Health care costs of depression in patients diagnosed with cancer

Yeung, Philip Chun; Bos, Taylor; Irwin, Scott A.

doi:10.1002/pon.4716

Cited by 35 publications

(50 citation statements)

References 41 publications

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“…But this paper did not stratify the analyses by payers [11]. A more recent paper examining healthcare charges for cancer patients in the first year after diagnosis from the University of California San Diego Healthcare System found that depressed individuals had 113% higher total annual healthcare charges compared to those without depression [12].…”

Section: Introductionmentioning

confidence: 96%

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Association between depression and healthcare expenditures among elderly cancer patients

Morgan

et al. 2020

BMC Psychiatry

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Background: Both depression and cancer are economically burdensome. However, how depression affects the healthcare expenditures of elderly cancer patients from payers' and patients' perspectives is largely unknown. This study investigated whether depression resulted in higher healthcare expenditures among these patients from both payers' and patients' perspectives and identified health service use categories associated with increased expenditures. Methods: From the Medicare Current Beneficiary Survey (MCBS)-Medicare database, we identified breast, lung and prostate cancer patients aged 65 years and over who were newly diagnosed between 2007 and 2012. Presence of depression was based on self-reports from the surveys. We used generalized linear models (GLM) and two-part models to examine the impact of depression on healthcare expenditures during the first two years of cancer diagnosis controlling for a vast array of covariates. We stratified the analyses of total healthcare expenditures by healthcare services and payers. Results: Out of the 710 elderly breast, lung and prostate cancer patients in our study cohort, 128 (17.7%) reported depression. Individuals with depression had $11,454 higher total healthcare expenditures, $8213 higher medical provider expenditures and $405 higher other services expenditures compared to their counterparts without depression. Also, they were significantly more likely to have inpatient services. For payers, they incurred $8280 and $1270 higher expenditures from Medicare's and patients' perspectives, respectively. Conclusions: Elderly cancer patients with depression have significantly higher healthcare expenditures from both payers' and patients' perspectives and over different expenditure types. More research is needed in depression screening, diagnosis and treatment for this population.

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Section: Introductionmentioning

confidence: 96%

“…However, the magnitude is less known. Only a few studies have examined the higher healthcare expenditures associated with depression among cancer patients [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Association between depression and healthcare expenditures among elderly cancer patients

Morgan

et al. 2020

BMC Psychiatry

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“…Women with breast cancer are three times more likely than their healthy counterparts to develop clinically significant depression in the year following diagnosis . They do not only experience lower quality of life but also are at greater risk for medical comorbidities, incur higher medical care costs, and have shorter survival after diagnosis relative to nondepressed survivors. Although depression can be treated effectively in cancer patients, prevention eliminates the substantially increased risk for recurrent depression after a first major depressive episode .…”

Section: Introductionmentioning

confidence: 99%

A preventive intervention to modify depression risk targets after breast cancer diagnosis: Design and single‐arm pilot study

et al. 2019

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Objective Apply the National Institutes of Health (NIH) Stage Model to design and test an intervention to prevent depression in breast cancer patients at risk for depression. Methods We identified mindful emotion awareness, along with approach and avoidance strategies for cancer‐related coping and emotion regulation, as targets for a preventive intervention adapted from the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Patients' preferences for individual, in‐person, and time‐efficient sessions informed the design. Patients at risk for depression received a 6‐week, 5‐hour intervention with daily exercises. Intervention targets were assessed at baseline, before each session, and 4‐weeks post intervention. Mixed effects analysis of variance (ANOVA) assessed change over the follow‐up period, controlling for age, partnered status, and disease stage. Results Fifty‐five percent (40/72) of women screened within 6 months of diagnosis had elevated depression risk. Of these, 24 (60%) signed consent. Sixteen received intervention after five were excluded for current depressive disorder, cognitive impairment, or death. Three dropped out. Ninety‐eight percent attendance and 77% practice days indicated feasibility. Effect sizes (Cohen's d) corrected for regression to the mean (RTM) were 0.82 for cancer‐related acceptance coping, 0.65 for cancer‐related emotional expression, and 0.32 and 0.42 for decreased cancer‐related avoidance coping and depressive symptoms, respectively. Effect sizes for variables lacking data to correct for RTM were 1.0, 0.7, and 0.5 for decreased rumination, experiential avoidance, and fear of depression, respectively, and 1.3, 0.6, and 0.4 for increased cognitive flexibility, distress tolerance, and describing/not judging emotions, respectively. Conclusions The feasibility of this intervention and malleability of its targets support its further investigation.

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“…Cancer, one of the foremost health problems of the age, has taken on greater significance in preventive health services due to the increase in the incidence of this disease (1,2). While cancer was ranked as 7th and 8th among the diseases causing death by the early part of this century, it is today ranked 2nd, following cardiac diseases, in many countries including Turkey (1,3).…”

Section: Introductionmentioning

confidence: 99%

“…Because life expectancy has increased, cancer has become one of the chronic health problems nowadays. In response to this threat, there have been innovations in diagnosis and treatment methods, increased use of healthcare organizations, and developments in the diagnosis and treatment of many acute and chronic disease (2,4). Ateşçi et al (5) define cancer as a persistent and terminal disease as well as an important problem causing emotional, mental, and behavioral reactions.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Personality Characteristics between Patients with Cancer and the Control Group

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Ataoğlu

et al. 2019

Düzce Tıp Fakültesi Dergisi

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Aim: It is known that personality can affect most of the issues related to physical and mental health. It is thought that some personality features carry importance as a factor in cancer development, and therefore, the theory of a cancer-prone personality continues to attract researchers' attention. The aim of this study is to investigate and compare the differences in personality characteristics between patients with different types of cancer and healthy control group. Material and Methods: A total of 193 participants, patients with different types of cancer (n=100) and healthy individuals as the control group (n=93), were included in this study. Hacettepe Personality Inventory (HPI) was used to obtain the data related with personality traits. Results: The mean score of self-realization (SR) and emotional stability (ES), which are personal adaptation subscales of the HPI, was found to be significantly lower in cancer group compared to control group (p=0.016 and p=0.009). As a result of further analyses performed according to cancer types, it was found that both SR and ES scores in head-neck cancer group were lower than both control group and other subgroups of cancer types (p=0.004 and p=0.001). Conclusion: The results of this study revealed that there are differences between cancer and control groups in terms of personality characteristics. Overall, it was thought that the personality characteristics that are unique to patients with head-neck cancers may be the reactions that appear as a result of the development of head-neck cancer rather than a significant factor in cancer development.

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Health care costs of depression in patients diagnosed with cancer

Cited by 35 publications

References 41 publications

Association between depression and healthcare expenditures among elderly cancer patients

Association between depression and healthcare expenditures among elderly cancer patients

A preventive intervention to modify depression risk targets after breast cancer diagnosis: Design and single‐arm pilot study

A Comparison of Personality Characteristics between Patients with Cancer and the Control Group

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