Evidence map›Paper›PMID 37064117›Full record

ArticleFrontiers in oncology2023

Cardiovascular outcomes after curative prostate cancer treatment: A population-based cohort study.

Camilla Kjellstadli, Rachel B Forster, Tor Å Myklebust, Tone Bjørge, Kaare H Bønaa, Svein I Helle, Rune Kvåle

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2023. 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
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
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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

7 authors at 5 institutions in 1 country.

Camilla KjellstadliDepartment of Health Registry Research and Development, Norwegian Institute of Public Health, Bergen, Norway.
Rachel B ForsterDepartment of Health Registry Research and Development, Norwegian Institute of Public Health, Bergen, Norway.
Tor Å MyklebustDepartment of Registration, Cancer Registry of Norway, Oslo, Norway.
Tone BjørgeDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Kaare H BønaaDepartment of Cardiology, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
Svein I HelleDepartment of Oncology and Medical Physics, Haukeland University Hospital, Bergen, Norway.
Rune KvåleDepartment of Health Registry Research and Development, Norwegian Institute of Public Health, Bergen, Norway.
Haukeland University Hospital · NOÅlesund Hospital · NONorwegian Institute of Public Health · NOSt Olav's University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate differences in cardiovascular disease (CVD) morbidity and mortality after radical prostatectomy or definitive radiotherapy with or without androgen deprivation therapy (ADT). Materials and methods: We used population-based data from the Cancer Registry of Norway, the Norwegian Patient Registry and the Norwegian Cause of Death Registry including 19 289 men ≤80 years diagnosed with non-metastatic prostate cancer during 2010-2019. Patients were treated with radical prostatectomy or definitive radiotherapy. We used competing risk models to compare morbidity from overall CVD, acute myocardial infarction (AMI), cerebral infarction, thromboembolism, and CVD-specific mortality for the overall cohort and stratified by prognostic risk groups. Results: After a median follow-up time of 5.4 years (IQR 4.6 years), there were no differences in adjusted rates of AMI, cerebral infarction, and CVD-specific death between radical prostatectomy and definitive radiotherapy in any of the prognostic risk groups. Rates of overall CVD (0.82; 95% CI 0.76-0.89) and thromboembolism (0.30; 95% CI 0.20-0.44) were lower for definitive radiotherapy than radical prostatectomy during the first year of follow-up. After this overall CVD rates (1.19; 95% CI 1.11-1.28) were consistently higher across all risk groups in patients treated with definitive radiotherapy, but there were no differences regarding thromboembolism. Conclusions: During the first years after treatment, no differences were found in rates of AMI, cerebral infarction, and CVD-specific death between radiotherapy and radical prostatectomy in any of the prognostic risk groups. This suggests that ADT use in combination with radiotherapy may not increase the risks of these outcomes in a curative setting. The increased overall CVD rate for definitive radiotherapy after the first year indicates a possible relationship between definitive radiotherapy and other CVDs than AMI and cerebral infarction.

Indexed as

cardiovascular diseasecurative treatmentdefinitive radiotherapyepidemiologyprostate cancerradical prostatectomyregistry

Identifiers

PMID37064117
PMCPMC10102587
OpenAlexW4362472756

What OpenQuestion holds

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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.