Table A1.
Association Between Cancer Diagnosis and Geriatric Syndromes Among Medicare Beneficiaries (N = 12,480)
| Factor | Trouble Seeing |
Trouble Hearing |
Trouble Eating |
Incontinence |
Falls |
Osteoporosis |
Memory Loss |
Depression |
||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OR | 95% CI | P | OR | 95% CI | P | OR | 95% CI | P | OR | 95% CI | P | OR | 95% CI | P | OR | 95% CI | P | OR | 95% CI | P | OR | 95% CI | P | |
| Age, years | 1.06 | 1.05 to 1.08 | < .001 | 1.07 | 1.05 to 1.08 | < .001 | 1.02 | 1.01 to 1.03 | < .001 | 1.05 | 1.04 to 1.06 | < .001 | 1.03 | 1.02 to 1.04 | < .001 | 1.03 | 1.02 to 1.04 | < .001 | 1.07 | 1.06 to 1.08 | < .001 | 1.00 | 0.99 to 1.00 | .345 |
| BMI | 0.99 | 0.98 to 1.01 | .306 | 0.98 | 0.97 to 1.01 | .161 | 0.99 | 0.98 to 1.01 | .303 | 1.05 | 1.04 to 1.06 | < .001 | 1.02 | 1.01 to 1.03 | .001 | 0.96 | 0.94 to 0.97 | < .001 | 0.98 | 0.97 to 1.00 | .009 | 1.00 | 0.99 to 1.02 | .852 |
| Female | 1.16 | 0.97 to 1.40 | .107 | 0.49 | 0.41 to 0.59 | < .001 | 0.90 | 0.77 to 1.05 | .174 | 2.75 | 2.32 to 3.26 | < .001 | 1.12 | 1.00 to 1.03 | .042 | 8.28 | 7.27 to 9.42 | < .001 | 0.85 | 0.74 to 0.98 | .022 | 1.56 | 1.41 to 1.72 | < .001 |
| Race other than white | 0.83 | 0.61 to 1.12 | .224 | 0.70 | 0.52 to 0.97 | .029 | 1.52 | 1.22 to 1.90 | .002 | 0.86 | 0.68 to 1.07 | .172 | 0.60 | 0.51 to 0.71 | < .001 | 0.45 | 0.36 to 0.56 | < .001 | 1.00 | 0.81 to 1.22 | .973 | 0.85 | 0.73 to 1.00 | .054 |
| Hispanic | 0.94 | 0.56 to 1.56 | .804 | 1.84 | 0.81 to 4.24 | .147 | 1.32 | 0.88 to 1.97 | .183 | 0.76 | 0.51 to 1.15 | .192 | 0.93 | 0.62 to 1.40 | .742 | 0.52 | 0.31 to 0.87 | .013 | 1.53 | 0.99 to 2.37 | .056 | 0.99 | 0.74 to 1.34 | .961 |
| Region(reference, Northeast) | < .001 | .011 | < .001 | < .001 | .153 | .001 | < .001 | .293 | ||||||||||||||||
| Midwest | 1.55 | 1.19 to 2.02 | .001 | 1.04 | 0.79 to 1.38 | .770 | 1.18 | 0.92 to 1.51 | .198 | 1.77 | 1.36 to 2.32 | < .001 | 1.04 | 0.88 to 1.23 | .635 | 0.88 | 0.73 to 1.07 | .214 | 1.25 | 1.00 to 1.56 | .055 | 1.03 | 0.86 to 1.23 | .769 |
| South | 1.69 | 1.30 to 2.19 | < .001 | 1.25 | 0.95 to 1.66 | .113 | 1.18 | 0.93 to 1.48 | .168 | 1.43 | 1.08 to 1.89 | .013 | 1.09 | 0.93 to 1.27 | .299 | 1.02 | 0.85 to 1.21 | .840 | 1.51 | 1.20 to 1.91 | .001 | 1.11 | 0.96 to 1.30 | .172 |
| West | 1.87 | 1.45 to 2.42 | < .001 | 1.51 | 1.15 to 1.98 | .003 | 1.69 | 1.34 to 2.14 | < .001 | 1.82 | 1.40 to 2.36 | < .001 | 1.22 | 1.03 to 1.44 | .019 | 0.91 | 0.73 to 1.13 | .397 | 1.69 | 1.35 to 2.11 | < .001 | 1.04 | 0.88 to 1.22 | .676 |
| Puerto Rico | 2.72 | 1.36 to 5.45 | .005 | 1.10 | 0.64 to 1.88 | .729 | 1.33 | 0.96 to 1.86 | .091 | 2.71 | 1.95 to 3.75 | < .001 | 1.02 | 0.81 to 1.29 | .849 | 1.53 | 1.17 to 2.00 | .002 | 1.89 | 1.34 to 2.65 | .001 | 1.42 | 0.98 to 2.05 | .065 |
