Non-cancer adverse health conditions and perceived health and function among cancer survivors participating in a community-based cohort study in Washington County, Maryland

Gallicchio, Lisa; Kalesan, Bindu; Hoffman, Sandra C.; Helzlsouer, Kathy J.

doi:10.1007/s11764-008-0046-1

Cited by 24 publications

(30 citation statements)

References 11 publications

(18 reference statements)

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“…Older cancer survivors with co‐morbidity have a more burdensome situation than controls, which is reflected in the presence of ADL problems. This finding is in accordance with the results reported by Gallicchio et al. (2008); however, comparison must be done with caution due to the large age span represented in their study and the different conceptualisation of the ADL problems.…”

Section: Discussionsupporting

confidence: 92%

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Activity of daily living problems in older cancer survivors: a population-based controlled study

Grov

Fosså

Dahl

2010

Health &Amp; Social Care in the Community

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The ability to perform activities of daily living (ADL) is a crucial factor for independent functioning and living at home. This population-based cross-sectional study examines ADL problems in older cancer survivors compared with an age-matched cancer-free control group. According to both The Cancer Registry of Norway and self-report, 911 individuals > or =70 years had invasive cancer among the participants of The Health Study of Nord-Trøndelag County (HUNT-2) 1995-7. Three age- and gender-matched cancer-free controls for each cancer survivor were drawn from HUNT-2 (N = 2733). Personal- and Instrumental-ADL (P-ADL and I-ADL) problems were self-rated. P-ADL problems addressed activities such as personal hygiene, dressing and eating, while I-ADL problems concerned household activities, managing finances, shopping and administration of medication. Associations among relevant independent variables and P- and I-ADL problems were examined with both descriptive and multivariate statistics. P-ADL problems were present in 10% of the cancer survivors and 8% of the controls (P = 0.02). Correspondingly, 38% of the cancer survivors had I-ADL problems versus 32% of the controls (P < 0.001). Older cancer survivors with co-morbidity showed significantly higher rates of P-ADL and I-ADL problems compared with controls with co-morbidity (14% versus 9%, P = 0.01, and 47% versus 39%, P = 0.02). Cancer survivors with co-morbidity had significantly more P-ADL and I-ADL problems than survivors without co-morbidity (14% versus 8%, P = 0.01 and 47% versus 32%, P < 0.001). This study showed higher incidence of ADL problems among a population of older cancer survivors compared with cancer-free controls. Somatic co-morbidity further increased the prevalence of both P- and I-ADL problems in the cancer survivors. Primary healthcare providers should pay attention to and assess ADL problems in older cancer survivors.

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Section: Discussionsupporting

confidence: 92%

“…(2008). To our knowledge, however, no other studies than the one by Gallicchio et al. (2008) have examined ADL problems in older cancer survivors or com‐pared them with those of an age‐ and gender‐matched cancer‐free control group.…”

Section: Introductionmentioning

confidence: 99%

Activity of daily living problems in older cancer survivors: a population-based controlled study

Grov

Fosså

Dahl

2010

Health &Amp; Social Care in the Community

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“…Our results are consistent with previous literature describing adverse health conditions, including smoking, chronic medical problems, functional limitations, and poor self-reported health status, among various cancer survivor populations. [17][18][19][20][21][22] Evidence suggests that modifiable risk behaviors among cancer survivors, including smoking, alcohol use, and obesity, may be associated with cancer recurrences and the development of second primary cancers. 23 Cancer survivors, including adolescent cancer survivors, who continue to smoke are at increased risk for second malignancies and chronic conditions.…”

