Investigating the Association Between Self-Reported Comorbid Anxiety and Depression and Health Service Use in Cancer Survivors.

Yim, J; Shaw, J; Viney, R; Arora, S; Ezendam, N; Pearce, A

Investigating the Association Between Self-Reported Comorbid Anxiety and Depression and Health Service Use in Cancer Survivors.

Yim, J Shaw, J Viney, R

Arora, S

Ezendam, N Pearce, A

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Publisher:: ADIS INT LTD
Publication Type:: Journal Article
Citation:: Pharmacoeconomics, 2021, 39, (6), pp. 681-690
Issue Date:: 2021-06

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Field	Value	Language
dc.contributor.author	Yim, J
dc.contributor.author	Shaw, J
dc.contributor.author	Viney, R https://orcid.org/0000-0002-0039-9635
dc.contributor.author	Arora, S https://orcid.org/0000-0002-7562-2416
dc.contributor.author	Ezendam, N
dc.contributor.author	Pearce, A
dc.date.accessioned	2022-01-17T23:48:44Z
dc.date.available	2021-03-06
dc.date.available	2022-01-17T23:48:44Z
dc.date.issued	2021-06
dc.identifier.citation	Pharmacoeconomics, 2021, 39, (6), pp. 681-690
dc.identifier.issn	1170-7690
dc.identifier.issn	1179-2027
dc.identifier.uri	http://hdl.handle.net/10453/153236
dc.description.abstract	BACKGROUND: Anxiety and depression have a higher prevalence in cancer survivors than in the general population and are associated with lower quality of life, poorer survival and an increased risk of suicide. Anxiety and depression are also highly comorbid among cancer survivors and associated with increased health service use. As such, it is important to consider both anxiety and depression and health service use in cancer survivors. OBJECTIVE: Our objective was to explore the association between anxiety and depression and health service utilisation, both cancer-specific and general doctor visits, in cancer survivors. METHODS: Data from a Dutch cancer registry were analysed to determine the association between anxiety and depression (measured using the Hospital Anxiety and Depression Scale) and health service use. Negative binomial regression models, controlling for patient demographics, comorbidities and cancer-related variables were estimated. RESULTS: Cancer survivors (n = 2538), with a mean age of 61.1 years and between 0.7 and 10.9 years since diagnosis, were included in the analysis. Increasing levels of anxiety and depression were associated with increased health service use. Having severe levels of anxiety was associated with more frequent visits to the general practitioner (p < 0.001). Severe depression in cancer survivors was associated with more frequent visits to the specialist (p < 0.001). CONCLUSION: Anxiety and depression in cancer survivors, particularly severe anxiety and depression, were associated with increased health service use. Treatment of anxiety and depression in cancer survivors has the potential to reduce overall health service use and associated costs and improve health outcomes for cancer survivors.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ADIS INT LTD
dc.relation.ispartof	Pharmacoeconomics
dc.relation.isbasedon	10.1007/s40273-021-01016-7
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	This is a post-peer-review, pre-copyedit version of an article published in [Pharmacoeconomics, 2021, 39, (6), pp. 681-690]. Published: 05 April 2021] The final authenticated version is available online at: [ https://link.springer.com/article/10.1007/s40273-021-01016-7]”
dc.subject	11 Medical and Health Sciences, 14 Economics
dc.subject.classification	Health Policy & Services
dc.subject.mesh	Anxiety
dc.subject.mesh	Cancer Survivors
dc.subject.mesh	Depression
dc.subject.mesh	Health Services
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Neoplasms
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Quality of Life
dc.subject.mesh	Self Report
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Depression
dc.subject.mesh	Anxiety
dc.subject.mesh	Quality of Life
dc.subject.mesh	Middle Aged
dc.subject.mesh	Health Services
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Self Report
dc.subject.mesh	Cancer Survivors
dc.title	Investigating the Association Between Self-Reported Comorbid Anxiety and Depression and Health Service Use in Cancer Survivors.
dc.type	Journal Article
utslib.citation.volume	39
utslib.location.activity	New Zealand
utslib.for	11 Medical and Health Sciences
utslib.for	14 Economics
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Students
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Centre for Health Economics Research and Evaluation
utslib.copyright.status	open_access	*
dc.date.updated	2022-01-17T23:48:43Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	39
utslib.citation.issue	6

Abstract:

BACKGROUND: Anxiety and depression have a higher prevalence in cancer survivors than in the general population and are associated with lower quality of life, poorer survival and an increased risk of suicide. Anxiety and depression are also highly comorbid among cancer survivors and associated with increased health service use. As such, it is important to consider both anxiety and depression and health service use in cancer survivors. OBJECTIVE: Our objective was to explore the association between anxiety and depression and health service utilisation, both cancer-specific and general doctor visits, in cancer survivors. METHODS: Data from a Dutch cancer registry were analysed to determine the association between anxiety and depression (measured using the Hospital Anxiety and Depression Scale) and health service use. Negative binomial regression models, controlling for patient demographics, comorbidities and cancer-related variables were estimated. RESULTS: Cancer survivors (n = 2538), with a mean age of 61.1 years and between 0.7 and 10.9 years since diagnosis, were included in the analysis. Increasing levels of anxiety and depression were associated with increased health service use. Having severe levels of anxiety was associated with more frequent visits to the general practitioner (p < 0.001). Severe depression in cancer survivors was associated with more frequent visits to the specialist (p < 0.001). CONCLUSION: Anxiety and depression in cancer survivors, particularly severe anxiety and depression, were associated with increased health service use. Treatment of anxiety and depression in cancer survivors has the potential to reduce overall health service use and associated costs and improve health outcomes for cancer survivors.

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http://hdl.handle.net/10453/153236