Evidence map›Paper›PMID 40647496›Full record

ReviewCancers2025

Cardiotoxicity in Elderly Breast Cancer Patients.

Kalliopi Keramida, Anastasia Constantinidou, Dorothea Tsekoura, Effrosyni Kampouroglou, Chrissovalantis Aidarinis, Emmanouil Saloustros, Georgia Karanasiou, Gaia Giulia Angela Sacco, Erika Matos, Andri Papakonstantinou and 8 more

Abstract readReview
In one paragraph

Review in Cancers, 2025. 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. Article
  2. 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

18 authors.

Kalliopi Keramida2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Athens University Hospital Attikon, 11527 Athens, Greece.ORCID 0000-0002-9533-6951
Anastasia ConstantinidouDepartment of Medical Oncology, Bank of Cyprus Oncology Centre, 32 Acropoleos Avenue, Nicosia 2006, Cyprus.ORCID 0000-0001-5316-7574
Dorothea Tsekoura2nd Department of Surgery, Aretaieio University Hospital, National and Kapodistrian University of Athens, 76 Vas. Sofias Av., 11528 Athens, Greece.ORCID 0000-0002-9896-964X
Effrosyni Kampouroglou2nd Department of Surgery, Aretaieio University Hospital, National and Kapodistrian University of Athens, 76 Vas. Sofias Av., 11528 Athens, Greece.ORCID 0009-0003-7003-4791
Chrissovalantis AidarinisDepartment of Oncology, University Hospital of Larissa, 41110 Larissa, Greece.
Emmanouil SaloustrosDepartment of Oncology, University Hospital of Larissa, 41110 Larissa, Greece.
Georgia KaranasiouUnit of Medical Technology and Intelligent Information Systems, University of Ioannina, 45110 Ioannina, Greece.ORCID 0000-0001-9478-0375
Gaia Giulia Angela SaccoEuropean Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientific (IRCCS), 20141 Milan, Italy.
Erika MatosDepartment of Medical Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0001-5144-1285
Andri PapakonstantinouDepartment of Breast, Endocrine Tumors and Sarcoma, Karolinska Comprehensive Cancer Center, Karolinska University Hospital, 17164 Solna, Sweden.ORCID 0000-0002-4232-4658
Manolis TsiknakisDepartment of Electrical and Computer Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece.ORCID 0000-0001-8454-1450
Cameron BrownStremble Ventures Ltd., 59 Christaki Kranou, Limassol 4042, Cyprus.ORCID 0000-0002-6736-0620
Athos AntoniadesStremble Ventures Ltd., 59 Christaki Kranou, Limassol 4042, Cyprus.ORCID 0000-0002-5789-5103
Carlo CipollaCardioncology and Second Opinion Division, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Via Ripamonti 435, 20141 Milan, Italy.
Daniela CardinaleCardioncology Unit, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0002-4038-8033
Dimitrios FotiadisBiomedical Research Institute, Foundation for Research and Technology-Hellas (FORTH), 45115 Ioannina, Greece.ORCID 0000-0002-7362-5082
Gerasimos Filippatos2nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Athens University Hospital Attikon, 11527 Athens, Greece.ORCID 0000-0002-5640-0332
Investigators Cardiocare Consortium

Funding

The study has received funding from the European Union's (EU) Horizon 2020 research and innovation program under grant agreement No 945175. The action name is: SC1-BHC-24-2020 Healthcare interventions for the management of the elderly multimorbid patients No 945175
6 · The paper itself

Abstract

Cardiotoxicity is a leading cause of mortality in the growing populations of elderly breast cancer (BC) patients. Breast cancer treatment in the elderly is highly challenging due to its heterogeneous nature and the lack of specific evidence, as this population is usually underrepresented in randomized clinical trials. Decision making requires a comprehensive approach, considering the type and stage of BC, the patient's overall health status, life expectancy, geriatric and frailty assessment, the risk of cancer recurrence, comorbidities, cardiotoxicity risk, and the patient's preferences. The cardiotoxic effects of BC treatments cover the whole spectrum of cardiovascular diseases: heart failure, hypertension, arrhythmias, and myocardial ischemia. Cardiotoxicity risk in these patients is defined by several factors: anticancer therapies, polypharmacy, established cardiovascular disease, comorbidities, frailty, cellular senescence, hormonal changes, and genetic predisposition. Preventive oncological and cardio-oncological strategies, as well as patients' education, are critical for improved outcomes. Prospective clinical trials in this population are urgently needed.

Indexed as

breast cancercardiotoxicityelderlyfrailtyheart failure

Identifiers

PMID40647496
PMCPMC12249219

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.