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Healthcare utilization consisted of breast cancer (BC) and non\u2010BC\u2010related routine and nonroutine utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>YS had significantly higher FCR than OS (<jats:italic>p<\/jats:italic> &lt; 0.01). Independent of age, FCR was significantly associated with all three types of BC\u2010related utilization (<jats:italic>p<\/jats:italic> &lt; 0.05). In the multivariate models, we found a significant, positive interaction effect between FCR and increased comorbidities on nonroutine BC appointments (<jats:italic>p<\/jats:italic> = 0.01) and BC\u2010related emergency room visits (<jats:italic>p<\/jats:italic> = 0.03). Additionally, comorbidities were associated with non\u2010BC\u2010related utilization (<jats:italic>p<\/jats:italic> &lt; 0.01), and nonwhites were more likely to utilize nonroutine resources, both BC and non\u2010BC\u2010related (<jats:italic>p<\/jats:italic> &lt; 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Increased FCR has been associated with hypervigilance among survivors and may lead to increased healthcare utilization. YS are at higher risk for increased FCR and psychosocial concerns, which may lead to overutilization. Providers should be aware that higher FCR may be related to increased use of healthcare resources and that these patients might be better served with supportive resources to increase quality of life and decrease inappropriate utilization. While this study provides increased evidence of the relationship between FCR and healthcare utilization, interventions are needed for survivors at risk to address unmet needs, especially as life expectancy increases among BCS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5568","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T22:54:43Z","timestamp":1602024883000},"page":"279-286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["The impact of fear of cancer recurrence on healthcare utilization among long\u2010term breast cancer survivors recruited through ECOG\u2010ACRIN trials"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3181-8337","authenticated-orcid":false,"given":"Eric","family":"Vachon","sequence":"first","affiliation":[{"name":"School of Nursing Indiana University  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1553-9175","authenticated-orcid":false,"given":"Ellen","family":"Krueger","sequence":"additional","affiliation":[{"name":"Department of Psychology Indiana University\u2010Purdue University Indianapolis  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria L.","family":"Champion","sequence":"additional","affiliation":[{"name":"School of Nursing Indiana University  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Haggstrom","sequence":"additional","affiliation":[{"name":"School of Medicine Indiana University  Indianapolis Indiana USA"},{"name":"Center for Health Services Research Regenstrief Institute  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cella","sequence":"additional","affiliation":[{"name":"Department of Medical 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