The Impact of Depression on Health Care Utilization in Patients with Cancer

2021 ◽  
Author(s):  
Star Ye ◽  
Courtney P. Williams ◽  
Aidan D. Gilbert ◽  
Chao-Hui Huang ◽  
Terri L. Salter ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Patients With Cancer ◽  
The Impact

Impact of diabetes and hyperglycemia on health care utilization, infection risk, and survival in patients with cancer receiving glucocorticoids with chemotherapy.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 19-19
Author(s):  
Dylan M. Zylla ◽  
Grace Gilmore ◽  
Justin Eklund ◽  
Sara Richter ◽  
Anders Carlson
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Hospital Admissions ◽  
Urgent Care ◽  
Care Utilization ◽  
Intravenous Chemotherapy ◽  
Logistic Regression Models ◽  
Patients With Cancer ◽  
One Year ◽  
The Impact

19 Background: Glucocorticoid (GC) use is commonly used in chemotherapy regimens and may lead to hyperglycemia and increased infection rates. We assessed the impact of diabetes (DM) and hyperglycemia on rates of health-care utilization, infections and survival among patients with cancer receiving chemotherapy. Methods: We performed a retrospective analysis on 1,781 patients who received intravenous chemotherapy with GC between 2010 and 2015. Demographic, clinical, and health-care utilization (HCU) data was obtained using electronic medical record, billing modules, and the tumor registry; HCU included tallies of emergency room, urgent care, and inpatient visits. Logistic regression models were used to compare survival and new infections between patients with and without DM, after adjusting for demographic and cancer-related variables. Results: In the first 12 months following chemotherapy, patients with DM (n = 330) had higher rates of hospital admissions (70.9% vs 57.4%, p< 0.001), more infection-related admissions (37.0% vs 29.2%, p = 0.007), and increased rates of new infections (61.2% vs 49.2%, p < 0.001) when compared to patients without DM (n = 1,451). One-year survival rate was worse among patients with DM (67.3% vs 78.3%, p < 0.001), as well as patients with at least one glucose reading above 300 mg/dL following chemotherapy (60.8% vs 78.5, p < 0.001). After adjusting for cancer stage, age, and gender, we found DM history increased the odds of dying within one year after diagnosis by 86% (OR 1.86, 95% CI (1.37 – 2.52), p < 0.001) and of new infections by 68% (OR 1.68, 95% CI (1.26 – 2.24), p < 0.001). Conclusions: Among patients with cancer receiving intravenous chemotherapy with GC we demonstrate patients with DM have more hospital admissions, increased rates of infections, and worse survival. Prospective studies are urgently needed to elucidate what level of glycemic control is needed to potentially improve outcomes for patients with DM receiving chemotherapy with GC.

The Impact of Behavioral Feeding Intervention on Health Care Utilization

2011 ◽  
Vol 40 (4) ◽  
pp. 282-296 ◽  
Author(s):  
Nancy F. Bandstra ◽  
William B. Crist ◽  
Anne Napier-Phillips ◽  
Gordon Flowerdew
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
The Impact

scholarly journals PRS14 THE IMPACT OF ASTHMA ON HEALTH CARE UTILIZATION AND EXPENDITURE OF PEDIATRIC PATIENTS

2010 ◽  
Vol 13 (3) ◽  
pp. A198
Author(s):  
X Song ◽  
R Shenolikar ◽  
LA Costa ◽  
J Anderson ◽  
BC Chu
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Pediatric Patients ◽  
Care Utilization ◽  
The Impact

The Impact of Housing Status on Health Care Utilization Among Persons With HIV Disease

1996 ◽  
Vol 7 (1) ◽  
pp. 36-49 ◽  
Author(s):  
Peter S. Arno ◽  
Karen A. Bonuck ◽  
Jesse Green ◽  
John Fleishman ◽  
Charles L. Bennett ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Hiv Disease ◽  
Housing Status ◽  
The Impact

The Impact of Marital Conflict on Health and Health Care Utilization in Older Couples

2009 ◽  
Vol 14 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Jonathan G. Sandberg ◽  
Richard B. Miller ◽  
James M. Harper ◽  
Mihaela Robila ◽  
Adam Davey
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Marital Conflict ◽  
Care Utilization ◽  
Older Couples ◽  
The Impact
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