Illness perceptions are associated with higher health care use in survivors of endometrial cancer: A study from the population-based PROFILES registry

M.S.Y Thong, Floortje Mols, Adrian A Kaptein, Dorry Boll, Caroline Vos, Johanna M A Pijnenborg, L.V. van de Poll-Franse, N.P.M. Ezendam

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Abstract

Objectives: 

According to the Common Sense Model of self-regulation, cancer survivors construct perceptions of their illness as a (mal)adaptive mechanism. These perceptions might impact on health care use. We aimed to explore the association between illness perceptions and health care use in stage I-II endometrial cancer (EC) survivors, and whether these associations differed by time since diagnosis.

Methods: 

A survey was conducted in 2008 by the population-based PROFILES registry among EC survivors diagnosed between 1999 and 2007. Survivors (n = 742, 77% response) completed the Brief Illness Perception Questionnaire (BIPQ) and questions on health care use in the past 12 months. Clinical data were accessed from the Netherlands Cancer Registry. Multiple logistic regression was used to evaluate the relationship between illness perceptions and health care use.

Results: 

Between 15 and 22% of the survivors had negative illness perceptions. Survivors with more negative perceptions on consequences, timeline, treatment control, identity, cognitive representation, concern, emotion, and emotional representation were more likely to make ≥ 1 visit to their family physician/general practitioner in relation to their cancer when compared with survivors with more positive illness perceptions. More negative perceptions on consequences, timeline, identity, and concern were associated with ≥ 2 general or cancer-related visits to the medical specialists. The association between negative illness perceptions and health care use was more prominent among long-term (>5 years post-diagnosis) EC survivors.

Conclusions: 

Negative illness perceptions among EC survivors were associated with higher health care use. For individuals with maladaptive illness perceptions, visits to their health care provider may reduce worry about their illness. Future research might address the effects of intervening in maladaptive illness perceptions on use of health care in this category of survivors.

Original languageEnglish
Pages (from-to)1935-1944
JournalSupportive Care in Cancer
Volume27
Issue number5
DOIs
Publication statusPublished - 2019

Fingerprint

Endometrial Neoplasms
Delivery of Health Care
Neoplasms
Family Physicians
Health Personnel
Netherlands
General Practitioners
Logistic Models

Keywords

  • Endometrial cancer
  • FOLLOW-UP
  • Health care use
  • Illness perceptions
  • METAANALYSIS
  • MORTALITY
  • PATIENT-REPORTED OUTCOMES
  • PEOPLE
  • Population-based
  • Survivors
  • WOMEN

Cite this

@article{17055c6b89a44302ae6eb577d5e4fd17,
title = "Illness perceptions are associated with higher health care use in survivors of endometrial cancer: A study from the population-based PROFILES registry",
abstract = "Objectives: According to the Common Sense Model of self-regulation, cancer survivors construct perceptions of their illness as a (mal)adaptive mechanism. These perceptions might impact on health care use. We aimed to explore the association between illness perceptions and health care use in stage I-II endometrial cancer (EC) survivors, and whether these associations differed by time since diagnosis.Methods: A survey was conducted in 2008 by the population-based PROFILES registry among EC survivors diagnosed between 1999 and 2007. Survivors (n = 742, 77{\%} response) completed the Brief Illness Perception Questionnaire (BIPQ) and questions on health care use in the past 12 months. Clinical data were accessed from the Netherlands Cancer Registry. Multiple logistic regression was used to evaluate the relationship between illness perceptions and health care use.Results: Between 15 and 22{\%} of the survivors had negative illness perceptions. Survivors with more negative perceptions on consequences, timeline, treatment control, identity, cognitive representation, concern, emotion, and emotional representation were more likely to make ≥ 1 visit to their family physician/general practitioner in relation to their cancer when compared with survivors with more positive illness perceptions. More negative perceptions on consequences, timeline, identity, and concern were associated with ≥ 2 general or cancer-related visits to the medical specialists. The association between negative illness perceptions and health care use was more prominent among long-term (>5 years post-diagnosis) EC survivors.Conclusions: Negative illness perceptions among EC survivors were associated with higher health care use. For individuals with maladaptive illness perceptions, visits to their health care provider may reduce worry about their illness. Future research might address the effects of intervening in maladaptive illness perceptions on use of health care in this category of survivors.",
keywords = "Endometrial cancer, FOLLOW-UP, Health care use, Illness perceptions, METAANALYSIS, MORTALITY, PATIENT-REPORTED OUTCOMES, PEOPLE, Population-based, Survivors, WOMEN",
author = "M.S.Y Thong and Floortje Mols and Kaptein, {Adrian A} and Dorry Boll and Caroline Vos and Pijnenborg, {Johanna M A} and {van de Poll-Franse}, L.V. and N.P.M. Ezendam",
year = "2019",
doi = "10.1007/s00520-018-4451-3",
language = "English",
volume = "27",
pages = "1935--1944",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer",
number = "5",

}

Illness perceptions are associated with higher health care use in survivors of endometrial cancer : A study from the population-based PROFILES registry. / Thong, M.S.Y; Mols, Floortje; Kaptein, Adrian A; Boll, Dorry; Vos, Caroline; Pijnenborg, Johanna M A; van de Poll-Franse, L.V.; Ezendam, N.P.M.

