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Titolo:
Cancer and comorbidity - Redefining chronic diseases
Autore:
Ogle, KS; Swanson, GM; Woods, N; Azzouz, F;
Indirizzi:
Michigan State Univ, Dept Family Practice, Clin Ctr B101, E Lansing, MI 48824 USA Michigan State Univ E Lansing MI USA 48824 B101, E Lansing, MI 48824 USA Michigan State Univ, Ctr Canc, E Lansing, MI 48824 USA Michigan State Univ E Lansing MI USA 48824 Canc, E Lansing, MI 48824 USA Univ Washington, Sch Nursing, Ctr Womens Hlth Res, Dept Family & Child Nursing, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 Child Nursing, Seattle, WA 98195 USA
Titolo Testata:
CANCER
fascicolo: 3, volume: 88, anno: 2000,
pagine: 653 - 663
SICI:
0008-543X(20000201)88:3<653:CAC-RC>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
BREAST-CANCER; OLDER WOMEN; FUNCTIONAL STATUS; MEDICAL RECORD; ELDERLY WOMEN; CO-MORBIDITY; AGE; IMPACT; STAGE; CARE;
Keywords:
comorbidity; cancer; chronic disease; diagnosis; treatment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Ogle, KS Michigan State Univ, Dept Family Practice, Clin Ctr B101, E Lansing, MI 48824 USA Michigan State Univ E Lansing MI USA 48824 Lansing, MI 48824 USA
Citazione:
K.S. Ogle et al., "Cancer and comorbidity - Redefining chronic diseases", CANCER, 88(3), 2000, pp. 653-663

Abstract

BACKGROUND, A narrow subspecialty model of cancer care has led to cancer treatment often being given outside the full medical context of the patient. The full range of comorbid illness must be considered in all aspects of diagnosis and treatment. This study was conducted to describe the prevalence of comorbidity in cancer patients and examine its relation with multiple demographic and clinical variables. METHODS. A case comparison study of 15,626 population-based incident casesof cancer was conducted between 1984-1992 in 3 metropolitan Detroit counties (a National Cancer Institute Surveillance, Epidemiology, and End Resultsprogram). Chronic disease status and demographics were collected by self-report; cancer diagnoses and staging were obtained by medical record review. Univariate and multiple logistic regression analyses were performed. RESULTS. Comorbidity was present in 68.7% of cancer patients, and 32.6% ofthese individuals had greater than or equal to 2 comorbid conditions. Frequency was increased in the elderly, African-American patients (particularlyAfrican-American women), smokers, and those with lower socioeconomic status. Rates also appeared to vary by specific tumor site. CONCLUSIONS. Comorbid chronic diseases are common in persons with cancer. The prevalence of comorbidities has important clinical, health service, andresearch implications. The disease specific model of oncology may limit appropriate care for these patients, and enhanced integration of primary careinto the ongoing management of cancer may offer better outcomes. (C) 2000 American Cancer Society.

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Documento generato il 13/07/20 alle ore 03:56:25