title: Psychotropic drug dispensing in people with and without cancer in France.
abstract: To compare annual and monthly prevalence of psychotropic drug (PD) dispensing and the number and duration of psychotropic treatment episodes among people with and without cancer over a 2-year follow-up.
  
  
  
  We studied the following two cohorts of adult patients affiliated with the National Health Insurance Fund (NHIF): cancer patients followed for 2 years after diagnosis and individuals without cancer matched to cancer patients. Using information about anxiolytic, hypnotic, antidepressant, and antipsychotic dispensing in community pharmacies, we applied conditional log-binomial regressions to estimate adjusted relative risks for monthly dispensing of PDs.
  
  
  
  Annual prevalence of PD dispensing-all categories included-among cancer patients was significantly higher for almost all the categories we studied than among individuals without cancer. Monthly prevalence of anxiolytic/hypnotic dispensing started to rise several months before diagnosis and peaked immediately after. Among patients with cancer and their matched controls, treatment duration exceeded 1 month for hypnotics in 40 and 35 %, respectively (p < 0.01), and 3 months for anxiolytics in 23 and 23 % (p = 0.8); it was less than 6 months for antidepressants in 76 and 75 % (p = 0.5).
  
  
  
  Prevalence of psychotropic treatment was higher among cancer patients than among persons without cancer. Psychotropic treatment duration was not in line with recommendations for significant fractions of cancer patients or their controls.
  
  
  
  Training of health professionals involved in cancer supportive care should be reinforced and specific guidelines developed to help them address psychological distress of cancer survivors.
authors.affiliation: INSERM, UMR912 (SESSTIM), Marseille, France.|Aix Marseille Université, UMR_S912, IRD, Marseille, France.|ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Verger
authors.affiliation: INSERM, UMR912 (SESSTIM), Marseille, France. sebastien.cortaredona@inserm.fr.|Aix Marseille Université, UMR_S912, IRD, Marseille, France. sebastien.cortaredona@inserm.fr.|ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France. sebastien.cortaredona@inserm.fr.
authors.forename: Sébastien
authors.identifier: 0000-0003-3523-7158
authors.initials: S
authors.lastname: Cortaredona
authors.affiliation: Université de Bordeaux, U657, Bordeaux, France.|INSERM, U657, Bordeaux, France.|Centre Hospitalier Charles Perrens, Bordeaux, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Tournier
authors.affiliation: INSERM, UMR912 (SESSTIM), Marseille, France.|Aix Marseille Université, UMR_S912, IRD, Marseille, France.|ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Rey
authors.affiliation: INSERM, UMR912 (SESSTIM), Marseille, France.|Aix Marseille Université, UMR_S912, IRD, Marseille, France.|ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France.
authors.forename: Marc-Karim
authors.initials: MK
authors.lastname: Bendiane
authors.affiliation: INSERM, UMR912 (SESSTIM), Marseille, France.|Aix Marseille Université, UMR_S912, IRD, Marseille, France.|ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Peretti-Watel
authors.affiliation: Université de Bordeaux, U657, Bordeaux, France.|INSERM, U657, Bordeaux, France.|Centre Hospitalier Charles Perrens, Bordeaux, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Verdoux
mesh_terms: D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy* / Q000401:mortality; D015995:Prevalence; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D017741:Survivors
chemical_list: D011619:Psychotropic Drugs
keywords: Cancer; Health insurance reimbursement; Oncology; Psychotropic drugs; Quality of health care; Survivors