Evidence map›Paper›PMID 35887891›Full record

ArticleJournal of clinical medicine2022

Diabetes Is an Independent Risk Factor for Cancer after Heart and/or Lung Transplantation.

Hristo Kirov, Alexandros Moschovas, Tulio Caldonazo, Imke Schwan, Gloria Faerber, Tim Sandhaus, Thomas Lehmann, Torsten Doenst

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

8 authors at 1 institution in 1 country.

Hristo KirovDepartment of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany.
Alexandros MoschovasDepartment of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany.
Tulio CaldonazoDepartment of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany.
Imke SchwanDepartment of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany.
Gloria FaerberDepartment of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany.
Tim SandhausDepartment of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany.
Thomas LehmannInstitute of Medical Statistics, Computer and Data Sciences, Jena University Hospital, 07743 Jena, Germany.
Torsten DoenstDepartment of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany.
Jena University Hospital · DE

Funding

Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) Clinician Scientist Program OrganAge and the Interdisciplinary Center of Clinical Research of the Medical Faculty Jena 413668513
6 · The paper itself

Abstract

Background: De novo cancers are feared complications after heart or lung transplantation. Recent data suggest that diabetes mellitus (DM) might also be a risk factor for cancer. We hypothesized that transplanted diabetic patients are at greater risk of developing cancer compared to non-diabetic ones. Methods: We reviewed 353 patients post-heart and/or -lung transplantation from our center between October 1999 and June 2021. Patients with follow-up <180 days (n = 87) were excluded from the analysis. The remaining 266 patients were divided into patients who had preoperative DM (n = 88) or developed it during follow-up (n = 40) and patients without DM (n = 138). Results: The diabetic cohort showed higher rates of malignancies in all patients (30.33 vs. 15.97%, p = 0.005) and in the matched population (31.9 vs. 16.1%, p < 0.001). There were also significantly more solid tumors (17.9 vs. 9.4%, p = 0.042; matched: 16.6 vs. 9.1%, p = 0.09) The presence of diabetes was associated with a 13% increased risk of cancer when compared to non-diabetic patients. New-onset post-transplant diabetes doubled the likelihood of cancer development. Conclusions: Pre-transplant diabetes mellitus increases the risk of cancer after heart and/or lung transplantation. However, new-onset diabetes after transplantation is associated with a much greater cancer risk. This information is relevant for screening during follow-up.

Indexed as

cancerdiabetes mellitusheart transplantationlung transplantation

Identifiers

PMID35887891
PMCPMC9323113
OpenAlexW4285733174

What OpenQuestion holds

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LicenceCC BY
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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.