评估老年癌症诊断后并发疾病的风险。

IF 3.6 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMC Public Health Pub Date : 2025-02-17 DOI:10.1186/s12889-025-21784-7
Md Tamzid Islam, Md Saiful Islam Saif, Naima Alam, Sam Pepper, Isuru Ratnayake, Dinesh Pal Mudaranthakam
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引用次数: 0

摘要

背景:癌症是一种严重的疾病,影响一个人的身体、精神、社会和许多其他方面。在癌症的治疗阶段,患者,特别是老年人,承受着各种各样的健康复杂性,这可能导致其他疾病的发病和并发症的发展。几项研究表明,合并症在癌症生存中起着至关重要的作用。然而,在国家层面的研究中,仍然缺乏综合的统计技术来评估癌症合并症发展的重要性。我们的研究旨在通过在四年的时间内比较癌症和非癌症个体来解决这一差距。方法:采用健康退休研究(HRS)数据,抽取6651名年龄在50岁以上的参与者的信息。在4年的时间跨度内,根据高血压、糖尿病、心脏病、中风、肺病和心理疾病等疾病的发展情况,无论是否存在合并症,都进行了横断面观察。结果:在多变量回归模型中,在调整社会经济因素后,我们观察到癌症组发生合并症的几率高于非癌症组(OR = 1.321, p值0.0051)。此外,社会经济因素被发现与癌症显著相关,导致应用倾向得分匹配(1:3匹配)。最后,平衡数据还显示,癌症患者发生合并症的几率明显更高(OR = 1.294, p值0.0207)。结论:上述研究结果表明,加强治疗方案的发展势在必行,这些方案优先考虑癌症患者的整体健康,从而降低他们对其他疾病的易感性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Evaluating the risk of comorbidity onset in elderly patients after a cancer diagnosis.

Background: Cancer is a critical disease that affects a person physically, mentally, socially, and in many other aspects. During the treatment stage of cancer, patients suffer from various health complexities, especially elderly people, which might result in the onset of other diseases development of a comorbid condition. Several studies have shown comorbidity plays a crucial role in cancer survival. However, there remains a lack of comprehensive statistical techniques at the national level studies to assess the significance of comorbidities development in cancer. Our research aims to address this gap by comparing cancer and non-cancer individuals over four years' time period.

Methods: The Health Retirement Study (HRS) data was used to extract information from 6651 participants aged more than 50. Within a 4-year time span, cross-sectional observations were created whether comorbidities or not based on the development of diseases such as high blood pressure, diabetes, heart disease, stroke, lung disease, and psychological disease.

Results: In the multivariable regression model, we observed higher chances of developing comorbidity (OR = 1.321, p-value 0.0051) among the cancer group compared to the non-cancer group, adjusting the socio-economic factors. Moreover, the socio-economic factors were found to be significantly associated with cancer leading to applying the propensity score matching with (1:3 matching). Finally, the balanced data also showed significantly higher chances of developing comorbidity (OR = 1.294, p-value 0.0207) among cancer patients.

Conclusions: The above findings demonstrated the imperative development of enhanced treatment protocols, which prioritize the overall health of cancer patients, thereby reducing their susceptibility to additional illnesses.

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来源期刊
BMC Public Health
BMC Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
4.40%
发文量
2108
审稿时长
1 months
期刊介绍: BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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