1. 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
- Author
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Florie E. van Beek, Femke Jansen, Rob J. Baatenburg de Jong, Johannes A. Langendijk, C. René Leemans, Johannes H. Smit, Robert P. Takes, Chris H. J. Terhaard, José A. E. Custers, Judith B. Prins, Birgit I. Lissenberg-Witte, Irma M. Verdonck-de Leeuw, Otorhinolaryngology and Head and Neck Surgery, Otolaryngology / Head & Neck Surgery, CCA - Cancer Treatment and quality of life, APH - Mental Health, Psychiatry, APH - Methodology, Amsterdam Neuroscience - Complex Trait Genetics, Amsterdam Neuroscience - Mood, Anxiety, Psychosis, Stress & Sleep, Epidemiology and Data Science, APH - Personalized Medicine, Guided Treatment in Optimal Selected Cancer Patients (GUTS), and Damage and Repair in Cancer Development and Cancer Treatment (DARE)
- Subjects
Quality of Life/psychology ,Psychological/diagnosis ,Stress ,psychology ,mental health ,healthcare use ,costs ,informal care ,head and neck cancer ,Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] ,Cohort Studies ,Head and Neck Neoplasms/complications ,All institutes and research themes of the Radboud University Medical Center ,SDG 3 - Good Health and Well-being ,Head and Neck Neoplasms ,Quality of Life ,Stress, Psychological/diagnosis ,Humans ,Patient Care ,Delivery of Health Care ,Stress, Psychological ,Rare cancers Radboud Institute for Health Sciences [Radboudumc 9] - Abstract
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.
- Published
- 2022