Cancer worry is associated with increased use of supportive health care—results from the multinational InCHARGE study

Autor: Jeppesen, M. M., Bergholdt, S. H., Bentzen, A. G., de Rooij, B. H., Skorstad, M., Ezendam, N. P.M., van de Poll-Franse, L. V., Vistad, I., Jensen, P. T.
Rok vydání: 2023
Předmět:
Zdroj: Jeppesen, M M, Bergholdt, S H, Bentzen, A G, de Rooij, B H, Skorstad, M, Ezendam, N P M, van de Poll-Franse, L V, Vistad, I & Jensen, P T 2023, ' Cancer worry is associated with increased use of supportive health care—results from the multinational InCHARGE study ', Journal of Cancer Survivorship . https://doi.org/10.1007/s11764-023-01337-w
ISSN: 1932-2267
1932-2259
Popis: Purpose: To assess use of health care following a diagnosis of endometrial, cervical, and ovarian cancer in the Netherlands, Norway, and Denmark. Furthermore, to analyze the association between cancer worry and use of supportive care. Methods: An international multicenter cross-sectional questionnaire study was undertaken among female cancer survivors with endometrial, cervical, or ovarian cancer 1–7 years post diagnosis. We investigated different aspects of cancer survivorship and follow-up care. Health care use included information on the use of supportive health care, general practitioner (GP), and follow-up visits to the department of gynecology. Cancer worry was assessed with the Impact of Cancer (IoCv2) questionnaire. Results: A total of 1433 women completed the questionnaire. Health care use decreased from time of diagnosis and was higher among cervical and ovarian cancer survivors than endometrial cancer survivors. Twenty-five percent of the women with ovarian cancer reported severe cancer worry, in contrast to 10 and 15% of women diagnosed with endometrial and cervical cancer, respectively. Women with severe worry had significantly higher use of supportive care activities. In a multivariable regression analysis, cancer worry remained a significant correlate for use of supportive health care services irrespective of disease severity or prognosis. The strongest association was found for use of a psychologist (OR 2.1 [1.71–2.58]). Conclusion: Cancer worry is associated with increased use of supportive care. Implications for Cancer Survivors: Targeted, timely, and accessible psychological support aimed at severe cancer worry may improve survivorship care and ensure optimal referral of patients in need of additional care.
Databáze: OpenAIRE
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