期刊
ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
卷 12, 期 1, 页码 E47-+出版社
WILEY-BLACKWELL
DOI: 10.1111/ajco.12130
关键词
cancer; comorbidity; prevalence estimate; survival outcome
类别
资金
- Health Research Council of New Zealand [10/404]
Aims Our study sought to optimize the identification and investigate the impact of comorbidity in cancer patients using routinely collected hospitalization data. Methods We undertook an iterative process of classification of important clinical conditions involving evaluation of relevant literature and consultation with clinicians. Patients diagnosed with colon, rectal, breast, ovarian, uterine, stomach, liver, renal or bladder cancers (n = 14 096) between 2006 and 2008 were identified from the New Zealand Cancer Registry. Conditions were identified using data on diagnoses from hospital admissions for 5 years prior to cancer diagnosis. Patients were followed up until end of 2009 using routine mortality data. Prevalence estimates for each condition by site were calculated. All-cause mortality impact of common conditions was investigated using Cox regression models adjusted for age and stage at diagnosis. Results Patients with liver and stomach cancers tended to have higher comorbidity and those with breast cancer, lower comorbidity than other cancer patients. Of the 50 conditions, the most common were hypertension (prevalence 8.0-20.9%), cardiac conditions (2.1-13.5%) and diabetes with (2.3-13.3%) and without (2.9-12.9%) complications. Comorbidity was associated with higher all-cause mortality but the impact varied by condition and across cancer site, with impact less for cancers with poor prognoses. Conditions most consistently associated with adverse outcomes across all cancer sites were renal disease, coagulopathies and congestive heart failure. Conclusion Comorbidity is highly prevalent in cancer populations, but prevalence and impact of conditions differ markedly by cancer type.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据