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Cardiometabolic comorbidities in Hispanic/Latino cancer survivors: prevalence and impact on health-related quality of life and supportive care needs

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A Correction to this article was published on 06 December 2023

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Abstract

Purpose

The aim of this study was to characterize the prevalence of cardiometabolic comorbidities (i.e., diabetes, peripheral vascular disease, myocardial infarction, congestive heart failure, cerebrovascular disease) among Hispanic/Latino cancer survivors and examine the impact of cardiometabolic comorbidities on health-related quality of life (HRQoL), unmet supportive care needs, patient-provider communication self-efficacy, satisfaction with cancer care, and increases in healthy behaviors.

Methods

Hispanics/Latinos diagnosed with breast, prostate, or colorectal cancer (N = 288) were assessed within 15 months of primary treatment completion.

Results

One-quarter (24.7%) of survivors were diagnosed with diabetes and one-fifth (20.8%) were diagnosed with peripheral vascular disease. Survivors with at least one cardiometabolic comoribidity were older (t(278) = -.3.622, p < .001) and more likely to have a household income of less than $25,000 (X2 = 8.369, p = .004). When adjusting for sociodemographic and medical covariates, survivors with cardiometabolic comorbidities demonstrated worse overall HRQoL (B = -4.792, p = .050), emotional (B = -1.479, p = .018) and physical (B = -2.228, p = .005) wellbeing, a higher odds of unmet psychological (OR = 2.095, p = .027) and sexuality (OR = 2.898, p = .004) needs, and greater patient-provider communication self-efficacy (B = .179, p = .045). There were no differences in healthy behavior changes or satisfaction with cancer care.

Conclusions

Cardiometabolic comorbidities may be highly prevalent among Hispanic/Latino cancer survivors and increase the risk of worse HRQoL and unmet supportive care needs. Targeted interventions are needed to optimize health among Hispanic/Latino cancer survivors with cardiometabolic comorbidities.

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Data availability

The de-identified data that support the findings of this study are available upon reasonable request from the corresponding author P.I.M. The data are not publicly available because they contain private health information that could compromise research participant privacy/consent.

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Funding

Research supported by a National Cancer Institute grant (U54CA153511) awarded to F.J.P and A.G.R. P.I.M was supported by an National Cancer Institute career development award (K01CA258955).

Author information

Authors and Affiliations

  1. Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Ashley F. Maras

  2. Department of Psychology, University of Miami, Miami, FL, USA

    Frank J. Penedo & Sarah M. Worch

  3. Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA

    Frank J. Penedo

  4. Sylvester Comprehensive Cancer Center, Cancer Control Research Program, University of Miami, Miami, FL, USA

    Frank J. Penedo & Patricia I. Moreno

  5. Institute for Health Promotion Research, UT Health San Antonio, San Antonio, TX, USA

    Amelie G. Ramirez & Edgar Munoz

  6. Department of Population Health Sciences, UT Health San Antonio Long School of Medicine, San Antonio, TX, USA

    Amelie G. Ramirez

  7. Department of Psychology, Universidad de La Frontera, Temuco, Chile

    Manuel S. Ortiz

  8. Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Betina Yanez

  9. Division of Hematology/Oncology, Cook County Health, Chicago, IL, USA

    Thomas Lad

  10. Department of Urologic Surgery, Cook County Health, Chicago, IL, USA

    Courtney Hollowell

  11. Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA

    Heidy N. Medina & Patricia I. Moreno

  12. University of Miami Don Soffer Clinical Research Center, 1120 NW 14Th Street, Miami, FL, 33136, USA

    Patricia I. Moreno

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  1. Ashley F. Maras
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  2. Frank J. Penedo
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Contributions

All authors contributed to this research and article. Conceptualization: Ashley F. Maras & Patricia I. Moreno. Funding acquisition: Frank J. Penedo & Amelie G. Ramirez. Data curation: Patricia I. Moreno, Ashley F. Maras, Sarah M. Worch, & Edgar Munoz. Formal analysis: Ashley F. Maras, Sarah M. Worch, & Patricia I. Moreno. Writing-original draft: Ashley F. Maras, Patricia I. Moreno, & Sarah M. Worch. Writing-review and editing: Ashley F. Maras, Frank J. Penedo, Amelie G. Ramirez, Sarah M. Worch, Manuel S. Ortiz, Betina Yanez, Edgar Munoz, Thomas Lad, Courtney Hollowell, Heidy N. Medina, & Patricia I. Moreno.

Corresponding author

Correspondence to Patricia I. Moreno.

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Ethics approval

All procedures were approved by the institutional review board of each institution (Northwestern University and UT Health San Antonio) and were compliant with the principles of the Declaration of Helsinki. Informed consent was obtained from all participants in the study.

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The authors have no conflicts of interest to declare.

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The original version of this article was revised. Table 3 is corrected.

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Maras, A.F., Penedo, F.J., Ramirez, A.G. et al. Cardiometabolic comorbidities in Hispanic/Latino cancer survivors: prevalence and impact on health-related quality of life and supportive care needs. Support Care Cancer 31, 711 (2023). https://doi.org/10.1007/s00520-023-08181-9

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