Evidence map›Paper›PMID 26747033›Full record

ArticleBMJ open2016

Calcium channel blockers and cancer: a risk analysis using the UK Clinical Practice Research Datalink (CPRD).

Lamiae Grimaldi-Bensouda, Olaf Klungel, Xavier Kurz, Mark C H de Groot, Ana S Maciel Afonso, Marie L de Bruin, Robert Reynolds, Michel Rossignol

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% of its field
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  8. Systemic Sclerosis Association with Malignancy.Clinical reviews in allergy & immunology · 2022
    Review
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  11. Observational
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  14. Nicardipine Inhibits Breast Cancer MigrationFrontiers in pharmacology · 2021
    Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Lamiae Grimaldi-BensoudaLA-SER, Paris, France Conservatoire national des arts et métiers (CNAM), Paris, France.
Olaf KlungelUtrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Xavier KurzEuropean Medicines Agency, London, UK.
Mark C H de GrootUtrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Ana S Maciel AfonsoUtrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Marie L de BruinUtrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Robert ReynoldsPfizer Epidemiology, New York, New York, USA Tulane University, New Orleans, Louisiana, USA.
Michel RossignolDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada.
Pharmo Institute · NLConservatoire National des Arts et Métiers · FREuropean Medicines Agency · NLMcGill University · CATulane University · USUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe evidence of an association between calcium channel blockers (CCBs) and cancer is conflicting. The objective of the present study was to evaluate the risk of cancer (all, breast, prostate and colon cancers) in association with exposure to CCB.

methodsThis is a population-based cohort study in patients exposed to CCBs from across the UK, using two comparison cohorts: (1) patients with no exposure to CCB (non-CCB) matched on age and gender and (2) unmatched patients unexposed to CCB and at least one other antihypertensive (AHT) prescription. Cancer incidence rates computed in the exposed and the two unexposed groups were compared using HRs and 95% CIs obtained from multivariate Cox regression analyses.

resultsOverall, 150,750, 557,931 and 156,966 patients were included, respectively, in the CCB, non-CCB and AHT cohorts. Crude cancer incidence rates per 1000 person-years were 16.51, 15.75 and 10.62 for the three cohorts, respectively. Adjusted HRs (CI) for all cancers comparing CCB, non-CCB and AHT cohorts were 0.88 (0.86 to 0.89) and 1.01 (0.98 to 1.04), respectively. Compared to the AHT cohort, adjusted HRs (CI) for breast, prostate and colon cancer for the CCB cohort were 0.95 (0.87 to 1.04), 1.07 (0.98 to 1.16) and 0.89 (0.81 to 0.98), respectively. Analyses by duration of exposure to CCB did not show excess risk.

conclusionsThis large population-based study provides strong evidence that CCB use is not associated with an increased risk of cancer. The analyses yielded robust results across all types of cancer and different durations of exposure to CCBs.

Indexed as

AdolescentAdultAgedAntihypertensive AgentsCalcium Channel BlockersFemaleHumansIncidenceMaleMiddle AgedNeoplasmsRisk AssessmentRisk FactorsUnited KingdomYoung AdultAntihypertensive AgentsCalcium Channel Blockers

Identifiers

PMID26747033
PMCPMC4716173
OpenAlexW2223903658

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.