Negative Association Between Schizophrenia and Subsequent Cancer Diagnoses—A Retrospective Cohort Study from Germany
2024

Schizophrenia and Cancer Risk

Sample size: 81866 publication 10 minutes Evidence: high

Author Information

Author(s): Rodemer Ira, Vetter Céline, Kalder Matthias, Hajek André, Kostev Karel, Jurado María del Mar Molero, Martínez África Martos

Primary Institution: IQVIA

Hypothesis

What is the association between schizophrenia and cancer diagnoses?

Conclusion

Patients with schizophrenia have a lower incidence of cancer diagnoses compared to those without the condition.

Supporting Evidence

  • 10.4% of patients with schizophrenia were diagnosed with cancer compared to 12.5% of those without.
  • Cox regression analysis showed a significant association between schizophrenia and lower cancer risk in men.
  • Schizophrenia was significantly associated with a decreased risk of prostate cancer in men.

Takeaway

People with schizophrenia are less likely to get cancer, especially men, who have a much lower chance of getting prostate cancer.

Methodology

This study used a retrospective cohort design analyzing data from the IQVIA Disease Analyzer database, comparing cancer incidence in patients with and without schizophrenia.

Potential Biases

Potential biases due to reliance on ICD-10 classifications and lack of information on medication use and lifestyle factors.

Limitations

The study relied on pre-existing data, which limited control over lifestyle factors and other variables, and only included outpatient data.

Participant Demographics

The study included 13,711 individuals with schizophrenia and 68,555 without, with a mean age of approximately 52 years and 50.2% female.

Statistical Information

P-Value

<0.001

Confidence Interval

0.76–0.90

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/ejihpe14120194

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