Comorbidity status of patients with lung cancer

Aim: In this study, we aimed to investigate the associations between comorbidity status and age, gender, stage and histopathological type of tumors in patients with lung cancer. Methods: Age, gender, smoking status, stage, accompanying diseases, and histological types of 148 patients were recorded. The Charlson comorbidity index was used for definition and grading of comorbidity. Results: In 44.6% of our patients, there was at least one comorbid disease. When associations between Charlson comorbidity index and demographic variables, smoking status, histological type and stage of the tumor were investigated, following results were found: 45.5 % of men, 46.7% of the smokers, 56.3 % of undifferentiated and 52.6% of patients with squamous cell carcinoma, 48.2% and 49.2 % of widespread and advanced stages of lung cancers, respectively, had medical comorbidities. Conclusions: In our study, medical comorbidity was more common in men than in women, in smoker than in non-smokers, in undifferentiated and squamous cell carcinomas than in the other histological types. The relationship between comorbidity status and stage of the tumor supports the hypothesis of camouflage. Keywords: Comorbidity, lung cancer, smoking Ozet Akciger kanserli hastalarin komorbidite durumu Amac: Bu calismada amacimiz akciger kanseri hastalarinda komorbiditenin yas, cinsiyet, evre ve histopatolojik tipi ile olan iliskisini incelemekti. Yontem: Yuz kirk sekiz akciger kanserli hastanin yaslari, cinsiyetleri, sigara icme durumlari,  hastalik evreleri, eslik eden hastaliklari ve histolojik tipleri kaydedildi. Komorbiditenin tanim ve derecelendirilmesinde Charlson komorbidite indeksi kullanildi. Bulgular: Hastalarimizin %44,6'sinda en az bir komorbid hastaligi vardi. Charlson indeksine gore komorbidite derecesinin cinsiyet, sigara icme durumu, histolojik tip, evre ile olan iliskisi degerlendirildiginde erkeklerin %45,5'inde, sigara icme oykusu olanlarin %46,7'inde, squamoz hucreli karsinomlarin %52,6'sinda, tiplendirme yapilamayanlarin 56,3'unde,  yaygin ve ileri evreye sahip akciger kanserli olgularin sirasiyla %48,2 ve % 49,2'sinde medikal komorbidite tespit edildi. Sonuclar: Bulgularimiza gore komorbidite, erkeklerde kadinlara gore, sigara icenlerde icmeyenlere gore, tiplendirilmeyen ve skuamoz hucreli karsinomu olanlarin diger histolojik tipleri olanlara gore daha fazladir. Hastalarimizin komorbidite ve evre iliskisi kamuflaj hipotezini desteklemektedir. Anahtar sozcukler: komorbidite, akciger kanseri, sigara icme