Pernille Tine Jensen

Cervical cancer survivors and health care use: A Danish population-based register study

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Malene Skorstengaard, University of Copenhagen, Department of Public Health
  • ,
  • Maria Eiholm Frederiksen, University of Copenhagen, Department of Public Health
  • ,
  • Miguel Vázquez-Prada Baillet, Københavns Universitet
  • ,
  • Anna-Belle Beau, Universite Toulouse III - Paul Sabatier
  • ,
  • Pernille Tine Jensen
  • Carsten Rygaard, Københavns Universitet
  • ,
  • Jesper Hallas, Syddansk Universitet
  • ,
  • Elsebeth Lynge, Københavns Universitet

OBJECTIVE: To evaluate the impact of a cervical cancer (CC) diagnosis on use of health care and prescription drugs.

METHODS: This population-based register-study included Danish women aged 23-59 years and diagnosed with CC in 2001-2005. Women with a cervical screening outcome were used as comparison group. We obtained number of contacts to general practitioners (GPs), hospitals, psychologists/psychiatrists and defined daily doses (DDD) of analgesic/psychotropic prescription drugs. A difference-in-differences-design was used to estimate effect of a CC diagnosis on health-care use from five-year periods before and after the diagnosis/screening outcome.

RESULTS: In total, 926 women with CC and 1,004,759 women without cancer were included. In five years following the date of CC diagnosis, CC patients had increased their use of GPs with 8.6 (95% CI 4.8-12.4) contacts more than women in the comparison group, and with 4.12 (95% CI 3.99-4.25) more hospital contacts. In contrast, use of psychologists/psychiatrists was low and largely unaffected by the CC diagnosis. For use of prescription drugs, analgesics increased with 80 (95% CI 60-100) DDD more in CC patients than in comparison women, and for psychotropics with 304 (95% CI 261-347) DDD more.

CONCLUSIONS: A CC diagnosis was followed by an increase in use of GPs, hospitals, and analgesic/psychotropic prescription drugs, while use of psychologist/psychiatrist was largely unaffected. This pattern may indicate that pain/mental health concerns after CC either persisted or were alleviated by other means only.

OriginalsprogEngelsk
TidsskriftGynecologic Oncology
Vol/bind161
Nummer2
Sider (fra-til)565-572
Antal sider8
ISSN0090-8258
DOI
StatusUdgivet - maj 2021

Bibliografisk note

Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

Se relationer på Aarhus Universitet Citationsformater

ID: 218198494