Elective surgical patients with comorbid severe mental illness have worse surgical outcomes and incur higher costs compared with the general surgical population

A retrospective cohort study involving elective overnight surgical patients aged 18 years and above who attended a large public tertiary referral hospital in Sydney, Australia, between 2010 and 2014 analysed the impact that severe mental illness (SMI) had on outcomes. [1] Of 23 343 surgical patient admissions, 451 (2%) patients had decompensated comorbid SMI with…

Mental health problems are associated with substantially higher resource utilization and health care costs in patients with chronic diseases

A population-based cohort study of 991 445 Canadian adults, including 156 296 with a mental health diagnosis, 3-year adjusted mean costs were $38 250 for those with and $22 280 for those without a mental health disorder, a 71.7% increase. [1] Presence of psychiatric comorbidity was associated with higher rates of hospitalization and emergency department visits, including when considering…

Psychiatric comorbidity increases opioid use and decreases survival in breast cancer patients

Approximately 40% of patients with breast cancer are estimated to have mental health problems. A recently published study in the Journal of Oncology Practice looked into the effect that psychiatric comorbidity has on the use of prescription opioids and survival in breast cancer patients. [1] This is a retrospective study that analysed a total of…

Patients with Attention Deficit Hyperactivity Disorder (ADHD) that have psychiatric comorbidity have an increased risk of premature death.

A cohort study of Swedish register data of 86 670 individuals with ADHD found that the presence of psychiatric comorbidity was associated with an increased risk of premature death. [1] Early-onset psychiatric comorbidity was mainly associated with the risk of natural deaths whereas later-onset psychiatric comorbidity was mainly associated with death due to unnatural causes, including…