Evidence map›Paper›PMID 39103886›Full record

ArticleCardio-oncology (London, England)2024

Hallmarks of cancer in patients with heart failure: data from BIOSTAT-CHF.

P F van den Berg, L I Yousif, G Markousis-Mavrogenis, C Shi, V Bracun, J Tromp, S de Wit, Y Appels, E M Screever, J P Aboumsallem and 6 more

Abstract read
In one paragraph

Article in Cardio-oncology (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Cardiac Adverse Events in Patients Receiving Immune Checkpoint Inhibitors in the Adjuvant Setting: An FDA Pooled Analysis.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    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.

P F van den Berg *Department of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands.
L I Yousif *Department of Cardiology, Erasmus MC, Cardiovascular Institute, Thorax Center, Rotterdam, The Netherlands.
G Markousis-MavrogenisDepartment of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands.
C ShiDepartment of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands.
V BracunDepartment of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands.
J TrompNational Heart Centre Singapore, Singapore, Singapore.
S de WitDepartment of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands.
Y AppelsDepartment of Cardiology, Erasmus MC, Cardiovascular Institute, Thorax Center, Rotterdam, The Netherlands.
E M ScreeverDepartment of Cardiology, Erasmus MC, Cardiovascular Institute, Thorax Center, Rotterdam, The Netherlands.
J P AboumsallemDepartment of Cardiology, Erasmus MC, Cardiovascular Institute, Thorax Center, Rotterdam, The Netherlands.
W OuwerkerkDepartment of Dermatology, Amsterdam UMC, University of Amsterdam, Amsterdam Infection & Immunity Institute, Amsterdam, The Netherlands.
D J van VeldhuisenDepartment of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands.
H H W SilljéDepartment of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands.
A A VoorsDepartment of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands.
R A de BoerDepartment of Cardiology, Erasmus MC, Cardiovascular Institute, Thorax Center, Rotterdam, The Netherlands.
Wouter C MeijersDepartment of Cardiology, Erasmus MC, Cardiovascular Institute, Thorax Center, Rotterdam, The Netherlands. w.meijers@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWithin cardio-oncology, emerging epidemiologic studies have demonstrated a bi-directional relationship between heart failure (HF) and cancer. In the current study, we aimed to further explore this relationship and investigate the underlying pathophysiological pathways that connect these two disease entities.

methodsWe conducted a post-hoc analysis in which we identified 24 Gene Ontology (GO) processes associated with the hallmarks of cancer based on 92 biomarkers in 1960 patients with HF. We performed Spearman's correlations and Cox-regression analyses to evaluate associations with HF biomarkers, severity and all-cause mortality.

resultsOut of a total of 24 GO processes, 9 biological processes were significantly associated with adverse clinical outcome. Positive regulation of mononuclear cell proliferation demonstrated the highest hazard for reaching the clinical endpoint, even after adjusting for confounders: all-cause mortality HR 2.00 (95% CI 1.17-3.42), p = 0.012. In contrast, negative regulation of apoptotic process was consistently associated with a lower hazard of reaching the clinical outcome, even after adjusting for confounders: all-cause mortality HR 0.74 (95% CI 0.59-0.95), p = 0.016. All processes significantly correlated with HF biomarkers, renal function and HF severity.

conclusionsIn patients with HF, GO processes associated with hallmarks of cancer are associated with HF biomarkers, severity and all-cause mortality.

Indexed as

BiomarkersCancerCardio-oncologyHeart failure

Identifiers

PMID39103886
PMCPMC11299300

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