Continuous: Mann–Whitney U. Categorical: Fisher's exact. Computed in DuckDB v1.1 against OMOP CDM v5.4 · Source: St. Mercy General Hospital EHR
Table 1. Baseline Characteristics by Depression Status
Characteristic Total (N=8)Depression (n=4) No Depression (n=4)P-value
Age at CRC diagnosis, mean ± SD, years57.2 ± 8.153.2 ± 7.361.2 ± 5.20.306
Sex, male, n (%)4 (50.0)1 (25.0)3 (75.0)0.486
Psychiatric comorbidities
Major depressive disorder, n (%)4 (50.0)4 (100.0)0 (0.0)0.029
Anxiety disorder, n (%)4 (50.0)1 (25.0)3 (75.0)0.486
Follow-up
Follow-up duration, mean ± SD, years4.9 ± 1.14.7 ± 0.85.0 ± 1.40.886
Person-years of observation38.918.920.0
All-cause mortality, n (%)3 (37.5)1 (25.0)2 (50.0)1.000
CRC = colorectal cancer; SD = standard deviation. P-values: Mann–Whitney U (continuous); Fisher's exact (categorical).
Crude HR = incidence rate ratio. Adjusted: Mantel–Haenszel by age strata and sex. n=8; exploratory estimates.
Table 2. Depression and All-Cause Mortality in CRC Patients
A. Mortality outcomes
Depression (n=4)No Depression (n=4)
Deaths, n (%)1 (25.0)2 (50.0)
Person-years18.920.0
Incidence rate (per person-year)0.0530.100
B. Crude and adjusted hazard ratios
ModelHR95% CIP-value
Crude0.530.05–5.841.000
Age-adjusted0.510.04–6.120.587
Age- and sex-adjusted†0.480.05–4.610.524
C. Covariates in fully adjusted model
VariableHR95% CIP-value
Depression (yes vs. no)0.480.05–4.610.524
Age at diagnosis (per 1-year increase)1.090.92–1.290.318
Sex (male vs. female)1.340.14–12.80.797
HR = hazard ratio; CI = confidence interval. †n=8; all estimates exploratory. P-values: Fisher's exact (crude); Wald test (adjusted).
Figure 1. CONSORT-Style Patient Flow Diagram
Patients in OMOP CDM v5.4 database assessed for eligibility N = 8 Excluded No CRC diagnosis: 0 Incomplete records: 0 Met CRC inclusion criteria SNOMED 4283893 · ICD-10 C18–C20 n = 8 Analytic cohort Median follow-up: 4.9 years n = 8 With Depression (MDD) SNOMED 35615573 n = 4 Mean age 53.2 yr · 25% male Without Depression No MDD diagnosis n = 4 Mean age 61.2 yr · 75% male Primary outcome assessed Deaths: 1/4 (25.0%) IR: 0.053 per person-year Person-years: 18.9 Primary outcome assessed Deaths: 2/4 (50.0%) IR: 0.100 per person-year Person-years: 20.0 Included in final analysis Crude HR 0.53 (95% CI 0.05–5.84) Adj HR 0.48 (95% CI 0.05–4.61) n = 8
OMOP = Observational Medical Outcomes Partnership; CRC = colorectal cancer (SNOMED 4283893); MDD = major depressive disorder (SNOMED 35615573); IR = incidence rate; HR = hazard ratio; CI = confidence interval.