Comorbidity, physical and mental health among cancer patients and survivors: An Australian population-based study
Comorbidity, physical and mental health among cancer patients and survivors: An Australian population-based study
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DOI：
10.1111/ajco.12677
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发表时间：
2018-04-01
影响因子：
1.9
通讯作者：
Vitry, Agnes
中科院分区：
文献类型：
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作者：
Ng, Huah Shin;Roder, David;Vitry, Agnes
AimTo评估癌症患者和幸存者与普通人群相比的合并症和身心健康措施的患病率。MethodsData收集的澳大利亚统计局2011-2012年全国健康调查的数据被用于本横断面研究。使用logistic回归模型对25岁及以上有癌症史的成年人（n = 2170）和未报告患有癌症的受访者（n = 11592）进行了比较。根据癌症状态重复分析结果有癌症史的人报告精神和行为问题的几率明显更高（总体癌症组调整的比值比为1.36，95%置信区间为1.20-1.54;当前癌症组为2.53，1.97-3.27;癌症幸存者1.20，1.05-1.38），循环系统疾病（总体癌症组1.25，1.12-1.39;当前癌症组1.38，1.08-1.76;癌症幸存者组1.22，1.09-1.38），肌肉骨骼疾病（总体癌症组1.37，1.24-1.52;现患癌症组1.66，1.30-2.12;癌症幸存者组1.33，1.19-1.48）和内分泌系统疾病（总癌症组1.19，1.06-1.34;现患癌症组1.29，1.00-1.66;癌症幸存者组1.17，1.04-1.33）与非癌症组相比。癌症患者和幸存者更有可能报告健康状况不佳，更高水平的痛苦，和更多的慢性病与noncancer group.Conclusionpoor健康和comorbidity是癌症患者和幸存者比noncancer人群中更普遍。我们的研究结果进一步支持了开发有效解决癌症人群所经历的多种慢性疾病的护理模式的必要性。
AimTo assess the prevalence of comorbidities and measures of physical and mental health among the cancer patients and survivors compared with the general population.MethodsData collected by the Australian Bureau of Statistics from 2011-2012 National Health Survey were utilized for this cross-sectional study. Comparisons were made between adults aged 25 years and over with history of cancer (n = 2170) and those respondents who did not report having had a cancer (n = 11592) using logistic regression models. Analyses were repeated according to cancer status (current cancer vs. cancer survivor).ResultsPeople with history of cancer had significantly higher odds of reporting mental and behavioral problems (overall cancer group adjusted odds ratio 1.36, 95 percent confidence interval 1.20-1.54; current cancer 2.53, 1.97-3.27; cancer survivor 1.20, 1.05-1.38), circulatory conditions (overall cancer group 1.25, 1.12-1.39; current cancer 1.38, 1.08-1.76; cancer survivor 1.22, 1.09-1.38), musculoskeletal conditions (overall cancer group 1.37, 1.24-1.52; current cancer 1.66, 1.30-2.12; cancer survivor 1.33, 1.19-1.48) and endocrine system disorders (overall cancer group 1.19, 1.06-1.34; current cancer 1.29, 1.00-1.66; cancer survivor 1.17, 1.04-1.33) compared with the noncancer group. Cancer patients and survivors were more likely to report poor health status, a higher level of distress, and a greater number of chronic conditions compared with the noncancer group.ConclusionPoor health and comorbidity is more prevalent among cancer patients and survivors than the noncancer population. Our results further support the need to develop models of care that effectively address multiple chronic conditions experienced by the cancer population.