Evidence map›Paper›PMID 35578150›Full record

SynthesisJournal of cancer survivorship : research and practice2023

Adherence to cardiovascular disease risk factor medications among patients with cancer: a systematic review.

Leah L Zullig, Connor Drake, Mohammad Shahsahebi, Renee A V Avecilla, Colette Whitney, Coleman Mills, Kevin C Oeffinger

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of cancer survivorship : research and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Prevalence of statin utilization in cancer survivors in a family medicine clinic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Exploring Frailty in the Intersection of Cardiovascular Disease and Cancer in Older People.International journal of environmental research and public health · 2023
    Review
  10. Article
  11. DAta Linkage to Enhance Cancer Care (DaLECC): Protocol of a Large Australian Data Linkage Study.International journal of environmental research and public health · 2023
    Article
  12. Article
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 1 country.

Leah L ZulligCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, 411 West Chapel Hill Street, Suite 600, Durham, NC, 27701, USA. leah.zullig@duke.edu.
Connor DrakeDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Mohammad ShahsahebiCenter for Onco-Primary Care, Duke Cancer Institute, Durham, NC, USA.
Renee A V AvecillaCenter for Onco-Primary Care, Duke Cancer Institute, Durham, NC, USA.
Colette WhitneyCenter for Onco-Primary Care, Duke Cancer Institute, Durham, NC, USA.
Coleman MillsCenter for Onco-Primary Care, Duke Cancer Institute, Durham, NC, USA.
Kevin C OeffingerCenter for Onco-Primary Care, Duke Cancer Institute, Durham, NC, USA.
Duke Cancer InstituteDuke Medical Center · USDuke University · USDurham VA Health Care System · US

Funding

Onco-primary care networking to support TEAM-based care - the ONE TEAM Study SupplementR01CA249568 · NCI · DUKE UNIVERSITY · PI OEFFINGER, KEVIN CHARLES, ZULLIG, LEAH L. · 2020 to 2024
$4.1M
Dissemination and Implementation Science in Cardiovascular Outcomes (DISCO)K12HL138030 · NHLBI · DUKE UNIVERSITY · PI BOSWORTH, HAYDEN B · 2017 to 2021
$3.9M
HSR&D Senior Research Career Scientist AwardIK6HX003161 · VA · DURHAM VA MEDICAL CENTER · PI Hayden B Bosworth · 2020 to 2026
–
HSRD VA IK6 HX003161NCI NIH HHS R01 CA249568NHLBI NIH HHS K12 HL138030
6 · The paper itself

Abstract

purposeThe most common cause of mortality for many cancer survivors is cardiovascular disease (CVD). This requires a shift in thinking where control of CVD risk factor-related comorbidity is paramount. Our objective was to provide an understanding of adherence to medications for the management of CVD risk factor-related comorbidities among cancer survivors.

methodsWe systematically searched for articles indexed in MEDLINE (via PubMed), Embase, Cochrane (Wiley), PsycINFO, and Scopus (via Elsevier) for articles published from inception to October 31, 2019, and updated the search on June 7, 2021. English language, original research that assessed medication adherence to common CVD risk factor-related comorbidities among cancer survivors was included. We assessed risk of bias using the Mixed Methods Appraisal Tool.

resultsOf the 21 studies included, 57% focused on multiple cancer types. Seventy-one percent used pharmacy-based adherence measures. Two were prospective. Adherence was variable across cancer types and CVD risk factor-related comorbidities. Among the studies that examined changes in comorbid medication adherence, most noted a decline in adherence following cancer diagnosis and throughout cancer treatment. There was a focus on breast cancer populations.

conclusionsCVD risk factor-related medication adherence is low among cancer survivors and declines over time. Given the risk for CVD-mortality among cancer survivors, testing of interventions aimed at improving adherence to non-cancer medications is critically needed. IMPLICATIONS FOR CANCER SURVIVORS: For many cancer survivors, regularly taking medications to manage CVD risk is important for longevity. Engaging with primary care throughout the cancer care trajectory may be important to support cardiovascular health.

Indexed as

Breast NeoplasmsCancer SurvivorsCardiovascular DiseasesFemaleHumansMedication AdherenceProspective StudiesRisk FactorsCancer survivorsCardiovascular diseasesHeart disease risk factorsMedication adherence

Identifiers

PMID35578150
PMCPMC9923500
OpenAlexW4280568458

What OpenQuestion holds

Textmetadata
LicenceTDM
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.