Prevalence, patterns, and determinants of multimorbidity among childhood and adult cancer survivors: A systematic review.

被引：8

作者：

Asogwa, Ogechukwu A. ^{[1
,8
]}

Quansah, Dan Yedu ^{[2
,3
]}

Boakye, Daniel ^{[4
]}

Ezewuiro, Obiageli Ntukogu ^{[5
]}

Boateng, Daniel ^{[6
,7
]}

机构：

[1] Leiden Univ, Med Ctr, Dept Neurol, Leiden, Netherlands

[2] Lausanne Univ Hosp, Dept Woman Mother Child, Obstet Serv, Lausanne Switzerland Ave Sallaz, CH-1011 Lausanne, Switzerland

[3] Univ Ottawa, Heart Inst, Canadian Womens Heart Hlth Ctr, Ottawa, ON, Canada

[4] Univ West Scotland, Sch Hlth & Life Sci, Glasgow PA1 2BE, Scotland

[5] Texas Oncol El Paso Canc Treatment Ctr Gateway, 7848 Gateway East, El Paso, TX 79915 USA

[6] Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Julius Global Hlth, Utrecht, Netherlands

[7] Kwame Nkrumah Univ Sci & Technol, Sch Publ Hlth, Dept Epidemiol & Biostat, Kumasi, Ghana

[8] Leiden Univ, Med Ctr LUMC, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands

来源：

CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY | 2023年 / 192卷

基金：

加拿大健康研究院;

关键词：

Multimorbidity; Neoplasms; Cancer survivors; Patterns; Risk factor; Late effects; Survivorship; Chronic conditions; OUTCOMES; BURDEN;

D O I：

10.1016/j.critrevonc.2023.104147

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Development of multimorbidity is common among cancer survivors due to their previous cancer, treatments, or changes in lifestyle. We summarized evidence on the prevalence, patterns, and determinants of multimorbidity among childhood and adult cancer survivors. We searched PubMed and EMBASE databases for articles reporting prevalence, patterns, and determinants of multimorbidity in cancer survivors. Finally, 23/500 articles were included. There was a large variation in the prevalence of multimorbidity (13-89%) among cancer survivors. Bone marrow transplantation, radiation, female sex, lower level of physical activity, increasing age, minority ethnicity, low-income, and low-education were associated with a higher prevalence of multimorbidity. Patterns of multimorbidity were both concordant and discordant. In conclusion, multimorbidity is highly prevalent and a major concern among cancer survivors. A personalized care plan that takes into account the identified risk may be beneficial to reduce the burden of multimorbidity and improve the quality of life among cancer survivors.

引用

页数：12

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