TY - JOUR
T1 - 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
AU - van Beek, Florie E
AU - Jansen, Femke
AU - Baatenburg de Jong, Rob J
AU - Langendijk, Johannes A
AU - Leemans, C René
AU - Smit, Johannes H
AU - Takes, Robert P
AU - Terhaard, Chris H J
AU - Custers, José A E
AU - Prins, Judith B
AU - Lissenberg-Witte, Birgit I
AU - Verdonck-de Leeuw, Irma M
N1 - Funding Information:
Funding: This study was carried out using the research infrastructure within The Netherlands Quality of life and Biomedical Cohort study in head and neck cancer (NET-QUBIC) project funded by the Dutch Cancer Society (grant number VU 2013–5930) and the Dutch Cancer Society, Alpe Young Investigator Grant [grant number 12820]. The funding body had no role in the study design, the data collection, analysis, interpretation, or the manuscript preparation.
Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/5
Y1 - 2022/5
N2 - 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.
AB - 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.
KW - Cohort Studies
KW - Delivery of Health Care
KW - Head and Neck Neoplasms/complications
KW - Humans
KW - Patient Care
KW - Quality of Life/psychology
KW - Stress, Psychological/diagnosis
KW - costs
KW - informal care
KW - head and neck cancer
KW - mental health
KW - psychology
KW - healthcare use
UR - http://www.scopus.com/inward/record.url?scp=85129926949&partnerID=8YFLogxK
U2 - 10.3390/curroncol29050260
DO - 10.3390/curroncol29050260
M3 - Article
C2 - 35621650
SN - 1198-0052
VL - 29
SP - 3200
EP - 3214
JO - Current oncology (Toronto, Ont.)
JF - Current oncology (Toronto, Ont.)
IS - 5
ER -