Evidence mapPaperPMID 41925554Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2026

Allostatic Load, Multimorbidity, and Overall and Cancer-Specific Survival among Older Adults in the United States.

Jessica van Onselen, Maci Winn, Ainhoa Gomez-Lumbreras, Claire E Dunlap, Roma Bhatia, Sumati Gupta, Jessica N Cohan, Sheetal Hardikar

Abstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jessica van OnselenDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah.ORCID 0009-0003-7907-428X
Maci WinnDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah.ORCID 0000-0001-7363-0626
Ainhoa Gomez-LumbrerasHuntsman Cancer Institute , University of Utah, Salt Lake City, Utah.ORCID 0000-0002-3916-0402
Claire E DunlapHuntsman Cancer Institute , University of Utah, Salt Lake City, Utah.ORCID 0009-0006-9637-2555
Roma BhatiaDivision of Medical Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.ORCID 0000-0001-6626-2271
Sumati GuptaDivision of Medical Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.ORCID 0000-0001-6271-0831
Jessica N CohanHuntsman Cancer Institute , University of Utah, Salt Lake City, Utah.ORCID 0000-0002-5461-4716
Sheetal HardikarDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah.ORCID 0000-0003-0292-6168

Funding

Geriatric assessment domains in relation to treatment outcomes among older adults with colorectal cancerR01AG083580 · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · 2025 to 2025
$759k
NIA NIH HHS R01 AG083580
6 · The paper itself

Abstract

backgroundBoth allostatic load (AL), a measure of cumulative physiologic stress, and multimorbidity, the presence of multiple chronic conditions, have been linked to poorer survival in older adults. However, associations remain understudied.

methodsUsing the nationally representative National Health and Nutrition Examination Survey data from 1999 to 2018 with the 2019 Linked Mortality File, weighted Cox regression models estimated adjusted hazard ratios (HR) and 95% confidence intervals (CI) for the associations of AL and multimorbidity with overall survival (OS) and cancer-specific survival. AL consisted of nine biomarkers, assigning one point for each exceeding predefined clinically relevant cutoffs, for a total AL score (range: 0-9; high AL ≥3). Multimorbidity was defined as having ≥2 of 11 chronic conditions.

resultsParticipants (N = 3,484 adults ≥60 years with self-reported cancer) were on average 73 years of age, 46% female, 71% non-Hispanic White, 59% had high AL, and 64% had multimorbidity. Overall, 46% of participants died of any cause, including 484 cancer-specific deaths. High AL and multimorbidity were both associated with poorer OS [HR (95% CI) = 1.33 (1.15-1.54) and 1.40 (1.21-1.62), respectively] and moderately for cancer-specific survival. Results were similar for sex-specific AL cutoffs, incorporating medication use, excluding individuals <65 years, and mutually adjusting for AL and multimorbidity.

conclusionsAmong older adults with cancer, high AL and multimorbidity are associated with poorer OS. Interventions that improve chronic condition management may reduce AL and multimorbidity and improve survival for older cancer survivors. IMPACT: Assessing AL and multimorbidity could help identify high-risk older cancer survivors and inform survivorship care.

Indexed as

AllostasisMultimorbidityNeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedNutrition SurveysUnited States

Identifiers

PMID41925554
PMCPMC13208610

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.