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Utilization of supportive care by survivors of colorectal cancer: results from the PROFILES registry

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Abstract

Purpose

In an equitable healthcare system, healthcare utilization should be predominantly explained by patient-perceived need and clinical need factors. This study aims to analyze whether predisposing, enabling, and need factors are associated with the utilization of supportive care (i.e., dietary care, oncological nursing care, physical therapy, psychological care, or participation in a rehabilitation program consisting of an exercise component and a psycho-educational component) among survivors of colorectal cancer in the Netherlands.

Methods

Cross-sectional data of 3957 survivors of colorectal cancer (1–11 years after diagnosis) were used. Clinical data from the Eindhoven Cancer Registry were linked to questionnaire data from the PROFILES registry. Regression analyses were used to examine which predisposing, enabling, and need factors were associated with self-reported utilization of supportive care.

Results

Utilization of supportive care was primarily associated with younger age, patient-perceived need (i.e., lower physical health, anxious mood, depressive mood, and fatigue), and clinical need (i.e., tumor stage, radiotherapy, chemotherapy, comorbidity, having a stoma and lower BMI) factors.

Conclusions

In the Netherlands, utilization of supportive care by survivors of colorectal cancer is primarily associated with younger age, patient-perceived need, and clinical need factors. Apart from the association with younger age, the utilization of supportive care services seems to be quite equitable. Further research is needed to determine whether there is indeed inequity in the provision of supportive care to older survivors, or whether older survivors are less in need of supportive care.

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Acknowledgments

We would like to thank all the patients and their physicians for their participation in the study. Special thanks go to Dr. M. van Bommel, who was willing to function as an independent advisor and to answer questions of the patients. In addition, we want to thank the following hospitals for their cooperation: Amphia hospital, Breda; Bernhoven Hospital, Veghel and Oss; Catharina hospital, Eindhoven; Elkerliek Hospital, Helmond; Jeroen Bosch hospital, ‘s Hertogenbosch; Maxima Medical Centre, Eindhoven and Veldhoven; Sint Anna hospital, Geldrop; St. Elisabeth hospital, Tilburg; Twee Steden hospital, Tilburg and Waalwijk; and VieCury hospital, Venlo and Venray.

Funding

The data collection of this study was funded by an Investment Subsidy (#480-08-009) of the Netherlands Organization for Scientific Research awarded to Lonneke van de Poll-Franse for setting up the PROFILES registry.

Author information

Authors and Affiliations

  1. Amsterdam Rehabilitation Research Center | Reade, Dr. Jan van Breemenstraat 2, PO Box 58271, 1040 HG, Amsterdam, The Netherlands

    Jasmijn F. M. Holla & Joost Dekker

  2. CoRPS—Center of Research on Psychology in Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands

    Lonneke V. van de Poll-Franse & Floortje Mols

  3. Netherlands Comprehensive Cancer Organization, Utrecht, The Netherlands

    Lonneke V. van de Poll-Franse, Peter C. Huijgens & Floortje Mols

  4. Department of Hematology, VU University Medical Centre, Amsterdam, The Netherlands

    Peter C. Huijgens

  5. Department of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands

    Joost Dekker

  6. EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands

    Joost Dekker

  7. Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands

    Joost Dekker

Authors
  1. Jasmijn F. M. Holla
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  2. Lonneke V. van de Poll-Franse
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  3. Peter C. Huijgens
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  4. Floortje Mols
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  5. Joost Dekker
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Corresponding author

Correspondence to Jasmijn F. M. Holla.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest. The authors have full control of all primary data and agree to allow the journal to review their data if requested.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of a local certified medical ethics committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The surveys were approved by the local certified medical ethics committee of the Maxima Medical Centre, Veldhoven, the Netherlands.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Holla, J.F.M., van de Poll-Franse, L.V., Huijgens, P.C. et al. Utilization of supportive care by survivors of colorectal cancer: results from the PROFILES registry. Support Care Cancer 24, 2883–2892 (2016). https://doi.org/10.1007/s00520-016-3109-2

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  • DOI: https://doi.org/10.1007/s00520-016-3109-2

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