uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Comorbid Diseases Interact with Breast Cancer to Affect Mortality in the First Year after Diagnosis-A Danish Nationwide Matched Cohort Study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Radiology, Oncology and Radiation Science, Oncology.
Show others and affiliations
2013 (English)In: PLoS ONE, ISSN 1932-6203, Vol. 8, no 10, e76013- p.Article in journal (Refereed) Published
Abstract [en]

Background: Survival of breast cancer patients with comorbidity, compared to those without comorbidity, has been well characterized. The interaction between comorbid diseases and breast cancer, however, has not been well-studied. Methods: From Danish nationwide medical registries, we identified all breast cancer patients between 45 and 85 years of age diagnosed from 1994 to 2008. Women without breast cancer were matched to the breast cancer patients on specific comorbid diseases included in the Charlson comorbidity Index (CCI). Interaction contrasts were calculated as a measure of synergistic effect on mortality between comorbidity and breast cancer. Results: The study included 47,904 breast cancer patients and 237,938 matched comparison women. In the first year, the strongest interaction between comorbidity and breast cancer was observed in breast cancer patients with a CCI score of >= 4, which accounted for 29 deaths per 1000 person-years. Among individual comorbidities, dementia interacted strongly with breast cancer and accounted for 148 deaths per 1000 person-years within one year of follow-up. There was little interaction between comorbidity and breast cancer during one to five years of follow-up. Conclusions: There was substantial interaction between comorbid diseases and breast cancer, affecting mortality. Successful treatment of the comorbid diseases or the breast cancer can delay mortality caused by this interaction in breast cancer patients.

Place, publisher, year, edition, pages
2013. Vol. 8, no 10, e76013- p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-211459DOI: 10.1371/journal.pone.0076013ISI: 000325810900065OAI: oai:DiVA.org:uu-211459DiVA: diva2:667163
Available from: 2013-11-25 Created: 2013-11-25 Last updated: 2013-11-25Bibliographically approved

Open Access in DiVA

fulltext(590 kB)77 downloads
File information
File name FULLTEXT01.pdfFile size 590 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text
By organisation
In the same journal
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 77 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 269 hits
ReferencesLink to record
Permanent link

Direct link