Lack of health maintenance examinations and risk in myeloma patients

• Published in: Cancer medicine (Malden, MA) MA), 2016-07, Vol.5 (7), p.1425-1435
• Main Authors: Tariman, Joseph D., Gleason, Charise, Faiman, Beth, Doss, Deborah, Catamero, Donna, Bishop‐Royse, Jessica, Katz, Mike, Kurtin, Sandra, Moran, Diane, Lonial, Sagar
• Format: Article
• Language: English
• Subjects: Addictions; Adult; Age; Aged; Breast cancer; Cancer; Cancer therapies; Cardiovascular disease; Cardiovascular diseases; Clinical Cancer Research; Cross-Sectional Studies; Disease prevention; Early Detection of Cancer; Education; Female; Gender differences; Health care; Health Education; health maintenance; Health Promotion; Humans; Internet; Internet access; Male; Middle Aged; Mortality; Multiple myeloma; Multiple Myeloma - epidemiology; Multiple Myeloma - prevention & control; Original Research; Patient Compliance; Patients; Polls & surveys; Preventive Health Services; Preventive medicine; Public Health Surveillance; Questionnaires; Risk; Smoking; Sociodemographics; Socioeconomic Factors; Statistical analysis; Studies; Surveys and Questionnaires; Survivors; Unemployment; Well being; Womens health
• ISSN: 2045-7634; 2045-7634
• DOI: 10.1002/cam4.716

Health maintenance (HM) practices are essential to prevent illness, promote well‐being, and maximize health. Patients with multiple myeloma (MM) are at increased risk for cardiovascular disease and cancers, yet, research on HM practices and preventative care of MM survivors has limited report. The study comprised a descriptive, correlational, and cross‐sectional online survey design. Survey of patients with MM was carried out through the International Myeloma Foundation (IMF) and the Association of Cancer Online Resources (ACOR) e‐mail list services. The members of the IMF and ACOR e‐mail list services were surveyed, of which 237 patients responded. The modified Medical Expenditure Preventive Survey–Preventive Care questionnaire was used; it included items that ask patients regarding their healthcare practices that relate to dental care, cancer prevention, addiction, lifestyles, sensory screening, immunizations, cardiovascular, endocrine, psychosocial, and bone health. Descriptive statistics, Pearson's chi‐square, and Spearman's rho correlation coefficient were obtained. In this study, men had statistically significant inferior global health maintenance scores than women (P = 0.002). Being employed (P = 0.054) and married or partnered (P = 0.017) were significantly correlated with better health maintenance patterns among male respondents. In contrast, no statistically significant correlations between sociodemographic factors and health maintenance patterns were found in women. Patients with MM, particularly men, require continued education and close monitoring of health maintenance practices. These findings are consistent with publications looking at gender disparities in healthcare utilization in the United States. Studies show that men, in general, are less likely to seek preventative healthcare screenings. Healthcare providers must incorporate health maintenance promotion during clinic visits. Patients with MM, particularly men, require continued education and close monitoring of health maintenance practices. Healthcare providers must incorporate health maintenance promotion during routine clinic visits.