Health care use among endometrial cancer survivors

A study from PROFILES, a population-based survivorship registry

N.P.M. Ezendam, K.A.H. Nicolaije, D. Boll, M.L. Lybeert, F. Mols, J.M.A. Pijnenborg, L.V. van de Poll-Franse

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Abstract

Objective:
Increasing numbers of endometrial cancer survivors place a high burden on the health care system. This study describes the number of visits to the general practitioner, the medical specialist and other care services, compared with the general population, and factors associated with this health care use: age, marital status, education, body mass index, comorbidity, years since diagnosis, and radiotherapy.
Methods:
Survivors of stage I to stage II endometrial cancer diagnosed between 1999 and 2007 were selected from the Eindhoven Cancer Registry. Survivors (N = 742) completed a questionnaire about their demographic characteristics and health care use. Cancer-related information was retrieved from the Eindhoven Cancer Registry.
Results:
Endometrial cancer survivors visited their medical specialist more often (3.4 times per year) than the general population. In relation to their cancer, they visited their general practitioner once and their medical specialist twice per year. Use of additional care services was low (14%) but higher among younger survivors (33%). Younger women were more likely to make cancer-related visits to their general practitioner, whereas more highly educated women were less likely to visit their general practitioner and more likely to make cancer-related medical specialist visits. Women with more comorbid conditions were more likely to make general and cancer-related general practitioner visits. Radiotherapy and body mass index were not related to health care use.
Conclusions:
Endometrial cancer survivors use more health care than women in the general population. Younger women visit their general practitioner more often in relation to their cancer and use more additional care services. More highly educated survivors were more likely to visit a medical specialist in relation to their cancer.
Original languageEnglish
Pages (from-to)1258-1265
JournalInternational Journal of Gynecological Cancer
Volume23
Issue number7
DOIs
Publication statusPublished - 2013

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Endometrial Neoplasms
Survivors
Survival Rate
Delivery of Health Care
General Practitioners
Neoplasms
Body Mass Index
Marital Status
Comorbidity
Education

Cite this

@article{74923960063341faacca879c720d7b72,
title = "Health care use among endometrial cancer survivors: A study from PROFILES, a population-based survivorship registry",
abstract = "Objective: Increasing numbers of endometrial cancer survivors place a high burden on the health care system. This study describes the number of visits to the general practitioner, the medical specialist and other care services, compared with the general population, and factors associated with this health care use: age, marital status, education, body mass index, comorbidity, years since diagnosis, and radiotherapy.Methods: Survivors of stage I to stage II endometrial cancer diagnosed between 1999 and 2007 were selected from the Eindhoven Cancer Registry. Survivors (N = 742) completed a questionnaire about their demographic characteristics and health care use. Cancer-related information was retrieved from the Eindhoven Cancer Registry.Results: Endometrial cancer survivors visited their medical specialist more often (3.4 times per year) than the general population. In relation to their cancer, they visited their general practitioner once and their medical specialist twice per year. Use of additional care services was low (14{\%}) but higher among younger survivors (33{\%}). Younger women were more likely to make cancer-related visits to their general practitioner, whereas more highly educated women were less likely to visit their general practitioner and more likely to make cancer-related medical specialist visits. Women with more comorbid conditions were more likely to make general and cancer-related general practitioner visits. Radiotherapy and body mass index were not related to health care use.Conclusions: Endometrial cancer survivors use more health care than women in the general population. Younger women visit their general practitioner more often in relation to their cancer and use more additional care services. More highly educated survivors were more likely to visit a medical specialist in relation to their cancer.",
author = "N.P.M. Ezendam and K.A.H. Nicolaije and D. Boll and M.L. Lybeert and F. Mols and J.M.A. Pijnenborg and {van de Poll-Franse}, L.V.",
year = "2013",
doi = "10.1097/igc.0b013e31829dd1e3",
language = "English",
volume = "23",
pages = "1258--1265",
journal = "International Journal of Gynecological Cancer",
issn = "1048-891X",
publisher = "Lippincott Williams and Wilkins",
number = "7",

}

Health care use among endometrial cancer survivors : A study from PROFILES, a population-based survivorship registry. / Ezendam, N.P.M.; Nicolaije, K.A.H.; Boll, D.; Lybeert, M.L.; Mols, F.; Pijnenborg, J.M.A.; van de Poll-Franse, L.V.

