Socio-Economic Burden of Myocardial Infarction Among Cancer Patients

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 noncancer patients, but its impacts associated with cancer patients also saddled with the worry (stress) of potential re...

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Bibliographic Details
Published in:The American journal of cardiology 2021-02, Vol.141, p.16-22
Main Authors: Guha, Avirup, Dey, Amit Kumar, Al-Kindi, Sadeer, Miller, P. Elliott, Ghosh, Arjun K., Banerjee, Amitava, Lopez-Mattei, Juan, Desai, Nihar R., Patel, Brijesh, Oliveira, Guilherme H., de Lima, Marcos, Fradley, Michael, Addison, Daniel
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Cancer
Cancer Survivors - psychology
Cancer Survivors - statistics & numerical data
Case-Control Studies
Cost control
Cost estimates
Cost of Illness
Diabetes
Disease control
Economics
Family income
Female
Financial Stress - epidemiology
Financial Stress - psychology
Food
Food Insecurity
Food security
Health Expenditures
Health risks
Heart attacks
Hospitalization
Humans
Hypertension
Income
Male
Middle Aged
Myocardial infarction
Myocardial Infarction - economics
Myocardial Infarction - epidemiology
Myocardial Infarction - psychology
Neoplasms
Patients
Polls & surveys
Population
Prostate
Skin cancer
Socioeconomics
Stress
Stress, Psychological - epidemiology
Stress, Psychological - psychology
Survival
United States
Young Adult
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Summary: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 noncancer 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 to 2018 derived from publicly available United States datasets, the National Health Interview Survey , and economic data from the National Inpatient Sample , we compared the socio-economic outcomes in those with MI by cancer-status. We adjusted for social, demographic, and clinical factors. Overall, 19,504 (10.2%) of the 189,836 National Health Interview Survey responders reported having cancer for more than 1 year. There was an increased prevalence of MI in cancer survivors compared with noncancer patients (8.8% vs 3.2%, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2020.11.005