In:
Die Onkologie, Springer Science and Business Media LLC, Vol. 29, No. 2 ( 2023-02), p. 147-154
Abstract:
There are no studies on the use of psycho-oncological services by soft tissue sarcoma patients. The aim was to determine the frequency of use of psycho-oncological services in the hospital in this group and to investigate associated factors. Methods The cohort study PROSa (burden of disease and care situation in sarcoma) was conducted between 2017 and 2020 in 39 German study centers. Cross-sectional data from adult soft tissue sarcoma patients were analyzed for the present analysis. Patient- as well as facility-level factors were explored as potential predictors of utilization using logistic regression in a generalized linear mixed model. Results Among 910 participating patients, data were available from 576 (63.3%). In all, 212 patients (including the missing data 23.3%, without them 36.7%) made use of psycho-oncological services. Negatively associated with utilization were male sex (vs female; odds ratio [OR] 0.62) and older age (18– 〈 40 years vs 65– 〈 75 years: OR 0.32; 18– 〈 40 years vs ≥ 75 years: OR 0.19). Positively associated were educational level (high school diploma vs 8/9 years of schooling: OR 2.01) and grading (high-grade tumors vs low-grade: OR 4.41). When psycho-oncologists were involved in interdisciplinary tumor board, utilization increased (OR 6.69). Conclusion Female sex, younger age, higher education, and advanced disease stage were positively associated with increased utilization. A structural factor for increased utilization was psycho-oncology involvement in the tumor board.
Type of Medium:
Online Resource
ISSN:
2731-7226
,
2731-7234
DOI:
10.1007/s00761-022-01245-1
Language:
German
Publisher:
Springer Science and Business Media LLC
Publication Date:
2023
detail.hit.zdb_id:
3120761-3
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