Evidence map›Paper›PMID 40622424›Full record

ArticleCancer chemotherapy and pharmacology2025

Risk factors and prediction models for cardiotoxicity induced by anthracyclines in malignant chemotherapy.

Pengxiang Zhang, Yan Zhang, Zheng Xue, Dongchao Liu, Dongliang Li, Bing Duan, Meina Zhao, Liang Yin, Hongjie Gao, Bulang Gao and 1 more

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Article in Cancer chemotherapy and pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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11 authors.

Pengxiang ZhangDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Yan ZhangDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Zheng XueDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Dongchao LiuDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Dongliang LiDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Bing DuanDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Meina ZhaoDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Liang YinDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Hongjie GaoDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Bulang GaoDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China.
Jie MiDepartment of Cardiology, Shijiazhuang People's Hospital, 365 South Jianhua Street, Shijiazhuang, 050017, Hebei, China. haoweili3@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate risk factors for cancer therapy-related cardiac dysfunction (CTRCD) in patients receiving anthracycline-based chemotherapy and develop a predictive model for assessing the risk of CTRCD. MATERIALS AND

methodsPatients with breast cancer or lymphoma who underwent chemotherapy were retrospectively enrolled. Independent risk factors were identified for CTRCD, and a clinical prediction model (nomogram) was constructed and evaluated.

results324 patients were randomly divided into the training and validation cohorts, and patients in the training cohort were further divided into the CTRCD positive (n = 48) and negative cohort (n = 222). Body mass index (BMI) ≥ 25, brain natriuretic peptide (BNP) acuity 52 pg/ml, pathologic stage, low density lipoprotein (LDL) or greater tendency for 3.37 / L, combined HER-2 class drugs, and cumulative dose of anthracycline of 550 mg /m2 were independent risk factors for CTRCD. The C-index of the CTRCD prediction map was 0.872 (95% confidence interval or CI: 0.821–0.923) in the training cohort, similar to that of 0.886 (95% CI: 0.799–0.974) in the validation cohort. The cut-off value of the receiver operating characteristics (ROC) curve analysis in the training cohort was 0.164. Good agreement was shown in the predicted data of the training group (P = 0.837) and the verification group (P = 0.700). The observed probability predicting CTRCD was close to the actual probability. The decision curve analysis (DCA) showed that the constructed nomogram had a high clinical application prospect.

conclusionBMI ≥ 25, history of diabetes, BNP ≥ 52 pg/ml, LDL ≥ 3.37 mmol/L, pathological stage, and cumulative anthracycline dose ≥ 550 mg/m² were independent risk factors for CTRCD. The nomogram model demonstrates excellent predictive accuracy, with a C-index of 0.872 in the training cohort and 0.886 in the validation cohort, offering a reliable tool for identifying high-risk for CTRCD.

Indexed as

AnthracyclinesAntineoplastic AgentsBreast NeoplasmsCardiotoxicityLymphomaAdultAgedFemaleHumansMiddle AgedNomogramsRetrospective StudiesRisk FactorsAnthracyclinesAntineoplastic AgentsAnthracyclineCardiotoxicityClinical prediction modelsHer2-targeted drugs

Identifiers

PMID40622424

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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.