Comorbidity prevalence and incidence in cancer survivors: a longitudinal All of Us study

-д хадгалсан:
Номзүйн дэлгэрэнгүй
-д хэвлэсэн:JNCI Cancer Spectrum vol. 9, no. 6 (Dec 2025)
Үндсэн зохиолч: Lee, Jung Ae
Бусад зохиолчид: Pakpahan, Ratna, Amante, Daniel J, Gerber, Ben S, Yang, Lin
Хэвлэсэн:
Oxford University Press
Нөхцлүүд:
Онлайн хандалт:Citation/Abstract
Full Text - PDF
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LEADER 00000nab a2200000uu 4500
001 3268220836
003 UK-CbPIL
022 |a 2515-5091 
024 7 |a 10.1093/jncics/pkaf093  |2 doi 
035 |a 3268220836 
045 2 |b d20251201  |b d20251231 
100 1 |a Lee, Jung Ae  |u Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, United States 
245 1 |a Comorbidity prevalence and incidence in cancer survivors: a longitudinal All of Us study 
260 |b Oxford University Press  |c Dec 2025 
513 |a Journal Article 
520 3 |a Background Comorbidities worsen cancer survival, but patterns of preexisting and new-onset comorbidities among cancer survivors are unknown. Methods We investigated self-reported and clinically diagnosed comorbidity among cancer survivors in the All-of-Us program’s national database. Eight highly prevalent comorbidities were identified using self-reported data from the personal health history survey among cancer survivors (n = 20 534) and noncancer adults (n = 113 628) and validated among cancer survivors (n = 26 978) using data from electronic health records (EHRs). Among 5-year survivors (n = 9174) documented in EHR, we further estimated the incidence of new-onset comorbidities. Results The most prevalent comorbidities identified in personal health history data were hypertension (40.5%), osteoarthritis (28.4%), depression (28.0%), and obesity (23.2%). EHR data identified preexisting comorbidities: hypertension (43.3%), osteoarthritis (29.4%), depression (19.4%), and obesity (19.1%). During 5-year survival, more than 50% of cancer survivors developed at least one new comorbidity, and more than 25% developed two or more. The onset of new comorbidities showed a sharp increase in the first-year postdiagnosis. Incidence rates varied by age, race, and ethnicity. Conclusion Future research is needed to develop effective strategies to prevent new-onset comorbidities during and after cancer treatment. 
653 |a Cancer 
653 |a Comorbidity 
653 |a Osteoarthritis 
653 |a Electronic health records 
653 |a Personal health 
653 |a Medical treatment 
653 |a Survivor 
653 |a Hypertension 
700 1 |a Pakpahan, Ratna  |u Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St Louis, MO, United States 
700 1 |a Amante, Daniel J  |u Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, United States 
700 1 |a Gerber, Ben S  |u Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, United States 
700 1 |a Yang, Lin  |u Department of Cancer Epidemiology and Prevention Research, Cancer Care, Alberta, Canada 
773 0 |t JNCI Cancer Spectrum  |g vol. 9, no. 6 (Dec 2025) 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3268220836/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3268220836/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch