Prevalence and trends of cancer-related daily life limitations among gastrointestinal cancer survivors
Menée aux Etats-Unis par enquête auprès de 5 513 patients ayant survécu à un cancer gastrointestinal, cette étude analyse les facteurs associés à des limitations fonctionnelles et dans les activités de la vie quotidienne
Purpose: The number of gastrointestinal (GI) cancer survivors has increased substantially due to improvements in early detection and treatment, yet long-term functional patient outcomes remain poorly characterized. We sought to quantify the burden of activity limitations (AL) and functional limitations (FL) among GI cancer survivors compared with non-GI cancer survivors and the general U.S. population, as well as identify key predictors of cancer-related limitations.
Methods : The National Health Interview Survey (NHIS), a nationally representative dataset (1997–2023), was queried to examine the prevalence and trends of cancer-related limitations among GI cancer survivors, non-GI cancer survivors, and the general U.S. population. Multivariable logistic regression analyses identified independent predictors of AL and FL, adjusting for demographic and socioeconomic variables.
Results: Among 5,513 GI cancer and 39,887 non-GI cancer survivors, 50.2% (Relative Risk [RR]: 1.23, 95% CI: 1.19–1.27) and 70.7% (RR: 1.07, 95% CI: 1.05–1.09) of GI cancer survivors reported AL and FL, respectively, compared with non-GI cancer survivors. The general U.S. population had a markedly lower prevalence of AL (13.5%; RR: 0.33, 95% CI: 0.33–0.34) and FL (35.7%; RR: 0.54, 95% CI: 0.53–0.54). GI cancer survivors were older (mean age: 69.1 vs. 65.3 vs. 36.1 years), more often single (8.8% vs. 8.6% vs. 28.3%), and more frequently received public insurance (75.1% vs. 68.9% vs. 27.4%) compared with non-GI cancer survivors and the general population (p < 0.05). In multivariable analysis, GI cancer survivors had 21% higher odds of AL (OR: 1.21, 95% CI: 1.11–1.32, p < 0.001) and 11% higher odds of FL (OR: 1.11, 95% CI: 1.00–1.19, p = 0.049).
Conclusions: GI cancer survivors face a significantly higher burden of functional limitations, influenced by demographic and socioeconomic factors.
Implications for Cancer Survivors: Addressing functional disparities through targeted rehabilitation and support services may improve long-term outcomes.
Journal of Cancer Survivorship , résumé, 2025