Supportive Care in Cancer

, Volume 21, Issue 3, pp 901–906 | Cite as

Does fear of cancer recurrence predict cancer survivors' health care use?

  • Sophie Lebel
  • Christina Tomei
  • Andrea Feldstain
  • Sara Beattie
  • Megan McCallum
Short Communication



Fear of cancer recurrence (FCR) is the most frequently cited unmet need among cancer survivors. Theoretical models of FCR suggest that patients with elevated levels of FCR will more frequently consult health care professionals for reassurance about their health. However, the relationship between FCR and health care utilization has not yet been firmly established. We examined the relationship between FCR and quantity of medications, number of emergency room (ER) visits, outpatient visits, specialist visits, allied health visits, and hospital overnight visits.


A total of 231 participants diagnosed with breast, colon, prostate, or lung cancer in the past 10 years were recruited from a cancer survivor registry. Participants were sent a survey package that included demographic and medical characteristics, a health care utilization questionnaire, and the Fear of Cancer Recurrence Inventory.


A multiple regression analysis indicated that higher FCR significantly predicted greater number of outpatient visits in the past 6 months (ß = .016, F(1, 193) = 5.08, p = .025). A hierarchical multiple regression indicated that higher FCR significantly predicted greater number of ER visits in the past 6 months when controlling for relationship status and education level (F(1, 179) = 4.00, p = .047).


The relationship between FCR and health care use has been understudied. Results indicate that patients with elevated FCR may indeed use more health care services. We recommend that clinicians monitor health care use in patients who are struggling with FCR.


Fear of cancer recurrence Cancer survivors Health care use 



This research was supported through a Research Development Grant from the University of Ottawa to Sophie Lebel. We appreciate the efforts of our volunteers on this project: Lynne Potvin, Megan Fillier, Brigitte Corran, Stephanie Robert, Rosa Leblanc, and Kristin Loeper. We extend our gratitude to the staff at Cancer Care Ontario for their invaluable help with recruitment.

Conflict of interest

The authors do not have a financial relationship with any of the organizations that sponsored the research.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Sophie Lebel
    • 1
  • Christina Tomei
    • 1
  • Andrea Feldstain
    • 1
  • Sara Beattie
    • 1
  • Megan McCallum
    • 1
  1. 1.School of PsychologyUniversity of OttawaOttawaCanada

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