Evidence map›Paper›PMID 41532510›Full record

ArticleJournal of the American Heart Association2026

Two-Decade Trends in Colorectal Cancer and Cardiovascular Disease-Related Mortality in the US Adult Population, 1999 to 2019.

Farah Yasmin, Muhammad S Asghar, Taha Mansoor, Farwa Zaidi, Ali B A Jabbar, Ahmed Nadeem, Mohamed T R Siddiqui, Mariam Nadeem, Fatima Z Shah, Emad Mansoor and 3 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. 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. Article
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

13 authors.

Farah YasminDepartment of Internal Medicine Yale School of Medicine New Haven CT USA.
Muhammad S AsgharDepartment of Internal Medicine Advent Health Sebring FL USA.ORCID 0000-0001-6705-2030
Taha MansoorDepartment of Internal Medicine Western Michigan University Kalamazoo MI USA.ORCID 0000-0002-0447-7186
Farwa ZaidiDepartment of Internal Medicine Dow Medical College Karachi Pakistan.
Ali B A JabbarDepartment of Internal Medicine Creighton University Omaha NE USA.ORCID 0000-0001-5145-8626
Ahmed NadeemDepartment of Internal Medicine Cleveland Clinic Foundation Cleveland OH USA.
Mohamed T R SiddiquiSection of Gastroenterology and Hepatology Cleveland Clinic Foundation Cleveland OH USA.ORCID 0000-0003-0778-2319
Mariam NadeemSection of Cardiovascular Disease Case Western Reserve University/University Hospitals Cleveland OH USA.
Fatima Z ShahDepartment of Internal Medicine Cleveland Clinic Foundation Cleveland OH USA.
Emad MansoorSection of Gastroenterology and Hepatology Case Western Reserve University/University Hospitals Cleveland OH USA.ORCID 0000-0002-3297-0533
Abdul M K MinhasSection of Cardiovascular Disease Baylor College of Medicine Houston TX USA.ORCID 0000-0002-9829-3520
Salim S ViraniSection of Cardiology, Department of Medicine Aga Khan University Karachi Pakistan.ORCID 0000-0001-9541-6954
Martha GulatiDavis Women's Heart Center Houston Methodist Debakey Heart & Vascular Center Houston TX USA.ORCID 0000-0003-0735-9756

Funding

ZONA-FREE HAMSTER OVA ASSAY AS AN INDICATOR OF MALE FERTILITYM01RR000425 · NCRR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI WANG, CHRISTINA C. · 1985 to 2011
$74.2M
The Microvascular Aging and Eicosanoids - Women's Evaluation of Systemic Aging Tenacity (MAE-WEST) ("You are never too old to become younger!") Specialized Center for Research Excellence (SCORE)U54AG065141 · NIA · CEDARS-SINAI MEDICAL CENTER · PI BAIREY MERZ, CATHLEEN NOEL, CHENG, SUSAN · 2020 to 2024
$8.7M
Women's Ischemia Syndrome EvaluationU01HL064829 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KELSEY, SHERYL F. · 2001 to 2005
$3.9M
Women's Ischemia Syndrome Evaluation (WISE) - Mechanisms of Coronary Microvascular Dysfunction Leading to Pre-Heart Failure with Preserved Ejection Fraction (HFpEF)R01HL146158 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI BAIREY MERZ, CATHLEEN NOEL · 2019 to 2023
$3.7M
Women's Ischemia Syndrome Evaluation (WISE) Coronary Vascular DysfunctionR01HL090957 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI BAIREY MERZ, CATHLEEN NOEL, PEPINE, CARL J · 2008 to 2013
$3.5M
Whole-Heart Myocardial Blood Flow Quantification Using MRIR01HL124649 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI LI, DEBIAO · 2015 to 2018
$3.3M
Myocardial Steatosis in Women with Coronary Microvascular Dysfunction: Defining the Pathway to Heart Failure with Preserved Ejection Fraction (HFpEF)R01HL153500 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI WEI, JANET · 2021 to 2025
$3.2M
MOLECULAR CHARACTERIZATION OF THROMBIN RECEPTORR01HL049141 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI BAHOU, WADIE F · 1993 to 2007
$1.8M
Behavioral Medicine and Cardiovascular Research TrainingT32HL069751 · NHLBI · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI KRANTZ, DAVID S. · 2003 to 2007
$1.2M
Atherosclerosis, Immune Mediated Inflammation and Hypoestrogenemia in Young WomenK23HL127262 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI SHUFELT, CHRISANDRA LEE · 2016 to 2020
$988k
Magnetic Resonance Imaging for Global Atherosclerosis Risk AssessmentK23HL125941 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI WEI, JANET · 2016 to 2020
$985k
Cardiac Autonomic Function in WomenK23HL105787 · NHLBI · EMORY UNIVERSITY · PI MEHTA, PUJA KIRAN · 2012 to 2016
$813k
NCRR NIH HHS M01 RR000425NHLBI NIH HHS F31 HL149241NHLBI NIH HHS K23 HL105787NHLBI NIH HHS K23 HL125941NHLBI NIH HHS K23 HL127262NHLBI NIH HHS K23 HL151867NHLBI NIH HHS R01 HL049141NHLBI NIH HHS R01 HL090957NHLBI NIH HHS R01 HL124649NHLBI NIH HHS R01 HL146158NHLBI NIH HHS R01 HL153500NHLBI NIH HHS T32 HL069751NHLBI NIH HHS U01 HL064829NIA NIH HHS R03 AG032631NIA NIH HHS U54 AG065141
6 · The paper itself

Abstract

backgroundRecent data report individuals with colorectal cancer (CRC) to be 2 to 4 times more likely to develop cardiovascular disease (CVD), while established CVD risk factors are linked with an elevated risk of CRC. This study aimed to evaluate national trends in combined CRC and CVD mortality in the United States and assess variations by demographic and geographic characteristics.

methodsCombined mortality-related deaths in the United States were extracted using the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER). The Multiple Cause-of-Death Public Use record death certificates were studied to identify records in which both CRC and CVD were mentioned as either contributing or underlying causes of death on nationwide death certificates.

resultsBetween 1999 and 2019, a total of 1,303,016 CRC-related deaths occurred in individuals aged ≥25 years, of which 394,871 (31.8%) deaths also noted CVD. The overall CRC+CVD-related age-adjusted mortality rate per 100 000 declined from 12.06 in 1999 to 6.69 in 2019. The age-adjusted mortality rates were higher in men (11.1) versus women (7.2). Among young adults aged 35 to 44 years, the crude mortality rates increased annually by 1.8% from 1999 to 2019. The age-adjusted mortality rates were highest for non-Hispanic Black or African American individuals and lowest for non-Hispanic Asian or Pacific Island people (12.22 versus 6.19). The rates were higher in nonmetropolitan (9.77) than metropolitan (8.58) counties and varied by region, being highest in the Northeast (10.6), followed by the West (9.0), Midwest (8.4), and South (7.9).

conclusionsNearly one-third of CRC-related deaths also involved CVD. Although combined mortality has declined overall, it remains disproportionately high among men, Black or African American individuals, and rural populations. Notably, mortality is increasing among adults aged 35 to 44 years, highlighting persistent disparities and the urgent need for integrated cardiometabolic prevention strategies in patients with cancer.

Indexed as

Cardiovascular DiseasesColorectal NeoplasmsAdultAgedCause of DeathFemaleHumansMaleMiddle AgedRisk FactorsTime FactorsUnited Statescardiovascular diseaseCenters for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research (CDC WONDER)colorectal cancer

Identifiers

PMID41532510
PMCPMC12919475

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.