Complex multimorbidity and health outcomes in older adult cancer survivors

David F Warner, Nicholas K. Schiltz, Kurt C. Stange, Charles W. Given, Cynthia Owusu, Nathan A. Berger, Siran M. Koroukian

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To characterize complex multimorbidity among cancer survivors and evaluate the association between cancer survivorship, time since cancer diagnosis, and self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. Methods: We used the 2010-2012 Health and Retirement Study. Cancer survivors were individuals who reported a (nonskin) cancer diagnosis 2 years or more before the interview. We defined complex multimorbidity as the co-occurrence of chronic conditions, functional limitations, and/or geriatric syndromes. In addition to descriptive analyses, we used logistic regression to evaluate the independent association between cancer survivor status and health outcomes. We also examined whether cancer survivorship differed by the number of years since diagnosis. Results: Among 15,808 older adults (age ≥50 years), 11.8% were cancer survivors. Compared with cancer-free individuals, a greater percentage of cancer survivors had complex multimorbidity: co-occurring chronic conditions, functional limitations, and geriatric syndromes. Cancer survivorship was significantly associated with self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. These effects declined with the number of years since diagnosis for fair/ poor health and mortality but not for self-rated worse health. Conclusion: Cancer survivor status is independently associated with more complex multimorbidity, and with worse health outcomes. These effects attenuate with time, except for patient perception of being in worse health.

Original languageEnglish (US)
Pages (from-to)129-138
Number of pages10
JournalFamily Medicine and Community Health
Volume5
Issue number2
DOIs
StatePublished - Jul 1 2017

Fingerprint

Survivors
Comorbidity
Health
Neoplasms
Health Fairs
Survival Rate
Geriatrics
Mortality
Retirement
Health Status
Logistic Models
Interviews

Keywords

  • Cancer survivorship
  • Comorbidity
  • Functional limitations
  • Geriatric syndromes
  • Health decline
  • Health status
  • Mortality
  • Multimorbidity

ASJC Scopus subject areas

  • Family Practice
  • Public Health, Environmental and Occupational Health

Cite this

Warner, D. F., Schiltz, N. K., Stange, K. C., Given, C. W., Owusu, C., Berger, N. A., & Koroukian, S. M. (2017). Complex multimorbidity and health outcomes in older adult cancer survivors. Family Medicine and Community Health, 5(2), 129-138. https://doi.org/10.15212/FMCH.2017.0127

Complex multimorbidity and health outcomes in older adult cancer survivors. / Warner, David F; Schiltz, Nicholas K.; Stange, Kurt C.; Given, Charles W.; Owusu, Cynthia; Berger, Nathan A.; Koroukian, Siran M.

In: Family Medicine and Community Health, Vol. 5, No. 2, 01.07.2017, p. 129-138.

Research output: Contribution to journalArticle

Warner, DF, Schiltz, NK, Stange, KC, Given, CW, Owusu, C, Berger, NA & Koroukian, SM 2017, 'Complex multimorbidity and health outcomes in older adult cancer survivors', Family Medicine and Community Health, vol. 5, no. 2, pp. 129-138. https://doi.org/10.15212/FMCH.2017.0127
Warner, David F ; Schiltz, Nicholas K. ; Stange, Kurt C. ; Given, Charles W. ; Owusu, Cynthia ; Berger, Nathan A. ; Koroukian, Siran M. / Complex multimorbidity and health outcomes in older adult cancer survivors. In: Family Medicine and Community Health. 2017 ; Vol. 5, No. 2. pp. 129-138.
@article{e067daea2fa94cc4b38dda9fb43c1d35,
title = "Complex multimorbidity and health outcomes in older adult cancer survivors",
abstract = "Objective: To characterize complex multimorbidity among cancer survivors and evaluate the association between cancer survivorship, time since cancer diagnosis, and self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. Methods: We used the 2010-2012 Health and Retirement Study. Cancer survivors were individuals who reported a (nonskin) cancer diagnosis 2 years or more before the interview. We defined complex multimorbidity as the co-occurrence of chronic conditions, functional limitations, and/or geriatric syndromes. In addition to descriptive analyses, we used logistic regression to evaluate the independent association between cancer survivor status and health outcomes. We also examined whether cancer survivorship differed by the number of years since diagnosis. Results: Among 15,808 older adults (age ≥50 years), 11.8{\%} were cancer survivors. Compared with cancer-free individuals, a greater percentage of cancer survivors had complex multimorbidity: co-occurring chronic conditions, functional limitations, and geriatric syndromes. Cancer survivorship was significantly associated with self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. These effects declined with the number of years since diagnosis for fair/ poor health and mortality but not for self-rated worse health. Conclusion: Cancer survivor status is independently associated with more complex multimorbidity, and with worse health outcomes. These effects attenuate with time, except for patient perception of being in worse health.",
keywords = "Cancer survivorship, Comorbidity, Functional limitations, Geriatric syndromes, Health decline, Health status, Mortality, Multimorbidity",
author = "Warner, {David F} and Schiltz, {Nicholas K.} and Stange, {Kurt C.} and Given, {Charles W.} and Cynthia Owusu and Berger, {Nathan A.} and Koroukian, {Siran M.}",
year = "2017",
month = "7",
day = "1",
doi = "10.15212/FMCH.2017.0127",
language = "English (US)",
volume = "5",
pages = "129--138",
journal = "Family Medicine and Community Health",
issn = "2305-6983",
publisher = "Compuscript Ltd.",
number = "2",