Section: Discussionmentioning

confidence: 99%

Health status of adolescent and young adult cancer survivors

Tai

Buchanan

Townsend

et al. 2012

Cancer

287

280

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BACKGROUND:Adolescents and young adults (AYA) ages 15 to 29 years who are diagnosed with cancer are at risk for long‐term morbidity and mortality associated with treatment of their cancer and the cancer itself. In this article, the authors describe the self‐reported health status of AYA cancer survivors.METHODS:The authors examined 2009 data from the Behavioral Risk Factor Surveillance System, including demographic characteristics, risk behaviors, chronic conditions, health status, and health care access, among AYA cancer survivors compared with respondents who had no history of cancer.RESULTS:The authors identified 4054 AYA cancer survivors and 345,592 respondents who had no history of cancer. AYA cancer survivors, compared with respondents who had no history of cancer, reported a significantly higher prevalence of current smoking (26% vs 18%); obesity (31% vs 27%); chronic conditions, including cardiovascular disease (14% vs 7%), hypertension (35% vs 29%), asthma (15% vs 8%), disability (36% vs 18%), and poor mental health (20% vs 10%) and physical health (24% vs 10%); and not receiving medical care because of cost (24% vs 15%).CONCLUSIONS:AYA cancer survivors commonly reported adverse behavioral, medical, and health care access characteristics that may lead to poor long‐term medical and psychosocial outcomes. Increased adherence to established follow‐up guidelines may lead to improved health among AYA cancer survivors. Cancer 2012. © 2012 American Cancer Society.

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“…Currently 68% of people diagnosed with cancer survive at least 5 years and 60% of the nearly 12 million cancer survivors are ages 65 years or older in the United States (1, 2). Aging and status as cancer survivor may increase older cancer survivors’ risk of recurrent and subsequent cancer (3) and other age-related chronic health conditions (4, 5), such as cardiovascular disease (CVD) (6, 7), diabetes (8) and osteoporosis (9). Thus, cancer survivorship in older adults is a growing area of investigation.…”

Section: Introductionmentioning

confidence: 99%

Adherence to the WCRF/AICR Guidelines for Cancer Prevention Is Associated with Lower Mortality among Older Female Cancer Survivors

Inoue-Choi

Robien

Lazovich

2013

Cancer Epidemiology, Biomarkers &Amp; Prevention

129

158

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Background The 2007 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) guidelines encourage cancer survivors to follow its cancer prevention recommendations. We evaluated whether adherence to the WCRF/AICR guidelines for cancer prevention was associated with lower mortality among older female cancer survivors. Methods From 2004–2009, 2,017 participants in the Iowa Women’s Health Study who had a confirmed cancer diagnosis (1986–2002) and completed the 2004 follow-up questionnaire were followed. Adherence scores for the WCRF/AICR guidelines for body weight, physical activity, and diet were computed assigning one, 0.5 or 0 points to each of eight recommendations depending on the degree of adherence. All-cause (n=461), cancer-specific (n=184), and cardiovascular disease (CVD)-specific mortality (n=145) were compared by the total adherence score and by adherence scores for each of the three components of the recommendations. Results Women with the highest (6–8) vs. lowest (0–4) adherence score had lower all-cause mortality (HR=0.67, 95%CI=0.50–0.94). Meeting the physical activity recommendation was associated with lower all-cause (ptrend<0.0001), cancer-specific (ptrend=0.04), and CVD-specific mortality (ptrend=0.03). Adherence to dietary recommendations was associated with lower all-cause mortality (ptrend<0.05), whereas adherence to the body weight recommendation was associated with higher all-cause mortality (ptrend=0.009). Conclusions Adherence to the WCRF/AICR guidelines was associated with lower all-cause mortality among older female cancer survivors. Adherence to the physical activity recommendation had the strongest association with lower all-cause and disease-specific mortality. Impact Older cancer survivors may decrease their risk of death by leading a healthy lifestyle after a cancer diagnosis.

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Non-cancer adverse health conditions and perceived health and function among cancer survivors participating in a community-based cohort study in Washington County, Maryland

Abstract: Increased attention must be given to the preventive care and treatment of non-cancer adverse health conditions among cancer survivors to decrease non-cancer morbidity and mortality and to maintain and improve quality of life.

Cited by 24 publications

References 11 publications

Activity of daily living problems in older cancer survivors: a population-based controlled study

Activity of daily living problems in older cancer survivors: a population-based controlled study

Health status of adolescent and young adult cancer survivors

Adherence to the WCRF/AICR Guidelines for Cancer Prevention Is Associated with Lower Mortality among Older Female Cancer Survivors

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