Conization and healthcare use: a population-based register study
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Conization and healthcare use : a population-based register study. / Frederiksen, Maria E.; Vázquez-Prada Baillet, Miguel; Jensen, Pernille T.; Rygaard, Carsten; Hallas, Jesper; Lynge, Elsebeth.
In: European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP), Vol. 28, No. 2, 2019, p. 124-130.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Conization and healthcare use
T2 - a population-based register study
AU - Frederiksen, Maria E.
AU - Vázquez-Prada Baillet, Miguel
AU - Jensen, Pernille T.
AU - Rygaard, Carsten
AU - Hallas, Jesper
AU - Lynge, Elsebeth
PY - 2019
Y1 - 2019
N2 - The aim of this study was to assess whether negative psychological consequences of conization reported in questionnaire studies translated into increased use of the healthcare services that could relieve such symptoms. This was a population-based register study comparing women undergoing conization with a control group of women with normal cytology results. Data were derived from Danish registers. Using the difference-in-differences method, we measured contacts with general practitioners (GPs), hospitals, psychiatrist/psychologists, and use of anxiolytic and antidepressant prescription drugs over 5 years 'before' and 'after' the conization in the study group, and in comparable periods in the control group. During the 'before' period, women who later had a conization had greater contact with GPs and hospitals, and slightly more contact with psychiatrist/psychologists, than control women. In both groups, healthcare use increased significantly from the 'before' to the 'after' period. For contacts with GPs and hospitals, the increase was significantly larger for the conization group than for the control group, but this could be attributed to the standard postconization follow-up process. In the 'before' period, women who later had a conization used fewer drugs than women of the control-group, but their drug use increased similarly over time. The conization event did not result in an increased use of the healthcare services that could relieve potential negative side effects. However, women who underwent a conization seemed to constitute a select group as they already used GPs and hospitals more frequently, and anxiolytic and antidepressant drugs less frequently, than other women in the years 'before' the conization event.
AB - The aim of this study was to assess whether negative psychological consequences of conization reported in questionnaire studies translated into increased use of the healthcare services that could relieve such symptoms. This was a population-based register study comparing women undergoing conization with a control group of women with normal cytology results. Data were derived from Danish registers. Using the difference-in-differences method, we measured contacts with general practitioners (GPs), hospitals, psychiatrist/psychologists, and use of anxiolytic and antidepressant prescription drugs over 5 years 'before' and 'after' the conization in the study group, and in comparable periods in the control group. During the 'before' period, women who later had a conization had greater contact with GPs and hospitals, and slightly more contact with psychiatrist/psychologists, than control women. In both groups, healthcare use increased significantly from the 'before' to the 'after' period. For contacts with GPs and hospitals, the increase was significantly larger for the conization group than for the control group, but this could be attributed to the standard postconization follow-up process. In the 'before' period, women who later had a conization used fewer drugs than women of the control-group, but their drug use increased similarly over time. The conization event did not result in an increased use of the healthcare services that could relieve potential negative side effects. However, women who underwent a conization seemed to constitute a select group as they already used GPs and hospitals more frequently, and anxiolytic and antidepressant drugs less frequently, than other women in the years 'before' the conization event.
KW - Faculty of Health and Medical Sciences
KW - cervical neoplasia
KW - conization
KW - general practitioners
KW - healthcare use
KW - side effects
U2 - 10.1097/CEJ.0000000000000418
DO - 10.1097/CEJ.0000000000000418
M3 - Journal article
C2 - 29194280
VL - 28
SP - 124
EP - 130
JO - European Journal of Cancer Prevention
JF - European Journal of Cancer Prevention
SN - 0959-8278
IS - 2
ER -
ID: 189107194