{"id":"https://openalex.org/W2886008236","doi":"https://doi.org/10.1158/1538-7445.am2018-4224","title":"Abstract 4224: Psychotropic polypharmacy during the initial phase of care among cancer patients in the United States","display_name":"Abstract 4224: Psychotropic polypharmacy during the initial phase of care among cancer patients in the United States","publication_year":2018,"publication_date":"2018-07-01","ids":{"openalex":"https://openalex.org/W2886008236","doi":"https://doi.org/10.1158/1538-7445.am2018-4224","mag":"2886008236"},"language":"en","primary_location":{"id":"doi:10.1158/1538-7445.am2018-4224","doi":"https://doi.org/10.1158/1538-7445.am2018-4224","is_oa":false,"landing_page_url":"https://doi.org/10.1158/1538-7445.am2018-4224","pdf_url":null,"source":{"id":"https://openalex.org/S168522863","display_name":"Cancer Research","issn_l":"0008-5472","issn":["0008-5472","1538-7445"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Research","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011572522","display_name":"Ami Vyas","orcid":"https://orcid.org/0000-0002-2660-2494","observed_orcids":["https://orcid.org/0000-0002-2660-2494"]},"institutions":[{"id":"https://openalex.org/I17626003","display_name":"University of Rhode Island","ror":"https://ror.org/013ckk937","country_code":"US","type":"education","lineage":["https://openalex.org/I17626003"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ami M. Vyas","raw_affiliation_strings":["University of Rhode Island College of Pharmacy, Kingston, RI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Rhode Island College of Pharmacy, Kingston, RI","institution_ids":["https://openalex.org/I17626003"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087981760","display_name":"Stephen J Kogut","orcid":"https://orcid.org/0000-0001-8298-6245","observed_orcids":["https://orcid.org/0000-0001-8298-6245"]},"institutions":[{"id":"https://openalex.org/I17626003","display_name":"University of Rhode Island","ror":"https://ror.org/013ckk937","country_code":"US","type":"education","lineage":["https://openalex.org/I17626003"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen J. Kogut","raw_affiliation_strings":["University of Rhode Island College of Pharmacy, Kingston, RI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Rhode Island College of Pharmacy, Kingston, RI","institution_ids":["https://openalex.org/I17626003"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047391714","display_name":"Hilary A. Aroke","orcid":"https://orcid.org/0000-0003-0676-1065","observed_orcids":["https://orcid.org/0000-0003-0676-1065"]},"institutions":[{"id":"https://openalex.org/I17626003","display_name":"University of Rhode Island","ror":"https://ror.org/013ckk937","country_code":"US","type":"education","lineage":["https://openalex.org/I17626003"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hilary Aroke","raw_affiliation_strings":["University of Rhode Island College of Pharmacy, Kingston, RI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Rhode Island College of Pharmacy, Kingston, RI","institution_ids":["https://openalex.org/I17626003"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018414444","display_name":"Ashley L Buchanan","orcid":"https://orcid.org/0000-0002-4715-3456","observed_orcids":["https://orcid.org/0000-0002-4715-3456"]},"institutions":[{"id":"https://openalex.org/I17626003","display_name":"University of Rhode Island","ror":"https://ror.org/013ckk937","country_code":"US","type":"education","lineage":["https://openalex.org/I17626003"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashley Buchanan","raw_affiliation_strings":["University of Rhode Island College of Pharmacy, Kingston, RI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Rhode Island College of Pharmacy, Kingston, RI","institution_ids":["https://openalex.org/I17626003"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I17626003"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"78","issue":"13_Supplement","first_page":"4224","last_page":"4224"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.899399995803833,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.899399995803833,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.042500000447034836,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.013399999588727951,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/psychotropic-polypharmacy","display_name":"psychotropic