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Comorbidity and polypharmacy in patients with breast cancer

机译:乳腺癌患者的合并和多酚疾病

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Background Cancer sufferers are aged?≥?65?years, but research has focused infrequently on elderly patients with the majority of cancer. We aimed not only to determine the frequency of comorbidity and polypharmacy, but also to present the discrepiancies in elderly versus non-elderly patients with breast cancer. Methods A total of 352 female patients aged over 18?years, 252 non-elderly and 100 elderly, followed-up in the oncology department of a tertiary hospital between January 2016 and September 2019 were retrospectively screened. Demographic data, comorbidity and medications of the patients were recorded hospital data processing system. Polypharmacy was defined as the use of?≥?5 different medications. Results The most common four chronic diseases in both non-elderly and elderly groups were muscle-joint-bone disease, gastrointestinal diseases, diabetes mellitus and hypertension. The most common four prescribed drugs were NSAID, adjuvant endocrine therapy, PPI, and vitamin D or/and calcium in non-elderly group while those were ACEI-ARB, PPI, NSAID, and diuretics in elderly one. The frequency of polypharmacy was 50% ( n ?=?126) in the non-elderly patients and 74% ( n ?=?74) in the elderly ones. These were considered statistically significant ( p ?
机译:背景技术癌症患者患者≥1℃,但研究已经关注大多数癌症的老年患者的重点关注。我们的目的不仅可以确定合并症和多酚疾病的频率,还要在老年​​人对非老年患者的乳腺癌中呈现差异。方法共有352例超过18岁的女性患者,年满252名,252名非老年人和100名老年人,随访于2016年1月至2019年1月至2019年9月在2019年至2019年9月的肿瘤科。患者的人口统计数据,合并症和药物被记录出医院数据处理系统。 Polyphalacy被定义为使用?≥?5种不同的药物。结果非老年人和老年群中最常见的四种慢性疾病是肌肉关节骨病,胃肠疾病,糖尿病和高血压。最常见的四种规定的药物是NSAID,辅助内分泌治疗,PPI和维生素D或/和非老年人的钙,而那些是老年人的Acei-Arb,PPI,NSAID和利尿剂。在非老年患者中,复数频率为50%(n?= 126),在老年人中74%(n?= 34)。这些被认为是统计学意义的(p?<〜0.001)。报告的处方药物类别的平均数量为5.02(SD?=?2.90;范围0-14),而那些是6.83(SD?= 3.18;范围0-15)(P?< ?0.001)。年龄的平均值为47.9?年(没有多药物)和51.3岁(在非老年患者的年份(随着复数),而那些分别为70.9?年和74.7岁,老年人。这些被认为是统计学意义(分别; p?= 0.006,p?= 0.009)。结论我们首先获得了对乳腺癌患者的合并和多酚省曲文献的认识,并在老年人和非老年人与老年参与者之间进行比较。为了癌症治疗的有效性,在老年植物中的重要性,注意药物 - 药物相互作用,应在临床实践中考虑这些研究。

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