In: Supportive Care in Cancer, Vol. 27, No. 5, 2019, p. 1935-1944.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Illness perceptions are associated with higher health care use in survivors of endometrial cancer

T2 - A study from the population-based PROFILES registry

AU - Thong, M.S.Y

AU - Mols, Floortje

AU - Kaptein, Adrian A

AU - Boll, Dorry

AU - Vos, Caroline

AU - Pijnenborg, Johanna M A

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

AU - Ezendam, N.P.M.

PY - 2019

Y1 - 2019

N2 - Objectives: According to the Common Sense Model of self-regulation, cancer survivors construct perceptions of their illness as a (mal)adaptive mechanism. These perceptions might impact on health care use. We aimed to explore the association between illness perceptions and health care use in stage I-II endometrial cancer (EC) survivors, and whether these associations differed by time since diagnosis.Methods: A survey was conducted in 2008 by the population-based PROFILES registry among EC survivors diagnosed between 1999 and 2007. Survivors (n = 742, 77% response) completed the Brief Illness Perception Questionnaire (BIPQ) and questions on health care use in the past 12 months. Clinical data were accessed from the Netherlands Cancer Registry. Multiple logistic regression was used to evaluate the relationship between illness perceptions and health care use.Results: Between 15 and 22% of the survivors had negative illness perceptions. Survivors with more negative perceptions on consequences, timeline, treatment control, identity, cognitive representation, concern, emotion, and emotional representation were more likely to make ≥ 1 visit to their family physician/general practitioner in relation to their cancer when compared with survivors with more positive illness perceptions. More negative perceptions on consequences, timeline, identity, and concern were associated with ≥ 2 general or cancer-related visits to the medical specialists. The association between negative illness perceptions and health care use was more prominent among long-term (>5 years post-diagnosis) EC survivors.Conclusions: Negative illness perceptions among EC survivors were associated with higher health care use. For individuals with maladaptive illness perceptions, visits to their health care provider may reduce worry about their illness. Future research might address the effects of intervening in maladaptive illness perceptions on use of health care in this category of survivors.

AB - Objectives: According to the Common Sense Model of self-regulation, cancer survivors construct perceptions of their illness as a (mal)adaptive mechanism. These perceptions might impact on health care use. We aimed to explore the association between illness perceptions and health care use in stage I-II endometrial cancer (EC) survivors, and whether these associations differed by time since diagnosis.Methods: A survey was conducted in 2008 by the population-based PROFILES registry among EC survivors diagnosed between 1999 and 2007. Survivors (n = 742, 77% response) completed the Brief Illness Perception Questionnaire (BIPQ) and questions on health care use in the past 12 months. Clinical data were accessed from the Netherlands Cancer Registry. Multiple logistic regression was used to evaluate the relationship between illness perceptions and health care use.Results: Between 15 and 22% of the survivors had negative illness perceptions. Survivors with more negative perceptions on consequences, timeline, treatment control, identity, cognitive representation, concern, emotion, and emotional representation were more likely to make ≥ 1 visit to their family physician/general practitioner in relation to their cancer when compared with survivors with more positive illness perceptions. More negative perceptions on consequences, timeline, identity, and concern were associated with ≥ 2 general or cancer-related visits to the medical specialists. The association between negative illness perceptions and health care use was more prominent among long-term (>5 years post-diagnosis) EC survivors.Conclusions: Negative illness perceptions among EC survivors were associated with higher health care use. For individuals with maladaptive illness perceptions, visits to their health care provider may reduce worry about their illness. Future research might address the effects of intervening in maladaptive illness perceptions on use of health care in this category of survivors.

KW - Endometrial cancer

KW - FOLLOW-UP

KW - Health care use

KW - Illness perceptions

KW - METAANALYSIS

KW - MORTALITY

KW - PATIENT-REPORTED OUTCOMES

KW - PEOPLE

KW - Population-based

KW - Survivors

KW - WOMEN

U2 - 10.1007/s00520-018-4451-3

DO - 10.1007/s00520-018-4451-3

M3 - Article

VL - 27

SP - 1935

EP - 1944

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 5

ER -