Evidence map›Paper›PMID 36443065›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2023

Cancer history as a predictor in cardiovascular risk scores: a primary care cohort study.

Helen Strongman, Emily Herrett, Rod Jackson, Michael Sweeting, Alexander R Lyon, Susannah Stanway, Claire Lawson, Umesh Kadam, Liam Smeeth, Krishnan Bhaskaran

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Dyslipidaemias in cancer patients.European heart journal · 2026
    Review
  3. Article
  4. 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

10 authors at 5 institutions in 3 countries.

Helen StrongmanDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0001-8739-4601
Emily HerrettDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-9425-644X
Rod JacksonSection of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Auckland, New Zealand.ORCID http://orcid.org/0000-0001-5914-6934
Michael SweetingDepartment of Health Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0003-0980-8965
Alexander R LyonNational Heart and Lung Institute, Imperial College London; Royal Brompton Hospital, London, UK.ORCID http://orcid.org/0000-0001-8026-840X
Susannah StanwayBreast Unit, Royal Marsden Hospital, London, UK.ORCID http://orcid.org/0000-0002-8438-3672
Claire LawsonDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0003-0127-5236
Umesh KadamDepartment of Health Sciences and Diabetes Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-4433-2977
Liam SmeethDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-9168-6022
Krishnan BhaskaranDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0001-5364-8757
London School of Hygiene & Tropical Medicine · GBUniversity of Leicester · GBRoyal Brompton Hospital · GBRoyal Marsden Hospital · GBUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular risks are raised in cancer survivors but cancer history is not included in cardiovascular risk scores that inform preventive decisions.

aimTo assess whether cancer diagnosis should be included in cardiovascular risk scores. DESIGN AND

settingCohort study using data from English general practices linked to hospital, cancer registration, and death registration data from 1990 to 2015.

methodAdults alive 1 year after a first cancer diagnosis and age, sex, general practice, and calendar- time matched cancer-free individuals were included. Individuals with <2 years of follow-up before index, recent statin prescriptions, or pre-existing coronary heart or cerebrovascular disease were excluded. Cox proportional hazard models used to develop QRISK3 scores were replicated with added cancer history variables. Whether independent hazard ratios for these variables met thresholds for inclusion in QRISK3 (>10% relative difference with

resultsIn total, 81 420 cancer survivors and 413 547 cancer-free individuals were followed for a median 5.2 years (interquartile range [IQR] 2.8- 9.1) and 6.3 years (IQR 3.5-10.2), respectively. Including a 1-year cancer survivorship variable in a QRISK3-based model met the threshold for inclusion for males (independent hazard ratio [iHR] 1.16, 95% confidence interval [CI] = 1.11 to 1.20,

conclusionDevelopers should consider including cancer history variables in future cardiovascular risk models.

Indexed as

Cardiovascular DiseasesNeoplasmsAdultCohort StudiesFemaleHeart Disease Risk FactorsHumansMalePrimary Health CareRisk Factorscancer survivorscardiovascular risk scorecohort studiesprimary health care

Identifiers

PMID36443065
PMCPMC9710863
OpenAlexW4303579544

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.