Predicting hypertension among Korean cancer survivors: A nationwide population-based study

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초록

Hypertension is the most common comorbidity among cancer survivors, although there is no model for predicting hypertension in this population. Therefore, we developed a model for predicting hypertension using data from 6,480 Korean cancer survivors who were 20years old. The odds ratios (ORs) for hypertension were calculated using stepwise logistic regression analyses, and a nomogram was generated to predict hypertension. Hypertension was independently associated with an age of 65years (OR: 3.058), male gender (OR: 1.195), obesity (OR: 1.998), prehypertension (OR: 2.06), dyslipidaemia (OR: 2.011) and diabetes mellitus (OR: 2.297). Each variable in the nomogram was assigned a specific number of points, and the total score (range: 0-400) was used to obtain a value for predicting hypertension. The estimated prevalence of hypertension increased when the total nomogram score exceeded the sixth decile (total points: 128; p for trend <.001). Therefore, among Korean cancer survivors, hypertension was significantly associated with an age of >65years, male gender, obesity, and having various comorbidities (e.g., prehypertension, dyslipidaemia and diabetes mellitus). Furthermore, our nomogram could predict the incidence of hypertension, and the sixth decile of the total nomogram score predicted an increased risk of hypertension.

키워드

cancer survivors; hypertension; Korean National Health Insurance Corporation; nomogram; prediction model; LONG-TERM SURVIVORS; ACUTE LYMPHOBLASTIC-LEUKEMIA; CHILDHOOD-CANCER; BREAST-CANCER; HODGKIN-LYMPHOMA; INCIDENT HYPERTENSION; ADJUVANT TRASTUZUMAB; CHRONIC-DISEASES; HEALTH OUTCOMES; ADULT SURVIVORS
제목
Predicting hypertension among Korean cancer survivors: A nationwide population-based study
저자
Kim, Y.-H.; Cho, K.-H.; Kim, Kyung Hee; Ryu, Eun Jung; Han, K.D.; Kim, Ji-Su
DOI
10.1111/ecc.12803
발행일
2018-03
유형
Article
저널명
European Journal of Cancer Care
권
27
호
2