title: Health care utilization one year following the diagnosis benign breast disease or breast cancer.
abstract: OBJECTIVE
  We analyzed health care utilization (HCU) and its predictors in the first year after the diagnostic process for breast cancer (BC) or benign breast disease (BBD) using questionnaires. The impact of trait anxiety on HCU was examined.
  
  
  RESULTS
  In total 591 women were analyzed, 440 with BBD and 151 with BC. In women with BBD and high trait anxiety (HTA) increased HCU was found. In women with BC and HTA only more use of psychosocial care (PS) was found. HCU in BBD was predicted by lower Quality of Life (QoL) and (adjuvant) treatment predicted HCU in BC.
  
  
  CONCLUSIONS
  The most important factors for higher HCU were HTA and lower QoL, especially in BBD. In women with BC increased PS use was seen in chronically anxious women. Therefore, it is important to identify these women using a psychometric test and to anticipate to their specific (mental) health care needs.
authors.affiliation: Pediatric Surgical Center of Amsterdam, Emma Children's Hospital AMC and VU University Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
authors.forename: Claudia M G
authors.initials: CM
authors.lastname: Keyzer-Dekker
authors.forename: Lotje
authors.initials: L
authors.lastname: Van Esch
authors.forename: Wilhelmina H
authors.initials: WH
authors.lastname: Schreurs
authors.forename: Charles L H
authors.initials: CL
authors.lastname: van Berlo
authors.forename: Jan A
authors.initials: JA
authors.lastname: Roukema
authors.forename: Jolanda
authors.initials: J
authors.lastname: De Vries
authors.forename: Alida F W
authors.initials: AF
authors.lastname: van der Steeg
mesh_terms: D000328:Adult; D001007:Anxiety / Q000150:complications*; D001941:Breast Diseases / Q000150:complications / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D001943:Breast Neoplasms / Q000150:complications / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D003863:Depression / Q000150:complications; D005221:Fatigue / Q000150:complications; D005260:Female; D019538:Health Care Surveys; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D015999:Multivariate Analysis; D009426:Netherlands; D010551:Personality; D011446:Prospective Studies; D011788:Quality of Life; D012044:Regression Analysis; D011795:Surveys and Questionnaires