More frequent use of health care services among distressed compared with nondistressed survivors of lymphoma and chronic lymphocytic leukemia

Results from the population-based PROFILES registry

Lindy P. J. Arts*, Simone Oerlemans, Lidwine Tick, Ad Koster, Henk T. J. Roerdink, Lonneke V. van de Poll-Franse

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background

Follow-up care for a growing population of survivors of lymphoma and chronic lymphocytic leukemia (CLL) together with the adverse effects these survivors may experience as a result of their cancer and treatment have led to more pressure being placed on health care services. The objectives of the current study were to: 1) compare the use of medical care services by survivors with that of a normative population; 2) evaluate the use of medical and psychosocial care services among distressed and nondistressed survivors; and 3) identify associated sociodemographic and clinical factors. 

Methods

Survivors of lymphoma and CLL diagnosed between 1999 and 2012 were selected via the population-based Netherlands Cancer Registry and completed the Hospital Anxiety and Depression Scale questionnaire and questions regarding health care. Outcomes were compared with an age-matched and sex-matched normative population. 

Results

A total of 1444 survivors responded (69%). Survivors of lymphoma and CLL contacted their general practitioner (3.8 vs 2.3; P<.001) and medical specialist (5.7 vs 1.6; P<.001) more often within the last year compared with a normative population. In addition, psychologically distressed survivors had even more medical contacts and received psychosocial care more often compared with nondistressed survivors. In addition to psychological distress, comorbidity, female sex, and older age were found to be associated with a greater use of medical services, whereas younger age was associated with receiving psychosocial care.

CONCLUSIONS

Survivors of lymphoma and CLL, especially those who are psychologically distressed, report an increased use of health care services compared with a normative population. Further studies are needed to explore whether the use of widely applicable psychosocial interventions could reduce the frequency of medical contacts

Original languageEnglish
Pages (from-to)3016-3024
JournalCancer
Volume124
Issue number14
DOIs
Publication statusPublished - 2018

Keywords

  • chronic lymphocytic leukemia (CLL)
  • health care use
  • lymphoma
  • medical contacts
  • psychological distress
  • psychosocial care
  • survivors
  • NON-HODGKINS-LYMPHOMA
  • B-CELL LYMPHOMA
  • FOLLOW-UP CARE
  • CANCER SURVIVORS
  • PSYCHOLOGICAL DISTRESS
  • DEPRESSION SCALE
  • HOSPITAL ANXIETY
  • BREAST-CANCER
  • DUTCH POPULATION
  • INTERVIEW SURVEY

Cite this

@article{29471f47a6da4bb3b09c3a7529583a29,
title = "More frequent use of health care services among distressed compared with nondistressed survivors of lymphoma and chronic lymphocytic leukemia: Results from the population-based PROFILES registry",
abstract = "BackgroundFollow-up care for a growing population of survivors of lymphoma and chronic lymphocytic leukemia (CLL) together with the adverse effects these survivors may experience as a result of their cancer and treatment have led to more pressure being placed on health care services. The objectives of the current study were to: 1) compare the use of medical care services by survivors with that of a normative population; 2) evaluate the use of medical and psychosocial care services among distressed and nondistressed survivors; and 3) identify associated sociodemographic and clinical factors. MethodsSurvivors of lymphoma and CLL diagnosed between 1999 and 2012 were selected via the population-based Netherlands Cancer Registry and completed the Hospital Anxiety and Depression Scale questionnaire and questions regarding health care. Outcomes were compared with an age-matched and sex-matched normative population. ResultsA total of 1444 survivors responded (69{\%}). Survivors of lymphoma and CLL contacted their general practitioner (3.8 vs 2.3; P<.001) and medical specialist (5.7 vs 1.6; P<.001) more often within the last year compared with a normative population. In addition, psychologically distressed survivors had even more medical contacts and received psychosocial care more often compared with nondistressed survivors. In addition to psychological distress, comorbidity, female sex, and older age were found to be associated with a greater use of medical services, whereas younger age was associated with receiving psychosocial care.CONCLUSIONSSurvivors of lymphoma and CLL, especially those who are psychologically distressed, report an increased use of health care services compared with a normative population. Further studies are needed to explore whether the use of widely applicable psychosocial interventions could reduce the frequency of medical contacts",
keywords = "chronic lymphocytic leukemia (CLL), health care use, lymphoma, medical contacts, psychological distress, psychosocial care, survivors, NON-HODGKINS-LYMPHOMA, B-CELL LYMPHOMA, FOLLOW-UP CARE, CANCER SURVIVORS, PSYCHOLOGICAL DISTRESS, DEPRESSION SCALE, HOSPITAL ANXIETY, BREAST-CANCER, DUTCH POPULATION, INTERVIEW SURVEY",
author = "Arts, {Lindy P. J.} and Simone Oerlemans and Lidwine Tick and Ad Koster and Roerdink, {Henk T. J.} and {van de Poll-Franse}, {Lonneke V.}",
year = "2018",
doi = "10.1002/cncr.31410",
language = "English",
volume = "124",
pages = "3016--3024",
journal = "Cancer: A journal of the American Cancer Society",
issn = "0008-543X",
publisher = "Wiley",
number = "14",

}

More frequent use of health care services among distressed compared with nondistressed survivors of lymphoma and chronic lymphocytic leukemia : Results from the population-based PROFILES registry. / Arts, Lindy P. J.; Oerlemans, Simone; Tick, Lidwine; Koster, Ad; Roerdink, Henk T. J.; van de Poll-Franse, Lonneke V.

