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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
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562674032866434

Abstract Details

2019, MS, University of Cincinnati, Pharmacy: Pharmaceutical Sciences.
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.
Jianfei (Jeff) Guo, Ph.D. (Committee Chair)
Ana Hincapie, Ph.D. (Committee Member)
Rowena Schwartz, Ph.D. (Committee Member)
88 p.
Pharmaceuticals
Prostate cancer; Depression

Recommended Citations

Citations

  • Alsultan, M. (2019). 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 [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562674032866434

    APA Style (7th edition)

  • 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. 2019. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562674032866434.

    MLA Style (8th edition)

  • 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." Master's thesis, University of Cincinnati, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562674032866434

    Chicago Manual of Style (17th edition)

ucin1562674032866434
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© 2019, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.