Evidence map›Paper›PMID 32332714›Full record

ArticleNature communications2020

Fatal heart disease among cancer patients.

Kelsey C Stoltzfus, Ying Zhang, Kathleen Sturgeon, Lawrence I Sinoway, Daniel M Trifiletti, Vernon M Chinchilli, Nicholas G Zaorsky

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 149 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 2 pooled it
18.6field-weighted citation impact, top 1% 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

149 citing papers in PubMed, 2 syntheses or guidelines pooled it, 230 citations in OpenAlex.

  1. A Systematic Review of Cardiovascular Health Among Cancer Survivors.International journal of environmental research and public health · 2025
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  11. Risk factors associated with cardiovascular hospital admissions and all-cause mortality in cancer patients treated with immune checkpoint inhibitors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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89 more citing papers are in PubMed but not listed here.

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

7 authors at 4 institutions in 2 countries.

Kelsey C StoltzfusDepartment of Radiation Oncology, Penn State Cancer Institute, Hershey, PA, 17033, USA.ORCID http://orcid.org/0000-0001-7696-7697
Ying ZhangBiostatistics and Research Decision Sciences, Merck & Co, North Wales, PA, 19454, USA.
Kathleen SturgeonDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, 17033, USA.
Lawrence I SinowayDepartment of Medicine, Penn State College of Medicine, Hershey, PA, 17033, USA.
Daniel M TrifilettiDepartment of Radiation Oncology, Mayo Clinic, Jacksonville, FL, 32224, USA.
Vernon M ChinchilliDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, 17033, USA.
Nicholas G ZaorskyDepartment of Radiation Oncology, Penn State Cancer Institute, Hershey, PA, 17033, USA. nicholaszaorsky@gmail.com.ORCID http://orcid.org/0000-0002-4932-1986
Pennsylvania State University · USPenn State Milton S. Hershey Medical Center · USDecision Sciences (United States) · USMayo Clinic in Florida · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Institutional Career Development CoreKL2TR002015 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI VAN SCOY, LAUREN JODI · 2016 to 2025
$7.8M
NCATS NIH HHS KL2 TR002015NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

As the overlap between heart disease and cancer patients increases as cancer-specific mortality is decreasing and the surviving population is aging, it is necessary to identify cancer patients who are at an increased risk of death from heart disease. The purpose of this study is to identify cancer patients at highest risk of fatal heart disease compared to the general population and other cancer patients at risk of death during the study time period. Here we report that 394,849 of the 7,529,481 cancer patients studied died of heart disease. The heart disease-specific mortality rate is 10.61/10,000-person years, and the standardized mortality ratio (SMR) of fatal heart disease is 2.24 (95% CI: 2.23-2.25). Compared to other cancer patients, patients who are older, male, African American, and unmarried are at a greatest risk of fatal heart disease. For almost all cancer survivors, the risk of fatal heart disease increases with time.

Indexed as

AdultAgedAged, 80 and overAge FactorsBlack or African AmericanCancer SurvivorsCause of DeathFemaleHeart DiseasesHumansMaleMarital StatusMiddle AgedNeoplasmsRisk FactorsSex Factors

Identifiers

PMID32332714
PMCPMC7181822
OpenAlexW3018708948

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.