Evidence map›Paper›PMID 37704918›Full record

ArticleJournal of cancer survivorship : research and practice2025

Healthcare use and fear of recurrence in adult cancer survivors at 2.5 years after a cancer diagnosis: a nationwide register study in Denmark.

Linda Aagaard Rasmussen, Henry Jensen, Anette Fischer Pedersen, Peter Vedsted

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Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. 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
    Article
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

4 authors.

Linda Aagaard RasmussenResearch Unit for General Practice, Bartholins Allé 2, 8000, Aarhus C, Denmark. linda.rasmussen@ph.au.dk.ORCID 0000-0002-9753-2008
Henry JensenResearch Unit for General Practice, Bartholins Allé 2, 8000, Aarhus C, Denmark.ORCID 0000-0003-4040-7334
Anette Fischer PedersenResearch Unit for General Practice, Bartholins Allé 2, 8000, Aarhus C, Denmark.ORCID 0000-0003-0253-3671
Peter VedstedResearch Unit for General Practice, Bartholins Allé 2, 8000, Aarhus C, Denmark.ORCID 0000-0003-2113-5599

Funding

Research Foundation for General Practice in the Central Denmark Region 1-30-72-112-16
6 · The paper itself

Abstract

purposeTo investigate the association between fear of cancer recurrence (FCR) and healthcare use in general practice among cancer survivors.

methodsWe linked nationwide register data to survey data on FCR in cancer survivors at 2.5 years after a cancer diagnosis. Multiple regression models were used to analyse the association between high FCR level and quartiles of healthcare use at 18-30 months before the cancer diagnosis (habitual healthcare use) and between high FCR level and healthcare use at 18-30 months after the cancer diagnosis (survivorship healthcare use).

resultsWe included 1538 cancer survivors in the study. High habitual healthcare use was associated with a high level of FCR (odds ratio = 2.07 (95% confidence interval (CI): 1.36-3.15)) for the 4th quartile of healthcare use compared to the 1st quartile. A high FCR score was also associated with higher healthcare use during cancer survivorship (incidence rate ratio (IRR) = 1.26 (95% CI: 1.14-1.40)). This association remained statistically significant when adjusting for habitual healthcare use (IRR = 1.20 (95% CI: 1.09-1.33)).

conclusionHigh healthcare use before the cancer diagnosis was associated with high FCR during survivorship. This indicates that FCR is partly explained by a general (pre-diagnostic) health concern. High FCR predicted high healthcare use during cancer survivorship, even when adjusting for habitual healthcare use. IMPLICATIONS FOR CANCER SURVIVORS: Our results suggest that FCR in cancer survivors is triggered by a general high level of health concern, and the cancer diagnosis may further exacerbate this concern.

Indexed as

Cancer SurvivorsFearNeoplasm Recurrence, LocalNeoplasmsPatient Acceptance of Health CareAdultAgedDenmarkFemaleHumansMaleMiddle AgedRegistriesCancer survivorsDelivery of health careDenmarkFearGeneral practiceRecurrence

Identifiers

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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.