Martin Eichler1,2,3, Marlene Hechtner4,5, Beatrice Wehler6,7, Roland Buhl7, Jan Stratmann8, Martin Sebastian8, Heinz Schmidberger9, Cornelius Kortsik10, Ursula Nestle11,12, Hubert Wirtz13, Thomas Wehler14, Maria Blettner4, Susanne Singer4. 1. Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Mainz, Germany. martin.eichler@uniklinikum-dresden.de. 2. German Cancer Consortium (DKTK), Heidelberg, Germany. martin.eichler@uniklinikum-dresden.de. 3. Department of Internal Medicine I, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany. martin.eichler@uniklinikum-dresden.de. 4. Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Mainz, Germany. 5. German Cancer Consortium (DKTK), Heidelberg, Germany. 6. Department of Radio-Oncology, University Hospital Saarland, Homburg, Germany. 7. Department of Hematology, Medical Oncology and Pneumology, University Medical Center Mainz, Mainz, Germany. 8. Medical Department II, University Hospital Frankfurt, Frankfurt, Germany. 9. Department of Radio-Oncology, University Medical Center Mainz, Mainz, Germany. 10. Department of Pulmonology, Hildegardis Hospital, Mainz, Germany. 11. Department of Radiation Oncology, University Medical Center, Freiburg, Germany. 12. Department of Radiotherapy, Kliniken Maria Hilf, Moenchengladbach, Germany. 13. Department of Pneumology, University Medical Centre Leipzig, Leipzig, Germany. 14. Department of Internal Medicine V, University Hospital Saarland, Homburg, Germany.
Abstract
PURPOSE: Little is known about the use of psychosocial services in lung cancer survivors and patients who have survived the diagnosis for at least one year. We investigated the frequency of use, stratified by radiation therapy received, its associated factors, and the reasons for non-use of those services. METHODS: We performed a multicenter (n = 6 hospitals) cross-sectional study using data from medical records, patient reported questionnaires, and computer-assisted telephone interviews. Odds ratios (OR) for factors potentially associated with the use of any type of psychosocial services were calculated using multivariable logistic regression. RESULTS: We included 604 lung cancer patients/survivors. Of them, 60% (69% of those who had received radiotherapy) had used some kind of psychological and/or social service in the past (47% psychological, 42% social); 39% had used inpatient care, 24% outpatient care (cancer counselling center, general counselling center, psychological counselling by family doctor, psychotherapy, patient support group, pastoral work). Of those who visited a rehabilitation clinic, 66% received psychosocial care there. Factors associated with using psychosocial services in general were female gender (OR 1.96, 95% CI 1.32-2.93), poor emotional functioning (per unit decrease: OR 0.99, 95% CI 0.98-0.996), and younger age (per year decrease: OR 0.95, 95% CI 0.93-0.97). CONCLUSIONS/IMPLICATIONS: The high proportion of psychosocial care users among lung cancer survivors in Germany indicates that patients are interested in using it and that an unmet need exists. The creation of a broad spectrum of easily accessible services with high quality is important to enable and facilitate use.
PURPOSE: Little is known about the use of psychosocial services in lung cancer survivors and patients who have survived the diagnosis for at least one year. We investigated the frequency of use, stratified by radiation therapy received, its associated factors, and the reasons for non-use of those services. METHODS: We performed a multicenter (n = 6 hospitals) cross-sectional study using data from medical records, patient reported questionnaires, and computer-assisted telephone interviews. Odds ratios (OR) for factors potentially associated with the use of any type of psychosocial services were calculated using multivariable logistic regression. RESULTS: We included 604 lung cancerpatients/survivors. Of them, 60% (69% of those who had received radiotherapy) had used some kind of psychological and/or social service in the past (47% psychological, 42% social); 39% had used inpatient care, 24% outpatient care (cancer counselling center, general counselling center, psychological counselling by family doctor, psychotherapy, patient support group, pastoral work). Of those who visited a rehabilitation clinic, 66% received psychosocial care there. Factors associated with using psychosocial services in general were female gender (OR 1.96, 95% CI 1.32-2.93), poor emotional functioning (per unit decrease: OR 0.99, 95% CI 0.98-0.996), and younger age (per year decrease: OR 0.95, 95% CI 0.93-0.97). CONCLUSIONS/IMPLICATIONS: The high proportion of psychosocial care users among lung cancer survivors in Germany indicates that patients are interested in using it and that an unmet need exists. The creation of a broad spectrum of easily accessible services with high quality is important to enable and facilitate use.
Entities:
Keywords:
Cancer survivorship; Lung cancer; Psycho-oncology; Psychosocial care; Psychosocial services
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