Chronic diseases among older cancer survivors

Deckx, Laura, van den Akker, Marjan, Metsemakers, Job, Knottnerus, Andre, Schellevis, Francois and Buntinx, Frank (2012) Chronic diseases among older cancer survivors. Journal of Cancer Epidemiology, 2012 206414.1-206414.7. doi:10.1155/2012/206414

Author Deckx, Laura
van den Akker, Marjan
Metsemakers, Job
Knottnerus, Andre
Schellevis, Francois
Buntinx, Frank
Title Chronic diseases among older cancer survivors
Journal name Journal of Cancer Epidemiology   Check publisher's open access policy
ISSN 1687-8558
Publication date 2012
Sub-type Article (original research)
DOI 10.1155/2012/206414
Open Access Status DOI
Volume 2012
Start page 206414.1
End page 206414.7
Total pages 7
Place of publication New York, NY, United States
Publisher Hindawi Publishing Corporation
Subject 2713 Epidemiology
2739 Public Health, Environmental and Occupational Health
1311 Genetics
Abstract Objective. To compare the occurrence of pre-existing and subsequent comorbidity among older cancer patients (≥ 60 years) with older non-cancer patients. Material and Methods. Each cancer patient (n = 3835, mean age 72) was matched with four non-cancer patients in terms of age, sex, and practice. The occurrence of chronic diseases was assessed cross-sectionally (lifetime prevalence at time of diagnosis) and longitudinally (incidence after diagnosis) for all cancer patients and for breast, prostate, and colorectal cancer patients separately. Cancer and non-cancer patients were compared using logistic and Cox regression analysis. Results. The occurrence of the most common pre-existing and incident chronic diseases was largely similar in cancer and non-cancer patients, except for pre-existing COPD (OR 1.21, 95% CI 1.061.37) and subsequent venous thrombosis in the first two years after cancer diagnosis (HR 4.20, 95% CI 2.746.44), which were significantly more frequent (P 0.01) among older cancer compared to non-cancer patients. Conclusion. The frequency of multimorbidity in older cancer patients is high. However, apart from COPD and venous thrombosis, the incidence of chronic diseases in older cancer patients is similar compared to non-cancer patients of the same age, sex, and practice.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Discipline of General Practice Publications
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Created: Thu, 17 Sep 2015, 10:16:40 EST by Anthony Yeates on behalf of Discipline of General Practice