A 50% higher prevalence of life-shortening chronic conditions among cancer patients with low socioeconomic status

Woutera Louwman; MJ Aarts; S (Saskia) Houterman; Frank van Lenthe; Jan Willem Coebergh; Maryska Heijnen

doi:10.1038/sj.bjc.6605949

A 50% higher prevalence of life-shortening chronic conditions among cancer patients with low socioeconomic status

Woutera Louwman, MJ Aarts, S (Saskia) Houterman, Frank van Lenthe, Jan Willem Coebergh, Maryska Heijnen

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

BACKGROUND: Comorbidity and socioeconomic status (SES) may be related among cancer patients. METHOD: Population-based cancer registry study among 72 153 patients diagnosed during 1997-2006. RESULTS: Low SES patients had 50% higher risk of serious comorbidity than those with high SES. Prevalence was increased for each cancer site. Low SES cancer patients had significantly higher risk of also having cardiovascular disease, chronic obstructive pulmonary diseases, diabetes mellitus, cerebrovascular disease, tuberculosis, dementia, and gastrointestinal disease. One-year survival was significantly worse in lowest vs highest SES, partly explained by comorbidity. CONCLUSION: This illustrates the enormous heterogeneity of cancer patients and stresses the need for optimal treatment of cancer patients with a variety of concomitant chronic conditions. British Journal of Cancer (2010) 103, 1742-1748. doi:10.1038/sj.bjc.6605949 www.bjcancer.com Published online 26 October 2010 (C) 2010 Cancer Research UK

Original language	Undefined/Unknown
Pages (from-to)	1742-1748
Number of pages	7
Journal	British Journal of Cancer
Volume	103
Issue number	11
DOIs	https://doi.org/10.1038/sj.bjc.6605949
Publication status	Published - 2010

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EMC NIHES-02-65-02

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http://hdl.handle.net/1765/27364

Cite this

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title = "A 50% higher prevalence of life-shortening chronic conditions among cancer patients with low socioeconomic status",

abstract = "BACKGROUND: Comorbidity and socioeconomic status (SES) may be related among cancer patients. METHOD: Population-based cancer registry study among 72 153 patients diagnosed during 1997-2006. RESULTS: Low SES patients had 50% higher risk of serious comorbidity than those with high SES. Prevalence was increased for each cancer site. Low SES cancer patients had significantly higher risk of also having cardiovascular disease, chronic obstructive pulmonary diseases, diabetes mellitus, cerebrovascular disease, tuberculosis, dementia, and gastrointestinal disease. One-year survival was significantly worse in lowest vs highest SES, partly explained by comorbidity. CONCLUSION: This illustrates the enormous heterogeneity of cancer patients and stresses the need for optimal treatment of cancer patients with a variety of concomitant chronic conditions. British Journal of Cancer (2010) 103, 1742-1748. doi:10.1038/sj.bjc.6605949 www.bjcancer.com Published online 26 October 2010 (C) 2010 Cancer Research UK",

author = "Woutera Louwman and MJ Aarts and Houterman, {S (Saskia)} and {van Lenthe}, Frank and Coebergh, {Jan Willem} and Maryska Heijnen",

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AU - Aarts, MJ

AU - Houterman, S (Saskia)

AU - van Lenthe, Frank

AU - Coebergh, Jan Willem

AU - Heijnen, Maryska

PY - 2010

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AB - BACKGROUND: Comorbidity and socioeconomic status (SES) may be related among cancer patients. METHOD: Population-based cancer registry study among 72 153 patients diagnosed during 1997-2006. RESULTS: Low SES patients had 50% higher risk of serious comorbidity than those with high SES. Prevalence was increased for each cancer site. Low SES cancer patients had significantly higher risk of also having cardiovascular disease, chronic obstructive pulmonary diseases, diabetes mellitus, cerebrovascular disease, tuberculosis, dementia, and gastrointestinal disease. One-year survival was significantly worse in lowest vs highest SES, partly explained by comorbidity. CONCLUSION: This illustrates the enormous heterogeneity of cancer patients and stresses the need for optimal treatment of cancer patients with a variety of concomitant chronic conditions. British Journal of Cancer (2010) 103, 1742-1748. doi:10.1038/sj.bjc.6605949 www.bjcancer.com Published online 26 October 2010 (C) 2010 Cancer Research UK

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