Healthcare use and costs in adult cancer patients with anxiety and depression

Autor:	Gabrielle Decastro, Richard Schwab, Brent T. Mausbach, Maria Tiamson-Kassab, Scott A. Irwin
Rok vydání:	2020
Předmět:	Adult medicine.medical_specialty Adolescent Population Psycho-oncology Anxiety Article 03 medical and health sciences 0302 clinical medicine Neoplasms Health care medicine Humans education Depression (differential diagnoses) Retrospective Studies education.field_of_study Depression business.industry Retrospective cohort study Health Care Costs Emergency department Anxiety Disorders Mental health 030227 psychiatry Psychiatry and Mental health Clinical Psychology Emergency medicine medicine.symptom Emergency Service Hospital business 030217 neurology & neurosurgery
Zdroj:	Depress Anxiety
ISSN:	1520-6394 1091-4269
DOI:	10.1002/da.23059
Popis:	Objective Anxiety and depression are common in individuals with cancer and may impact healthcare service use and costs in this population. This study examined the effects of anxiety alone, depression alone, and comorbid anxiety and depressive disorder on healthcare use and costs among patients with cancer. Method This was a retrospective cohort analysis of administrative data of patients aged 18 or older with an International Classification of Diseases, Ninth Revision diagnosis of cancer. Key outcomes were any visit to emergency department (ED), any inpatient hospitalization, length of hospital stays, and annual healthcare costs 1 year from cancer diagnosis. Results A total of 13,426 patients were included. Relative to patients with neither anxiety nor depression, those with anxiety alone, depression alone, or comorbid anxiety and depression were more likely to experience an ED visit and be hospitalized. Length of hospital stays were also longer and annual healthcare costs were significantly higher in all three clinical groups. Conclusions Cancer patients with anxiety and depression were at greater risk for ED visits and hospitalizations, experienced longer hospital stays, and accrued higher healthcare costs. Future researchers should determine whether screening and treating comorbid anxiety and depression may decrease healthcare utilization and improve turnover wellbeing among cancer patients.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::660a3462c5f1a776107c4dc377df3dbb https://doi.org/10.1002/da.23059 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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