| Nonmetropolitan | 0.84 | 0.69 to 1.03 | .101 | 1.23 | 1.02 to 1.51 | .032 | 1.01 | 0.83 to 1.23 | .914 | 1.11 | 0.91 to 1.35 | .310 | 1.15 | 1.00 to 1.31 | .048 | 0.97 | 0.83 to 1.12 | .667 | 1.09 | 0.88 to 1.36 | .424 | 0.98 | 0.84 to 1.14 | .784 |
| Medicaid | 1.52 | 1.19 to 1.94 | .004 | 1.51 | 1.13 to 2.03 | .015 | 1.94 | 1.57 to 2.40 | < .001 | 1.47 | 1.22 to 1.79 | < .001 | 1.31 | 1.10 to 1.55 | .006 | 0.89 | 0.73 to 1.09 | .270 | 1.68 | 1.36 to 2.07 | < .001 | 1.40 | 1.21 to 1.61 | < .001 |
| Education, years(reference, no school) | .010 | .012 | .002 | .001 | .070 | < .001 | < .001 | < .001 | ||||||||||||||||
| 0-8 | 0.85 | 0.49 to 1.45 | .545 | 1.19 | 0.66 to 2.15 | .561 | 0.76 | 0.53 to 1.09 | .138 | 0.89 | 0.59 to 1.34 | .574 | 0.91 | 0.61 to 1.37 | .657 | 2.26 | 1.36 to 3.75 | .002 | 0.73 | 0.50 to 1.07 | .101 | 0.90 | 0.63 to 1.30 | .577 |
| 9-12 | 0.61 | 0.34 to 1.10 | .098 | 1.00 | 0.54 to 1.84 | .996 | 0.55 | 0.38 to 0.81 | .003 | 0.65 | 0.42 to 1.03 | .065 | 0.82 | 0.53 to 1.25 | .351 | 2.55 | 1.53 to 4.23 | .001 | 0.46 | 0.31 to 0.67 | < .001 | 0.68 | 0.47 to 0.99 | .042 |
| 13-15 | 0.69 | 0.38 to 0.99 | .046 | 0.86 | 0.45 to 1.66 | .648 | 0.68 | 0.46 to 1.00 | .051 | 0.89 | 0.56 to 1.42 | .621 | 0.93 | 0.60 to 1.44 | .749 | 2.90 | 1.73 to 4.86 | < .001 | 0.49 | 0.33 to 0.75 | .001 | 0.59 | 0.41 to 0.85 | .004 |
| > 15 | 0.56 | 0.32 to 0.99 | .046 | 0.78 | 0.41 to 1.49 | .454 | 0.57 | 0.38 to 0.86 | .007 | 0.75 | 0.47 to 1.21 | .235 | 0.99 | 0.65 to 1.53 | .977 | 2.81 | 1.70 to 4.65 | < .001 | 0.47 | 0.30 to 0.71 | .001 | 0.53 | 0.37 to 0.77 | < .001 |
| Not married | 0.93 | 0.78 to 1.11 | .427 | 0.89 | 0.74 to 1.06 | .189 | 1.04 | 0.90 to 1.19 | .604 | 0.87 | 0.76 to 1.00 | .050 | 1.08 | 0.97 to 1.22 | .169 | 1.03 | 0.91 to 1.16 | .646 | 1.00 | 0.86 to 1.16 | .955 | 1.23 | 1.09 to 1.38 | < .001 |
| Income, $(reference,< 25,000) | .055 | .312 | < .001 | .215 | .543 | .657 | .227 | < .001 | ||||||||||||||||
| 25,000-50,000 | 0.82 | 0.67 to 1.01 | .066 | 0.90 | 0.74 to 1.09 | .272 | 0.72 | 0.61 to 0.84 | < .001 | 0.88 | 0.73 to 1.06 | .088 | 0.98 | 0.87 to 1.11 | .303 | 1.08 | 0.96 to 1.22 | .219 | 0.91 | 0.77 to 1.07 | .273 | 0.75 | 0.67 to 0.86 | < .001 |
| > 50,000 | 0.70 | 0.50 to 0.98 | .040 | 0.80 | 0.57 to 1.10 | .170 | 0.63 | 0.48 to 0.84 | .002 | 0.85 | 0.64 to 1.14 | .269 | 0.90 | 0.76 to 1.09 | .166 | 1.07 | 0.85 to 1.34 | .573 | 0.74 | 0.53 to 1.03 | .090 | 0.65 | 0.52 to 0.79 | < .001 |
| Cancer | 1.11 | 0.90 to 1.36 | .322 | 1.28 | 1.08 to 1.52 | .005 | 1.12 | 0.97 to 1.29 | .115 | 1.42 | 1.20 to 1.69 | < .001 | 1.17 | 1.04 to 1.32 | .010 | 1.21 | 1.06 to 1.38 | .004 | 1.08 | 0.93 to 1.26 | .313 | 1.15 | 1.02 to 1.30 | .023 |
