Evidence map›Paper›PMID 38537701›Full record

ArticleJournal of advanced research2025

Long-term and short-term cardiovascular disease mortality among patients of 21 non-metastatic cancers.

Tianwang Guan, Olivia Monteiro, Dongting Chen, Zehao Luo, Kaiyi Chi, Zhihao Li, Yinglan Liang, Zhenxing Lu, Yanting Jiang, Jinming Yang and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of advanced research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 14 citations in OpenAlex.

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  4. ETS‑1/ETS‑2 transcription factors in CVD (Review).International journal of molecular medicine · 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

14 authors at 6 institutions in 2 countries.

Tianwang GuanCancer Center, The Tenth Affiliated Hospital, Southern Medical University (Dongguan People's Hospital), Dongguan 523059, China; Guangdong Provincial Key Laboratory of Cardiac Function and Microcirculation, Guangzhou 510515, China.
Olivia MonteiroFaculty of Medicine, Medical Sciences Division, Macau University of Science and Technology, Avenida da Harmonia, Praia Park, Coloane, Macao 999078, China.
Dongting ChenDepartment of Clinical Medicine, Clinical Medical School, Guangzhou Medical University, Guangzhou 510180, China.
Zehao LuoDepartment of Clinical Medicine, Clinical Medical School, Guangzhou Medical University, Guangzhou 510180, China.
Kaiyi ChiDepartment of Clinical Medicine, Clinical Medical School, Guangzhou Medical University, Guangzhou 510180, China; Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China.
Zhihao LiDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China.
Yinglan LiangDepartment of Clinical Medicine, Clinical Medical School, Guangzhou Medical University, Guangzhou 510180, China.
Zhenxing LuThe Tenth Affiliated Hospital, Southern Medical University (Dongguan People's Hospital), Dongguan 523059, China.
Yanting JiangDepartment of Clinical Medicine, Clinical Medical School, Guangzhou Medical University, Guangzhou 510180, China.
Jinming YangDepartment of Clinical Medicine, Clinical Medical School, Guangzhou Medical University, Guangzhou 510180, China.
Wenrui LinDepartment of Clinical Medicine, Clinical Medical School, Guangzhou Medical University, Guangzhou 510180, China.
Min YiDepartment of Endocrinology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510180, China.
Kang ZhangFaculty of Medicine, Medical Sciences Division, Macau University of Science and Technology, Avenida da Harmonia, Praia Park, Coloane, Macao 999078, China; The Tenth Affiliated Hospital, Southern Medical University (Dongguan People's Hospital), Dongguan 523059, China. Electronic address: kang.zhang@gmail.com.
Caiwen OuGuangdong Provincial Key Laboratory of Cardiac Function and Microcirculation, Guangzhou 510515, China; The Tenth Affiliated Hospital, Southern Medical University (Dongguan People's Hospital), Dongguan 523059, China. Electronic address: oucaiwen@smu.edu.cn.
Guangzhou Medical University · CNSouthern Medical University · CNDongguan People’s Hospital · CNKey Laboratory of Guangdong Province · CNMacau University of Science and Technology · MOSecond Affiliated Hospital of Guangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrevious studies on cardiovascular disease (CVD) death risk in cancer patients mostly focused on overall cancer, age subgroups and single cancers.

objectivesTo assess the CVD death risk in non-metastatic cancer patients at 21 cancer sites.

methodsA total of 1,672,561 non-metastatic cancer patients from Surveillance, Epidemiology, and End Results (SEER) datebase (1975-2018) were included in this population-based study, with a median follow-up of 12·7 years. The risk of CVD deaths was assessed using proportions, competing-risk regression, absolute excess risks (AERs), and standardized mortality ratios (SMRs).

resultsIn patients with localized cancers, the proportion of CVD death and cumulative mortality from CVD in the high-competing risk group (14 of 21 unique cancers) surpassed that of primary neoplasm after cancer diagnosis. The SMRs and AERs of CVD were found higher in patients with non-metastatic cancer than the general US population (SMR 1·96 [95 %CI, 1·95-1·97]-19·85[95 %CI, 16·69-23·44]; AER 5·77-210·48), heart disease (SMR 1·94[95 %CI, 1·93-1·95]-19·25[95 %CI, 15·76-23·29]; AER 4·36-159·10) and cerebrovascular disease (SMR 2·05[95 %CI, 2·02-2·08]-24·71[95 %CI, 16·28-35·96]; AER 1·01-37·44) deaths. In the high-competing risk group, CVD-related SMR in patients with localized stage cancer increased with survival time but followed a reverse-dipper pattern in the low-competing risk group (7 of 21 cancers). The high-competing risk group had higher CVD-related death risks than the low-competing risk group.

conclusionThe CVD death risk in patients with non-metastatic cancer varied by cancer stage, site and survival time. The risk of CVD mortality is higher in 14 out of 21 localized cancers (high-competing cancers). Targeted strategies for CVD management in non-metastatic cancer patients are needed.

Indexed as

Cardiovascular DiseasesNeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRisk FactorsSEER ProgramUnited StatesYoung AdultCardio-oncologyCardiovascular disease deathNon-metastatic cancersSEER

Identifiers

PMID38537701
PMCPMC11954795
OpenAlexW4393183121

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.