Evidence map›Paper›PMID 41379769›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2025

Risk of cancer following presentation with new-onset atrial fibrillation using data from UK national databases.

Hiroyuki Yoshimura, Nadine Zakkak, Georgios Lyratzopoulos, Gregory Y H Lip, Floriaan Schmidt, Rui Providencia

Abstract read
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 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. 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

6 authors.

Hiroyuki YoshimuraInstitute of Health Informatics Research, University College London, 222 Euston Road, London NW1 2DA, UK.ORCID 0009-0009-1991-5001
Nadine ZakkakEpidemiology of Cancer Healthcare and Outcomes Group (ECHO), Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, London, UK.ORCID 0000-0003-4155-7756
Georgios LyratzopoulosEpidemiology of Cancer Healthcare and Outcomes Group (ECHO), Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, London, UK.ORCID 0000-0002-2873-7421
Gregory Y H LipLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, Liverpool, UK.ORCID 0000-0002-7566-1626
Floriaan SchmidtInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0003-1327-0424
Rui ProvidenciaInstitute of Health Informatics Research, University College London, 222 Euston Road, London NW1 2DA, UK.ORCID 0000-0001-9141-9883

Funding

National Institute of Health Research NIHR129463UK Research and Innovation European Research Council 10103153 ARISTOTELESUniversity College London British Heart Foundation Research Accelerator AA/18/6/34223
6 · The paper itself

Abstract

aimsAtrial fibrillation (AF) and cancer are both highly prevalent conditions and are known to be associated. Our aim was to identify predictors and develop models for all cancer types, in men and women, and for the four most common cancer types in the AF population using linked primary and secondary care data from the UK. METHODS AND

resultsWe included 163 549 patients diagnosed with AF between January 1998 and May 2016, and no previous history of cancer. Following TRIPOD methodology, we developed a ridge-penalized multivariable logistic regression model to predict 1-year cancer incidence after AF diagnosis, using 70% of the data for derivation and 30% for validation. Age was associated with an increased risk across all cancer types. Socioeconomic deprivation, smoking, excessive alcohol intake, family history of cancer, chronic kidney disease, anaemia, and several cancer-related symptoms and clinical signs (e.g. rectal bleeding, loss of appetite) were associated with an increased risk in one or more cancer types. The prediction models showed moderate-to-good discrimination in the validation set, with c-statistic of 0.69 (0.68-0.70) for all cancer in men, 0.63 (0.62-0.65) for all cancer in women, 0.70 (0.68-0.73) for lung cancer, 0.70 (0.66-0.73) for colorectal cancer, 0.59 (0.53-0.65) for breast cancer, and 0.78 (0.72-0.84) for prostate cancer.

conclusionMost of the identified potential risk factors for cancer in the AF population are also associated with cardiovascular disease. The 1-year cancer prediction models showed moderate to good predictive performance and may help improve the management of patients with AF.

Indexed as

Atrial FibrillationNeoplasmsAgedAged, 80 and overAge FactorsComorbidityDatabases, FactualFemaleHumansIncidenceMaleMiddle AgedRisk AssessmentRisk FactorsSex FactorsSmokingArrhythmiaComorbidityNeoplasiaPredictionPrognosis

Identifiers

PMID41379769
PMCPMC12722001

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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.