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

2.50
Hdl Handle:
http://hdl.handle.net/10541/620822
Title:
Unmet supportive care needs, health status and minimum costs in survivors of malignant melanoma.
Authors:
Davies, L; Hayhurst, K; Lorigan, Paul C ( 0000-0002-8875-2164 ) ; Molassiotis, A
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  = -.29, p < .001), older school-leaving age (rs  = .21, p < .001), reduced health utility (rs  = -.14, p = .005), higher anxiety (rs  = .22, p < .001), higher depression (rs  = .16, p = .001) and lower QoL (overall rs  = -.24, p < .001; melanoma QoL rs  = -.20, p < .001; surgery QoL rs  = -.19, p < .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.
Affiliation:
Manchester Centre for Health Economics, Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK
Citation:
Unmet supportive care needs, health status and minimum costs in survivors of malignant melanoma. 2018 Eur J Cancer Care
Journal:
European Journal of Cancer Care
Issue Date:
9-Jan-2018
URI:
http://hdl.handle.net/10541/620822
DOI:
10.1111/ecc.12811
PubMed ID:
29315912
Type:
Article
Language:
en
ISSN:
1365-2354
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorDavies, Len
dc.contributor.authorHayhurst, Ken
dc.contributor.authorLorigan, Paul Cen
dc.contributor.authorMolassiotis, Aen
dc.date.accessioned2018-02-12T14:26:29Z-
dc.date.available2018-02-12T14:26:29Z-
dc.date.issued2018-01-09-
dc.identifier.citationUnmet supportive care needs, health status and minimum costs in survivors of malignant melanoma. 2018 Eur J Cancer Careen
dc.identifier.issn1365-2354-
dc.identifier.pmid29315912-
dc.identifier.doi10.1111/ecc.12811-
dc.identifier.urihttp://hdl.handle.net/10541/620822-
dc.description.abstractWe 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  = -.29, p < .001), older school-leaving age (rs  = .21, p < .001), reduced health utility (rs  = -.14, p = .005), higher anxiety (rs  = .22, p < .001), higher depression (rs  = .16, p = .001) and lower QoL (overall rs  = -.24, p < .001; melanoma QoL rs  = -.20, p < .001; surgery QoL rs  = -.19, p < .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.en
dc.language.isoenen
dc.rightsArchived with thanks to European journal of cancer careen
dc.titleUnmet supportive care needs, health status and minimum costs in survivors of malignant melanoma.en
dc.typeArticleen
dc.contributor.departmentManchester Centre for Health Economics, Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UKen
dc.identifier.journalEuropean Journal of Cancer Careen

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