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Do Active Duty Cancer Survivors with a Concurrent Behavioral Health Diagnosis Have Distinct Survivorship Care Needs

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Technical Report

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Uniformed Services University Of The Health Sciences Bethesda United States

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It is estimated that 30 to 50 percent of cancer survivors will have a diagnosable behavioral health condition at some point 23 67 69 84 92. Military personnel are also at risk for behavioral health problems. Behavioral health-related conditions accounted for more in- and outpatient hospital visits for Active Duty personnel than any other condition aside from routine visits in 2011 11 12. Despite these observations it is currently unclear whether those on Active Duty who receive a cancer diagnosis and treatment for cancer are more likely to have higher rates of behavioral health diagnoses than a militaryaffiliated civilian cancer survivor comparison group who are eligible for treatment within the Military Health System. One hundred ninety four active duty cancer survivors and 194 military-affiliated civilian cancer survivors used as a comparison group were matched on cancer type, marital status, age, and gender. Data were extracted databases held by TRICARE Management Activity. Case definition for cancer survivor was an individual diagnosed with and treated for cancer a diagnosis in fiscal year 2006 or 2007 and completed with primary anti-cancer treatment by the end of fiscal year 2010. Chi square analyses, logistic regression, Cox regression, and negative binomial regressions were used.

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