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Multimorbidity profile among cancer-related hospitalization events in younger and older patients: a large-scale nationwide cross-sectional study

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dc.contributor.authorBernal, Yanara
dc.contributor.authorCampaña, Carla
dc.contributor.authorSanhueza, Cristobal
dc.contributor.authorApablaza, Mauricio
dc.contributor.authorArmisen, Ricardo
dc.contributor.authorDelgado, Iris
dc.date.accessioned2025-12-04T15:39:17Z
dc.date.available2025-12-04T15:39:17Z
dc.date.issued2025
dc.description.abstractBackground Multimorbidity, the coexistence of two or more chronic diseases, among cancer patients offers critical insights into shared risk factors, while posing increasing challenges for healthcare systems due to the complexity of care required. Despite its relevance, research in multimorbidity across different age groups is limited in middle income countries. Methods We analyzed cancer-related hospitalizations between 2019 and 2023, using a nationwide Diagnosis-Related Groups database covering 68 Chilean health institutions. We examined the distribution of 40 chronic conditions, multimorbidity prevalence, comorbidity profile, and their distribution across age group, sex, and cancer diagnosis. Findings We identified 4,722,723 hospitalization events, including 149,270 unique adult patients hospitalized with cancer (mean of 63 ± 15.17 years old). Multimorbidity was present in 47.9% of all cancer-related hospitalizations, increasing steeply with age: 14% in patients aged 18–35, 24.9% in those 36–50, and 55.5% in patients >50 years. Obesity and diabetes were among the most common comorbid conditions across age groups, with significant variations by sex. Notably, obesity was more prevalent in younger patients, particularly those aged 18–35, whereas hypertension showed an inverse profile, increasing markedly with age. Interpretation Multimorbidity profile reflect both the clinical complexity of cancer care and potential shared biological and environmental pathways in carcinogenesis. These findings highlight the need to transition from diseasecentered to person-centered care models. In Chile, understanding multimorbidity in younger and middle-aged adults may inform precision prevention, integrated service delivery, and equitable planning for both oncologic and non-oncologic care. Funding This study was conducted without external funding.
dc.description.versionVersión Publicada
dc.identifier.citationBernal Y., Camapaña C., Sanhueza C., Apablaza M., Armisén R., Delagdo I. (2025). Multimorbidity profile among cancer-related hospitalization events in younger and older patients: a large-scale nationwide cross-sectional study. The Lancet Regional Health - Americas [Internet]. 2025 Nov 25;53:101308. Available from: https://doi.org/10.1016/j.lana.2025.101308
dc.identifier.doihttps://doi.org/10.1016/j.lana.2025.101308
dc.identifier.urihttps://hdl.handle.net/11447/10419
dc.language.isoen
dc.subject(MeSH) (3–10): multimorbidity
dc.subjectChronic disease
dc.subjectCancer
dc.subjectHospitalization
dc.subjectEarly cancer
dc.subjectDiagnosis-related groups
dc.subjectObesity
dc.subjectDiabetes
dc.subjectHypertension
dc.titleMultimorbidity profile among cancer-related hospitalization events in younger and older patients: a large-scale nationwide cross-sectional study
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceThe Lancet Regional Health - Americas
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscovery7c7e8f66-6dcd-45a0-b70f-34e8b5cc6baf

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