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Psychological Problems among Head and Neck Cancer Patients in Relation to Utilization of Healthcare and Informal Care and Costs in the First Two Years after Diagnosis

Background: To investigate associations between psychological problems and the use of healthcare and informal care and total costs among head and neck cancer (HNC) patients. Method: Data were used of the NETherlands QUality of Life and Biomedical Cohort study. Anxiety and depression disorder (diagno...

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Autores principales: van Beek, Florie E., Jansen, Femke, Baatenburg de Jong, Rob J., Langendijk, Johannes A., Leemans, C. René, Smit, Johannes H., Takes, Robert P., Terhaard, Chris H. J., Custers, José A. E., Prins, Judith B., Lissenberg-Witte, Birgit I., Verdonck-de Leeuw, Irma M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139910/
https://www.ncbi.nlm.nih.gov/pubmed/35621650
http://dx.doi.org/10.3390/curroncol29050260
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author van Beek, Florie E.
Jansen, Femke
Baatenburg de Jong, Rob J.
Langendijk, Johannes A.
Leemans, C. René
Smit, Johannes H.
Takes, Robert P.
Terhaard, Chris H. J.
Custers, José A. E.
Prins, Judith B.
Lissenberg-Witte, Birgit I.
Verdonck-de Leeuw, Irma M.
author_facet van Beek, Florie E.
Jansen, Femke
Baatenburg de Jong, Rob J.
Langendijk, Johannes A.
Leemans, C. René
Smit, Johannes H.
Takes, Robert P.
Terhaard, Chris H. J.
Custers, José A. E.
Prins, Judith B.
Lissenberg-Witte, Birgit I.
Verdonck-de Leeuw, Irma M.
author_sort van Beek, Florie E.
collection PubMed
description Background: To investigate associations between psychological problems and the use of healthcare and informal care and total costs among head and neck cancer (HNC) patients. Method: Data were used of the NETherlands QUality of Life and Biomedical Cohort study. Anxiety and depression disorder (diagnostic interview), distress, symptoms of anxiety and depression (HADS), and fear of cancer recurrence (FCR) and cancer worry scale (CWS) were measured at baseline and at 12-month follow-up. Care use and costs (questionnaire) were measured at baseline, 3-, 6-, 12-, and 24-month follow-up. Associations between psychological problems and care use/costs were investigated using logistic and multiple regression analyses. Results: Data of 558 patients were used. Distress, symptoms of anxiety or depression, FCR, and/or anxiety disorder at baseline were significantly associated with higher use of primary care, supportive care, and/or informal care (odds ratios (ORs) between 1.55 and 4.76). Symptoms of anxiety, FCR, and/or depression disorder at 12-month follow-up were significantly associated with use of primary care, supportive care, and/or informal care (ORs between 1.74 and 6.42). Distress, symptoms of anxiety, and FCR at baseline were associated with higher total costs. Discussion: HNC patients with psychological problems make more use of healthcare and informal care and have higher costs. This is not the result of worse clinical outcomes.
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spelling pubmed-91399102022-05-28 Psychological Problems among Head and Neck Cancer Patients in Relation to Utilization of Healthcare and Informal Care and Costs in the First Two Years after Diagnosis van Beek, Florie E. Jansen, Femke Baatenburg de Jong, Rob J. Langendijk, Johannes A. Leemans, C. René Smit, Johannes H. Takes, Robert P. Terhaard, Chris H. J. Custers, José A. E. Prins, Judith B. Lissenberg-Witte, Birgit I. Verdonck-de Leeuw, Irma M. Curr Oncol Article Background: To investigate associations between psychological problems and the use of healthcare and informal care and total costs among head and neck cancer (HNC) patients. Method: Data were used of the NETherlands QUality of Life and Biomedical Cohort study. Anxiety and depression disorder (diagnostic interview), distress, symptoms of anxiety and depression (HADS), and fear of cancer recurrence (FCR) and cancer worry scale (CWS) were measured at baseline and at 12-month follow-up. Care use and costs (questionnaire) were measured at baseline, 3-, 6-, 12-, and 24-month follow-up. Associations between psychological problems and care use/costs were investigated using logistic and multiple regression analyses. Results: Data of 558 patients were used. Distress, symptoms of anxiety or depression, FCR, and/or anxiety disorder at baseline were significantly associated with higher use of primary care, supportive care, and/or informal care (odds ratios (ORs) between 1.55 and 4.76). Symptoms of anxiety, FCR, and/or depression disorder at 12-month follow-up were significantly associated with use of primary care, supportive care, and/or informal care (ORs between 1.74 and 6.42). Distress, symptoms of anxiety, and FCR at baseline were associated with higher total costs. Discussion: HNC patients with psychological problems make more use of healthcare and informal care and have higher costs. This is not the result of worse clinical outcomes. MDPI 2022-04-30 /pmc/articles/PMC9139910/ /pubmed/35621650 http://dx.doi.org/10.3390/curroncol29050260 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
van Beek, Florie E.
Jansen, Femke
Baatenburg de Jong, Rob J.
Langendijk, Johannes A.
Leemans, C. René
Smit, Johannes H.
Takes, Robert P.
Terhaard, Chris H. J.
Custers, José A. E.
Prins, Judith B.
Lissenberg-Witte, Birgit I.
Verdonck-de Leeuw, Irma M.
Psychological Problems among Head and Neck Cancer Patients in Relation to Utilization of Healthcare and Informal Care and Costs in the First Two Years after Diagnosis
title Psychological Problems among Head and Neck Cancer Patients in Relation to Utilization of Healthcare and Informal Care and Costs in the First Two Years after Diagnosis
title_full Psychological Problems among Head and Neck Cancer Patients in Relation to Utilization of Healthcare and Informal Care and Costs in the First Two Years after Diagnosis
title_fullStr Psychological Problems among Head and Neck Cancer Patients in Relation to Utilization of Healthcare and Informal Care and Costs in the First Two Years after Diagnosis
title_full_unstemmed Psychological Problems among Head and Neck Cancer Patients in Relation to Utilization of Healthcare and Informal Care and Costs in the First Two Years after Diagnosis
title_short Psychological Problems among Head and Neck Cancer Patients in Relation to Utilization of Healthcare and Informal Care and Costs in the First Two Years after Diagnosis
title_sort psychological problems among head and neck cancer patients in relation to utilization of healthcare and informal care and costs in the first two years after diagnosis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139910/
https://www.ncbi.nlm.nih.gov/pubmed/35621650
http://dx.doi.org/10.3390/curroncol29050260
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