polypharmacy","score":0.9980000257492065},{"id":"https://openalex.org/keywords/cancer-patients","display_name":"cancer patients","score":0.9800000190734863},{"id":"https://openalex.org/keywords/antidepressants","display_name":"antidepressants","score":0.8289999961853027},{"id":"https://openalex.org/keywords/antipsychotic-drugs","display_name":"antipsychotic drugs","score":0.9700000286102295},{"id":"https://openalex.org/keywords/anxiolytics","display_name":"anxiolytics","score":0.8140000104904175},{"id":"https://openalex.org/keywords/antiepileptic-drugs","display_name":"antiepileptic drugs","score":0.777999997138977},{"id":"https://openalex.org/keywords/psychostimulants","display_name":"psychostimulants","score":0.8190000057220459},{"id":"https://openalex.org/keywords/lung-cancer","display_name":"lung cancer","score":0.578000009059906},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.8450000286102295},{"id":"https://openalex.org/keywords/prostate-cancer","display_name":"prostate cancer","score":0.9229999780654907},{"id":"https://openalex.org/keywords/colorectal-cancer","display_name":"colorectal cancer","score":0.9940000176429749},{"id":"https://openalex.org/keywords/gender-differences","display_name":"gender differences","score":0.5389999747276306},{"id":"https://openalex.org/keywords/age-differences","display_name":"age differences","score":0.7059999704360962},{"id":"https://openalex.org/keywords/prescribing-patterns","display_name":"prescribing patterns","score":0.3089999854564667},{"id":"https://openalex.org/keywords/cancer-survivorship","display_name":"cancer survivorship","score":0.41200000047683716}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8388559818267822},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.6954655051231384},{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.692986786365509},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6433331966400146},{"id":"https://openalex.org/C2780192828","wikidata":"https://www.wikidata.org/wiki/Q181257","display_name":"Prostate cancer","level":3,"score":0.6333896517753601},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5890742540359497},{"id":"https://openalex.org/C2776256026","wikidata":"https://www.wikidata.org/wiki/Q47912","display_name":"Lung cancer","level":2,"score":0.5579953789710999},{"id":"https://openalex.org/C526805850","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Colorectal cancer","level":3,"score":0.5195082426071167},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4989776611328125},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.4839754104614258},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.47614502906799316},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.42875349521636963},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.08571317791938782},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1158/1538-7445.am2018-4224","doi":"https://doi.org/10.1158/1538-7445.am2018-4224","is_oa":false,"landing_page_url":"https://doi.org/10.1158/1538-7445.am2018-4224","pdf_url":null,"source":{"id":"https://openalex.org/S168522863","display_name":"Cancer Research","issn_l":"0008-5472","issn":["0008-5472","1538-7445"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Research","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2940630481","https://openalex.org/W2739805053","https://openalex.org/W7014448425","https://openalex.org/W4391611390","https://openalex.org/W3102986986","https://openalex.org/W2511681373","https://openalex.org/W2143077620","https://openalex.org/W3122999495","https://openalex.org/W2547811651","https://openalex.org/W2701836952"],"abstract_inverted_index":{"Abstract":[0],"Objectives:":[1],"Limited":[2],"evidence":[3],"exists":[4],"regarding":[5],"the":[6,13,23,32,59,71,101,108,137,143,171,191,236,362,415,424,431],"rates":[7,25],"of":[8,16,26,35,89,104,129,140,145,158,194,202,228,239,264,303,337,357,364,371,391,418,430],"psychotropic":[9,93,130,232,366,376,380],"polypharmacy":[10,333,413],"(PP)":[11],"during":[12,31,68,100,136,235,353,414],"initial":[14,33,102,138,192,237,355,416],"phase":[15,34,103,139,193,238,356,417],"care":[17,36,105