}

TY - JOUR

T1 - Complex multimorbidity and health outcomes in older adult cancer survivors

AU - Warner, David F

AU - Schiltz, Nicholas K.

AU - Stange, Kurt C.

AU - Given, Charles W.

AU - Owusu, Cynthia

AU - Berger, Nathan A.

AU - Koroukian, Siran M.

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Objective: To characterize complex multimorbidity among cancer survivors and evaluate the association between cancer survivorship, time since cancer diagnosis, and self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. Methods: We used the 2010-2012 Health and Retirement Study. Cancer survivors were individuals who reported a (nonskin) cancer diagnosis 2 years or more before the interview. We defined complex multimorbidity as the co-occurrence of chronic conditions, functional limitations, and/or geriatric syndromes. In addition to descriptive analyses, we used logistic regression to evaluate the independent association between cancer survivor status and health outcomes. We also examined whether cancer survivorship differed by the number of years since diagnosis. Results: Among 15,808 older adults (age ≥50 years), 11.8% were cancer survivors. Compared with cancer-free individuals, a greater percentage of cancer survivors had complex multimorbidity: co-occurring chronic conditions, functional limitations, and geriatric syndromes. Cancer survivorship was significantly associated with self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. These effects declined with the number of years since diagnosis for fair/ poor health and mortality but not for self-rated worse health. Conclusion: Cancer survivor status is independently associated with more complex multimorbidity, and with worse health outcomes. These effects attenuate with time, except for patient perception of being in worse health.

AB - Objective: To characterize complex multimorbidity among cancer survivors and evaluate the association between cancer survivorship, time since cancer diagnosis, and self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. Methods: We used the 2010-2012 Health and Retirement Study. Cancer survivors were individuals who reported a (nonskin) cancer diagnosis 2 years or more before the interview. We defined complex multimorbidity as the co-occurrence of chronic conditions, functional limitations, and/or geriatric syndromes. In addition to descriptive analyses, we used logistic regression to evaluate the independent association between cancer survivor status and health outcomes. We also examined whether cancer survivorship differed by the number of years since diagnosis. Results: Among 15,808 older adults (age ≥50 years), 11.8% were cancer survivors. Compared with cancer-free individuals, a greater percentage of cancer survivors had complex multimorbidity: co-occurring chronic conditions, functional limitations, and geriatric syndromes. Cancer survivorship was significantly associated with self-reported fair/poor health, self-rated worse health in 2 years, and 2-year mortality. These effects declined with the number of years since diagnosis for fair/ poor health and mortality but not for self-rated worse health. Conclusion: Cancer survivor status is independently associated with more complex multimorbidity, and with worse health outcomes. These effects attenuate with time, except for patient perception of being in worse health.

KW - Cancer survivorship

KW - Comorbidity

KW - Functional limitations

KW - Geriatric syndromes

KW - Health decline

KW - Health status

KW - Mortality

KW - Multimorbidity

UR - http://www.scopus.com/inward/record.url?scp=85029609768&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85029609768&partnerID=8YFLogxK

U2 - 10.15212/FMCH.2017.0127

DO - 10.15212/FMCH.2017.0127

M3 - Article

VL - 5

SP - 129

EP - 138

JO - Family Medicine and Community Health

JF - Family Medicine and Community Health

SN - 2305-6983

IS - 2

ER -