Exploring associations between psychiatric disorder, psychological distress, and health care utilization in cancer patients

2018 ◽  
Vol 27 (3) ◽  
pp. 871-878 ◽  
Author(s):  
F.R. Compen ◽  
E.M.M. Adang ◽  
E.M. Bisseling ◽  
M.L. Van der Lee ◽  
A.E.M. Speckens
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Psychiatric Disorder ◽  
Health Care Utilization ◽  
Cancer Patients ◽  
Care Utilization

scholarly journals Concordance with NCCN treatment guidelines: Relations with health care utilization, cost, and mortality in breast cancer patients with secondary metastasis

Cancer ◽  
2018 ◽  
Vol 124 (21) ◽  
pp. 4231-4240 ◽  
Author(s):  
Gabrielle B. Rocque ◽  
Courtney P. Williams ◽  
Kelly M. Kenzik ◽  
Bradford E. Jackson ◽  
Andres Azuero ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Health Care Utilization ◽  
Cancer Patients ◽  
Treatment Guidelines ◽  
Care Utilization ◽  
Breast Cancer Patients ◽  
Utilization Cost ◽  
Secondary Metastasis

scholarly journals Health Care Utilization From Chemotherapy-Related Adverse Events Among Low-Income Breast Cancer Patients

2014 ◽  
Vol 75 (4) ◽  
pp. 231-238 ◽  
Author(s):  
Ravi K. Goyal ◽  
Stephanie B. Wheeler ◽  
Racquel E. Kohler ◽  
Kristen H. Lich ◽  
Ching-Ching Lin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Adverse Events ◽  
Health Care Utilization ◽  
Cancer Patients ◽  
Low Income ◽  
Care Utilization ◽  
Breast Cancer Patients

scholarly journals Health Care Utilization Among Adults With CKD and Psychological Distress

2019 ◽  
Vol 1 (4) ◽  
pp. 162-170 ◽  
Author(s):  
Namkee G. Choi ◽  
John E. Sullivan ◽  
Diana M. DiNitto ◽  
Mark E. Kunik
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Health Care Utilization ◽  
Care Utilization

Evaluating goals of care meetings for hospitialized cancer patients at risk for critical care.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 134-134
Author(s):  
Colleen C. Apostol ◽  
Julie Waldfogel ◽  
Elizabeth Pfoh ◽  
Donald C. List ◽  
Lynn Billing ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Critical Care ◽  
Health Care Utilization ◽  
Cancer Patients ◽  
Cancer Center ◽  
Care Utilization ◽  
Refractory Disease ◽  
Comfort Care ◽  
Goals Of Care

134 Background: Communication about care preferences is vital for care of cancer patients with advanced and refractory disease, particularly when they become ill enough to be at risk for critical care interventions potentially inconsistent with their preferences. It is vital to describe the use of goals of care discussions in patients with advanced/refractory cancer at risk for critical care and evaluate associations between these discussions and outcomes. Methods: Cohort study describing patient/families’ perceptions of goals of care meetings and comparing health care utilization outcomes of patients who did and who did not have discussions. Inpatient units of an academic cancer center included patients who had metastatic solid tumors or relapsed/refractory lymphoma or leukemia and were at risk for critical care (defined as requiring supplemental oxygen and/or a cardiac monitor). Results: Of 86 patients enrolled, 34 (39%) had a reported goals of care discussion. Patients/families reported their needs and goals were addressed moderately to quite a bit during the meetings. Patients with reported discussions were less likely to receive critical care (0% vs 22%, p=0.003) and more likely to be discharged to hospice (48% vs 30%, p=0.04). Only one patient with a goals of care discussion died during the index hospitalization (on comfort care) (3%) compared with 9% among those without discussions (p=0.08). Conclusions: Goals of care meetings should be incorporated into usual care for cancer patients with advanced or refractory disease at risk for critical care during a hospitalization, in order to improve concordance between care received and patient and family preferences. Goals of care meetings for advanced/refractory cancer inpatients at risk for critical care can address patient and family goals and needs and improve health care utilization outcomes. These meetings should be part of routine care in this patient population.

Palliative care and end-of-life health utilization in elder patients with pancreatic cancer.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 488-488
Author(s):  
Nizar Bhulani ◽  
Ang Gao ◽  
Arjun Gupta ◽  
Jenny Jing Li ◽  
Chad Guenther ◽  
...  
Keyword(s):  
Health Care ◽  
Pancreatic Cancer ◽  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Health Care Utilization ◽  
End Of Life ◽  
Cancer Patients ◽  
Cost Of Care ◽  
Care Utilization

488 Background: Prospective trials have shown that palliative care is associated with improved survival and quality of life, with lower rate of end-of-life health care utilization and cost. We examined trends in palliative care utilization in older pancreatic cancer patients. Methods: Pancreatic cancer patients with and without palliative care consults were identified using the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database between 2000 and 2009. Trend of palliative care use was studied. Emergency room and Intensive Care utilization and costs in the last 30 days of life were assessed. Statistical analyses were performed with SAS version 9.4 (SAS Institute, Inc., Cary, NC). Results: Of the 72205 patients with pancreatic cancer, 3383 (4.1%) received palliative care. The proportion of patients receiving palliative care increased from 1.8% in 2000 to 7.8% in 2009 (p for trend < 0.001). Patients with palliative care were more likely to be Asian and women. Of those who received palliative care, 73% received it in the last 30 days of life, and only 11% at least 12 weeks before death. The average number of visits to the ED in the last 30 days of life were significantly higher for patients who received palliative care (0.93±0.62) versus those who did not (0.79±0.61), p < 0.001, and had a significantly higher cost of care ($1317 vs $842, p < 0.001). Intensive care unit length of stay in the last 30 days of life did not differ between patients who did and did not receive palliative care (1.14 days vs 1.04 days, p 0.08). Intensive care unit cost of care was significantly higher for patients with palliative care compared to their counterparts ($5202.641 vs $3896.750, p < 0.001). Conclusions: Palliative care use for pancreatic cancer patients has increased between 2000 and 2009 in this study of Medicare patients. However, it was largely offered close to the end of life and was not associated with reduced health care utilization or cost. Early palliative care referral may be more beneficial.

The role of psychological distress on symptoms and health care utilization in patients with irritable bowel syndrome

2000 ◽  
Vol 118 (4) ◽  
pp. A399
Author(s):  
Yuri A. Saito ◽  
G Richard Locke ◽  
Donald E. Williams ◽  
Nicholas J. Talley ◽  
Alan R. Zinsmeister ◽  
...  
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Irritable Bowel

scholarly journals Health care utilization and mortality associated with heart failure‐related admissions among cancer patients

2019 ◽  
Vol 6 (4) ◽  
pp. 733-746 ◽  
Author(s):  
Avirup Guha ◽  
Amit Kumar Dey ◽  
Merna Armanious ◽  
Katherine Dodd ◽  
Janice Bonsu ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Health Care Utilization ◽  
Cancer Patients ◽  
Care Utilization
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