Guha, A;
Dey, AK;
Al-Kindi, S;
Miller, PE;
Ghosh, A;
Banerjee, A;
Lopez-Mattei, J;
... Addison, D; + view all
(2021)
Socio-Economic Burden of Myocardial Infarction Among Cancer Patients.
The American Journal of Cardiology
, 141
pp. 16-22.
10.1016/j.amjcard.2020.11.005.
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Abstract
Cancer patients face a higher risk of future myocardial infarction (MI), even after completion of anticancer therapies. MI is a critical source of physical and financial stress in non-cancer patients, but its impacts associated with cancer patients also saddled with the worry (stress) of potential reoccurrence is unknown. Therefore, we aimed to quantify MI's stress and financial burden after surviving cancer and compare to those never diagnosed with cancer. Utilizing cross-sectional national survey data from 2013-2018 derived from publicly available U.S. datasets, the National Health Interview Survey (NHIS), and economic data from the National Inpatient Sample (NIS), we compared the socio-economic outcomes among those with MI by cancer-status. We adjusted for social, demographic, and clinical factors. Overall, 19,504 (10.2%) of the 189,836 NHIS survey responders reported having cancer for more than 1 year. There was an increased prevalence of MI among cancer survivors compared to non-cancer patients (8.8% vs. 3.2%, P<0.001). MI was associated with increased financial worry, food insecurity, and financial burden of medical bills (P<0.001, respectively); however, concurrent cancer did not seem to be an effect modifier (P>0.05). There was no difference in annual residual family income by cancer status; however, 3 lowest deciles of residual income representing 21.1% cancer-survivor with MI had a residual income of <$9,000. Myocardial infarction continues to represent an immense source of financial and perceived stress. In conclusion, although cancer patients face a higher risk of subsequent MI, this does not appear to advance their reported stress significantly.
| Type: | Article |
|---|---|
| Title: | Socio-Economic Burden of Myocardial Infarction Among Cancer Patients |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.amjcard.2020.11.005 |
| Publisher version: | http://dx.doi.org/10.1016/j.amjcard.2020.11.005 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Myocardial Infarction, cancer, financial hardship, socio-economic outcomes |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10115760 |
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