Effect of chronic comorbidities on quality of life of gynecologic cancer patients in Puerto Rico
Objective. To describe prevalence of chronic diseases and evaluate associations between comorbidities and quality of life in gynecologic cancer patients in Puerto Rico. Methods. A cross-sectional study among 233 women aged ≥21 years with a gynecologic cancer diagnosis. Through telephone interviews,...
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ftdoajarticles:oai:doaj.org/article:8f14aee6d93d444f9f563f478806e152 2023-05-15T15:12:50+02:00 Effect of chronic comorbidities on quality of life of gynecologic cancer patients in Puerto Rico Gloriáliz G. Santiago-Pérez Claudia P. Amaya-Ardila Sharee A. Umpierre Ana P. Ortiz-Martinez 2022-04-01T00:00:00Z https://doi.org/10.26633/RPSP.2022.29 https://doaj.org/article/8f14aee6d93d444f9f563f478806e152 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/55893 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.29 https://doaj.org/article/8f14aee6d93d444f9f563f478806e152 Revista Panamericana de Salud Pública, Vol 46, Iss 29, Pp 1-9 (2022) quality of life genital neoplasms female cardiovascular diseases diabetes mellitus autoimmune diseases puerto rico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.26633/RPSP.2022.29 2022-12-30T22:22:46Z Objective. To describe prevalence of chronic diseases and evaluate associations between comorbidities and quality of life in gynecologic cancer patients in Puerto Rico. Methods. A cross-sectional study among 233 women aged ≥21 years with a gynecologic cancer diagnosis. Through telephone interviews, information on comorbidities, quality of life, and other covariates were assessed. Quality of life included six items, assessing physical and mental health. Multivariate logistic regression models were used to estimate magnitude of association between the comorbidities under study (diabetes, cardiovascular and autoimmune diseases) and quality-of-life items, through adjusted prevalence odds ratio (aPOR; 95% confidence interval [CI]). Results. Most women (90.1%) reported one or more comorbidities in addition to their cancer diagnosis; cardiovascular diseases (63.1%) were more common than autoimmune diseases (37.3%) and diabetes (33.9%). Between 30% and 40% of the sample indicated dysfunctions in their general health (39.5%) and frequent physical (33.9%) and mental distress (31.8%). Adjusting for age and gross family income, women with autoimmune diseases presented higher prevalence of frequent limitations for daily activities (aPOR 2.00; 95% CI 1.05–3.81), poor general health (aPOR 3.52; 95% CI 1.90–6.49), frequent mental distress (aPOR 2.19; 95% CI 1.19–4.03), and dissatisfaction with life (aPOR 4.86; 95% CI 1.82–12.95) compared to those who did not report autoimmune diseases. No associations with cardiovascular diseases and diabetes were observed. Conclusions. Quality-of-life dysfunctions were highly prevalent in this population of gynecologic cancer patients. Suffering from autoimmune comorbidities significantly exacerbated those dysfunctions. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 46 1 |
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Directory of Open Access Journals: DOAJ Articles |
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English Spanish Portuguese |
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quality of life genital neoplasms female cardiovascular diseases diabetes mellitus autoimmune diseases puerto rico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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quality of life genital neoplasms female cardiovascular diseases diabetes mellitus autoimmune diseases puerto rico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Gloriáliz G. Santiago-Pérez Claudia P. Amaya-Ardila Sharee A. Umpierre Ana P. Ortiz-Martinez Effect of chronic comorbidities on quality of life of gynecologic cancer patients in Puerto Rico |
topic_facet |
quality of life genital neoplasms female cardiovascular diseases diabetes mellitus autoimmune diseases puerto rico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To describe prevalence of chronic diseases and evaluate associations between comorbidities and quality of life in gynecologic cancer patients in Puerto Rico. Methods. A cross-sectional study among 233 women aged ≥21 years with a gynecologic cancer diagnosis. Through telephone interviews, information on comorbidities, quality of life, and other covariates were assessed. Quality of life included six items, assessing physical and mental health. Multivariate logistic regression models were used to estimate magnitude of association between the comorbidities under study (diabetes, cardiovascular and autoimmune diseases) and quality-of-life items, through adjusted prevalence odds ratio (aPOR; 95% confidence interval [CI]). Results. Most women (90.1%) reported one or more comorbidities in addition to their cancer diagnosis; cardiovascular diseases (63.1%) were more common than autoimmune diseases (37.3%) and diabetes (33.9%). Between 30% and 40% of the sample indicated dysfunctions in their general health (39.5%) and frequent physical (33.9%) and mental distress (31.8%). Adjusting for age and gross family income, women with autoimmune diseases presented higher prevalence of frequent limitations for daily activities (aPOR 2.00; 95% CI 1.05–3.81), poor general health (aPOR 3.52; 95% CI 1.90–6.49), frequent mental distress (aPOR 2.19; 95% CI 1.19–4.03), and dissatisfaction with life (aPOR 4.86; 95% CI 1.82–12.95) compared to those who did not report autoimmune diseases. No associations with cardiovascular diseases and diabetes were observed. Conclusions. Quality-of-life dysfunctions were highly prevalent in this population of gynecologic cancer patients. Suffering from autoimmune comorbidities significantly exacerbated those dysfunctions. |
format |
Article in Journal/Newspaper |
author |
Gloriáliz G. Santiago-Pérez Claudia P. Amaya-Ardila Sharee A. Umpierre Ana P. Ortiz-Martinez |
author_facet |
Gloriáliz G. Santiago-Pérez Claudia P. Amaya-Ardila Sharee A. Umpierre Ana P. Ortiz-Martinez |
author_sort |
Gloriáliz G. Santiago-Pérez |
title |
Effect of chronic comorbidities on quality of life of gynecologic cancer patients in Puerto Rico |
title_short |
Effect of chronic comorbidities on quality of life of gynecologic cancer patients in Puerto Rico |
title_full |
Effect of chronic comorbidities on quality of life of gynecologic cancer patients in Puerto Rico |
title_fullStr |
Effect of chronic comorbidities on quality of life of gynecologic cancer patients in Puerto Rico |
title_full_unstemmed |
Effect of chronic comorbidities on quality of life of gynecologic cancer patients in Puerto Rico |
title_sort |
effect of chronic comorbidities on quality of life of gynecologic cancer patients in puerto rico |
publisher |
Pan American Health Organization |
publishDate |
2022 |
url |
https://doi.org/10.26633/RPSP.2022.29 https://doaj.org/article/8f14aee6d93d444f9f563f478806e152 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 46, Iss 29, Pp 1-9 (2022) |
op_relation |
https://iris.paho.org/handle/10665.2/55893 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.29 https://doaj.org/article/8f14aee6d93d444f9f563f478806e152 |
op_doi |
https://doi.org/10.26633/RPSP.2022.29 |
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Revista Panamericana de Salud Pública |
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46 |
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