Department of Research, Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.
Department of Medical and Clinical Psychology, Center of Research on Psychology in Somatic Diseases (CoRPS), Tilburg University, Tilburg, the Netherlands.
Cancer. 2018 Jul 15;124(14):3016-3024. doi: 10.1002/cncr.31410. Epub 2018 Apr 26.
Follow-up care for a growing population of survivors of lymphoma and chronic lymphocytic leukemia (CLL) together with the adverse effects these survivors may experience as a result of their cancer and treatment have led to more pressure being placed on health care services. The objectives of the current study were to: 1) compare the use of medical care services by survivors with that of a normative population; 2) evaluate the use of medical and psychosocial care services among distressed and nondistressed survivors; and 3) identify associated sociodemographic and clinical factors.
Survivors of lymphoma and CLL diagnosed between 1999 and 2012 were selected via the population-based Netherlands Cancer Registry and completed the Hospital Anxiety and Depression Scale questionnaire and questions regarding health care. Outcomes were compared with an age-matched and sex-matched normative population.
A total of 1444 survivors responded (69%). Survivors of lymphoma and CLL contacted their general practitioner (3.8 vs 2.3; P<.001) and medical specialist (5.7 vs 1.6; P<.001) more often within the last year compared with a normative population. In addition, psychologically distressed survivors had even more medical contacts and received psychosocial care more often compared with nondistressed survivors. In addition to psychological distress, comorbidity, female sex, and older age were found to be associated with a greater use of medical services, whereas younger age was associated with receiving psychosocial care.
Survivors of lymphoma and CLL, especially those who are psychologically distressed, report an increased use of health care services compared with a normative population. Further studies are needed to explore whether the use of widely applicable psychosocial interventions could reduce the frequency of medical contacts. Cancer 2018;124:3016-24. © 2018 Netherlands Comprehensive Cancer Organisation. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society.
淋巴瘤和慢性淋巴细胞白血病（CLL）幸存者人数不断增加，以及这些幸存者因癌症和治疗而产生的不良反应，这给医疗服务带来了更大的压力。本研究的目的是：1）比较幸存者与普通人群对医疗服务的使用情况；2）评估有压力和无压力的幸存者对医疗和心理社会保健服务的使用情况；3）确定相关的社会人口学和临床因素。
通过基于人群的荷兰癌症登记处选择 1999 年至 2012 年间诊断为淋巴瘤和 CLL 的幸存者，并完成医院焦虑和抑郁量表问卷以及有关医疗保健的问题。将结果与年龄和性别匹配的普通人群进行比较。
共有 1444 名幸存者做出回应（69%）。与普通人群相比，淋巴瘤和 CLL 幸存者在过去一年中更频繁地接触他们的全科医生（3.8 次比 2.3 次；P<.001）和医学专家（5.7 次比 1.6 次；P<.001）。此外，与无压力的幸存者相比，心理压力大的幸存者接受了更多的医疗接触，并更频繁地接受心理社会保健。除了心理压力外，合并症、女性和年龄较大与更多的医疗服务使用相关，而年龄较小与接受心理社会保健相关。
与普通人群相比，淋巴瘤和 CLL 幸存者，尤其是心理压力大的幸存者，报告使用医疗服务的频率增加。需要进一步研究，以探讨广泛应用的心理社会干预措施是否可以减少医疗接触的频率。癌症 2018；124：3016-24。©2018 荷兰综合癌症组织。癌症由 Wiley Periodicals，Inc. 代表美国癌症协会出版。