,141,392,419],"among":[18,37,207,215,244,251,344,420],"cancer":[19,38,112,167,184,195,203,211,219,240,246,253,290,296,351,421],"patients.":[20],"We":[21],"describe":[22],"characteristics,":[24],"PP":[27,83,135,148,159,197,224,265],"and":[28,55,121,142,185,213,249,301,316,339,349,368,378,382,393],"its":[29],"predictors":[30,157,258],"patients":[39,52,146,168,222,247,254,352,422],"using":[40,70],"administrative":[41],"claims":[42,81],"data.":[43],"Methods:":[44],"A":[45],"retrospective":[46],"cohort":[47],"study":[48],"was":[49,84,198,341],"conducted":[50],"in":[51,160,170,200,386,396,423],"age":[53,279,282],"18":[54],"above":[56],"diagnosed":[57],"with":[58,134,205,209,217,242,260,346],"most":[60],"commonly":[61],"occurring":[62],"cancers":[63],"(breast,":[64],"prostate,":[65],"lung,":[66,347],"colorectal)":[67],"2011-2012":[69],"Optum":[72],"ClinformaticsTM":[73],"Data":[74],"Mart":[75],"(OptumInsight,":[76],"Eden":[77],"Prairie,":[78],"MN)":[79],"commercial":[80],"database.":[82],"defined":[85],"as":[86,107],"concurrent":[87],"use":[88],"two":[90,307,322],"or":[91,308,323],"more":[92,309,324],"medications":[94,115,131,233,377,381],"for":[95,272,281,306,321,434],"at":[96],"least":[97,214,250],"90":[98],"days":[99],"(defined":[106],"first":[109],"year":[110],"after":[111],"diagnosis).":[113],"Psychotropic":[114,332,412],"included":[116,169],"antidepressants,":[117],"antipsychotics,":[118],"anticonvulsants,":[119],"anxiolytics-sedatives-hypnotics,":[120],"central":[122],"nervous":[123],"system":[124],"stimulants/psychostimulants.":[125],"The":[126,256],"average":[127,227],"number":[128],"per":[132],"patient":[133],"proportion":[144],"on":[147,223],"were":[149,266],"determined.":[150],"An":[151],"adjusted":[152],"logistic":[153],"regression":[154],"identified":[155],"significant":[156,257],"this":[161,397],"vulnerable":[162,398],"population.":[163,399],"Results:":[164],"Among":[165],"5,604":[166],"study,":[172],"52.6%":[173],"had":[174,178,182,187,225],"breast":[175,348],"cancer,":[176,180,338],"30.6%":[177],"prostate":[179,218,252],"11.4%":[181],"colorectal":[183,289,350],"5.5%":[186],"lung":[188,210,245,295],"cancer.":[189],"During":[190],"care,":[196,241],"found":[199],"7.4%":[201],"patients,":[204],"highest":[206,243],"those":[208,216,345],"(14.4%),":[212],"(2.9%).":[220],"Cancer":[221,435,448],"an":[226,261],"10.7":[229],"(standard":[230],"deviation=9.6)":[231],"prescriptions":[234],"(mean=12.4)":[248],"(mean=9.4).":[255],"associated":[259],"increased":[262],"risk":[263],"gender":[267],"(adjusted":[268],"odds":[269],"ratio":[270],"(AOR)":[271],"females=2.1,":[273],"95%":[274,285,292,298,312,327],"confidence":[275],"interval":[276],"(CI):1.29,":[277],"3.41),":[278],"(AOR":[280,305,320],"55-64":[283],"years=1.7,":[284],"CI:":[286,313,328],"1.09,":[287],"2.65),":[288],"(AOR=2.18;":[291],"CI:1.29,":[293],"3.69),":[294],"(AOR=2.46;":[297],"CI:1.39,":[299],"4.35),":[300],"presence":[302],"psychiatric":[304,310],"conditions=11.7,":[311],"6.75,":[314],"20.3)":[315],"physical":[317,325],"chronic":[318],"conditions":[319],"conditions=2.2,":[326],"1.63,":[329],"3.05).":[330],"Conclusion:":[331],"differed":[334],"by":[335],"type":[336],"it":[340],"highly":[342],"prevalent":[343],"their":[354],"care.":[358],"These":[359],"findings":[360],"underscore":[361],"importance":[363],"evidence-based":[365],"prescribing":[367],"close":[369],"surveillance":[370],"adverse":[372],"drug":[373],"interactions":[374],"between":[375,379],"anti-cancer":[383],"treatment":[384],"regimen,":[385],"order":[387],"to":[388],"improve":[389],"quality":[390],"clinical":[394],"outcomes":[395],"Citation":[400],"Format:":[401],"Ami":[402],"M.":[403],"Vyas,":[404],"Stephen":[405],"J.":[406],"Kogut,":[407],"Hilary":[408],"Aroke,":[409],"Ashley":[410],"Buchanan.":[411],"United":[425],"States":[426],"[abstract].":[427],"In:":[428],"Proceedings":[429],"American":[432],"Association":[433],"Research":[436],"Annual":[437],"Meeting":[438],"2018;":[439],"2018":[440],"Apr":[441],"14-18;":[442],"Chicago,":[443],"IL.":[444],"Philadelphia":[445],"(PA):":[446],"AACR;":[447],"Res":[449],"2018;78(13":[450],"Suppl):Abstract":[451],"nr":[452],"4224.":[453]},"counts_by_year":[{"year":2019,"cited_by_count":1}],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2018-08-22T00:00:00"}
