Evidence map›Paper›PMID 37951494›Full record

ArticleJournal of cardiac failure2024

Sex Differences in the Development of Anthracycline-Associated Heart Failure.

Andrea Nathalie Rosas Diaz, Gabriel Pajares Hurtado, Abul Andres Ariza Manzano, Michelle J Keyes, Cole Turissini, Arrush Choudhary, Casie Curtin, Sujithraj Dommaraju, Sarah Warack, Jordan B Strom and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cardiac failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Association between comorbidity burden and subclinical cardiac dysfunction in cancer patients prior to chemotherapy.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2026
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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

11 authors at 1 institution in 1 country.

Andrea Nathalie Rosas DiazDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Gabriel Pajares HurtadoDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Abul Andres Ariza ManzanoDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Michelle J KeyesDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Cole TurissiniDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Arrush ChoudharyDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Casie CurtinDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Sujithraj DommarajuDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Sarah WarackDepartment of Pharmacy, Beth Israel Deaconess Medical Center, Brookline, MA.
Jordan B StromDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Boston, MA.
Aarti AsnaniDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA. Electronic address: aasnani@bidmc.harvard.edu.
Beth Israel Deaconess Medical Center · US

Funding

CYP1 Inhibition as a New Therapeutic Strategy for Doxorubicin CardiomyopathyK08HL145019 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ASNANI, AARTI · 2019 to 2023
$837k
Sex-Specific Differences in the Development of Anthracycline CardiotoxicityR21HL148748 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ASNANI, AARTI · 2019 to 2020
$478k
NHLBI NIH HHS K08 HL145019NHLBI NIH HHS R21 HL148748
6 · The paper itself

Abstract

backgroundFemale sex is frequently cited as a risk factor for anthracycline cardiotoxicity based on pediatric data, but the role of sex in the development of cardiotoxicity has not been clearly established in adults.

objectivesTo assess the effect of female sex on the development of incident heart failure (HF) in adult patients treated with anthracyclines.

methodsThis was a retrospective cohort study of 1525 adult patients with no prior history of HF or cardiomyopathy who were treated with anthracyclines between 1992 and 2019. The primary outcome was new HF within 5 years of the first dose of anthracyclines. The effect of sex was assessed using Cox proportional hazards and competing risk models.

resultsOver a median (IQR) follow-up of 1.02 (0.30-3.01) years, 4.78% of patients developed HF (44 men and 29 women). Female sex was not associated with the primary outcome in a multivariable Cox proportional hazards model (HR 0.87; 95% CI 0.53-1.43; P = 0.58). Similar results were observed in a multivariable model accounting for the competing risk of death (HR 0.94; 95% CI 0.39-2.25; P = 0.88). Age, coronary artery disease and hematopoietic stem cell transplant were associated with the primary outcome in a multivariable Cox proportional hazards model. Age and body mass index were associated with the primary outcome in a multivariable competing risk model.

conclusionsIn this large, single-center, retrospective cohort study, female sex was not associated with incident HF in adult patients treated with anthracyclines. CONDENSED ABSTRACT: Female sex is frequently cited as a risk factor for anthracycline cardiotoxicity based on pediatric data, but the role of sex in the development of cardiotoxicity has not been clearly established in adults. In this retrospective cohort study, we assessed the effect of female sex on the development of incident heart failure in adult patients treated with anthracyclines. Using Cox proportional hazards and competing risk regression models, we found that there was no association between female sex and heart failure after treatment with anthracyclines.

Indexed as

AnthracyclinesHeart FailureAdultAgedCardiotoxicityCohort StudiesFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsSex FactorsAnthracyclinesanthracyclinecardiomyopathycardiotoxicitychemotherapyHeart failuresex differences

Identifiers

PMID37951494
PMCPMC11082541
OpenAlexW4388573147

What OpenQuestion holds

Textmetadata
LicenceTDM
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.