Evidence map›Paper›PMID 30956969›Full record

ArticleFamily medicine and community health2017

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

Open access · diamondAbstract read
In one paragraph

Article in Family medicine and community health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. For whom and what outcomes does cognitive-behavioral-therapy work among cancer survivors: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  3. Pooled it
  4. Living together-does it help or hinder the pursuit of a healthful diet, physical activity, and weight loss among cancer survivors and their chosen partners?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. A nationally representative study of aerobic activity and strength training in older cancer survivors and their psychological distress and sleep difficulties.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  11. Complex Multimorbidity and Working beyond Retirement Age in Japan: A Prospective Propensity-Matched Analysis.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Survivorship Care of Older Adults With Cancer: Priority Areas for Clinical Practice, Training, Research, and Policy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Review
  17. Article
  18. Article
  19. Review
  20. Investigating cancer symptoms in older people: what are the issues and where is the evidence?The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

David F WarnerDepartment of Sociology, 711 Oldfather Hall, University of Nebraska-Lincoln, 1400 R St., Lincoln, NE 68588, USA.
Nicholas K SchiltzDepartment of Epidemiology and Biostatistics, School of Medicine, Wood Building, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106, USA.
Kurt C StangeDepartment of Family Medicine and Community Health, Bolwell Building, School of Medicine, Case Western Reserve University, 11000 Euclid Ave., Cleveland, OH 44106, USA.
Charles W GivenDepartment of Family Medicine, Clinical Center, Michigan State University, 788 Service Rd., East Lansing, MI 48824, USA.
Cynthia OwusuDivision of Hematology/Oncology, Department of Medicine, School of Medicine, Wolstein Building, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106, USA.
Nathan A BergerDivision of Hematology/Oncology, Department of Medicine, School of Medicine, Wolstein Building, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106, USA.
Siran M KoroukianDepartment of Epidemiology and Biostatistics, School of Medicine, Wood Building, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106, USA.
Case Western Reserve University · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARK R CHANCE · 1987 to 2026
$142.3M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Reducing Functional Health Disparities among Older Breast Cancer SurvivorsR01MD009699 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI OWUSU, CYNTHIA · 2015 to 2019
$2.8M
NCATS NIH HHS KL2 TR000440NCATS NIH HHS UL1 TR000439NCI NIH HHS P30 CA043703NIMHD NIH HHS R01 MD009699
6 · The paper itself

Abstract

objectiveTo 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.

methodsWe 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.

resultsAmong 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.

conclusionCancer 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.

Indexed as

cancer survivorshipComorbidityfunctional limitationsgeriatric syndromeshealth declinehealth statusmortalitymultimorbidity

Identifiers

PMID30956969
PMCPMC6450549
OpenAlexW2730246778

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.