Comorbidity as an independent risk factor in patients with cancer: an 8-year population-based study.

Autor:	Chen CI; College of Medicine, Taipei Medical University, Taipei, Taiwan., Kuan CF; University of Science and Technology, Taichung, Taiwan., Miser J; Taipei Medical University, Taipei, Taiwan., Fang YA; Taipei Medical University, Taipei, Taiwan., Lam C; Taipei Medical University, Taipei, Taiwan., Chiu WT; Taipei Medical University, Taipei, Taiwan., Li YC; Taipei Medical University, Taipei, Taiwan jack@tmu.edu.tw.
Jazyk:	angličtina
Zdroj:	Asia-Pacific journal of public health [Asia Pac J Public Health] 2015 Mar; Vol. 27 (2), pp. NP590-9. Date of Electronic Publication: 2013 Mar 27.
DOI:	10.1177/1010539513481491
Abstrakt:	This study determined the prevalence of medical conditions in patients with cancer and their impact on outcome. We evaluated a cohort of 37,411 patients diagnosed with cancer between 2000 and 2008 in Taiwan, collecting the cancer diagnosis and chronic disease diagnoses. The severity of the comorbid condition was correlated with the cancer diagnosis and outcome. Overall, 71.9% of the study population had 1 or more comorbid conditions. Patients with none (n = 10 508), 1 (n = 8881), 2 (n = 6583), and 3 or more (n = 11 439) comorbid conditions had mortality rates of 11.49%, 15.99%, 19.61%, and 29.39%, respectively. Older patients with comorbid conditions had a significantly higher chance of death. Dementia, heart disease, or cerebrovascular diseases were associated with the highest mortality. Cancer patients with comorbid conditions have a significantly higher risk of death. Prevention and better medical management of comorbid conditions is likely to result in improved outcomes for patients with cancer. (© 2013 APJPH.)
Databáze:	MEDLINE
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