Evidence map›Paper›PMID 35915869›Full record

ArticleThe Prostate2022

Association between duration of gonadotrophin-releasing hormone agonist use and cardiovascular risks: A population-based competing-risk analysis.

Jeffrey S K Chan, Pias Tang, Jeremy M Ho Hui, Yan H A Lee, Edward C Dee, Kenrick Ng, Kang Liu, Gary Tse, Chi Fai Ng

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Prostate, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06163924 (To Investigate the Effect of Multidisciplinary Care Approach on Cardiovascular Risk Modification in Prostate Cancer Patients Receiving Androgen Deprivation Therapy), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-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.

NCT06163924 recruitingnot on this mapstarted 2023, after this paper: background citation

To Investigate the Effect of Multidisciplinary Care Approach on Cardiovascular Risk Modification in Prostate Cancer Patients Receiving Androgen Deprivation Therapy

TypeobservationalSponsorChinese University of Hong KongRan2023 to 2029Enrolled130ConditionsCardiovascular Risk, Prostate Cancer
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 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

9 authors at 5 institutions in 4 countries.

Jeffrey S K ChanCardio-Oncology Research Unit, Cardiovascular Analytics Group, Hong Kong, China-UK Collaboration, Hong Kong, China.ORCID 0000-0003-0231-2393
Pias TangCardio-Oncology Research Unit, Cardiovascular Analytics Group, Hong Kong, China-UK Collaboration, Hong Kong, China.
Jeremy M Ho HuiCardio-Oncology Research Unit, Cardiovascular Analytics Group, Hong Kong, China-UK Collaboration, Hong Kong, China.
Yan H A LeeCardio-Oncology Research Unit, Cardiovascular Analytics Group, Hong Kong, China-UK Collaboration, Hong Kong, China.ORCID 0000-0003-0740-1598
Edward C DeeDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0001-6119-0889
Kenrick NgDepartment of Medical Oncology, University College London Hospitals NHS Foundation Trust, London, UK.
Kang LiuDivision of Urology, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Gary TseDepartment of Cardiology, Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Tianjin, China.ORCID 0000-0001-5510-1253
Chi Fai NgDivision of Urology, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Chinese University of Hong Kong · HKUniversity of Hong Kong · HKMedway School of Pharmacy · GBMemorial Sloan Kettering Cancer Center · USUniversity College London Hospitals NHS Foundation Trust · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundAlthough androgen deprivation therapy has known cardiovascular risks, it is unclear if its duration is related to cardiovascular risks. This study thus aimed to investigate the associations between gonadotrophin-releasing hormone (GnRH) agonist use duration and cardiovascular risks.

methodsThis retrospective cohort study included adult patients with prostate cancer receiving GnRH agonists in Hong Kong during 1999-2021. Patients who switched to GnRH antagonists, underwent bilateral orchidectomy, had <6 months of GnRH agonist, prior myocardial infarction (MI), or prior stroke was excluded. All patients were followed up until September 2021 for a composite endpoint of MI and stroke. Multivariable competing-risk regression using the Fine-Gray subdistribution model was used, with mortality from any cause as the competing event.

resultsIn total, 4038 patients were analyzed (median age 74.9 years old, interquartile range (IQR) 68.7-80.8 years old). Over a median follow-up of 4.1 years (IQR 2.1-7.5 years), longer GnRH agonists use was associated with higher risk of the endpoint (sub-hazard ratio per year 1.04 [1.01-1.06], p = 0.001), with those using GnRH agonists for ≥2 years having an estimated 23% increase in the sub-hazard of the endpoint (sub-hazard ratio 1.23 [1.04-1.46], p = 0.017).

conclusionLonger GnRH agonist use may be associated with greater cardiovascular risks.

Indexed as

Prostatic NeoplasmsStrokeAdultAgedAged, 80 and overAndrogen AntagonistsAndrogensGonadotropin-Releasing HormoneHumansMaleRetrospective StudiesRisk AssessmentAndrogen AntagonistsAndrogensGonadotropin-Releasing Hormoneandrogen deprivation therapycardio-oncologycohortprostate cancer

Identifiers

PMID35915869
PMCPMC9804360
OpenAlexW4289525746

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.