Examining associations of digestive system cancer with hypertension and diabetes using network analysis in older patients

Bibliographic Details
Title: Examining associations of digestive system cancer with hypertension and diabetes using network analysis in older patients
Authors: Hidenori Hashimoto, Shuko Nojiri, Tsutomu Takeda, Wataru Urasaki, Yuji Nishizaki, Akihito Nagahara, Shigeki Aoki
Source: Scientific Reports, Vol 15, Iss 1, Pp 1-13 (2025)
Publisher Information: Nature Portfolio, 2025.
Publication Year: 2025
Collection: LCC:Medicine
LCC:Science
Subject Terms: Network analysis, Digestive system cancer, Hypertension, Diabetes, Medicine, Science
More Details: Abstract Hypertension and diabetes are prevalent among older people and may be associated with cancer. Although several network analyses have been conducted to visualize the associations between diseases and relevant factors, to the best of our knowledge, none have focused on visualizing the associations between cancer and other diseases. We conducted a network analysis to explore the associations between cancer, hypertension, and diabetes. This study used a large-scale clinical dataset of 1,026,305 hospitalized patients aged ≥ 65 years, collected between April 2008 and December 2020. Diseases were categorized using the International Classification of Diseases-10 (2019 version) codes. The analysis focused on diseases with a prevalence of ≥ 1%. A multimorbidity network was constructed for the entire patient cohort, and the same analysis was applied specifically to cancer patients. Hypertension (degree centrality: 58/61) and diabetes (degree centrality: 56/61) were connected to several diseases, indicating significant multimorbidity in the cohort. The associations (observed-to-expected ratio) between digestive system cancers and hypertension and diabetes were relatively stronger than those between the diseases and other cancers. Type 2 diabetes and essential hypertension may be risk factors of cancers at multiple digestive system sites. Early treatment of these conditions could prevent or delay the progression of digestive system cancers.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2045-2322
Relation: https://doaj.org/toc/2045-2322
DOI: 10.1038/s41598-025-90734-5
Access URL: https://doaj.org/article/117a8128468948bb803279781561569b
Accession Number: edsdoj.117a8128468948bb803279781561569b
Database: Directory of Open Access Journals
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More Details
ISSN:20452322
DOI:10.1038/s41598-025-90734-5
Published in:Scientific Reports
Language:English