences in rates of mammography screening for women with schizophrenia and other psychotic disorders compared with the general population. METHODS: A systematic literature search was conducted in PubMed, Embase, Web of Science, and PsycINFO databases. Each database was searched from inception to September 14, 2018. The search strategy included s...
Source: Psychiatric Services - Category: Psychiatry Tags: Psychiatr Serv Source Type: research
Psychiatric Services, Ahead of Print.
Source: Psychiatric Services - Category: Psychiatry Authors: Source Type: research
Publication date: Available online 13 October 2019Source: Seminars in Cancer BiologyAuthor(s): Vikram Shaw, Suyash Srivastava, Sanjay K. SrivastavaAbstractThe recent development of high throughput compound screening has allowed drug repurposing to emerge as an effective avenue for discovering novel treatments for cancer. FDA-approved antipsychotic drugs fluspirilene, penfluridol, and pimozide are clinically used for the treatment of psychotic disorders, primarily schizophrenia. These compounds, belong to diphenylbutylpiperidine class of antipsychotic drugs, are the potent inhibitors of dopamine D2 receptor and calcium chan...
Source: Seminars in Cancer Biology - Category: Cancer & Oncology Source Type: research
AbstractBackgroundAverage paternal age in the United States has increased substantially in the last few decades. Children of advanced age fathers have a higher incidence of early onset cancer and neuropsychiatric disease.ObjectivesTo quantify the number of population adjusted cases of early ‐onset cancer and neuropsychiatric disease in children attributable to increasing paternal age in the United States.MethodsPaternal age in the United States from 1972 to 2015 was collected using the National Vital Statistics System (NVSS). Population attributable fraction and paternal age ‐specific cumulative incidence rates of seve...
Source: Andrology - Category: Urology & Nephrology Authors: Tags: Original Article Source Type: research
In this study, we extended our previous joint gene analysis framework to joint gene set analysis framework. Base on the assumption that similar disease tends to share similar disease-related genes and pathways (Carson et al., 2017; Qin and Lu, 2018), we developed two joint gene set analysis frameworks aiming at improving identification power of enriched gene sets by borrowing different levels of information from other similar diseases. Compared with previous joint gene analysis framework, we unified DE gene/pathway statistic modeling through a two-component beta-uniform mixture model of p-values and combined the model with...
Source: Frontiers in Genetics - Category: Genetics & Stem Cells Source Type: research
We presented a new statistic T to use large public database as reference to reduce concern of potential population stratification. And the new statistic proposed here is effective to discover novel genome-wide significant loci with both small and large sample sizes. Author Contributions YW conceived the idea and developed the software. YL, MH, and XL contributed data analysis, generating tables and figures, and manuscript writing. YW, YL, MH, XL, YS, and LJ contributed the theoretical analysis and manuscript revision. MX helped support the GWAS datasets. YW, YL, MH, XL, MZ, JW, and MX contributed to scientific discussion...
Source: Frontiers in Genetics - Category: Genetics & Stem Cells Source Type: research
Jiangshan J. Shen1,2,3, Yong-Fei Wang1† and Wanling Yang1* 1Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong 2Collaborative Innovation Center for Birth Defect Research and Transformation of Shandong Province, Jining Medical University, Jining, China 3Lupus Research Institute, Affiliated Hospital of Jining Medical University, Jining, China Despite sex being an important epidemiological and physiological factor, not much is known about how sex works to interact with genotypes to result in different phenotypes. Both messen...
Source: Frontiers in Genetics - Category: Genetics & Stem Cells Source Type: research
I plead guilty to expounding on the biochemical vulnerabilities and abnormalities in neural wiring of depression to make the case that it is a legitimate illness alongside lupus, breast cancer, or psoriatic arthritis. I thought I was doing a good thing by quoting experts like Peter Kramer, M.D, who believes that because depression can be associated with the loss of volume in parts of the brain, it is the “most devastating disease known to mankind.” My intention, like so many other mental health advocates I know, was to use science as a tool to lessen stigma. But is that really effective? Proof of the Madness I ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior Depression General Mental Health and Wellness Psychiatry Psychology Research Self-Help Treatment biogenetic theory Depressive Episode Mental Illness Mood Disorder Stereotypes Stigma Source Type: blogs
by Ryan Sun, Shirley Hui, Gary D. Bader, Xihong Lin, Peter Kraft A common complementary strategy in Genome-Wide Association Studies (GWAS) is to perform Gene Set Analysis (GSA), which tests for the association between one phenotype of interest and an entire set of Single Nucleotide Polymorphisms (SNPs) residing in selected genes. While there exist many tools fo r performing GSA, popular methods often include a number of ad-hoc steps that are difficult to justify statistically, provide complicated interpretations based on permutation inference, and demonstrate poor operating characteristics. Additionally, the lack of gold ...
Source: PLoS Genetics - Category: Genetics & Stem Cells Authors: Source Type: research
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