Publicatie
Total burden of chronic diseases among older cancer patients.
Deckx, L.D., Akker, M.A. van der, Bartholomeeusen, S.B., Metsemakers, J.M., Knottnerus, A.K., Schellevis, F.G., Buntinx, F.B. Total burden of chronic diseases among older cancer patients.: , 2011. 37 p. Abstract. The Cancer and Primary Care Research International Network (Ca-PRI) 4th international Annual Meeting 'New pathways in cancer care: Substitution from Secondary to Primary Care?', 26-27 mei 2011, Noordwijkerhout. In: Abstractbook Ca-PRI 2011. Noordwijkerhout: The Cancer and Primary Care Research International Network, 2011.
Introduction: Both chronic diseases and cancer are associated with ageing. As the population ages, also the number of older cancer patients with comorbidity will increase dramatically. In the future, general practitioners will be confronted with older patients with cancer and two, three or more concomitant diseases. Aim: We aim to assess the occurrence of comorbidity among older cancer patients as a proxy for the workload for GPs. Furthermore, we aim to assess the occurrence of comorbidity at different points in time (1,5 and 10 years after cancer diagnosis) in order to assess whether the comorbidity pattern/workload changes during survival. Methods: This study was carried out within the context of the Registration Network Family Practices, which is a computerized continuous primary care database in Maastricht (the Netherlands) and within Intego, a similar registration network in Leuven (Belgium). In the Netherlands, data were available from about 2.846 cancer patients and 5.820 age- and sex- matched non-cancer patients, aged 60 years and older. In Belgium, data were available from about 1.873 cancer patients and 7.480 age- and sex- matched non-cancer patients, aged 60 years and older. All non-cancer patients were assigned a reference date; the date of cancer diagnosis of their matched case. The total burden of chronic diseases was assessed cross-sectionally as the lifetime prevalence of chronic diseases at three different points in time; 1, 5 and 10 years after cancer diagnosis or reference date. Cancer patients and non-cancer patients were compared using the Mantel-Haenszel test (p < 0.05). Results: Data will be presented during the conference. Discussion: Discussion and conclusion will be presented during the conference.
Introduction: Both chronic diseases and cancer are associated with ageing. As the population ages, also the number of older cancer patients with comorbidity will increase dramatically. In the future, general practitioners will be confronted with older patients with cancer and two, three or more concomitant diseases. Aim: We aim to assess the occurrence of comorbidity among older cancer patients as a proxy for the workload for GPs. Furthermore, we aim to assess the occurrence of comorbidity at different points in time (1,5 and 10 years after cancer diagnosis) in order to assess whether the comorbidity pattern/workload changes during survival. Methods: This study was carried out within the context of the Registration Network Family Practices, which is a computerized continuous primary care database in Maastricht (the Netherlands) and within Intego, a similar registration network in Leuven (Belgium). In the Netherlands, data were available from about 2.846 cancer patients and 5.820 age- and sex- matched non-cancer patients, aged 60 years and older. In Belgium, data were available from about 1.873 cancer patients and 7.480 age- and sex- matched non-cancer patients, aged 60 years and older. All non-cancer patients were assigned a reference date; the date of cancer diagnosis of their matched case. The total burden of chronic diseases was assessed cross-sectionally as the lifetime prevalence of chronic diseases at three different points in time; 1, 5 and 10 years after cancer diagnosis or reference date. Cancer patients and non-cancer patients were compared using the Mantel-Haenszel test (p < 0.05). Results: Data will be presented during the conference. Discussion: Discussion and conclusion will be presented during the conference.