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首页> 外文期刊>Journal of Clinical Medicine Research >Comparison of Comorbid Conditions Between Cancer Survivors and Age-Matched Patients Without Cancer
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Comparison of Comorbid Conditions Between Cancer Survivors and Age-Matched Patients Without Cancer

机译：癌症幸存者与年龄匹配的无癌症患者的合并症比较

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Background: Cancer survivors suffer from many comorbid conditions even after the cure of their cancers beyond 5 years. We explored the differences in the association of comorbid conditions between the cancer survivors and patients without cancer. Methods: Electronic medical records of 280 adult cancer survivors and 280 age-matched patients without cancer in our suburban internal medicine office were reviewed. Results: Mean age of the cancer survivors was 72.5 ± 13.1 years, and the age of the patients without cancer was 72.5 ± 12.8 years. The number of male cancer survivors was significantly higher than the female cancer survivors (52.5% vs. 47.5%, P 0.001). There were significantly more Caucasians and other races (majority Asians) in the cancer survivor group compared to the patients without cancer group (81.8% vs. 79.3% and 4.6% vs. 0.4%, respectively, P 0.05); while there were significantly less African Americans and Hispanics in the cancer survivor group compared to the patients without cancer group (10.0% vs. 12.8% and 3.6% vs. 7.5%, respectively, P 0.05). Hypertension (64.3%), hyperlipidemia (56.1%), osteoarthritis (34.3%), hypothyroidism (21.8%), diabetes mellitus (21.8%) and coronary artery disease (21.8%) were the most common comorbid conditions observed in the cancer survivors. Osteoarthritis was the only comorbid condition that was significantly less frequently associated with the cancer survivors compared to the patients without cancer (42.9%, P 0.05). The frequencies of all other comorbid conditions were not significantly different between the two groups. The majority of our group of cancer survivors had one or more types of the top six cancers which include prostate cancer (30.7%), melanoma (13.9%), thyroid cancer (11.4%), colon cancer (11.1%), uterine cancer (11.1%) and urinary bladder cancer (11.1%); while only a few had cancer of the cervix (6.1%) or breast cancer (0.3%). Use of aspirin, statin, vitamin D, multivitamins, metformin and fish oil supplement in the cancer survivors was similar to the patients without cancer. Conclusions: Hypertension, hyperlipidemia, osteoarthritis, hypothyroidism, diabetes mellitus and coronary artery disease are the most common associated comorbid conditions in the cancer survivors. Osteoarthritis is less frequently seen in the cancer survivors compared to the patients without cancer. The frequencies of other comorbid conditions are not significantly different between the two groups.
机译：背景：即使在癌症治愈超过5年之后，癌症幸存者仍患有许多合并症。我们探讨了癌症幸存者和无癌症患者在合并症状况关联方面的差异。方法：回顾了我院郊区内科办公室的280名成人癌症幸存者和280名年龄匹配的无癌症患者的电子病历。结果：癌症幸存者的平均年龄为72.5±13.1岁，无癌症患者的年龄为72.5±12.8岁。男性癌症幸存者的数量显着高于女性癌症幸存者（52.5％对47.5％，P <0.001）。与没有癌症的患者相比，癌症幸存者组的白种人和其他种族（亚洲人占多数）明显多（分别为81.8％，79.3％和4.6％和0.4％，P <0.05）;癌症幸存者组的非裔美国人和西班牙裔美国人明显少于无癌症组（分别为10.0％，12.8％和3.6％，7.5％，P <0.05）。在癌症幸存者中，最常见的合并症是高血压（64.3％），高脂血症（56.1％），骨关节炎（34.3％），甲状腺功能减退（21.8％），糖尿病（21.8％）和冠状动脉疾病（21.8％）。骨关节炎是唯一的合并症，与没有癌症的患者相比，与癌症幸存者相关的频率明显降低（42.9％，P <0.05）。两组之间所有其他合并症的发生频率无明显差异。我们这组癌症幸存者中的大多数患有前六种癌症中的一种或多种，​​包括前列腺癌（30.7％），黑素瘤（13.9％），甲状腺癌（11.4％），结肠癌（11.1％），子宫癌（ 11.1％）和膀胱癌（11.1％）;而只有少数人患有子宫颈癌（6.1％）或乳腺癌（0.3％）。在癌症幸存者中使用阿司匹林，他汀类药物，维生素D，多种维生素，二甲双胍和鱼油补充剂与没有癌症的患者相似。结论：高血压，高脂血症，骨关节炎，甲状腺功能减退，糖尿病和冠状动脉疾病是癌症幸存者中最常见的合并症。与没有癌症的患者相比，在癌症幸存者中骨关节炎的发生率较低。两组之间其他合并症的频率无明显差异。

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