Evidence map›Paper›PMID 32444894›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Burden of multimorbidity and polypharmacy among cancer survivors: a population-based nested case-control study.

Melanie R Keats, Yunsong Cui, Vanessa DeClercq, Scott A Grandy, Ellen Sweeney, Trevor J B Dummer

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 32 citations in OpenAlex.

  1. Music Therapy Versus Cognitive Behavioral Therapy via Telehealth for Anxiety in Survivors of Cancer: A Randomized Clinical Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Trial
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  4. Kidney function decline in working-age adults with cancer diagnosis: A study utilizing claims and health checkup data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Article
  6. Polypharmacy Drift after Cancer: When Survivorship Becomes a Repeat Prescription.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
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  8. Integrated Cardio-oncology Service.Cardiac failure review · 2026
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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

6 authors at 2 institutions in 1 country.

Melanie R KeatsSchool of Health and Human Performance, Faculty of Health, Dalhousie University, 6230 South Street, Halifax, Nova Scotia, B3H 4R2, Canada. melanie.keats@dal.ca.ORCID http://orcid.org/0000-0002-3111-5324
Yunsong CuiAtlantic Partnership for Tomorrow's Health, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Vanessa DeClercqAtlantic Partnership for Tomorrow's Health, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Scott A GrandySchool of Health and Human Performance, Faculty of Health, Dalhousie University, 6230 South Street, Halifax, Nova Scotia, B3H 4R2, Canada.
Ellen SweeneyAtlantic Partnership for Tomorrow's Health, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Trevor J B DummerSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Dalhousie University · CAUniversity of British Columbia · CA

Funding

Canadian Partnership Against Cancer N/AHealth Canada N/A
6 · The paper itself

Abstract

purposeIndividuals living with cancer have been shown to have a higher burden of comorbid disease and multimorbidity in comparison to their cancer-free counterparts consequently, leaving them at risk of polypharmacy (i.e., ≥ 5 medications) and its potential negative effects. The primary aim of the current study was to examine the self-reported prevalence of and association between multimorbidity and prescription medication use in a population-based sample of adult cancer survivors (CS).

methodsThis retrospective, nested case-control study drew participant data from the Atlantic Partnership for Tomorrow's Health cohort. CS (n = 1708) were matched to 4 non-cancer controls (n = 6832) by age and sex. Prevalence of polypharmacy by number of chronic conditions and age was estimated with 95% CI. Logistic regression was used to examine the association between multimorbidity and polypharmacy while adjusting for sociodemographic and lifestyle factors. The comorbidity-polypharmacy score was also calculated as an estimate of disease burden.

resultsMultimorbidity was common in both CS (53%) and non-cancer controls (43%); however, a significantly higher percentage of CS reported multimorbidity (p < 0.001). Prescription medication use was also found to be significantly higher among CS (2.3 ± 2.6) compared to non-cancer controls (1.8 ± 2.3; p < 0.0001). Exploratory comorbidity-polypharmacy score analyses indicated that CS had a significantly higher overall disease burden than the age/sex-matched non-cancer controls.

conclusionsAs CS appear to be at a higher risk of multimorbidity and polypharmacy and by extension, increased healthcare burden, ongoing education on the prevention of medication-related harm, and interventions to reduce the occurrence of both co-morbid disease and unnecessary medications are warranted.

Indexed as

PolypharmacyAdultAgedCanadaCancer SurvivorsCase-Control StudiesCohort StudiesCost of IllnessCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedMultimorbidityNeoplasmsCancer survivorsMatched cohort studyMultimorbidityPolypharmacyPrescription medication

Identifiers

PMID32444894
OpenAlexW3026252846

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.