In: Cancer, Vol. 124, No. 14, 2018, p. 3016-3024.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - More frequent use of health care services among distressed compared with nondistressed survivors of lymphoma and chronic lymphocytic leukemia

T2 - Results from the population-based PROFILES registry

AU - Arts, Lindy P. J.

AU - Oerlemans, Simone

AU - Tick, Lidwine

AU - Koster, Ad

AU - Roerdink, Henk T. J.

AU - van de Poll-Franse, Lonneke V.

PY - 2018

Y1 - 2018

N2 - BackgroundFollow-up care for a growing population of survivors of lymphoma and chronic lymphocytic leukemia (CLL) together with the adverse effects these survivors may experience as a result of their cancer and treatment have led to more pressure being placed on health care services. The objectives of the current study were to: 1) compare the use of medical care services by survivors with that of a normative population; 2) evaluate the use of medical and psychosocial care services among distressed and nondistressed survivors; and 3) identify associated sociodemographic and clinical factors. MethodsSurvivors of lymphoma and CLL diagnosed between 1999 and 2012 were selected via the population-based Netherlands Cancer Registry and completed the Hospital Anxiety and Depression Scale questionnaire and questions regarding health care. Outcomes were compared with an age-matched and sex-matched normative population. ResultsA total of 1444 survivors responded (69%). Survivors of lymphoma and CLL contacted their general practitioner (3.8 vs 2.3; P<.001) and medical specialist (5.7 vs 1.6; P<.001) more often within the last year compared with a normative population. In addition, psychologically distressed survivors had even more medical contacts and received psychosocial care more often compared with nondistressed survivors. In addition to psychological distress, comorbidity, female sex, and older age were found to be associated with a greater use of medical services, whereas younger age was associated with receiving psychosocial care.CONCLUSIONSSurvivors of lymphoma and CLL, especially those who are psychologically distressed, report an increased use of health care services compared with a normative population. Further studies are needed to explore whether the use of widely applicable psychosocial interventions could reduce the frequency of medical contacts

AB - BackgroundFollow-up care for a growing population of survivors of lymphoma and chronic lymphocytic leukemia (CLL) together with the adverse effects these survivors may experience as a result of their cancer and treatment have led to more pressure being placed on health care services. The objectives of the current study were to: 1) compare the use of medical care services by survivors with that of a normative population; 2) evaluate the use of medical and psychosocial care services among distressed and nondistressed survivors; and 3) identify associated sociodemographic and clinical factors. MethodsSurvivors of lymphoma and CLL diagnosed between 1999 and 2012 were selected via the population-based Netherlands Cancer Registry and completed the Hospital Anxiety and Depression Scale questionnaire and questions regarding health care. Outcomes were compared with an age-matched and sex-matched normative population. ResultsA total of 1444 survivors responded (69%). Survivors of lymphoma and CLL contacted their general practitioner (3.8 vs 2.3; P<.001) and medical specialist (5.7 vs 1.6; P<.001) more often within the last year compared with a normative population. In addition, psychologically distressed survivors had even more medical contacts and received psychosocial care more often compared with nondistressed survivors. In addition to psychological distress, comorbidity, female sex, and older age were found to be associated with a greater use of medical services, whereas younger age was associated with receiving psychosocial care.CONCLUSIONSSurvivors of lymphoma and CLL, especially those who are psychologically distressed, report an increased use of health care services compared with a normative population. Further studies are needed to explore whether the use of widely applicable psychosocial interventions could reduce the frequency of medical contacts

KW - chronic lymphocytic leukemia (CLL)

KW - health care use

KW - lymphoma

KW - medical contacts

KW - psychological distress

KW - psychosocial care

KW - survivors

KW - NON-HODGKINS-LYMPHOMA

KW - B-CELL LYMPHOMA

KW - FOLLOW-UP CARE

KW - CANCER SURVIVORS

KW - PSYCHOLOGICAL DISTRESS

KW - DEPRESSION SCALE

KW - HOSPITAL ANXIETY

KW - BREAST-CANCER

KW - DUTCH POPULATION

KW - INTERVIEW SURVEY

U2 - 10.1002/cncr.31410

DO - 10.1002/cncr.31410

M3 - Article

VL - 124

SP - 3016

EP - 3024

JO - Cancer: A journal of the American Cancer Society

JF - Cancer: A journal of the American Cancer Society

SN - 0008-543X

IS - 14

ER -