Evidence map›Paper›PMID 29698556›Full record

ArticleCancer2018

More frequent use of health care services among distressed compared with nondistressed survivors of lymphoma and chronic lymphocytic leukemia: Results from the population-based PROFILES registry.

Lindy P J Arts, Simone Oerlemans, Lidwine Tick, Ad Koster, Henk T J Roerdink, Lonneke V van de Poll-Franse

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 3% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Psychological distress and quality of life in patients with indolent non-Hodgkin lymphoma.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  8. Fear of cancer recurrence is associated with higher primary care use after cancer treatment: a survey-administrative health data linkage study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

6 authors at 5 institutions in 1 country.

Lindy P J ArtsDepartment of Research, Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.ORCID 0000-0002-5052-4238
Simone OerlemansDepartment of Research, Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.
Lidwine TickDepartment of Internal Medicine, Maxima Medical Centre, Eindhoven and Veldhoven, the Netherlands.
Ad KosterDepartment of Internal Medicine, VieCuri Medical Centre, Venlo and Venray, the Netherlands.
Henk T J RoerdinkDepartment of Internal Medicine, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands.
Lonneke V van de Poll-FranseDepartment of Research, Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.
Tilburg University · NLElisabeth-TweeSteden Ziekenhuis · NLNetherlands Comprehensive Cancer Organisation · NLRadboud University Nijmegen · NLVieCuri Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFollow-up care for a growing population of survivors of lymphoma and chronic lymphocytic leukemia (CLL) together with the adverse effects these survivors may experience as a result of their cancer and treatment have led to more pressure being placed on health care services. The objectives of the current study were to: 1) compare the use of medical care services by survivors with that of a normative population; 2) evaluate the use of medical and psychosocial care services among distressed and nondistressed survivors; and 3) identify associated sociodemographic and clinical factors.

methodsSurvivors of lymphoma and CLL diagnosed between 1999 and 2012 were selected via the population-based Netherlands Cancer Registry and completed the Hospital Anxiety and Depression Scale questionnaire and questions regarding health care. Outcomes were compared with an age-matched and sex-matched normative population.

resultsA total of 1444 survivors responded (69%). Survivors of lymphoma and CLL contacted their general practitioner (3.8 vs 2.3; P<.001) and medical specialist (5.7 vs 1.6; P<.001) more often within the last year compared with a normative population. In addition, psychologically distressed survivors had even more medical contacts and received psychosocial care more often compared with nondistressed survivors. In addition to psychological distress, comorbidity, female sex, and older age were found to be associated with a greater use of medical services, whereas younger age was associated with receiving psychosocial care.

conclusionsSurvivors of lymphoma and CLL, especially those who are psychologically distressed, report an increased use of health care services compared with a normative population. Further studies are needed to explore whether the use of widely applicable psychosocial interventions could reduce the frequency of medical contacts. Cancer 2018;124:3016-24. © 2018 Netherlands Comprehensive Cancer Organisation. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society.

Indexed as

AdultAgedAge FactorsCancer SurvivorsFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellLymphomaMaleMiddle AgedNetherlandsPatient Acceptance of Health CarePatient Health QuestionnaireQuality of LifeRegistriesSex Factorschronic lymphocytic leukemia (CLL)health care uselymphomamedical contactspsychological distresspsychosocial caresurvivors

Identifiers

PMID29698556
PMCPMC6055849
OpenAlexW2800960617

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.