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Temporal trends in self-reported general and mental health status among colorectal cancer patients: racial/ethnic disparities in a population-based analysis

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

Patient-reported outcomes are essential to patient-centered cancer care. We sought to determine the relationships between colorectal cancer (CRC) diagnosis and trends in self-reported general health status (GHS) and mental health status (MHS) among racial/ethnic groups.

Methods

We used population-based Surveillance, Epidemiology, and End Results (SEER)-Consumer Assessment of Healthcare Providers and Systems (CAHPS) data to identify CRC patients diagnosed from 1996 to 2011 who reported GHS and/or MHS on a CAHPS survey within 6 years before or after diagnosis and were 65 or older at survey completion. Multivariable logistic regression assessed relationships of patient race/ethnicity and CRC diagnosis with the odds of reporting fair or poor GHS or MHS.

Results

Five thousand five hundred forty-five patients reported GHS and/or MHS within 6 years before CRC diagnosis and 4,604 reported GHS and/or MHS within 6 years after diagnosis. 80.9% were non-Hispanic white (NHW), 7.1% were non-Hispanic black (NHB), 6.7% were Hispanic, and 5.3% were non-Hispanic Asian. Being diagnosed with CRC was associated with increased odds of reporting fair or poor GHS (OR = 1.55, 95% CI = 1.40–1.72) and MHS (OR = 1.33, 95% CI = 1.13–1.58). For GHS, this trend held for all race/ethnicities except NHBs, and for MHS, this trend held for NHWs and Hispanics only.

Conclusion

CRC diagnosis is an important driver of increased likelihood of fair and poor GHS and MHS, but the relationship is complicated by effect modification by race/ethnicity. Efforts to further understand the race/ethnicity-specific relationships between CRC diagnosis and declines in GHS and MHS are necessary to promote equitable care for all patients.

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Data availability

This study used the linked SEER-CAHPS data resource. The interpretation and reporting of these data are the sole responsibility of the authors.

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Acknowledgements

The authors acknowledge the efforts of the National Cancer Institute; the Centers for Medicare & Medicaid Services; Information Management Services (IMS), Inc.; and the Surveillance, Epidemiology, and End Results (SEER) Program tumor registries in the creation of the SEER-CAHPS data resource.

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Authors and Affiliations

  1. Department of Population and Public Health Sciences, Keck School of Medicine of USC, Los Angeles, CA, USA

    Stephanie Navarro, Xiayu Jiao & Albert J. Farias

  2. City of Hope Comprehensive Cancer Center, Duarte, CA, USA

    Afsaneh Barzi

  3. Norris Comprehensive Cancer Center, Keck School of Medicine of USC, Los Angeles, CA, USA

    Albert J. Farias

Authors
  1. Stephanie Navarro
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  2. Afsaneh Barzi
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  3. Xiayu Jiao
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  4. Albert J. Farias
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by all authors. The first draft of the manuscript was written by Navarro, Barzi, and Farias. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Albert J. Farias.

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This research was granted exempt status by the Institutional Review Board of the University of Texas Health Sciences Center at Houston.

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The authors declare no competing interests.

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Navarro, S., Barzi, A., Jiao, X. et al. Temporal trends in self-reported general and mental health status among colorectal cancer patients: racial/ethnic disparities in a population-based analysis. Int J Colorectal Dis 37, 1073–1085 (2022). https://doi.org/10.1007/s00384-022-04139-1

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