In: International Journal of Gynecological Cancer, Vol. 23, No. 7, 2013, p. 1258-1265.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Health care use among endometrial cancer survivors

T2 - A study from PROFILES, a population-based survivorship registry

AU - Ezendam, N.P.M.

AU - Nicolaije, K.A.H.

AU - Boll, D.

AU - Lybeert, M.L.

AU - Mols, F.

AU - Pijnenborg, J.M.A.

AU - van de Poll-Franse, L.V.

PY - 2013

Y1 - 2013

N2 - Objective: Increasing numbers of endometrial cancer survivors place a high burden on the health care system. This study describes the number of visits to the general practitioner, the medical specialist and other care services, compared with the general population, and factors associated with this health care use: age, marital status, education, body mass index, comorbidity, years since diagnosis, and radiotherapy.Methods: Survivors of stage I to stage II endometrial cancer diagnosed between 1999 and 2007 were selected from the Eindhoven Cancer Registry. Survivors (N = 742) completed a questionnaire about their demographic characteristics and health care use. Cancer-related information was retrieved from the Eindhoven Cancer Registry.Results: Endometrial cancer survivors visited their medical specialist more often (3.4 times per year) than the general population. In relation to their cancer, they visited their general practitioner once and their medical specialist twice per year. Use of additional care services was low (14%) but higher among younger survivors (33%). Younger women were more likely to make cancer-related visits to their general practitioner, whereas more highly educated women were less likely to visit their general practitioner and more likely to make cancer-related medical specialist visits. Women with more comorbid conditions were more likely to make general and cancer-related general practitioner visits. Radiotherapy and body mass index were not related to health care use.Conclusions: Endometrial cancer survivors use more health care than women in the general population. Younger women visit their general practitioner more often in relation to their cancer and use more additional care services. More highly educated survivors were more likely to visit a medical specialist in relation to their cancer.

AB - Objective: Increasing numbers of endometrial cancer survivors place a high burden on the health care system. This study describes the number of visits to the general practitioner, the medical specialist and other care services, compared with the general population, and factors associated with this health care use: age, marital status, education, body mass index, comorbidity, years since diagnosis, and radiotherapy.Methods: Survivors of stage I to stage II endometrial cancer diagnosed between 1999 and 2007 were selected from the Eindhoven Cancer Registry. Survivors (N = 742) completed a questionnaire about their demographic characteristics and health care use. Cancer-related information was retrieved from the Eindhoven Cancer Registry.Results: Endometrial cancer survivors visited their medical specialist more often (3.4 times per year) than the general population. In relation to their cancer, they visited their general practitioner once and their medical specialist twice per year. Use of additional care services was low (14%) but higher among younger survivors (33%). Younger women were more likely to make cancer-related visits to their general practitioner, whereas more highly educated women were less likely to visit their general practitioner and more likely to make cancer-related medical specialist visits. Women with more comorbid conditions were more likely to make general and cancer-related general practitioner visits. Radiotherapy and body mass index were not related to health care use.Conclusions: Endometrial cancer survivors use more health care than women in the general population. Younger women visit their general practitioner more often in relation to their cancer and use more additional care services. More highly educated survivors were more likely to visit a medical specialist in relation to their cancer.

U2 - 10.1097/igc.0b013e31829dd1e3

DO - 10.1097/igc.0b013e31829dd1e3

M3 - Article

VL - 23

SP - 1258

EP - 1265

JO - International Journal of Gynecological Cancer

JF - International Journal of Gynecological Cancer

SN - 1048-891X

IS - 7

ER -