Evidence map›Paper›PMID 36932095›Full record

ArticleNature communications2023

Cumulative burden of 144 conditions, critical care hospitalisation and premature mortality across 26 adult cancers.

Wai Hoong Chang, Richard D Neal, Martin D Forster, Alvina G Lai

Full text read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Aging and cancer.Molecular cancer · 2024
    Review
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

4 authors.

Wai Hoong ChangInstitute of Health Informatics, University College London, London, UK. wai.chang@ucl.ac.uk.ORCID 0000-0001-5832-2000
Richard D NealDepartment of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Martin D ForsterUCL Cancer Institute, University College London, London, UK.
Alvina G LaiInstitute of Health Informatics, University College London, London, UK. alvinagracelai@gmail.com.ORCID 0000-0001-8960-8095

Funding

Wellcome TrustWellcome Trust (Wellcome) 204841/Z/16/Z
6 · The paper itself

Abstract

A comprehensive evaluation of the total burden of morbidity endured by cancer survivors remains unavailable. This study quantified the burden of 144 health conditions and critical care admissions across 26 adult cancers and treatment modalities in 243,767 adults. By age 60, top conditions ranked by fold difference (cumulative burden in survivors divided by cumulative burden in controls) were haematology, immunology/infection and pulmonary conditions. Patients who had all three forms of treatment (chemotherapy, radiotherapy and surgery) experienced a high cumulative burden of late morbidities compared with patients who received radiotherapy alone. The top five cancers with the highest cumulative burden of critical care admissions by age 60 were bone (12.4 events per 100 individuals [CI: 11.6-13.1]), brain (9.0 [7.5-10.5]), spinal cord and nervous system (7.2 [6.7-7.8]), testis (6.7 [4.9-8.4]) and Hodgkin lymphoma (4.4 [3.6-5.1]). Conditions that were associated with high excess years-of-life-lost were haematological conditions (9.6 years), pulmonary conditions (8.6 years) and immunological conditions or infections (7.8 years). As the population of cancer survivors continues to grow, our results indicate that it is important to tackle long-term health consequences through enacting data-driven policies.

Indexed as

Cancer SurvivorsHodgkin DiseaseAdultHospitalizationHumansMaleMiddle AgedMorbidityMortality, PrematureRisk Factors

Identifiers

PMID36932095
PMCPMC10023774

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read22
measurements read29
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.