Evidence map›Paper›PMID 23269420›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2013

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

Sophie Lebel, Christina Tomei, Andrea Feldstain, Sara Beattie, Megan McCallum

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02382315 (Efficacy of a Cognitive-Existential Therapy Intervention to Address Fear of Recurrence in Men and Women With Cancer), which is not on this map. Cited by 104 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02382315 nacompletednot on this mapstarted 2015, after this paper: background citation

Efficacy of a Cognitive-Existential Therapy Intervention to Address Fear of Recurrence in Men and Women With Cancer: A Randomized Clinical Trial

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2015 to 2016Enrolled19ConditionsCancerArmsFear of Cancer Recurrence Intervention
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Cannabis use among cancer survivors: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2026
    Pooled it
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  7. Systematic review of interventions by non-mental health specialists for managing fear of cancer recurrence in adult cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Pooled it
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  9. Fear of cancer recurrence: a theoretical review and novel cognitive processing formulation.Journal of cancer survivorship : research and practice · 2016
    Pooled it
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  15. Examining the preliminary efficacy of an intervention for fear of cancer recurrence in female cancer survivors: a randomized controlled clinical trial pilot study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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  16. Effects of a randomized gratitude intervention on death-related fear of recurrence in breast cancer survivors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016
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44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sophie LebelSchool of Psychology, University of Ottawa, Ottawa, Ontario, Canada. slebel@uottawa.ca
Christina Tomei
Andrea Feldstain
Sara Beattie
Megan McCallum

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFear 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.

methodsA 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.

resultsA 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).

conclusionsThe 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.

Indexed as

FearAgedAged, 80 and overCross-Sectional StudiesEmergency Service, HospitalFemaleHealth ServicesHealth Services Needs and DemandHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasmsRegression AnalysisRetrospective StudiesSurveys and Questionnaires

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.