| No. of comorbidities(reference, 0) | < .001 | .001 | < .001 | < .001 | < .001 | < .001 | < .001 | < .001 | ||||||||||||||||
| 1 | 1.71 | 1.31 to 2.22 | < .001 | 1.19 | 0.88 to 1.61 | .253 | 1.01 | 0.83 to 1.23 | .923 | 1.44 | 1.15 to 1.80 | .016 | 1.20 | 1.02 to 1.40 | .027 | 1.12 | 0.96 to 1.32 | .160 | 1.10 | 0.86 to 1.39 | .446 | 1.07 | 0.91 to 1.22 | .391 |
| 2 | 2.00 | 1.49 to 2.68 | < .001 | 1.47 | 1.09 to 1.98 | .011 | 1.38 | 1.12 to 1.70 | .003 | 1.52 | 1.18 to 1.96 | < .001 | 1.45 | 1.24 to 1.69 | < .001 | 1.33 | 1.12 to 1.58 | .001 | 1.50 | 1.19 to 1.89 | .001 | 1.14 | 0.97 to 1.34 | .125 |
| > 2 | 3.77 | 2.88 to 4.94 | < .001 | 2.16 | 1.65 to 2.83 | < .001 | 1.91 | 1.56 to 2.33 | < .001 | 2.57 | 2.04 to 3.23 | < .001 | 2.11 | 1.83 to 2.44 | < .001 | 1.99 | 1.67 to 2.36 | < .001 | 2.45 | 2.01 to 2.98 | < .001 | 1.94 | 1.69 to 2.23 | < .001 |
| C-statistic | 0.713 | 0.704 | 0.676 | 0.720 | 0.628 | 0.768 | 0.712 | 0.655 | ||||||||||||||||
| Cancer subtype | ||||||||||||||||||||||||
| Breast | 1.04 | 0.72 to 1.51 | .840 | 1.32 | 0.92 to 1.91 | .137 | 0.90 | 0.65 to 1.23 | .497 | 1.10 | 0.82 to 1.48 | .906 | 1.22 | 0.98 to 1.51 | .071 | 1.12 | 0.92 to 1.37 | .262 | 1.07 | 0.79 to 1.43 | .677 | 1.01 | 0.81 to 1.25 | .827 |
| Lung | 2.01 | 1.05 to 3.87 | .036 | 2.01 | 1.02 to 3.96 | .043 | 1.78 | 1.11 to 2.86 | .017 | 1.47 | 0.76 to 2.84 | .256 | 1.18 | 0.73 to 1.92 | .501 | 1.11 | 0.65 to 1.91 | .694 | 1.13 | 0.64 to 2.01 | .676 | 1.49 | 0.94 to 2.36 | .088 |
| Prostate | 0.81 | 0.52 to 1.25 | .335 | 1.01 | 0.75 to 1.37 | .950 | 0.61 | 0.42 to 0.89 | .01 | 3.61 | 2.57 to 5.10 | < .001 | 1.25 | 1.01 to 1.57 | .049 | 0.66 | 0.44 to 1.00 | .047 | 1.08 | 0.80 to 1.47 | .615 | 1.11 | 0.84 to 1.46 | .489 |
| Cervical/uterine | 1.13 | 0.70 to 1.81 | .623 | 1.57 | 0.91 to 2.71 | .108 | 1.15 | 0.81 to 1.63 | .452 | 1.27 | 0.91 to 1.75 | .155 | 1.46 | 1.10 to 1.92 | .008 | 1.47 | 1.09 to 1.97 | .012 | 0.94 | 0.61 to 1.45 | .789 | 1.23 | 0.94 to 1.62 | .127 |
| Colon | 1.06 | 0.67 to 1.67 | .802 | 1.00 | 0.65 to 1.53 | .988 | 1.20 | 0.83 to 1.72 | .334 | 1.07 | 0.76 to 1.51 | .450 | 0.95 | 0.71 to 1.28 | .731 | 1.39 | 1.02 to 1.91 | .039 | 0.84 | 0.59 to 1.22 | .363 | 1.44 | 1.09 to 1.90 | .010 |
| Other | 1.51 | 1.06 to 2.14 | .022 | 1.50 | 1.09 to 2.05 | .012 | 1.75 | 1.38 to 2.22 | .001 | 1.29 | 1.01 to 1.66 | .048 | 1.09 | 0.86 to 1.36 | .485 | 1.18 | 0.94 to 1.48 | .148 | 1.21 | 0.93 to 1.58 | .153 | 1.28 | 1.05 to 1.57 | .014 |
NOTE. Association of covariates with each geriatric syndrome was derived from main model that included “cancer” as main variable. Cancer subtype was included in separate models that adjusted for each covariates noted in table.
Abbreviations: OR, odds ratio; BMI, body mass index.