Prevalence, patterns, and determinants of multimorbidity among childhood and adult cancer survivors: A systematic review.

Ogechukwu A. Asogwa*, Dan Yedu Quansah, Daniel Boakye, Obiageli Ntukogu Ezewuiro, Daniel Boateng

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Development of multimorbidity is common among cancer survivors due to their previous cancer, treatments, or changes in lifestyle. We summarized evidence on the prevalence, patterns, and determinants of multimorbidity among childhood and adult cancer survivors. We searched PubMed and EMBASE databases for articles reporting prevalence, patterns, and determinants of multimorbidity in cancer survivors. Finally, 23/500 articles were included. There was a large variation in the prevalence of multimorbidity (13–89%) among cancer survivors. Bone marrow transplantation, radiation, female sex, lower level of physical activity, increasing age, minority ethnicity, low-income, and low-education were associated with a higher prevalence of multimorbidity. Patterns of multimorbidity were both concordant and discordant. In conclusion, multimorbidity is highly prevalent and a major concern among cancer survivors. A personalized care plan that takes into account the identified risk may be beneficial to reduce the burden of multimorbidity and improve the quality of life among cancer survivors.

Original languageEnglish
Article number104147
JournalCritical Reviews in Oncology/Hematology
Volume192
DOIs
Publication statusPublished - Dec 2023

Keywords

  • Cancer survivors
  • Chronic conditions
  • Late effects
  • Multimorbidity
  • Neoplasms
  • Patterns
  • Risk factor
  • Survivorship

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