Evidence map›Paper›PMID 40985575›Full record

ArticleActa dermato-venereologica2025

Antihypertensive Medication as a Risk Factor For Basal Cell Carcinoma: A Nationwide Registry-based Case-control Study.

Johan Kappelin, Ingela Ahnlide, Gustav B Christensen, Åsa Ingvar, Kari Nielsen

Abstract read
In one paragraph

Article in Acta dermato-venereologica, 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

5 authors.

Johan KappelinLund University Skin Cancer Research Group, Department of Clinical Sciences Lund, Dermatology, Lund University, Sweden; Department of Dermatology, Skåne University Hospital, Landskrona, Sweden. johan.kappelin@med.lu.se.ORCID 0000-0002-1608-4099
Ingela AhnlideLund University Skin Cancer Research Group, Department of Clinical Sciences Lund, Dermatology, Lund University, Sweden; Department of Dermatology, Skåne University Hospital, Landskrona, Sweden.
Gustav B ChristensenLund University Skin Cancer Research Group, Department of Clinical Sciences Lund, Dermatology, Lund University, Sweden; Department of Dermatology, Skåne University Hospital, Lund, Sweden.ORCID 0000-0001-6797-1301
Åsa Ingvar *Lund University Skin Cancer Research Group, Department of Clinical Sciences Lund, Dermatology, Lund University, Sweden; Department of Dermatology, Skåne University Hospital, Lund, Sweden.ORCID 0000-0001-5876-0190
Kari Nielsen *Lund University Skin Cancer Research Group, Department of Clinical Sciences Lund, Dermatology, Lund University, Sweden; Department of Dermatology, Skåne University Hospital, Lund, Sweden; Department of Dermatology, Skåne University Hospital,Helsingborg, Sweden.ORCID 0000-0002-7363-0455

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hydrochlorothiazide has been associated with increased cutaneous squamous cell carcinoma risk. Meanwhile, its association with basal cell carcinoma (BCC) risk is controversial. The association between commonly prescribed antihypertensive medications and BCC risk in the Swedish population was investigated. All cases with a histopathologically verified BCC in Sweden during 2007-2017 and 2 matched controls per case were included in this nationwide, registry-based, case-control study. Information on prescribed anti-hypertensive drugs, comorbidities, co-medications, and socioeconomic factors was retrieved from nationwide registries. The odds of being treated with any of the chosen treatments in relation to BCC diagnosis were estimated. In total, 133,539 cases and 257,849 controls were studied. Thiazide-containing combination treatments (OR 1.09), angiotensin II receptor blockers (OR 1.09), calcium channel blockers (OR 1.09), and beta-blockers (OR 1.07) were associated with an increased BCC risk. Use of single-agent thiazide treat-ment did not affect BCC risk. In conclusion, statistically significant associations were found between several commonly prescribed antihypertensives and an increased BCC risk. Thiazide treatment affected BCC risk only when given as combination treatment, indicating that relevant adjunctive substances should be studied further in relation to BCC risk. Presently, it is suggested that prevention efforts focus on UV protection rather than altering antihypertensive treatments.

Indexed as

Antihypertensive AgentsBasal Cell CarcinomaHypertensionSkin NeoplasmsAdultAgedAged, 80 and overCalcium Channel BlockersCase-Control StudiesFemaleHumansMaleMiddle AgedRegistriesRisk AssessmentRisk FactorsAntihypertensive AgentsCalcium Channel Blockers

Identifiers

PMID40985575
PMCPMC12476054

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.