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

Ye, Star; Williams, Courtney; Gilbert, Aidan D; Huang, Chao-Hui; Salter, Terri; Rocque, Gabrielle Betty

doi:10.1089/jpm.2020.0329

Cited by 2 publications

(6 citation statements)

References 26 publications

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“…Across seven databases, 1551 abstracts were identified and reviewed against eligibility criteria (Figure 1). From this pool, 133 were selected for full text review and 19 peer‐reviewed articles were included in the systematic review 13–22,31–39 . The publication date for included articles ranged from 2001 to 2023.…”

Section: Resultsmentioning

confidence: 99%

“…Several different validated depression questionnaires were used to quantify depressive symptomology as a form of emotional distress across studies which ranged from ultra‐short measures 41 to moderate 47–51 and long self‐report surveys 52,53 . Three studies reported significant relationships between depression and future healthcare utilization, 18,20,38 while four studies found no significant relationships 16,35,37,39 …”

Section: Resultsmentioning

confidence: 99%

“…14 A less consistent pattern of results was observed for depressive symptoms with three studies reporting significant relationships between depression and healthcare use 18,20,38 and four studies finding no significant relationship. 16,35,37,39 These inconsistent findings may be related to the diversity of questionnaires used to assess symptoms. Additionally, although all included studies utilized psychometrically valid emotional distress questionnaires, sensitivity and specificity can vary widely by measure.…”

Section: Discussionmentioning

confidence: 99%

“…selected for full text review and 19 peer-reviewed articles were included in the systematic review. [13][14][15][16][17][18][19][20][21][22][31][32][33][34][35][36][37][38][39] The publication date for included articles ranged from 2001 to 2023.…”

Section: Study Selectionmentioning

confidence: 99%

“…52,53 Three studies reported significant relationships between depression and future healthcare utilization, 18,20,38 while four studies found no significant relationships. 16,35,37,39 Lo and colleagues were interested in exploring depression and healthcare utilization in a heterogeneous sample of advanced cancer patients across a 12-month period. 20 Following baseline assessment, individuals with scores in the clinical depression range (BDI-II ≥ 20) were 2.35 times more likely to meet with their primary care providers for mental health concerns compared to those without clinical depression scores.…”

Section: Depressionmentioning

confidence: 99%

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Emotional distress and future healthcare utilization in oncology populations: A systematic review

Kirsch,

Roche,

Bronars

et al. 2024

Psycho-Oncology

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ObjectiveEmotional distress has been correlated with greater healthcare utilization and economic costs in cancer; however, the prospective relationship between positive distress screens and future healthcare utilization is less clear. Taken together, there is a critical need to synthesize studies examining the prospective relationship between emotional distress and future healthcare use to inform distress management protocols and motivate institutional resource allocation to distress management. The aim of the systematic review is to explore the relationship between emotional distress, measured via validated emotional distress questionnaires, and subsequent healthcare utilization in patients diagnosed with cancer.MethodsA systematic search of seven databases was conducted on 29 March 2022 and updated 3 August 2023. Eligibility criteria were: (1) peer‐reviewed, (2) quantitative or mixed methods, (3) adults (≥18 years) diagnosed with cancer, (4) cancer distress questionnaire(s) completed prior to healthcare utilization, and (5) written in English. Exclusion criteria included: (1) non‐emotional aspects of distress (i.e., spiritual or physical distress), (2) healthcare utilization characterized via economic or monetary variables, and (3) caregiver or non‐cancer populations.ResultsNineteen peer‐reviewed articles were included in the review. There was significant heterogeneity in emotional distress instruments and type of healthcare utilization used. Most studies examining general distress or anxiety found that increased distress was predictive of greater future healthcare utilization.ConclusionThe results suggest that individuals with higher levels of general distress and anxiety are at increased risk for future healthcare utilization.

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Section: Resultsmentioning

confidence: 99%