Evidence map›Paper›PMID 30806878›Full record

SynthesisHeart failure reviews2019

Malignancies and outcome in Takotsubo syndrome: a meta-analysis study on cancer and stress cardiomyopathy.

Natale Daniele Brunetti, Nicola Tarantino, Francesca Guastafierro, Luisa De Gennaro, Michele Correale, Thomas Stiermaier, Christian Möller, Matteo Di Biase, Ingo Eitel, Francesco Santoro

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Heart failure reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  14. Review
  15. Cancer and Myocardial Infarction in Women.The American journal of cardiology · 2023
    Article
  16. Review
  17. A contemporary update on cancer and takotsubo syndrome.Frontiers in cardiovascular medicine · 2023
    Review
  18. Review
  19. Takotsubo Syndrome: Translational Implications and Pathomechanisms.International journal of molecular sciences · 2022
    Review
  20. Cardiogenic shock among cancer patients.Frontiers in cardiovascular medicine · 2022
    Review
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

10 authors at 4 institutions in 2 countries.

Natale Daniele BrunettiDepartment of Medical and Surgery Sciences, University of Foggia, Viale Pinto n.1, 71122, Foggia, Italy. natale.brunetti@unifg.it.ORCID 0000-0001-9610-7408
Nicola TarantinoDepartment of Medical and Surgery Sciences, University of Foggia, Viale Pinto n.1, 71122, Foggia, Italy.
Francesca GuastafierroDepartment of Medical and Surgery Sciences, University of Foggia, Viale Pinto n.1, 71122, Foggia, Italy.
Luisa De GennaroCardiology Department, San Paolo Hospital, Bari, Italy.
Michele CorrealeDepartment of Medical and Surgery Sciences, University of Foggia, Viale Pinto n.1, 71122, Foggia, Italy.
Thomas StiermaierMedical Clinic II (Cardiology/Angiology/Intensive Care Medicine) and German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, University Heart Center Lübeck, Lübeck, Germany.
Christian MöllerMedical Clinic II (Cardiology/Angiology/Intensive Care Medicine) and German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, University Heart Center Lübeck, Lübeck, Germany.
Matteo Di BiaseGVM Care and Research, Santa Maria Hospital, Bari, Italy.
Ingo EitelMedical Clinic II (Cardiology/Angiology/Intensive Care Medicine) and German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, University Heart Center Lübeck, Lübeck, Germany.
Francesco SantoroDepartment of Medical and Surgery Sciences, University of Foggia, Viale Pinto n.1, 71122, Foggia, Italy.
University of Foggia · ITUniversität Hamburg · DEOspedale San Paolo · ITSanta Maria Nuova Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Takotsubo syndrome (TTS) can be induced by a large variety of physical/emotional triggers; several cases, however, are related to either an overt or occult malignancy, as shown in retrospective studies and case reports. The aim of this study was therefore to evaluate the clinical outcome of patients with TTS and cancer in a meta-analysis study. In June 2018, a Pubmed systematic research was conducted for studies assessing outcome in patients with TTS and cancer. We assessed Mantel-Haenszel pooled estimates of risk ratios (RRs) and 95% confidence intervals (CIs) for adverse events at follow-up. After paper retrieval, four studies were included in the meta-analysis, with a total of 123,563 patients. The prevalence of current or previous malignancy among patients admitted with TTS was 6.7% (8258 patients). When compared to control patients, patients with cancer showed an increased risk of clinical events (RR 3.24, 95% CI 3.04-3.45, p < 0.01). The risk of in-hospital events was significantly higher in the cancer group (RR 2.08 95% CI, 1.50-2.87, p < 0.01) and was mainly due to higher need for respiratory support (RR 1.67, 95% CI, 1.58-1.77, p < 0.01). The risk of adverse events at follow-up was also higher in the cancer group (RR 3.30, 95% CI 3.09-3.51, p < 0.01). Cancer, either history or active, is associated with an increased risk of adverse events in TTS.

Indexed as

ComorbidityHumansNeoplasmsPrevalencePrognosisRisk AssessmentTakotsubo CardiomyopathyCancerMalignancyMeta-analysisPrognosisStress cardiomyopathyTakotsubo syndrome

Identifiers

PMID30806878
OpenAlexW2916157572

What OpenQuestion holds

Textmetadata
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.