Cardiovascular Disease Risk and Breast Cancer Outcomes: A Pilot Study
| Autor: | Carrie J. Merkle, Danielle Sparenga, Shu Fen Wung, Joseph T. Hepworth |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Oncology medicine.medical_specialty Breast Neoplasms Pilot Projects Disease Risk Assessment Metastasis Breast cancer Internal medicine Epidemiology of cancer medicine Humans Prospective Studies skin and connective tissue diseases Prospective cohort study Aged Retrospective Studies Preventive healthcare Aged 80 and over business.industry Retrospective cohort study Middle Aged medicine.disease Cardiovascular Diseases Female business Risk assessment |
| Zdroj: | Oncology Nursing Forum. 42:E330-E338 |
| ISSN: | 1538-0688 0190-535X |
| DOI: | 10.1188/15.onf.e330-e338 |
| Popis: | Purpose/objectives To assess feasibility of using electronic health records for profiling multiple cardiovascular disease (CVD) risk factors in women with breast cancer at diagnosis and five years post-treatment, and to explore relationships among CVD risk factors and breast cancer outcomes . Design Retrospective, descriptive . Setting A comprehensive cancer center in the southwestern United States . Sample 200 women with stage 0-III breast cancer. . Methods A record review using an instrument to profile multiple CVD risk factors and breast cancer outcomes . Main research variables CVD risk factors, such as blood pressure (BP) and hemoglobin A1C (HbA1C), and breast cancer outcomes, such as metastasis . Findings Most data on CVD risk factors were undocumented. Even BP values to assess hypertension were missing in 35% of women at breast cancer diagnosis. Women with poor outcomes had trends toward higher blood glucose and HbA1C than women with good outcomes . Conclusions The study failed to comprehensively capture CVD risk factors in women with breast cancer because of missing data. Glucose control may be associated with breast cancer outcomes . Implications for nursing Better documentation of shared risk factors for CVD and breast cancer is needed. Prospective studies are needed to evaluate shared CVD risk factors and breast cancer outcomes because of missing health record information . |
| Databáze: | OpenAIRE |
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