The burden of chronic diseases among Australian cancer patients: evidence from a longitudinal exploration, 2007-2017

Mahumud, Rashidul Alam ORCID: https://orcid.org/0000-0001-9788-1868 and Alam, Khorshed ORCID: https://orcid.org/0000-0003-2232-0745 and Dunn, Jeff and Gow, Jeff (2020) The burden of chronic diseases among Australian cancer patients: evidence from a longitudinal exploration, 2007-2017. PLoS One, 15 (2):e0228744.

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Abstract

Introduction: Cancer is a major public health concern in terms of morbidity and mortality worldwide. Several types of cancer patients suffer from chronic comorbid conditions that are a major clinical challenge for treatment and cancer management. The main objective of this study was to investigate the distribution of the burden of chronic comorbid conditions and associated predictors among cancer patients in Australia over the period of 2007–2017.

Methods: The study employed a prospective longitudinal design using data from the Household, Income and Labour Dynamics in Australia survey. The number of chronic comorbid conditions was measured for each respondent. The longitudinal effect was captured using a fixed-effect negative binomial regression model, which predicted the potential factors that played a significant role in the occurrence of chronic comorbid conditions.

Results: Sixty-one percent of cancer patients experienced at least one chronic disease over the period, and 21% of patients experienced three or more chronic diseases. Age (>65 years old) (incidence rate ratio, IRR = 1.15; 95% confidence interval, CI: 1.05, 1.40), inadequate levels of physical activity (IRR = 1.25; 95% CI: 1.09, 1.59), patients who suffered from extreme health burden (IRR = 2.30; 95% CI: 1.73, 3.05) or moderate health burden (IRR = 1.90; 95% CI: 1.45, 2.48), and patients living in the poorest households (IRR = 1.21; 95% CI: 1.11, 1.29) were significant predictors associated with a higher risk of chronic comorbid conditions.

Conclusions: A large number of cancer patients experience an extreme burden of chronic comorbid conditions and the different dimensions of these in cancer survivors have the potential to affect the trajectory of their cancer burden. It is also significant for health care providers, including physical therapists and oncologists, who must manage the unique problems that challenge this population and who should advocate for prevention and evidence-based interventions.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Copyright: © 2020 Mahumud et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Faculty/School / Institute/Centre: Current - Faculty of Business, Education, Law and Arts - School of Commerce (1 July 2013 -)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 26 May 2020 23:50
Last Modified: 19 Jun 2020 04:48
Uncontrolled Keywords: Australia; cancer patients; chronic comorbid conditions; longitudinal prospective study; fixed-effect negative binomial regression model
Fields of Research : 14 Economics > 1402 Applied Economics > 140208 Health Economics
14 Economics > 1403 Econometrics > 140304 Panel Data Analysis
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
C Society > 92 Health > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes
C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920102 Cancer and Related Disorders
Identification Number or DOI: 10.1371/journal.pone.0228744
URI: http://eprints.usq.edu.au/id/eprint/38471

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