Evidence map›Paper›PMID 29017178›Full record

ArticleBritish journal of cancer2017

Cardiovascular disease risk and androgen deprivation therapy in patients with localised prostate cancer: a prospective cohort study.

Reina Haque, Marianne UlcickasYood, Xiaoqing Xu, Andrea E Cassidy-Bushrow, Huei-Ting Tsai, Nancy L Keating, Stephen K Van Den Eeden, Arnold L Potosky

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Sex and age disparities in goserelin safety: a global pharmacovigilance study.Naunyn-Schmiedeberg's archives of pharmacology · 2026
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  9. Burden of Chronic Health Conditions Among People With HIV and Common Non-AIDS-Defining Cancers.Journal of the National Comprehensive Cancer Network : JNCCN · 2025
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  13. Comparison of salvage radical prostatectomy vs. salvage ablation therapy for biopsy-proven radio-recurrent localized prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
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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 5 institutions in 1 country.

Reina HaqueDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101, USA.
Marianne UlcickasYoodDepartment of Epidemiology, Boston University School of Public Health, Boston, MA 02118, USA.
Xiaoqing XuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101, USA.
Andrea E Cassidy-BushrowHenry Ford Health Systems, Detroit, MI 484202, USA.
Huei-Ting TsaiLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.
Nancy L KeatingDivision of General Internal Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
Stephen K Van Den EedenDivision of Research, Kaiser Permanente Northern California, Oakland, CA 94612, USA.
Arnold L PotoskyLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.
Kaiser Permanente · USGeorgetown University Medical Center · USBoston University · USBrigham and Women's Hospital · USHenry Ford Health System · US

Funding

Outcomes of Prostate Cancer Androgen Deprivation TherapyR01CA142934 · NCI · GEORGETOWN UNIVERSITY · PI POTOSKY, ARNOLD L · 2010 to 2012
$1.8M
NCI NIH HHS R01 CA142934
6 · The paper itself

Abstract

backgroundAs androgen deprivation therapy (ADT) is increasingly being used in men with localised prostate cancer, our goal was to examine the association between ADT and the risk of cardiovascular disease (CVD).

methodsWe conducted a prospective cohort study using records of a large health-care system in California. The study included men with newly diagnosed localised prostate cancer (1998-2008) who initially underwent active surveillance (N=7637) and were followed through 2010. We examined 10 individual CVD outcomes. Cox proportional hazard models incorporated time-varying treatment variables and controlled for race/ethnicity, age, and tumour characteristics, recurrence risk, CVD medication use, and CVD risk factors.

resultsOf the 7637 subjects, nearly 30% were exposed to ADT. In the multivariable analyses, ADT was associated with an increased risk of heart failure (adjusted HR=1.81, 95% CI 1.40-2.32) in men without preexisting CVD. Elevated risks of arrhythmia (adjusted HR=1.44, 95% CI 1.02-2.01), and conduction disorder (adjusted HR=3.11, 95% CI 1.22, 7.91) were only observed among patients with preexisting CVD.

conclusionsIn men with clinically localised prostate cancer who were initially under active surveillance, ADT was associated with a greater risk of heart failure in men without any preexisting CVD. We also found an increased risk of arrhythmia and conduction disorder in men with preexisting CVD. This study provides the basis for identifying high-risk men treated with ADT who might benefit from regular cardiac monitoring and lifestyle modification recommendations.

Indexed as

AgedAndrogen AntagonistsAnilidesAntineoplastic Agents, HormonalArrhythmias, CardiacCaliforniaCardiovascular DiseasesCohort StudiesFlutamideGonadotropin-Releasing HormoneGoserelinHeart FailureHumansImidazolidinesLeuprolideMaleAndrogen AntagonistsAnilidesAntineoplastic Agents, HormonalbicalutamideFlutamideGonadotropin-Releasing HormoneGoserelinImidazolidinesLeuprolidenilutamideNitrilesTosyl Compounds

Identifiers

PMID29017178
PMCPMC5674100
OpenAlexW2747347785

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.