Abstract
Little is known about the long-term impact of comorbidity among women with breast cancer. We studied a prospective cohort of 2,272 women with breast cancer, who were recruited following initial breast cancer treatment. Associations of the Charlson comorbidity index (CCI) and hypertension with survival were evaluated in delayed entry Cox proportional hazards models. During a median follow-up of nine years, higher CCI scores were independently associated with an increased risk of death from all causes [HR, 1.32; 95% confidence interval (CI), 1.13-1.54] and from nonbreast cancer causes (HR, 1.55; 95% CI, 1.19-2.02), but not from breast cancer (HR, 1.14; 95% CI, 0.93-1.41). Hypertension was independently associated with an increased risk of death from all causes (HR, 1.55; 95% CI, 1.20-1.99), from nonbreast cancer causes (HR, 1.67; 95% CI, 1.10-2.54), and from breast cancer (HR, 1.47; 95% CI, 1.03-2.09), but these associations were no longer significant after adjustment for antihypertensive medication. The relationship between the CCI and overall survival was the strongest among women with stage I disease (stage I, HR, 1.65; 95% CI, 1.26-2.16 vs. stage III, HR, 0.53; 95% CI, 0.23-1.25). The CCI was independently associated with low...Continue Reading
References
May 10, 1975·Lancet·A R DyerE Stevens
Nov 29, 1975·Lancet·A NordénF Mitelman
Dec 1, 1987·Journal of Hypertension. Supplement : Official Journal of the International Society of Hypertension·P Meyer
Mar 1, 1989·American Journal of Public Health·S Greenland
Jan 1, 1987·Journal of Chronic Diseases·M E CharlsonC R MacKenzie
Nov 1, 1994·Journal of Clinical Epidemiology·M CharlsonJ Gold
Jan 15, 1994·Annals of Internal Medicine·W A Satariano, D R Ragland
Jan 1, 1996·Medical Care·J N KatzD W Bates
May 1, 1996·Journal of Clinical Epidemiology·W A SatarianoG N DeLorenze
Sep 1, 1996·Hypertension·P Hamet
Sep 1, 1996·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·W A Satariano, D R Ragland
Sep 1, 1996·Annals of Epidemiology·R YancikB K Edwards
Sep 1, 1996·Annals of Epidemiology·D W WestR A Hiatt
Jun 1, 1997·Journal of Clinical Epidemiology·C J NewschafferL T Penberthy
Oct 6, 1998·Archives of Internal Medicine
Jul 13, 2000·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·G FrasciM De Lena
Sep 19, 2000·Medicine and Science in Sports and Exercise·B E AinsworthA S Leon
Nov 2, 2001·Medicine and Science in Sports and Exercise·L K StatenC Ritenbaugh
Jul 31, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·William L ReadJay F Piccirillo
Aug 10, 2004·Journal of Cancer Research and Clinical Oncology·G NagelD Katenkamp
Mar 8, 2005·Cancer Causes & Control : CCC·Judyann Bigby, Michelle D Holmes
Jun 30, 2005·Cancer Causes & Control : CCC·Bette CaanMartha L Slattery
Sep 20, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Dawn HershmanAlfred I Neugut
Oct 13, 2005·JAMA : the Journal of the American Medical Association·C Martin TammemagiDavid Nathanson
Jun 2, 2006·CA: a Cancer Journal for Clinicians·Carol SmigalMichael Thun
Jan 16, 2007·Current Opinion in Obstetrics & Gynecology·C Martin Tammemagi
Jan 24, 2007·Cancer Control : Journal of the Moffitt Cancer Center·Martine Extermann
Jul 20, 2007·JAMA : the Journal of the American Medical Association·John P PierceMarcia L Stefanick
Dec 6, 2008·International Journal of Cancer. Journal International Du Cancer·Dejana BraithwaiteLaura Esserman
Dec 18, 2008·JAMA : the Journal of the American Medical Association·Bethany B BaroneFrederick L Brancati
Nov 3, 2009·Breast Cancer Research and Treatment·Aina EmausInger Thune
Jan 16, 2010·Breast Cancer Research and Treatment·Ruth E PattersonJohn P Pierce
Sep 24, 2010·Journal of the National Cancer Institute·Dejana BraithwaiteBette J Caan
