Evidence map›Paper›PMID 37981475›Full record

ArticleClinical breast cancer2024

Atherosclerotic Cardiovascular Disease Risk and Longitudinal Risk Factor Management Among Patients With Breast Cancer.

John W Melson, Benjamin Koethe, Sharanya Mohanty, Seda Babroudi, Chen Bao, Amar Chunduru, Henry Dwaah, Matthew Finn, Annika Jain, Mumtu Lalla and 6 more

Open access · greenAbstract read
In one paragraph

Article in Clinical breast cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 15% 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, 7 citations in OpenAlex.

  1. Review
  2. Review
  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

16 authors at 2 institutions in 1 country.

John W MelsonDivision of Hematology Oncology, Tufts Medical Center, Boston, MA. Electronic address: john.melson@vcuhealth.org.
Benjamin KoetheInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA.
Sharanya MohantyDivision of Cardiology, Tufts Medical Center, Boston, MA.
Seda BabroudiDepartment of Medicine, Tufts Medical Center, Boston, MA.
Chen BaoDepartment of Medicine, Tufts Medical Center, Boston, MA.
Amar ChunduruInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA.
Henry DwaahTufts University School of Medicine, Boston, MA.
Matthew FinnTufts University School of Medicine, Boston, MA.
Annika JainInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA.
Mumtu LallaDepartment of Medicine, Tufts Medical Center, Boston, MA.
Paras PatnaikTufts University School of Medicine, Boston, MA.
Rachael StudleyDepartment of Medicine, Tufts Medical Center, Boston, MA.
Rachel J BuchsbaumDivision of Hematology Oncology, Tufts Medical Center, Boston, MA.
Kathryn HuberDivision of Radiation Oncology, Tufts Medical Center, Boston, MA.
Susan K ParsonsDivision of Hematology Oncology, Tufts Medical Center, Boston, MA; Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA.
Jenica N UpshawDivision of Cardiology, Tufts Medical Center, Boston, MA.
Tufts Medical Center · USTufts University · US

Funding

CTSA Graduate ProgramTL1TR002546 · NCATS · TUFTS UNIVERSITY BOSTON · PI KENT, DAVID M · 2018 to 2022
$4.2M
Tufts BIRCWH ProgramK12AR084217 · NIAMS · TUFTS UNIVERSITY BOSTON · PI Karen Freund, Iris Z Jaffe · 2023 to 2026
$2.5M
Prevention of Anthracycline Chemotherapy CardiotoxicityK08HL146959 · NHLBI · TUFTS MEDICAL CENTER · PI UPSHAW, JENICA · 2020 to 2024
$885k
NCATS NIH HHS TL1 TR002546NHLBI NIH HHS K08 HL146959NIAMS NIH HHS K12 AR084217
6 · The paper itself

Abstract

backgroundCardiovascular disease is the leading cause of noncancer mortality for breast cancer survivors. Data are limited regarding patient-level atherosclerotic cardiovascular disease (ASCVD) risk estimation and preventive medication use. This study aimed to characterize ASCVD risk and longitudinal preventive medication use for a cohort of patients with nonmetastatic breast cancer. PATIENTS AND

methodsThis retrospective cohort study included 326 patients at an academic medical center in Boston, Massachusetts diagnosed with nonmetastatic breast cancer or ductal carcinoma in situ from January 2009 through December 2015. Patient demographics, clinical characteristics, laboratory studies, medication exposure, and incident cardiovascular outcomes were collected. Estimated 10-year ASCVD risk was calculated for all patients from nonlaboratory clinical parameters.

resultsMedian follow up time was 6.5 years (IQR 5.0, 8.1). At cancer diagnosis, 23 patients (7.1%) had established ASCVD. Among those without ASCVD, 10-year estimated ASCVD risk was ≥20% for 77 patients (25.4%) and 7.5% to <20% for 114 patients (37.6%). Two-hundred and sixteen patients (66.3%) had an indication for lipid-lowering therapy at cancer diagnosis, 123 of whom (57.0%) received a statin during the study. Among 100 patients with ASCVD or estimated 10-year ASCVD risk ≥20%, 92 (92.0%) received an antihypertensive medication during the study. Clinic blood pressure >140/90 mmHg was observed in 33.0% to 55.6% of these patients at each follow up assessment.

conclusionA majority of patients in this breast cancer cohort had an elevated risk of ASCVD at the time of cancer diagnosis. Modifiable ASCVD risk factors were frequently untreated or uncontrolled in the years following cancer treatment.

Indexed as

AtherosclerosisBreast NeoplasmsCardiovascular DiseasesFemaleHumansRetrospective StudiesRisk AssessmentRisk FactorsASCVD preventionBlood pressure controlEstimated ASCVD riskLipid-lowering therapy

Identifiers

PMID37981475
PMCPMC10872238
OpenAlexW4387953455

What OpenQuestion holds

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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.