MP38-16 THE SIGNIFICANT ROLE OF DEPRESSION IN ELDERLY BLADDER CANCER PATIENTS

Abstract

You have accessJournal of UrologyBladder Cancer: Epidemiology & Evaluation I (MP38)1 Sep 2021MP38-16 THE SIGNIFICANT ROLE OF DEPRESSION IN ELDERLY BLADDER CANCER PATIENTS Connor Lough, Alexander Oserowsky, Taha Anwar, Mojgan Golzy, and Katie Murray Connor LoughConnor Lough More articles by this author , Alexander OserowskyAlexander Oserowsky More articles by this author , Taha AnwarTaha Anwar More articles by this author , Mojgan GolzyMojgan Golzy More articles by this author , and Katie MurrayKatie Murray More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002053.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Considering the relatively high five-year survival rate (76.9%) of bladder cancer, its overall prevalence will likely continue to increase. Therefore, it is important to understand effects of diagnosis and management of bladder cancer, including psychological sequelae. The objective of this study is to determine prevalence of depression in elderly patients with bladder cancer and to identify patient characteristics associated with depression. METHODS: Survey responses from a population-based sample of 5,787 patients over 65 years old with history of bladder cancer was retrieved from the Surveillance, Epidemiology, and End Results-Medicare Health Outcomes Survey registry, spanning from 1999 to 2014. The primary outcome measured is the prevalence of a positive depression screen. Cancer characteristics, and demographic, socioeconomic, health-related, and activity of daily living related data were reviewed. Univariate analysis identified correlates of a positive depression screen and patient characteristics. Multivariate analysis identified independent predictors of depression. RESULTS: The prevalence of positive depression screen was 14.0%. Poor general health (p<0.001), impairment of any activity of daily living (all p<0.001), greater number of comorbidities (p<0.001), and income <$30,000 (p<0.001) were identified as correlates of depression. On multivariate analysis, higher levels of education (p=0.0097), increasing age (p=0.0027), and being married (p=<0.0001) were protective against development of depression. Limitations include lack of consideration of treatment outcomes and whether patients have active disease or only a history of cancer. CONCLUSIONS: Depression affects a substantial percentage (14%) of elderly patients with bladder cancer. Poor general health and impaired ability to complete activities of daily living were the greatest risk factors for depression. Acknowledgement of sociodemographic factors may improve awareness of depression in bladder cancer patients and potential need for psychosocial support. Source of Funding: N/a © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e700-e700 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Connor Lough More articles by this author Alexander Oserowsky More articles by this author Taha Anwar More articles by this author Mojgan Golzy More articles by this author Katie Murray More articles by this author Expand All Advertisement Loading ...