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Psychological problems among cancer patients in relation to healthcare and societal costs: A systematic review.

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Title: Psychological problems among cancer patients in relation to healthcare and societal costs: A systematic review.
Authors: Van Beek, Florie E. (AUTHOR), Wijnhoven, Lonneke M. A. (AUTHOR), Holtmaat, Karen (AUTHOR), Custers, José A. E. (AUTHOR), Prins, Judith B. (AUTHOR), Verdonck‐de Leeuw, Irma M. (AUTHOR), Jansen, Femke (AUTHOR)
Source: Psycho-Oncology. Nov2021, Vol. 30 Issue 11, p1801-1835. 35p. 2 Diagrams, 8 Charts.
Subjects: Adjustment disorders, Job absenteeism, Cancer patients, Mental illness, Patient-family relations, Drugs
Abstract: Objective: This study systematically reviewed the association of psychological problems among cancer patients with healthcare and societal resource use and costs. Methods: PubMed, PsycINFO, and Embase were searched (until 31 January 2021) for studies on psychological symptoms (anxiety, depression, distress, fear of recurrence) or psychiatric disorders (anxiety, depression, adjustment) and healthcare use (e.g., mental, inpatient healthcare), economic losses by patients and family, economic losses in other sectors (e.g., absence from work), and costs. The search, data extraction, and quality assessment were performed by two authors. Results: Of the 4157 identified records, 49 articles were included (psychological symptoms (n = 34), psychiatric disorders (n = 14), both (n = 1)) which focused on healthcare use (n = 36), economic losses by patients and family (n = 5), economic losses in other sectors (n = 8) and/or costs (n = 13). In total, for 12 of the 94 associations strong evidence was found. Psychological symptoms and psychiatric disorders were positively associated with increased healthcare use (mental, primary, inpatient, outpatient healthcare), losses in other sectors (absence from work), and costs (inpatient, outpatient, total healthcare costs). Moderate evidence was found for a positive association between (any) psychiatric disorder and depression disorder with inpatient healthcare and medication use, respectively. Conclusions: Psychological problems in cancer patients are associated with increased healthcare use, healthcare costs and economic losses. Further research is needed on psychological problems in relation to understudied healthcare use or costs categories, productivity losses, and informal care costs. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Psychological problems among cancer patients in relation to healthcare and societal costs: A systematic review.
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  Data: <searchLink fieldCode="AR" term="%22Van+Beek%2C+Florie+E%2E%22">Van Beek, Florie E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wijnhoven%2C+Lonneke+M%2E+A%2E%22">Wijnhoven, Lonneke M. A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Holtmaat%2C+Karen%22">Holtmaat, Karen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Custers%2C+José+A%2E+E%2E%22">Custers, José A. E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Prins%2C+Judith+B%2E%22">Prins, Judith B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Verdonck‐de+Leeuw%2C+Irma+M%2E%22">Verdonck‐de Leeuw, Irma M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jansen%2C+Femke%22">Jansen, Femke</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Nov2021, Vol. 30 Issue 11, p1801-1835. 35p. 2 Diagrams, 8 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Adjustment+disorders%22">Adjustment disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Job+absenteeism%22">Job absenteeism</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-family+relations%22">Patient-family relations</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink>
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  Data: Objective: This study systematically reviewed the association of psychological problems among cancer patients with healthcare and societal resource use and costs. Methods: PubMed, PsycINFO, and Embase were searched (until 31 January 2021) for studies on psychological symptoms (anxiety, depression, distress, fear of recurrence) or psychiatric disorders (anxiety, depression, adjustment) and healthcare use (e.g., mental, inpatient healthcare), economic losses by patients and family, economic losses in other sectors (e.g., absence from work), and costs. The search, data extraction, and quality assessment were performed by two authors. Results: Of the 4157 identified records, 49 articles were included (psychological symptoms (n = 34), psychiatric disorders (n = 14), both (n = 1)) which focused on healthcare use (n = 36), economic losses by patients and family (n = 5), economic losses in other sectors (n = 8) and/or costs (n = 13). In total, for 12 of the 94 associations strong evidence was found. Psychological symptoms and psychiatric disorders were positively associated with increased healthcare use (mental, primary, inpatient, outpatient healthcare), losses in other sectors (absence from work), and costs (inpatient, outpatient, total healthcare costs). Moderate evidence was found for a positive association between (any) psychiatric disorder and depression disorder with inpatient healthcare and medication use, respectively. Conclusions: Psychological problems in cancer patients are associated with increased healthcare use, healthcare costs and economic losses. Further research is needed on psychological problems in relation to understudied healthcare use or costs categories, productivity losses, and informal care costs. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – SubjectFull: Cancer patients
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              Text: Nov2021
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