Jul 2, 2011·Journal of the National Cancer Institute·Jennifer L PatnaikDana Dabelea
Oct 5, 2011·Journal of Cancer Survivorship : Research and Practice·Carrie Tompkins StrickerSteven C Palmer
Oct 18, 2011·Breast Cancer Research and Treatment·Lotte Holm LandMarianne Ewertz
Dec 21, 2011·Hypertension·Su Yon JungSusan M Sereika
Citations
Oct 12, 2012·Breast Cancer Research and Treatment·Dejana BraithwaiteBette Caan
Apr 23, 2013·Breast Cancer Research and Treatment·Sarah NechutaXiao Ou Shu
Mar 13, 2014·Journal of Geriatric Oncology·Monika IzanoDejana Braithwaite
Jun 19, 2014·Breast Cancer Research and Treatment·Jennifer H JordanAnn M Geiger
Jul 2, 2015·Journal of Personalized Medicine·Mei R FuGail D'Eramo Melkus
Apr 2, 2013·Seminars in Oncology·Jessica M ScottLee W Jones
Mar 8, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Rebecca L SedjoCheryl L Rock
Jan 30, 2014·Journal of Cancer Survivorship : Research and Practice·Kimlin AshingArti Hurria
Oct 17, 2014·Journal of Cancer Survivorship : Research and Practice·Corinne R LeachJulia H Rowland
Feb 17, 2015·Asian Pacific Journal of Cancer Prevention : APJCP·Naciye Vardar-YagliErgun Baris Kaya
Jan 22, 2013·Brain, Behavior, and Immunity·Paige Green McDonaldSusan K Lutgendorf
Apr 2, 2014·International Journal of Breast Cancer·Robert I GriffithsMark D Danese
Mar 25, 2015·PloS One·You LiChittibabu Guda
Aug 8, 2014·BMC Cardiovascular Disorders·Hao WangKathleen A Delaney
Oct 30, 2016·BMC Cancer·Marina M ReevesElizabeth G Eakin
Jul 31, 2014·Journal of Oncology Practice·Heidi D KlepinGretchen G Kimmick
Mar 7, 2017·PloS One·Camille MaringeMiguel Angel Luque-Fernandez
Jul 29, 2017·Journal of Neurosurgery. Spine·Borys V GvozdyevSteven D Glassman
Jun 6, 2018·Breast Cancer Research and Treatment·Amanda L KongLiliana E Pezzin
Jun 6, 2018·European Journal of Cancer Care·Noemie TravierAntonio Agudo
Mar 4, 2014·Radiology and Oncology·Judith AuerLuitpold V Distel
Jan 20, 2019·The Breast Journal·Natalie Klar, Adam Brufsky
Mar 29, 2019·European Journal of Cancer Care·Albert Ho-HuynhAlan de Costa
Jul 20, 2019·The Breast Journal·Gary D LewisBin S Teh
Oct 11, 2019·International Journal of Cancer. Journal International Du Cancer·Oluwatosin A AyeniLisa K Micklesfield
Oct 23, 2019·Cancer Communications·Gary D LewisBin S Teh
Nov 18, 2019·Breast Cancer Research and Treatment·Kirsten A NyropHyman B Muss
Apr 17, 2020·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Soghra JarvandiDonna B Jeffe
Apr 20, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Heide GötzeAnja Mehnert
Oct 8, 2019·Cancer·Siddhartha YadavKathryn J Ruddy
May 7, 2019·Public Health Nursing·So-Hyun Park, Shiela M Strauss
May 16, 2019·Breast Cancer Research and Treatment·Yun Rose LiJulia Tchou
Jan 1, 2014·International Scholarly Research Notices·Zachary KlaassenKelvin A Moses
May 22, 2017·Breast Cancer Research and Treatment·Melissa J EdwardsMarion J Kuper-Hommel
Jan 30, 2018·Diseases of the Colon and Rectum·Tae L HartSteven Gallinger
Aug 12, 2018·Journal of Cancer Survivorship : Research and Practice·Heide GötzeAnja Mehnert
Dec 20, 2019·Clinical Rheumatology·Xerxes PundoleMaria E Suarez-Almazor
Sep 18, 2020·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Kurian JosephKaren King
Sep 16, 2020·Journal of Geriatric Oncology·Antonis ValachisJohan Ahlgren
Nov 17, 2020·Frontiers in Oncology·Guoxiong XuChunrong Sun
Aug 31, 2020·The Breast : Official Journal of the European Society of Mastology·Atul BatraSasha Lupichuk
May 24, 2021·BMC Cancer·Sumadi Lukman AnwarTeguh Aryandono
Jun 19, 2021·PloS One·Maribel SalasLaura Horne
Jul 9, 2021·OncoTargets and Therapy·Katalin BoérMagdolna Dank
Jul 14, 2021·Journal of Racial and Ethnic Health Disparities·Ahmad HamadSamilia Obeng-Gyasi
Sep 30, 2021·Breast Cancer Research and Treatment·Gabrielle B RocqueRisha Gidwani