2017
DOI: 10.1002/cncr.30912
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The relationship between physical and psychological symptoms and health care utilization in hospitalized patients with advanced cancer

Abstract: Background Patients with advanced cancer often experience frequent and prolonged hospitalizations; however factors associated with greater healthcare utilization have not been described. We sought to investigate the relationship between patients’ physical and psychological symptom burden and healthcare utilization. Methods We enrolled patients with advanced cancer and unplanned hospitalizations from September 2014-May 2016. Upon admission, we assessed physical (Edmonton Symptom Assessment System [ESAS]) and … Show more

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Cited by 188 publications
(206 citation statements)
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“…Up to one third of patients with advanced cancer report experiencing severe anxiety symptoms . Such anxiety is often not only comorbid with depression and physical symptoms such as fatigue and pain but also associated with worse quality of life (QOL) , poor coping , suboptimal adherence to chemotherapy , and increased health care use . A first‐line treatment for anxiety is cognitive‐behavioral therapy (CBT), which investigators have demonstrated to be efficacious in the general population .…”
Section: Introductionmentioning
confidence: 99%
“…Up to one third of patients with advanced cancer report experiencing severe anxiety symptoms . Such anxiety is often not only comorbid with depression and physical symptoms such as fatigue and pain but also associated with worse quality of life (QOL) , poor coping , suboptimal adherence to chemotherapy , and increased health care use . A first‐line treatment for anxiety is cognitive‐behavioral therapy (CBT), which investigators have demonstrated to be efficacious in the general population .…”
Section: Introductionmentioning
confidence: 99%
“…Cancer patients are frequently hospitalised (Nipp et al, 2017), and their families are generally required to act as caregivers (Choi, Bae, Kim, & Tae, 2016). Caregiver burden in families of patients affects their physical, mental, social and economic activities (Ennis & Bunting, 2013).…”
Section: Introductionmentioning
confidence: 99%
“…29 In a recent study among patients hospitalized for advanced cancer, the rate of depressive symptoms was 29%. 30 In this sample of patients for whom oral oncolytic treatment often represented the last available line of treatment, only 23% scored at 16 or higher on the CES-D20. In this report, we used a lower cut-off of 8 on CES-D20 that corresponded to being above or below the national mean for depressive symptoms, according to the cross-walk between the CES-D20 and the PROMIS Depression measure.…”
Section: Resultsmentioning
confidence: 82%
“…The cut‐off of 16 on CES‐D20 has been used to screen for depression, and in past studies of this team with patients treated with infusion chemotherapy for solid tumor cancers, 34% of patients scored at or above 16 . In a recent study among patients hospitalized for advanced cancer, the rate of depressive symptoms was 29% . In this sample of patients for whom oral oncolytic treatment often represented the last available line of treatment, only 23% scored at 16 or higher on the CES‐D20.…”
Section: Resultsmentioning
confidence: 99%