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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
Patterns of Multimorbidity among Older Adults with Colorectal Cancer Living in Puerto Rico
Maira A Castañeda-Avila1, Axel J Gierbolini-Bermúdez2, Jonggyu Baek1
1University of Massachusetts Chan Medical School Worcester, Massachusetts United States.
Summary
Multimorbidity is common in Hispanic colorectal cancer patients in Puerto Rico, forming distinct patterns linked to age and sex. These findings highlight the need for tailored, patient-centered care for this population.
Area of Science:
- Oncology
- Geriatrics
- Public Health
Background:
- Multimorbidity in Hispanic colorectal cancer (CRC) patients in Puerto Rico is understudied.
- Understanding chronic condition patterns is crucial for improving patient outcomes.
Purpose of the Study:
- To examine patterns of chronic conditions at CRC diagnosis in Puerto Rico.
- To investigate associations between multimorbidity patterns and sociodemographic factors, CRC stage, and tumor location.
Main Methods:
- Utilized the Puerto Rico Central Cancer Registry-Health Insurance Linkage Database (2012-2020).
- Included adults aged ≥50 years with a first CRC diagnosis.
- Employed latent class analysis and regression models to identify multimorbidity patterns and their associations.
Main Results:
- Among 6,543 CRC patients, 28.6% had ≥2 chronic conditions.
- Prevalent comorbidities included hypertension (20.6%), diabetes (14.4%), and hyperlipidemia (12.2%).
- Three distinct multimorbidity patterns were identified: Hypertensive Vision-Joint, Diabetic Renal, and Cardiopulmonary Severe, associated with age and sex but not tumor stage or location.
Conclusions:
- Multimorbidity is prevalent and forms distinct patterns in older Hispanic CRC patients in Puerto Rico.
- These patterns are associated with sociodemographic factors, indicating significant heterogeneity in medical complexity.
- Findings emphasize the necessity of integrated, patient-centered care for aging Hispanic CRC patients.
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