Evidence map›Paper›PMID 37317526›Full record

ArticleEuropean stroke journal2023

The crosstalk between Stroke and Cancer: Incidence of cancer after a first-ever cerebrovascular event in a population-based study.

Catarina Guedes Vaz, Jéssica Rodrigues, Diogo Pereira, Ilda Matos, Carla Oliveira, Maria José Bento, Rui Magalhães, Manuel Correia, Luis F Maia

Open access · bronzeAbstract read
In one paragraph

Article in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 4 institutions in 1 country.

Catarina Guedes VazServiço de Neurologia, Hospital Santo António - Centro Hospitalar Universitário de Santo António (HSA-CHUdSA), Porto, Portugal.
Jéssica RodriguesGrupo de Epidemiologia do Cancro, Centro de Investigação do Instituto Português de Oncologia do Porto, Instituto Português de Oncologia do Porto, Porto, Portugal.
Diogo PereiraServiço de Neurologia, Hospital Santo António - Centro Hospitalar Universitário de Santo António (HSA-CHUdSA), Porto, Portugal.
Ilda MatosServiço de Neurologia, Unidade Local de Saúde do Nordeste - Mirandela, Mirandela, Portugal.
Carla Oliveirai3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.
Maria José BentoInstituto de Ciências Biomédicas Abel Salazar - Universidade do Porto (ICBAS-UP), Porto, Portugal.
Rui MagalhãesInstituto de Ciências Biomédicas Abel Salazar - Universidade do Porto (ICBAS-UP), Porto, Portugal.
Manuel CorreiaServiço de Neurologia, Hospital Santo António - Centro Hospitalar Universitário de Santo António (HSA-CHUdSA), Porto, Portugal.
Luis F MaiaServiço de Neurologia, Hospital Santo António - Centro Hospitalar Universitário de Santo António (HSA-CHUdSA), Porto, Portugal.ORCID 0000-0002-8140-3471
Universidade do Porto · PTAdministração Regional de Saúde de Lisboa e Vale do Tejo · PTHospital de Santo António · PTIPO Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the cancer incidence after the first-ever cerebrovascular event (CVE) and compare it to the cancer incidence in the population from the same region.

methodsWe evaluated 1069 patients with a first-ever CVE (Ischaemic or haemorrhagic stroke and Transient Ischaemic Attack) from a prospective population registry of stroke and transient focal neurological attacks, diagnosed between 2009 and 2011. We conducted a structured search to identify cancer-related variables and case-fatality for a period of 8 years following CVE. Cancer incidence in CVE patients was compared to the North Region Cancer Registry (RORENO).

resultsWe found that 90/1069 (8.4%) CVE patients developed cancer after a first-ever CVE. Overall cancer annual incidence rate was higher after a CVE (820/100,000, 95%CI: 619-1020) than in general population (513/100,000, 95%CI: 508-518). In the 45-54 age group cancer incidence post-CVE was 3.2-fold (RR, 95%CI: 1.6-6.4) higher compared to the general population, decreasing gradually in older age-groups. Median time between CVE and cancer was 3.2 years (IQR = 1.4-5.2). Lower respiratory tract and colorectal were the most frequent cancer types. In univariable models, male sex (sHR = 1.78, 95%CI: 1.17-2.72,

conclusionsAt the population level, patients presenting a first-ever CVE have higher cancer incidence, that is particularly prominent in younger age-groups. Higher cancer incidence, delayed cancer diagnosis and increased mortality post-CVE warrants further research on long-term cancer surveillance in first-ever CVE survivors.

Indexed as

NeoplasmsStrokeHumansIncidenceMaleProspective StudiesRisk Factorscancerincidencepopulation studyStrokeTransient Ischaemic Attack

Identifiers

PMID37317526
PMCPMC10472965
OpenAlexW4380730421

What OpenQuestion holds

Textmetadata
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.