Department of Psychiatry, University of California San Diego, La Jolla, California.
Patient and Family Support Services, Moores Cancer Center, University of California San Diego, La Jolla, California.
Depress Anxiety. 2020 Sep;37(9):908-915. doi: 10.1002/da.23059. Epub 2020 Jun 2.
Anxiety and depression are common in individuals with cancer and may impact healthcare service use and costs in this population. This study examined the effects of anxiety alone, depression alone, and comorbid anxiety and depressive disorder on healthcare use and costs among patients with cancer.
This was a retrospective cohort analysis of administrative data of patients aged 18 or older with an International Classification of Diseases, Ninth Revision diagnosis of cancer. Key outcomes were any visit to emergency department (ED), any inpatient hospitalization, length of hospital stays, and annual healthcare costs 1 year from cancer diagnosis.
A total of 13,426 patients were included. Relative to patients with neither anxiety nor depression, those with anxiety alone, depression alone, or comorbid anxiety and depression were more likely to experience an ED visit and be hospitalized. Length of hospital stays were also longer and annual healthcare costs were significantly higher in all three clinical groups.
Cancer patients with anxiety and depression were at greater risk for ED visits and hospitalizations, experienced longer hospital stays, and accrued higher healthcare costs. Future researchers should determine whether screening and treating comorbid anxiety and depression may decrease healthcare utilization and improve turnover wellbeing among cancer patients.
焦虑和抑郁在癌症患者中很常见，可能会影响这一人群的医疗保健服务利用和成本。本研究考察了焦虑症、抑郁症和焦虑和抑郁共病对癌症患者医疗保健利用和成本的影响。
这是一项对年龄在 18 岁及以上、国际疾病分类第 9 版诊断为癌症的患者的行政数据进行的回顾性队列分析。主要结局是癌症诊断后 1 年内任何急诊就诊、任何住院治疗、住院时间和年度医疗保健费用。
共纳入 13426 名患者。与既无焦虑也无抑郁的患者相比，仅有焦虑、仅有抑郁或焦虑和抑郁共病的患者更有可能去急诊就诊和住院。所有三个临床组的住院时间也更长，年度医疗保健费用也显著更高。
患有焦虑和抑郁的癌症患者急诊就诊和住院的风险更高，住院时间更长，医疗保健费用更高。未来的研究人员应确定筛查和治疗共病性焦虑和抑郁是否可能减少癌症患者的医疗保健利用并改善其生活质量。
