1. Palliative Care and Mental Health among Pancreatic Cancer Patients in the United States: An Examination of Service Utilization and Health Outcomes.
- Author
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Subramaniam, Divya S., Zhang, Zidong, Timmer, Zachary, DeMarco, Elisabeth C., Poirier, Michael P., and Hinyard, Leslie J.
- Subjects
PALLIATIVE treatment ,MENTAL health services ,T-test (Statistics) ,MEDICARE ,MULTIPLE regression analysis ,ANXIETY ,EVALUATION of medical care ,RETROSPECTIVE studies ,CHI-squared test ,DESCRIPTIVE statistics ,PANCREATIC tumors ,ODDS ratio ,ELECTRONIC health records ,QUALITY of life ,CANCER patient psychology ,DATA analysis software ,CONFIDENCE intervals ,SOCIAL support ,MEDICAL referrals ,MENTAL depression ,NOSOLOGY - Abstract
Introduction: Palliative care (PC) utilization remains low among pancreatic cancer patients. This study explores the association of PC with mental health service and pharmacotherapy utilization among pancreatic cancer patients.Methods: Retrospective analysis was conducted on a sample of patients in the United States with newly diagnosed pancreatic cancer using Electronic Health Record data from Optum's Integrated Claims-Clinical data set. Subsequent diagnoses of anxiety and depression and PC consultation encounters were determined using ICD-9/10 codes. Adjusted associations of mental health treatments with PC and patient characteristics were quantified using multiple logistic regression. Results: Among newly diagnosed pancreatic cancer patients (n = 4029), those with PC consultations exhibited a higher prevalence of anxiety (33.9% vs. 22.8%) and depression (36.2% vs. 23.2%). Mental health service use and pharmacotherapy varied, with the highest utilization among patients having both anxiety and depression. Treatment pattern was also influenced by age (aOR 1.832 for age <55 vs. 65–70 years). Notably, PC consultations showed no significant effect on the likelihood of documented treatment. Discussion: Our study emphasizes underutilization of PC and MH treatment for pancreatic cancer patients. These findings imply a crucial need for further investigation into palliative care's role in addressing mental health concerns among pancreatic cancer patients. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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