Evidence map›Paper›PMID 40629139›Full record

SynthesisHypertension research : official journal of the Japanese Society of Hypertension2025

Prevalence and management of hypertension in childhood, adolescent, and young adult cancer survivors: a systematic review and meta-analysis.

Masanari Asai, Takumi Tokoro, Naohiro Komura, Shintaro Minegishi, Akira Horigome, Kyoko Hattori, Satoshi Ishii, Yohei Hanajima, Yoshinori Okazaki, Nobuyuki Horita and 6 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Hypertension research : official journal of the Japanese Society of Hypertension, 2025. 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. Recent updates and perspectives in "Onco-hypertension".Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
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.

Masanari Asai *Department of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Takumi Tokoro *Department of Cardiology, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan.
Naohiro KomuraDepartment of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Shintaro MinegishiDepartment of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan. minegishi.shi.fb@yokohama-cu.ac.jp.
Akira HorigomeDepartment of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Kyoko HattoriCardiovascular Center, Yokohama City University Medical Center, Yokohama, Japan.
Satoshi IshiiDepartment of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Yohei HanajimaCardiovascular Center, Yokohama City University Medical Center, Yokohama, Japan.
Yoshinori OkazakiDepartment of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Nobuyuki HoritaChemotherapy Center, Yokohama City University Hospital, Yokohama, Japan.
Tomoaki IshigamiDepartment of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Kiyoshi HibiDepartment of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Yuichiro YanoDepartment of General Medicine, Juntendo University Faculty of Medicine, Tokyo, Japan.
Akira NishiyamaDepartment of Pharmacology, Faculty of Medicine, Kagawa University, Kagawa, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Japanese Society of Hypertension (JSH) working group “Onco-Hypertension”

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improvements in cancer survival rates have drawn attention to the long-term cardiovascular health of childhood and adolescent/young adult (AYA) cancer survivors. Hypertension is a key modifiable risk factor contributing to elevated cardiovascular morbidity and mortality in this population. However, its prevalence and persistence remain underexplored. To address this gap, we conducted a systematic review and meta-analysis by searching the PubMed, EMBASE, Cochrane, and Web of Science databases for studies on childhood and AYA cancer survivors who had completed treatment. Hypertension prevalence was pooled using a random-effects model, with subgroup analyses conducted by cancer types and follow-up duration. Meta-regression analysis assessed trends in hypertension prevalence over time. A total of 91 studies involving 86,132 patients met the inclusion criteria. The pooled prevalence of hypertension was 20.35% (95% CI, 17.90-22.80). Subgroup analysis demonstrated a significant time-dependent increase in hypertension prevalence: 16.60% within 10 years, 17.48% at 10-20 years, and 32.12% after 20 years (P = 0.04). Survivors of kidney tumors (24.80%) exhibited a trend toward higher hypertension prevalence compared to other cancer types. Meta-regression analysis confirmed that hypertension prevalence started increasing in the early post-treatment phase and remained significantly elevated over time, emphasizing the progressive and sustained cardiovascular risk in this population. Childhood and AYA cancer survivors face substantial and persistent risks of hypertension, underscoring the need for early detection and long-term management strategies. Enhanced survivorship care tailored to this population is essential to reduce cardiovascular risks and improve life expectancy globally.

Indexed as

Cancer SurvivorsHypertensionNeoplasmsAdolescentChildHumansPrevalenceYoung AdultCardiovascular riskChildhood cancer survivorsDigital hypertensionImplemental hypertensionOnco-hypertension

Identifiers

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.