Cardiovascular disease-related chronic conditions among Veterans Affairs colorectal cancer survivors: A matched case-control analysis.

Authors

null

Leah L. Zullig

Duke University Medical Center, Durham, NC

Leah L. Zullig , Valerie Smith , Jennifer Lindquist , Christina D. Williams , Morris Weinberger , Dawn Provenzale , George L. Jackson , Michael J. Kelley , Susanne Danus , Hayden B Bosworth

Organizations

Duke University Medical Center, Durham, NC, Durham VA Medical Center, Durham, NC, University of North Carolina Chapel Hill, Chapel Hill, NC, Duke University, Durham, NC, Health Services Research and Development, Durham VA Medical Center, Durham, NC, Duke University, Chapel Hill, NC

Research Funding

Other

Background: The growing number of colorectal cancer (CRC) survivors often have multiple chronic conditions. Comparing CRC survivors and matched non-cancer controls, our objectives were to determine the odds of CRC survivors being diagnosed with CVD-related chronic conditions and their likelihood of control during the year after CRC diagnosis. Methods: We retrospectively identified patients diagnosed with non-metastatic CRC in the Veterans Affairs (VA) healthcare system from fiscal years 2009-2012 and matched each with up to 3 non-cancer control patients. We used logistic regression to assess differences in the likelihood of being diagnosed with CVD-related chronic conditions and control between CRC survivors and non-cancer controls. Results: We identified 9,758 CRC patients and matched them to 29,066 non-cancer controls. At baseline, 69.4% of CRC survivors and their matched controls were diagnosed with hypertension, 52.4% with hyperlipidemia, and 36.7% with diabetes. Compared to matched non-cancer controls, CRC survivors had 57% higher odds of being diagnosed with hypertension (OR = 1.57, 95% CI = 1.49-1.64) and 12% higher odds of poor blood pressure control (OR = 1.12, 95% CI 1.06-1.18) in the subsequent year. Compared to matched non-cancer control patients, CRC survivors had half the odds of being diagnosed with hyperlipidemia (OR = 0.50, 95% CI = 0.48-0.52) and higher odds of LDL control (OR 1.14, 95% CI 1.06-1.23). There were no significant differences between groups for diabetes diagnoses or control. Conclusions: Compared to non-cancer controls, CRC survivors have: 1) greater likelihood of being diagnosed with hypertension and worse blood pressure control in the year following diagnosis; 2) lower likelihood of being diagnosed with hyperlipidemia or LDL control; and 3) comparable diabetes diagnoses and control. There may be a need for hypertension control interventions targeting cancer survivors.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2018 Cancer Survivorship Symposium

Session Type

Poster Session

Session Title

Poster Session A: Care Coordination, Cost, and Education; Communication and Transitions; Health Promotion

Track

Care Coordination, Cost, and Education,Health Promotion,Communication and Transitions

Sub Track

Chronic Care Management

Citation

J Clin Oncol 36, 2018 (suppl 7S; abstr 4)

DOI

10.1200/JCO.2018.36.7_suppl.4

Abstract #

4

Poster Bd #

A5

Abstract Disclosures