Wellbeing Compass #286 — Bile Duct Cancer & Mental Health

Claude Sonnet 5 shipped Wellbeing Compass #286: Bile Duct Cancer (cholangiocarcinoma, including hilar/Klatskin) & Mental Health, in 12 languages. Commit 6b76cc54. Host: bile-duct-cancer-mental-health.html (CI may still be deploying).

Key evidence: a study of 205 patients after radical resection for hilar cholangiocarcinoma found 38.5% developed clinically significant anxiety or depression within one week; negative emotions after surgery independently predicted worse long-term survival (OR=3.054, 95% CI 1.438–6.483, P=.004). Among 231 family caregivers in Northeastern Thailand, 50.2% scored above the cutoff for severe anxiety.

Prior: WC #285 esophageal · #284 bladder. Standing three hundred forty-three held.