Cancer and Atrial Fibrillation Comorbidities Among 25 Million Citizens in Shanghai, China: Medical Insurance Database Study

Autor: Mu Chen, Cheng Li, Jiwei Zhang, Xin Cui, Wenqi Tian, Peng Liao, Qunshan Wang, Jian Sun, Li Luo, Hong Wu, Yi-Gang Li
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: JMIR Public Health and Surveillance, Vol 9, p e40149 (2023)
Druh dokumentu: article
ISSN: 2369-2960
DOI: 10.2196/40149
Popis: BackgroundWith population aging, the prevalence of both cancer and atrial fibrillation (AF) have increased. However, there is scarce epidemiological data concerning the comorbid state of cancer and AF in low- and middle-income countries, including China. ObjectiveWe aimed to evaluate the site-, sex-, and age-specific profiles of cancer and AF comorbidities in Chinese populations. MethodsData from the Shanghai Municipal Health Commission database between 2015 and 2020 were screened, covering all medical records of Shanghai residents with medical insurance. Site-specific cancer profiles were evaluated for the population with AF relative to the age- and sex-adjusted population of residents without AF. The sex distribution and peak age of cancer diagnosis were also assessed. ResultsA total of 25,964,447 adult patients were screened. Among them, 22,185 patients presented cancers comorbid with AF (median 77, IQR 67-82 years of age; men: n=13,631, 61.44%), while 839,864 presented cancers without AF (median 67, IQR 57-72 years of age; men: n=419,020, 49.89%), thus yielding a higher cancer prevalence among residents with AF (8.27%) than among those without AF (6.05%; P
Databáze: Directory of Open Access Journals