Evidence map›Paper›PMID 30739168›Full record

ArticleJournal of cancer research and clinical oncology2019

Cancer risk in stroke survivors followed for up to 10 years in general practices in Germany.

Louis Jacob, Karel Kostev

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Cancer and Cerebrovascular Disease.Current neurology and neuroscience reports · 2019
    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

2 authors.

Louis JacobFaculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France.
Karel KostevEpidemiology, IQVIA, Unterschweinstiege 2-14, 60549, Frankfurt am Main, Germany. kkostev@de.imshealth.com.ORCID http://orcid.org/0000-0002-2124-7227

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe goal of this study was to analyze cancer risk in stroke survivors followed for up to 10 years in general practices in Germany.

methodsThe current study sample included patients who received an initial stroke diagnosis in one of 1262 general practices in Germany between 2006 and 2015 (index date). Patients without stroke were matched (1:1) to patients with stroke by age, gender, index year, and 16 comorbidities diagnosed in the 12 months prior to the index date using a propensity score method. The main outcome of the study was the risk of cancer as a function of stroke within 10 years of the index date.

resultsThe stroke and non-stroke groups included 9579 men and 9089 women. After 10 years of follow-up, 29.3% of men with stroke and 23.8% of those without stroke developed any of the included types of cancer (log-rank p value < 0.001). During the same time, the prevalence of cancer was 25.0% in women with stroke and 20.5% in women without stroke (log-rank p value < 0.001). There was a positive association between stroke and any cancer in men (hazard ratio [HR] = 1.18, 95% confidence interval [CI] 1.09-1.28) and in women (HR = 1.22, 95% CI 1.12-1.34). This association was significant for cancers of respiratory and intrathoracic organs in men and women and for cancers of digestive organs in men.

conclusionsThis study, including more than 37,000 patients from Germany, found that stroke was associated with an increased cancer risk.

Indexed as

AgedAged, 80 and overFemaleGermanyHumansMaleMiddle AgedNeoplasmsProportional Hazards ModelsRetrospective StudiesRiskStrokeCancer riskGeneral practicesRetrospective studyStroke survivors

Identifiers

PMID30739168
PMCPMC11810292

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.