Evidence map›Paper›PMID 33671916›Full record

ArticleJournal of clinical medicine2021

Antihypertensive Drugs and the Risk of Cancer: A Nationwide Cohort Study.

In-Jeong Cho, Jeong-Hun Shin, Mi-Hyang Jung, Chae Young Kang, Jinseub Hwang, Chang Hee Kwon, Woohyeun Kim, Dae-Hee Kim, Chan Joo Lee, Si-Hyuck Kang and 18 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.6field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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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

28 authors at 17 institutions in 1 country.

In-Jeong ChoDivision of Cardiology, Department of Internal Medicine, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul 07985, Korea.
Jeong-Hun ShinDivision of Cardiology, Department of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Korea.ORCID 0000-0002-6718-9763
Mi-Hyang JungCardiovascular Center, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong 18450, Korea.ORCID 0000-0003-0224-5178
Chae Young KangDepartment of Statistics and Computer Science, Daegu University, Gyeongsan-si 38453, Korea.ORCID 0000-0001-8587-7765
Jinseub HwangDepartment of Statistics and Computer Science, Daegu University, Gyeongsan-si 38453, Korea.
Chang Hee KwonDivision of Cardiology, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Korea.
Woohyeun KimDivision of Cardiology, Department of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Korea.ORCID 0000-0002-6939-5958
Dae-Hee KimDivision of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea.
Chan Joo LeeDivision of Cardiology, Severance Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul 03722, Korea.
Si-Hyuck KangDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si 13620, Korea.
Ju-Hee LeeDivision of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju-si 28644, Korea.ORCID 0000-0002-0858-0973
Hack-Lyoung KimDepartment of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Korea.
Hyue Mee KimDivision of Cardiology, Department of Internal Medicine, Chung-Ang University Hospital, Seoul 06973, Korea.
Iksung ChoDivision of Cardiology, Severance Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul 03722, Korea.
Hae-Young LeeDivision of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea.ORCID 0000-0002-9521-4102
Wook-Jin ChungDepartment of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon 21565, Korea.ORCID 0000-0002-9767-7098
Sang-Hyun IhmDivision of Cardiology, Department of Internal Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea, Bucheon-si 14647, Korea.
Kwang Il KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si 13620, Korea.
Eun Joo ChoDivision of Cardiology, Department of Internal Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul 07345, Korea.ORCID 0000-0002-1695-9852
Il-Suk SohnDivision of Cardiology, Department of Internal Medicine, Kyung Hee University at Gangdong, Seoul 05278, Korea.ORCID 0000-0001-8004-5185
Sungha ParkDivision of Cardiology, Severance Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul 03722, Korea.
Jinho ShinDivision of Cardiology, Department of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Korea.ORCID 0000-0001-6706-6504
Sung Kee RyuDivision of Cardiology, Department of Internal Medicine, Eulji Medical School of Medicine, Seoul 01830, Korea.ORCID 0000-0003-1673-0166
Jang Young KimDivision of Cardiology, Department of Internal Medicine, Wonju College of Medicine, Yonsei University, Wonju-si 26426, Korea.ORCID 0000-0002-0813-7082
Seok-Min KangDivision of Cardiology, Severance Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul 03722, Korea.
Myeong-Chan ChoDivision of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju-si 28644, Korea.
Wook Bum PyunDivision of Cardiology, Department of Internal Medicine, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul 07985, Korea.
Ki-Chul SungDivision of Cardiology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Korea.ORCID 0000-0001-5630-2145
Yonsei University · KREwha Womans University · KRHanyang University · KRChungbuk National University Hospital · KRDaegu University · KRSeoul National University · KREulji University · KRGachon University Gil Medical Center · KRHallym University Dongtan Sacred Heart Hospital · KRKangbuk Samsung Hospital · KRKonkuk University Medical Center · KRKyung Hee University Hospital at Gangdong · KRSeoul National University Bundang Hospital · KRSeoul National University Hospital · KRThe Catholic University of Korea Bucheon St. Mary's Hospital · KRThe Catholic University of Korea Yeouido St. Mary's Hospital · KRUlsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We sought to assess the association between common antihypertensive drugs and the risk of incident cancer in treated hypertensive patients. Using the Korean National Health Insurance Service database, the risk of cancer incidence was analyzed in patients with hypertension who were initially free of cancer and used the following antihypertensive drug classes: Angiotensin-converting enzyme inhibitors (ACEIs); angiotensin receptor blockers (ARBs); beta blockers (BBs); calcium channel blockers (CCBs); and diuretics. During a median follow-up of 8.6 years, there were 4513 (6.4%) overall cancer incidences from an initial 70,549 individuals taking antihypertensive drugs. ARB use was associated with a decreased risk for overall cancer in a crude model (hazard ratio (HR): 0.744, 95% confidence interval (CI): 0.696-0.794) and a fully adjusted model (HR: 0.833, 95% CI: 0.775-0.896) compared with individuals not taking ARBs. Other antihypertensive drugs, including ACEIs, CCBs, BBs, and diuretics, did not show significant associations with incident cancer overall. The long-term use of ARBs was significantly associated with a reduced risk of incident cancer over time. The users of common antihypertensive medications were not associated with an increased risk of cancer overall compared to users of other classes of antihypertensive drugs. ARB use was independently associated with a decreased risk of cancer overall compared to other antihypertensive drugs.

Indexed as

antihypertensive agentcohort studyneoplasms

Identifiers

PMID33671916
PMCPMC7918966
OpenAlexW3131963203

What OpenQuestion holds

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LicenceCC BY
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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.