Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients.


Journal

Ethnicity & disease
ISSN: 1945-0826
Titre abrégé: Ethn Dis
Pays: United States
ID NLM: 9109034

Informations de publication

Date de publication:
2020
Historique:
entrez: 10 4 2020
pubmed: 10 4 2020
medline: 2 2 2021
Statut: epublish

Résumé

To characterize rates of co-morbidity among prostate cancer patients treated with radical prostatectomy and to examine the association between co-morbidity status and race, clinical factors, and health behaviors for cancer control. Retrospective cohort study among prostate cancer patients treated with radical prostatectomy. Academic medical center located in the southeastern region of the United States. Patients with at least one of five co-morbid conditions considered were categorized as having a co-morbidity, and those without any were categorized as not having a co-morbid condition. Co-morbid conditions considered were hypertension, diabetes, heart problems, stroke, and high cholesterol, which had been recorded in the electronic medical record as part of their past medical history. Fifty-one percent of participants had a co-morbidity, with hypertension being the most common. The average number of co-morbidities among study participants was .87. In a multivariate logistic regression analysis, being diagnosed with prostate cancer within the past four years was associated with an increased likelihood of having a co-morbidity (OR=4.71, 95% CI=2.69, 8.25, P=.0001) compared with diagnosis five or more years ago. Age was also associated with an increased likelihood of having a co-morbidity (OR=1.30, 95% CI=1.005, 1.68, P=.05). In this study cohort, race, stage at diagnosis, and PSA level were not statistically associated with co-morbidity status. Better chronic disease management is needed among prostate cancer survivors through more effective survivorship care planning and interventions that promote health behaviors.

Identifiants

pubmed: 32269460
doi: 10.18865/ed.30.S1.185
pii: ed.30.S1.185
pmc: PMC7138439
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

185-192

Subventions

Organisme : NCI NIH HHS
ID : P30 CA138313
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK123704
Pays : United States
Organisme : NIMHD NIH HHS
ID : U54 MD010706
Pays : United States

Informations de copyright

Copyright © 2020, Ethnicity & Disease, Inc.

Déclaration de conflit d'intérêts

Competing Interests: None declared.

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Auteurs

Melanie Jefferson (M)

Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC.

Richard R Drake (RR)

Department of Cell and Molecular Pharmacology and Experimental Therapeutics, Medical University of South Carolina, Charleston, SC.
Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.

Michael Lilly (M)

Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.
Department of Medicine, Medical University of South Carolina, Charleston, SC.

Stephen J Savage (SJ)

Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.
Department of Urology, Medical University of South Carolina, Charleston, SC.

Sarah Tucker Price (S)

Department of Family Medicine, Medical University of South Carolina, Charleston, SC.

Chanita Hughes Halbert (C)

Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC.

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