Evidence map›Paper›PMID 36359201›Full record

ArticleBiomedicines2022

Prior Cancer Is Associated with Lower Atherosclerotic Cardiovascular Disease Risk at First Acute Myocardial Infarction.

Chieh Yang Koo, Huili Zheng, Li Ling Tan, Ling-Li Foo, Derek J Hausenloy, Wee-Joo Chng, Soo Chin Lee, Arthur Mark Richards, Lieng-Hsi Ling, Shir Lynn Lim and 2 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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

12 authors at 4 institutions in 4 countries.

Chieh Yang KooDepartment of Cardiology, National University Heart Centre Singapore, Singapore 119074, Singapore.ORCID 0000-0002-6051-3807
Huili ZhengNational Registry of Diseases Office, Health Promotion Board, Singapore 168937, Singapore.ORCID 0000-0002-3976-0088
Li Ling TanDepartment of Cardiology, National University Heart Centre Singapore, Singapore 119074, Singapore.
Ling-Li FooNational Registry of Diseases Office, Health Promotion Board, Singapore 168937, Singapore.
Derek J HausenloyYong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.
Wee-Joo ChngYong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.ORCID 0000-0003-2578-8335
Soo Chin LeeYong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.
Arthur Mark RichardsDepartment of Cardiology, National University Heart Centre Singapore, Singapore 119074, Singapore.ORCID 0000-0002-2023-8177
Lieng-Hsi LingDepartment of Cardiology, National University Heart Centre Singapore, Singapore 119074, Singapore.
Shir Lynn LimDepartment of Cardiology, National University Heart Centre Singapore, Singapore 119074, Singapore.ORCID 0000-0002-1151-2357
Chi-Hang LeeDepartment of Cardiology, National University Heart Centre Singapore, Singapore 119074, Singapore.
Mark Y ChanDepartment of Cardiology, National University Heart Centre Singapore, Singapore 119074, Singapore.ORCID 0000-0003-0389-7450
National University of Singapore · SGHealth Promotion Board · SGNational University Heart Centre Singapore · SGAsia University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with cancer are at increased risk of acute myocardial infarction (AMI). It is unclear if the Atherosclerotic Cardiovascular Disease (ASCVD) risk score at incident AMI is reflective of this higher risk in patients with prior cancer than those without. Methods: We linked nationwide AMI and cancer registries from 2008 to 2019. A total of 18,200 eligible patients with ASCVD risk score calculated at incident AMI were identified (1086 prior cancer; 17,114 no cancer). Results: At incident AMI, age-standardized mean ASCVD risk was lower in the prior cancer group (18.6%) than no cancer group (20.9%) (p < 0.001). Prior to incident AMI, smoking, hypertension, hyperlipidemia and diabetes mellitus were better controlled in the prior cancer group. However post-AMI, prior cancer was associated with lower guideline-directed medical therapy usage and higher all-cause mortality (adjusted hazard ratio 1.85, 95% confidence interval 1.66−2.07). Conclusions: AMI occurred despite better control of cardiovascular risk factors and lower age-standardized estimated mean 10-year ASCVD risk among patients with prior cancer than no cancer. Prior cancer was associated with lower guideline-directed medical therapy post-AMI and higher mortality.

Indexed as

cancer survivorshipcardio-oncologycoronary artery diseasepreventive cardiologyrisk factors

Identifiers

PMID36359201
PMCPMC9687197
OpenAlexW4307327712

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.