Health Services Utilization and Associated Predictors Among Prostate Cancer Patients With and Without Depression in the United States From 2010 to 2015: A Propensity Score-Matched Cross-Sectional Study
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University of Cincinnati / OhioLINK
2019
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ndltd-OhioLink-oai-etd.ohiolink.edu-ucin15626740328664342021-09-02T05:10:39Z Health Services Utilization and Associated Predictors Among Prostate Cancer Patients With and Without Depression in the United States From 2010 to 2015: A Propensity Score-Matched Cross-Sectional Study Alsultan, Mohammed Pharmaceuticals Prostate cancer Depression Objective: Prostate cancer is a prevalent disease among adult men. Moreover, it is not uncommon for a cancer survivor to be diagnosed with depression. The primary aim is to compare the average utilization of healthcare services which include the number of emergency room (ER) visits, length of stay for hospitalization (IP), number of outpatient visits (OP), number of office-based visits (OB), and number of prescriptions (RX) and expenditures for men with prostate cancer with and without depression applying propensity score matching (PSM). The secondary aim is to identify the potential predictors that are associated with increased healthcare utilization and expenditure in both groups. Methods: A cross-sectional study was performed, and the data were extracted from the publicly available Medical Expenditure Panel Survey (MEPS) from 2010 to 2015. Men with prostate cancer were included. Other cancers were excluded. For cohort formation 1:1 PSM was applied. Healthcare utilization and expenditures analyzed included number of emergency room visits (ER), hospitals inpatient stay (IP), outpatient visits (OP), office-based medical provider visits (OB), and prescribed medicines (RX). Weighted multiple linear regression was used to determine which covariates are associated with the increase of healthcare expenditure and utilization for each health service. All costs were adjusted to 2018 U.S dollars. Results: A total of 136 patients (weighted N=308,602) 68 individuals in each group, were identified with prostate cancer after applying PSM. The total healthcare expenditure of emergency room visits was $149 million in men with prostate cancer and depression and approximately $50 million for men with prostate cancer no documented diagnosis of depression.The mean expenditure of emergency room visits between men with prostate cancer and depression was $3,092.3 and $1,330.6 for patients without documented depression (p = 0.0382). For other healthcare services, there were no statistical mean differences of expenditure among prostate cancer individuals with and without documented depression which included IP (p = 0.7473), OP (p = 0.6810), OB (p = 0.7988), and RX (p = 0.2427). Moreover, there were no significant mean differences observed in the utilization of all healthcare services such as ER (p = 0.1337), IP (p = 0.7398), OP (p = 0.5596), OB (p = 0.7008), and RX (p = 0.1035) between both groups. Potential predictors found to be statistically significant in total healthcare expenditures were race (other) (p =0.0388) and perceived health status (fair/poor) (p= 0.0074). However, there is no difference between both groups after PSM. Conclusion: Individuals who have documented the diagnosis of depression were found to have a higher average of healthcare expenditure in emergency room visits than those without depression. 2019-11-19 English text University of Cincinnati / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562674032866434 http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562674032866434 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Pharmaceuticals Prostate cancer Depression |
| spellingShingle |
Pharmaceuticals Prostate cancer Depression Alsultan, Mohammed Health Services Utilization and Associated Predictors Among Prostate Cancer Patients With and Without Depression in the United States From 2010 to 2015: A Propensity Score-Matched Cross-Sectional Study |
| author |
Alsultan, Mohammed |
| author_facet |
Alsultan, Mohammed |
| author_sort |
Alsultan, Mohammed |
| title |
Health Services Utilization and Associated Predictors Among Prostate Cancer Patients With and Without Depression in the United States From 2010 to 2015: A Propensity Score-Matched Cross-Sectional Study |
| title_short |
Health Services Utilization and Associated Predictors Among Prostate Cancer Patients With and Without Depression in the United States From 2010 to 2015: A Propensity Score-Matched Cross-Sectional Study |
| title_full |
Health Services Utilization and Associated Predictors Among Prostate Cancer Patients With and Without Depression in the United States From 2010 to 2015: A Propensity Score-Matched Cross-Sectional Study |
| title_fullStr |
Health Services Utilization and Associated Predictors Among Prostate Cancer Patients With and Without Depression in the United States From 2010 to 2015: A Propensity Score-Matched Cross-Sectional Study |
| title_full_unstemmed |
Health Services Utilization and Associated Predictors Among Prostate Cancer Patients With and Without Depression in the United States From 2010 to 2015: A Propensity Score-Matched Cross-Sectional Study |
| title_sort |
health services utilization and associated predictors among prostate cancer patients with and without depression in the united states from 2010 to 2015: a propensity score-matched cross-sectional study |
| publisher |
University of Cincinnati / OhioLINK |
| publishDate |
2019 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562674032866434 |
| work_keys_str_mv |
AT alsultanmohammed healthservicesutilizationandassociatedpredictorsamongprostatecancerpatientswithandwithoutdepressionintheunitedstatesfrom2010to2015apropensityscorematchedcrosssectionalstudy |
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1719474157289209856 |