Evidence map›Paper›PMID 40968352›Full record

SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Stroke risk in cancer survivors: A meta-analysis and meta regression.

Francisco Cezar Aquino de Moraes, Gustavo Tadeu Freitas Uchôa Matheus, Maria Eduarda Cavalcanti Souza, Artur Menegaz de Almeida, Ocílio de Deus da Rocha Ribeiro Gonçalves, Anna Lydia Machado Silva, Lucas Bresciani Padilha, Francinny Alves Kelly, Rommel Mario Rodríguez Burbano

Abstract readMeta-AnalysisSystematic Review
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In one paragraph

Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Francisco Cezar Aquino de MoraesFederal University of Pará, Belém, Pará, 66073-005, Brazil. francisco.cezar2205@gmail.com.ORCID http://orcid.org/0000-0003-0623-8135
Gustavo Tadeu Freitas Uchôa MatheusFederal University of Triângulo Mineiro, Uberaba, 38025-180, Brazil.ORCID http://orcid.org/0009-0005-8707-4823
Maria Eduarda Cavalcanti SouzaUniversity of Pernambuco, Recife Pernambuco, Pernambuco, 50100-130, Brazil.ORCID http://orcid.org/0000-0002-7244-6461
Artur Menegaz de AlmeidaFederal University of Mato Grosso, Sinop, Mato Grosso, 78550-728, Brazil.ORCID http://orcid.org/0009-0004-3869-7373
Ocílio de Deus da Rocha Ribeiro GonçalvesFederal University of Piauí, Teresina, Piauí, 64.049-550, Brazil.ORCID http://orcid.org/0009-0008-6103-8420
Anna Lydia Machado SilvaUniversity City of São Paulo, São Paulo, 05424-140, Brazil.ORCID http://orcid.org/0009-0001-6756-3567
Lucas Bresciani PadilhaFederal University of Rio de Janeiro, Rio de Janeiro, 20271-062, Brazil.ORCID http://orcid.org/0009-0001-5608-5061
Francinny Alves KellyDante Pazzanese Cardiological Institute, São Paulo, 04012-909, Brazil.ORCID http://orcid.org/0000-0001-8117-2784
Rommel Mario Rodríguez BurbanoOphir Loyola Hospital, Belém, Pará, 66063-240, Brazil.ORCID http://orcid.org/0000-0002-4872-234X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is suggested that survivors of different types of cancer may have an increased risk of stroke. Our study aims to evaluate cancer patients and non-cancer controls by analyzing stroke events in each group. Previous studies concluded that certain types of cancer increased stroke risk, however, their results had significant heterogeneity and statistical concerns.

methodsMedline, Embase, and Cochrane databases were systematically searched until February 18th, 2024, assessing stroke in cancer survivor patients compared to the global population. Data were examined using the Mantel-Haenszel method and 95% CIs. Heterogeneity was assessed using I² statistics. Rstudio software, version 4.2.3., was used for statistical analysis.

resultsA total of 18 studies were included, and stroke was reported in both cancer and non-cancer groups. Breast cancer (HR 1.09; 95% CI 1.02-1.17; p = 0.01; I²= 0%), Central Nervous System cancers (HR 2.47; 95% CI 1.01-6.01; p = 0.047; I²= 78%), cervical cancers (HR 1.58; 95% CI 1.19-2.09; p = 0.001; I²= 0%), head and neck cancers (HR 1.4439; 95% CI 1.3095-1.5922; p < 0.001; I²=31.5%), lung cancers (HR 1.60; 95% CI 1.40-1.83; p < 0.001; I²=67%), multiple myeloma (HR 1.58; 95% CI 1.32-1.89; p < 0.001; I²= 49%), nasopharyngeal cancers (HR 1.9178; 95% CI 1.3358-2.7533; p < 0.001; I²=89.7%), oesophageal cancers (HR 1.33; 95% CI 1.07-1.65; p = 0.009; I²= 0%), ovarian cancers (HR 1.33; 95% CI 1.07-1.65; p = 0.01; I²= 38%), pancreatic cancers (HR 2,70; 95% CI 2.34-3.11; p < 0.001; I²= 0%) and rectum cancers (HR 1.29; 95% CI 1.01-1.63; p = 0.04; I²= 0%) showed statistically significant differences between groups in favor of non-cancer controls.

conclusionsIn this meta-analysis, the stroke risk was increased in all cancers that reached statistical significance. Furthermore, our study brings relevant data to the body of literature concerning this long-term clinical uncertainty.

Indexed as

Cancer SurvivorsNeoplasmsStrokeHumansRisk FactorsCancer survivorsMeta-AnalysisStroke risk

Identifiers

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Registered trials

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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.