Center of Research on Psychology in Somatic Diseases (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, The Netherlands.
Int J Gynecol Cancer. 2013 Sep;23(7):1258-65. doi: 10.1097/IGC.0b013e31829dd1e3.
Increasing numbers of endometrial cancer survivors place a high burden on the health care system. This study describes the number of visits to the general practitioner, the medical specialist and other care services, compared with the general population, and factors associated with this health care use: age, marital status, education, body mass index, comorbidity, years since diagnosis, and radiotherapy.
Survivors of stage I to stage II endometrial cancer diagnosed between 1999 and 2007 were selected from the Eindhoven Cancer Registry. Survivors (N = 742) completed a questionnaire about their demographic characteristics and health care use. Cancer-related information was retrieved from the Eindhoven Cancer Registry.
Endometrial cancer survivors visited their medical specialist more often (3.4 times per year) than the general population. In relation to their cancer, they visited their general practitioner once and their medical specialist twice per year. Use of additional care services was low (14%) but higher among younger survivors (33%). Younger women were more likely to make cancer-related visits to their general practitioner, whereas more highly educated women were less likely to visit their general practitioner and more likely to make cancer-related medical specialist visits. Women with more comorbid conditions were more likely to make general and cancer-related general practitioner visits. Radiotherapy and body mass index were not related to health care use.
Endometrial cancer survivors use more health care than women in the general population. Younger women visit their general practitioner more often in relation to their cancer and use more additional care services. More highly educated survivors were more likely to visit a medical specialist in relation to their cancer.
越来越多的子宫内膜癌幸存者给医疗保健系统带来了沉重负担。本研究描述了与一般人群相比，就诊于全科医生、医学专家和其他护理服务的次数，并探讨了与这种医疗保健使用相关的因素：年龄、婚姻状况、教育程度、体重指数、合并症、诊断后年限以及放疗。
从 1999 年至 2007 年期间诊断的 I 期至 II 期子宫内膜癌幸存者中选择了埃因霍温癌症登记处。幸存者（N=742）完成了一份关于他们的人口统计学特征和医疗保健使用情况的问卷。癌症相关信息从埃因霍温癌症登记处获取。
子宫内膜癌幸存者比一般人群更频繁地就诊于医学专家（每年 3.4 次）。与癌症相关，他们每年就诊于全科医生 1 次，就诊于医学专家 2 次。额外护理服务的使用率较低（14%），但在较年轻的幸存者中较高（33%）。年轻女性更有可能因癌症相关问题就诊于全科医生，而受教育程度较高的女性则不太可能就诊于全科医生，而更有可能因癌症相关问题就诊于医学专家。合并症较多的女性更有可能就诊于全科医生和与癌症相关的全科医生。放疗和体重指数与医疗保健使用无关。
子宫内膜癌幸存者比一般人群使用更多的医疗保健服务。年轻女性更频繁地因癌症相关问题就诊于全科医生，并更多地使用额外的护理服务。受教育程度较高的幸存者更有可能因癌症相关问题就诊于医学专家。
