Health Care Use Among Cancer Patients With Diabetes, National Health and Nutrition Examination Survey, 2017-2020.

IF 4.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Preventing Chronic Disease Pub Date : 2024-08-08 DOI:10.5888/pcd21.240066

Ara Jo, Sarina Parikh, Nathalie Sawczuk, Kea Turner, Young-Rock Hong

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Abstract

Introduction: Diabetes is a common comorbidity among people with cancer. The objective of our study was to examine patterns of health care use among patients with cancer and either type 2 diabetes or prediabetes.

Methods: We used data from the National Health and Nutrition Examination Survey (NHANES) for 2017-2020. The study population included US adults aged 18 years or older who were diagnosed with any cancer and type 2 diabetes or prediabetes (established by self-report and/or hemoglobin A_1c measurement). We used Poisson and multivariate logistic regression models to determine the effect of comorbidity on health care use, defined as health care visits and overnight stays in a hospital.

Results: Of 905 cancer patients representing 27,180,715 people in the US, 24.4% had a type 2 diabetes diagnosis, and 25.8% had a prediabetes diagnosis. Patients with cancer and prediabetes had a significantly higher rate of health care visits (incidence rate ratio = 1.11; 95% CI, 1.01-1.22; P = .03) than patients with cancer only. We found no significant association between having cancer and type 2 diabetes and the number of health care visits or overnight hospital stays compared with patients with cancer only.

Conclusion: More emphasis should be placed on optimal care coordination among people with cancer and other conditions, such as diabetes and prediabetes, to reduce the impact of comorbidity on health care use. Interventions integrated with technology to provide timely access to education on preventing or managing diabetes and prediabetes among cancer patients are warranted.

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2017-2020 年全国健康与营养调查，癌症糖尿病患者的医疗保健使用情况。

简介糖尿病是癌症患者的常见并发症。我们的研究旨在考察癌症患者和 2 型糖尿病或糖尿病前期患者使用医疗服务的模式：我们使用了 2017-2020 年美国国家健康与营养调查（NHANES）的数据。研究人群包括年龄在18岁或18岁以上、被诊断患有任何癌症和2型糖尿病或糖尿病前期（通过自我报告和/或血红蛋白A1c测量确定）的美国成年人。我们使用泊松模型和多变量逻辑回归模型来确定合并症对医疗服务使用的影响，合并症是指医疗服务就诊和在医院过夜：在代表美国 27,180,715 人的 905 名癌症患者中，24.4% 被诊断为 2 型糖尿病，25.8% 被诊断为糖尿病前期。癌症合并糖尿病前期患者的就诊率（发病率比 = 1.11；95% CI，1.01-1.22；P = .03）明显高于单纯癌症患者。我们发现，与仅患有癌症的患者相比，患有癌症和2型糖尿病的患者就医次数或住院过夜次数并无明显关联：结论：应更加重视癌症患者与糖尿病和糖尿病前期等其他疾病患者之间的最佳护理协调，以减少合并症对医疗服务使用的影响。有必要采取与技术相结合的干预措施，及时为癌症患者提供预防或控制糖尿病和糖尿病前期的教育。

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来源期刊

Preventing Chronic Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.70

自引率

3.60%

发文量

期刊介绍： Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. The mission of PCD is to promote the open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The vision of PCD is to be the premier forum where practitioners and policy makers inform research and researchers help practitioners and policy makers more effectively improve the health of the population. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span.