Unmet supportive care needs, health status and minimum costs in survivors of malignant melanomaCitation formats

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Unmet supportive care needs, health status and minimum costs in survivors of malignant melanoma. / Davies, Linda; Hayhurst, Karen; Lorigan, Paul; Molassiotis, A.

In: European Journal of Cancer Care, 2018.

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@article{92935bf74a0a455ab5fde717feabf760,
title = "Unmet supportive care needs, health status and minimum costs in survivors of malignant melanoma",
abstract = "We explored the relationship between unmet care needs, health status, health utility and costs in people treated for melanoma via a cross-sectional follow-up survey (N=455) 3 months to 5 years after complete resection of stage I-III cutaneous malignant melanoma. 51{\%} (n=232) had unmet care needs. This group had higher mean resource use, estimated conservatively (£28 vs. £10 per person) and worse overall health. Mean health-related utility index (AQoL6D) was 0.763 (95{\%} CI 0.74; 0.79) in those with self-reported unmet need vs. 0.903 (0.89; 0.92) in those with no unmet need. Melanoma survivors with unmet need had worse outcomes in terms of anxiety (HADS 6.86 vs. 4.29), depression (HADS 4.29 vs. 2.01), overall quality of life (QoL: FACT-M 84.2 vs. 96.5). Higher resource use was associated with younger age (rs=-0.29, p<0.001), older school-leaving age (rs=0.21, p<0.001), reduced health utility (rs=-0.14, p=0.005), higher anxiety (rs=0.22, p<0.001), higher depression (rs=0.16, p=0.001) and lower QoL (overall rs=-0.24, p<0.001; melanoma QoL rs=-0.20, p<0.001; surgery QoL rs=-0.19, p<0.001). Lower health outcomes indicate increased service use, suggesting that interventions to address unmet need and improve health outcomes may reduce health costs. Integrated clinical and economic evaluations of interventions that target unmet need in melanoma survivors are required.",
keywords = "Unmet needs, Costs, Health utility, Supportive care, Health economics, service utilization",
author = "Linda Davies and Karen Hayhurst and Paul Lorigan and A Molassiotis",
year = "2018",
doi = "10.1111/ecc.12811",
language = "English",
journal = "European Journal of Cancer Care",
issn = "0961-5423",
publisher = "John Wiley & Sons Ltd",

}

RIS

TY - JOUR

T1 - Unmet supportive care needs, health status and minimum costs in survivors of malignant melanoma

AU - Davies, Linda

AU - Hayhurst, Karen

AU - Lorigan, Paul

AU - Molassiotis, A

PY - 2018

Y1 - 2018

N2 - We explored the relationship between unmet care needs, health status, health utility and costs in people treated for melanoma via a cross-sectional follow-up survey (N=455) 3 months to 5 years after complete resection of stage I-III cutaneous malignant melanoma. 51% (n=232) had unmet care needs. This group had higher mean resource use, estimated conservatively (£28 vs. £10 per person) and worse overall health. Mean health-related utility index (AQoL6D) was 0.763 (95% CI 0.74; 0.79) in those with self-reported unmet need vs. 0.903 (0.89; 0.92) in those with no unmet need. Melanoma survivors with unmet need had worse outcomes in terms of anxiety (HADS 6.86 vs. 4.29), depression (HADS 4.29 vs. 2.01), overall quality of life (QoL: FACT-M 84.2 vs. 96.5). Higher resource use was associated with younger age (rs=-0.29, p<0.001), older school-leaving age (rs=0.21, p<0.001), reduced health utility (rs=-0.14, p=0.005), higher anxiety (rs=0.22, p<0.001), higher depression (rs=0.16, p=0.001) and lower QoL (overall rs=-0.24, p<0.001; melanoma QoL rs=-0.20, p<0.001; surgery QoL rs=-0.19, p<0.001). Lower health outcomes indicate increased service use, suggesting that interventions to address unmet need and improve health outcomes may reduce health costs. Integrated clinical and economic evaluations of interventions that target unmet need in melanoma survivors are required.

AB - We explored the relationship between unmet care needs, health status, health utility and costs in people treated for melanoma via a cross-sectional follow-up survey (N=455) 3 months to 5 years after complete resection of stage I-III cutaneous malignant melanoma. 51% (n=232) had unmet care needs. This group had higher mean resource use, estimated conservatively (£28 vs. £10 per person) and worse overall health. Mean health-related utility index (AQoL6D) was 0.763 (95% CI 0.74; 0.79) in those with self-reported unmet need vs. 0.903 (0.89; 0.92) in those with no unmet need. Melanoma survivors with unmet need had worse outcomes in terms of anxiety (HADS 6.86 vs. 4.29), depression (HADS 4.29 vs. 2.01), overall quality of life (QoL: FACT-M 84.2 vs. 96.5). Higher resource use was associated with younger age (rs=-0.29, p<0.001), older school-leaving age (rs=0.21, p<0.001), reduced health utility (rs=-0.14, p=0.005), higher anxiety (rs=0.22, p<0.001), higher depression (rs=0.16, p=0.001) and lower QoL (overall rs=-0.24, p<0.001; melanoma QoL rs=-0.20, p<0.001; surgery QoL rs=-0.19, p<0.001). Lower health outcomes indicate increased service use, suggesting that interventions to address unmet need and improve health outcomes may reduce health costs. Integrated clinical and economic evaluations of interventions that target unmet need in melanoma survivors are required.

KW - Unmet needs

KW - Costs

KW - Health utility

KW - Supportive care

KW - Health economics

KW - service utilization

U2 - 10.1111/ecc.12811

DO - 10.1111/ecc.12811

M3 - Article

JO - European Journal of Cancer Care

JF - European Journal of Cancer Care

SN - 0961-5423

ER -