Evidence map›Paper›PMID 36875906›Full record

ArticleJACC. CardioOncology2023

The Burden of Uncontrolled Cardiovascular Risk Factors in Men With Prostate Cancer: A RADICAL-PC Analysis.

Harry Klimis, Jehonathan H Pinthus, Nazanin Aghel, Emmanuelle Duceppe, Vincent Fradet, Ian Brown, D Robert Siemens, Bobby Shayegan, Laurence Klotz, Patrick P Luke and 20 more

Open access · goldAbstract read
In one paragraph

Article in JACC. CardioOncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
11.2field-weighted citation impact, top 1% 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

46 citing papers in PubMed, 52 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

30 authors at 20 institutions in 5 countries.

Harry KlimisPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Jehonathan H PinthusDepartment of Surgery, McMaster University, Hamilton, Ontario, Canada.
Nazanin AghelPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Emmanuelle DuceppeDepartment of Medicine, University of Montreal, Montreal, Quebec, Canada.
Vincent FradetDepartment of Surgery, Université Laval, Quebec, Canada.
Ian BrownDivision of Urology, Niagara Health System, Saint Catharines, Ontario, Canada.
D Robert SiemensQueen's Cancer Research Institute, Kingston, Ontario, Canada.
Bobby ShayeganDepartment of Surgery, Division of Urology, St Joseph's Healthcare, McMaster University, Hamilton, ON, Canada.
Laurence KlotzDepartment of Surgery, Division of Urology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Patrick P LukeDepartment of Surgery, Division of Urology, London Health Sciences Centre, Western University, London, Ontario, Canada.
Tamim NiaziRadiation Oncology Department, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Luke T LavalleeDivision of Urology, Department of Surgery, The Ottawa Hospital, The University of Ottawa, Ottawa, Ontario, Canada.
Negareh MousaviDepartment of Medicine, Division of Cardiology, McGill University Health Center, Montreal, Quebec, Canada.
Robert J HamiltonDepartment of Surgery, Division of Urology, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
Joseph L ChinDepartment of Urology, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada.
Darin GopaulDepartment of Medicine, Division of Radiation Oncology, Grand River Regional Cancer Centre, Kitchener, Ontario, Canada.
Philippe D VioletteDepartment of Surgery, McMaster University, Hamilton, Ontario, Canada.
Margot K DavisDepartment of Medicine, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
Nawar HannaDepartment of Surgery, Division of Urology, CIUSSS de l'Est-de-l'Île-de-Montréal, Installation Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada.
Robert SabbaghDepartment of Surgery, Division of Urology, Université de Sherbrooke, Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
Osnat Itzhaki Ben ZadokDepartment of Cardiology, Rabin Medical Center, Petah Tikva, Israel.
Ludhmila Abrahão HajjarDepartment of Cardiology, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil.
Ariel Galapo KannHospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Rajibul MianPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Sumathy RangarajanPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Kelvin Kuan Huei NgDepartment of Medicine, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Zaza IakobishviliDepartment of Community Cardiology, Tel Aviv Jaffa District, Clalit Health Fund and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Joseph B SelvanayagamDepartment of Medicine, School of Medicine and Public Health, Flinders University, Adelaide, Australia.
Alvaro AvezumHospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Darryl P LeongPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Population Health Research Institute · CAHospital Alemão Oswaldo Cruz · BRMcMaster University · CAWestern University · CAFlinders University · AUGrand River Hospital · CAHamilton Health Sciences · CAHôpital Maisonneuve-Rosemont · CAHôtel-Dieu de Québec · CAInstituto do Coração · PTJewish General Hospital · CAMcGill University Health Centre · CANiagara Health System · CAQueen's University · CARabin Medical Center · ILSt. Joseph’s Healthcare Hamilton · CASunnybrook Health Science Centre · CATel Aviv University · ILUniversité de Montréal · CAUniversité de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiovascular disease (CVD) incidence is higher in men with prostate cancer (PC) than without. Objectives: We describe the rate and correlates of poor cardiovascular risk factor control among men with PC. Methods: We prospectively characterized 2,811 consecutive men (mean age 68 ± 8 years) with PC from 24 sites in Canada, Israel, Brazil, and Australia. We defined poor overall risk factor control as ≥3 of the following: suboptimal low-density lipoprotein cholesterol (>2 mmol/L if Framingham Risk Score [FRS] ≥15 and ≥3.5 mmol/L if FRS <15), current smoker, physical inactivity (<600 MET min/wk), suboptimal blood pressure (BP) (≥140/90 mm Hg if no other risk factors, systolic BP Results: Among participants (9% with metastatic PC and 23% with pre-existing CVD), 99% had ≥1 uncontrolled cardiovascular risk factor, and 51% had poor overall risk factor control. Not taking a statin (odds ratio [OR]: 2.55; 95% CI: 2.00-3.26), physical frailty (OR: 2.37; 95% CI: 1.51-3.71), need for BP drugs (OR: 2.36; 95% CI: 1.84-3.03), and age (OR per 10-year increase: 1.34; 95% CI: 1.14-1.59) were associated with poor overall risk factor control after adjustment for education, PC characteristics, androgen deprivation therapy, depression, and Eastern Cooperative Oncology Group functional status. Conclusions: Poor control of modifiable cardiovascular risk factors is common in men with PC, highlighting the large gap in care and the need for improved interventions to optimize cardiovascular risk management in this population.

Indexed as

ADT, androgen deprivation therapyandrogen deprivation therapyBP, blood pressurecardiovascular disease preventioncardiovascular riskCVD, cardiovascular diseaseECOG, Eastern Cooperative Oncology GroupGnRH, gonadotropin-releasing hormoneHbA1c, glycosylated hemoglobinHDL, high-density lipoproteinLDL, low-density lipoproteinPC, prostate cancerPHQ-9, Patient Health Questionnaire-9prospectiveprostate cancerPSA, prostate-specific antigen

Identifiers

PMID36875906
PMCPMC9982287
OpenAlexW4316881697

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.