Prevalence of primary and secondary hypertension among hospitalized patients with cancer in the United States.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2023-08-22 DOI:10.1177/17423953231196613

Chanhyun Park, Sola Han, Kathryn P Litten, Sanica Mehta, Boon Peng Ng

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引用次数: 0

Abstract

Background: Hypertension is the most common comorbidity in patients with cancer. We aimed to estimate the prevalence of hypertension by demographic characteristics and cancer type among hospitalized patients with cancer.

Methods: Hospitalized cancer patients were included using 2016-2018 National Inpatient Sample data. The independent variable was the presence of hypertension, which was further classified as primary, secondary, and other hypertension. Patient characteristics were grouped by age, sex, race/ethnicity, and the 12 most common cancer types. Multinomial logistic regression was used.

Results: Among 638,670 hospitalized patients with cancer, 56.8% had hypertension. The predicted percentages of having any hypertension were higher with age, male gender, and black race. The predicted percentages of any hypertension were the highest in kidney cancer patients across all age and race/ethnicity groups. Uterine cancer was associated with the highest percentages of primary hypertension, followed by kidney cancer. Leukemia was associated with the highest percentages of secondary hypertension, followed by non-Hodgkin lymphoma.

Discussion: Kidney cancer patients had the highest predicted percentage of hypertension overall, while uterine cancer and leukemia had the highest percentages of primary and secondary hypertension, respectively. This study provides evidence for identifying cancer patients who need more attention for the prevention and management of hypertension.

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美国住院癌症患者中原发性和继发性高血压的患病率

背景:高血压是癌症患者最常见的合并症。我们的目的是通过人口统计学特征和癌症类型来估计住院癌症患者中高血压的患病率。方法:采用2016-2018年全国住院患者样本数据纳入住院肿瘤患者。自变量为是否存在高血压，并进一步分为原发性、继发性和其他高血压。患者的特征按年龄、性别、种族/民族和12种最常见的癌症类型分组。采用多项逻辑回归。结果:638670例住院肿瘤患者中，高血压患者占56.8%。患高血压的预测百分比与年龄、男性和黑人种族有关。在所有年龄和种族/民族的肾癌患者中，任何高血压的预测百分比最高。子宫癌与原发性高血压的比例最高，其次是肾癌。白血病与继发性高血压的比例最高，其次是非霍奇金淋巴瘤。讨论:肾癌患者高血压总体预测百分比最高，子宫癌和白血病患者原发性高血压和继发性高血压的预测百分比分别最高。本研究为识别需要关注的癌症患者，预防和管理高血压提供了依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.