Evidence map›Paper›PMID 36002750›Full record

ArticleBritish journal of cancer2022

The role of genetic predisposition in cardiovascular risk after cancer diagnosis: a matched cohort study of the UK Biobank.

Huazhen Yang, Yu Zeng, Wenwen Chen, Yajing Sun, Yao Hu, Zhiye Ying, Junren Wang, Yuanyuan Qu, Fang Fang, Unnur A Valdimarsdóttir and 1 more

Abstract read
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Article in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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

11 authors.

Huazhen YangWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
Yu ZengWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
Wenwen ChenWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
Yajing SunWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
Yao HuWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
Zhiye YingWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
Junren WangWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
Yuanyuan QuWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
Fang FangInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Unnur A ValdimarsdóttirCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland.ORCID http://orcid.org/0000-0001-5382-946X
Huan SongWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China. songhuan@wchscu.cn.ORCID http://orcid.org/0000-0003-3845-8079

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

backgroundEvidence is scarce regarding the potential modifying role of disease susceptibility on the association between a prior cancer diagnosis and cardiovascular disease (CVD).

methodsWe conducted a matched cohort study of UK Biobank including 78,860 individuals with a cancer diagnosis between January 1997 and January 2020, and 394,300 birth year and sex individually matched unexposed individuals. We used Cox model to assess the subsequent relative risk of CVD, which was further stratified by individual genetic predisposition.

resultsDuring nearly 23 years of follow-up, an elevated risk of CVD was constantly observed among cancer patients, compared to their matched unexposed individuals. Such excess risk was most pronounced (hazard ratio [HR] = 5.28, 95% confidence interval [CI] 4.90-5.69) within 3 months after a cancer diagnosis, which then decreased rapidly and stabilised for >6 months (HR = 1.22, 95% CI 1.19-1.24). For all the studied time periods, stratification analyses by both levels of polygenic risk score for CVD and by family history of CVD revealed higher estimates among individuals with lower genetic risk predisposition.

conclusionsOur findings suggest that patients with a recent cancer diagnosis were at an increased risk of multiple types of CVD and the excess CVD risk was higher among individuals with lower genetic susceptibility to CVD, highlighting a general need for enhanced psychological assistance and clinical surveillance of CVD among newly diagnosed cancer patients.

Indexed as

Cardiovascular DiseasesNeoplasmsBiological Specimen BanksCohort StudiesGenetic Predisposition to DiseaseHeart Disease Risk FactorsHumansRisk FactorsUnited Kingdom

Identifiers

PMID36002750
PMCPMC9596421

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