Evidence map›Paper›PMID 38915282›Full record

ArticleJournal of Korean medical science2024

Cardiovascular Safety of COVID-19 Vaccination in Patients With Cancer: A Self-Controlled Case Series Study in Korea.

Ji Hwa Ryu, Ahhyung Choi, Jieun Woo, Hyesung Lee, Jinkwon Kim, Joonsang Yoo, Ju-Young Shin

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Ji Hwa Ryu *School of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0001-5934-0905
Ahhyung Choi *School of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0002-0101-7328
Jieun WooDepartment of Biohealth Regulatory Science, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0009-0004-1328-2470
Hyesung LeeSchool of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0001-6556-9984
Jinkwon KimDepartment of Neurology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.ORCID https://orcid.org/0000-0003-0156-9736
Joonsang YooDepartment of Neurology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea. quarksea@gmail.com.ORCID https://orcid.org/0000-0003-1169-6798
Ju-Young ShinSchool of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0003-1010-7525

Funding

Ministry of Food and Drug Safety 21153MFDS607Ministry of Food and Drug Safety 22183MFDS431Yonsei University College of Medicine Z-2023-0008
6 · The paper itself

Abstract

backgroundCancer patients have an increased risk of cardiovascular outcomes and are susceptible to coronavirus disease 2019 (COVID-19) infection. We aimed to assess the cardiovascular safety of COVID-19 vaccination for cancer patients in South Korea.

methodsWe conducted a self-controlled case series study using the K-COV-N cohort (2018-2021). Patients with cancer aged 12 years or older who experienced cardiovascular outcomes were identified. Cardiovascular outcomes were defined as myocardial infarction, stroke, venous thromboembolism (VTE), myocarditis, or pericarditis, and the risk period was 0-28 days after receiving each dose of COVID-19 vaccines. A conditional Poisson regression model was used to calculate the incidence rate ratio (IRR) with 95% confidence interval (CI).

resultsAmong 318,105 patients with cancer, 4,754 patients with cardiovascular outcomes were included. The overall cardiovascular risk was not increased (adjusted IRR, 0.99 [95% CI, 0.90-1.08]) during the whole risk period. The adjusted IRRs of total cardiovascular outcomes during the whole risk period according to the vaccine type were 1.07 (95% CI, 0.95-1.21) in the mRNA vaccine subgroup, 0.99 (95% CI, 0.83-1.19) in the ChAdOx1 nCoV-19 vaccine subgroup, and 0.86 (95% CI, 0.68-1.10) in the mix-matched vaccination subgroup. However, in the analysis of individual outcome, the adjusted IRR of myocarditis was increased to 11.71 (95% CI, 5.88-23.35) during the whole risk period. In contrast, no increased risk was observed for other outcomes, such as myocardial infarction, stroke, VTE, and pericarditis.

conclusionFor cancer patients, COVID-19 vaccination demonstrated an overall safe profile in terms of cardiovascular outcomes. However, caution is required as an increased risk of myocarditis following COVID-19 vaccination was observed in this study.

Indexed as

COVID-19COVID-19 VaccinesNeoplasmsSARS-CoV-2AdolescentAdultAgedCardiovascular DiseasesChAdOx1 nCoV-19FemaleHumansMaleMiddle AgedMyocardial InfarctionMyocarditisPericarditisChAdOx1 nCoV-19COVID-19 VaccinesCancerCardiovascular RiskCOVID-19Self-controlled Case SeriesVaccine

Identifiers

PMID38915282
PMCPMC11196855

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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.