Evidence map›Paper›PMID 41609957›Full record

ArticleBreast cancer research and treatment2026

Risk of myocardial infarction and stroke after breast cancer: an analysis of a population of 1.3 million women from North-West Italy.

Fulvio Ricceri, Enrica Favaro, Alberto Catalano, Gregory Winston Gilcrease, Sara Claudia Calabrese, Elisa Ferracin, Daniela Di Cuonzo, Alessandra Macciotta, Lucia Dansero, Angelo d'Errico and 6 more

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 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

16 authors.

Fulvio RicceriCentre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Enrica FavaroDepartment of Medical Sciences, University of Turin, Turin, Italy.
Alberto CatalanoCentre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, University of Turin, Turin, Italy. alberto.catalano@unito.it.
Gregory Winston GilcreaseCentre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Sara Claudia CalabreseSchool of Medicine and Surgery, University of Turin, Turin, Italy.
Elisa FerracinUnit of Epidemiology, Regional Health Service, ASL TO3, Grugliasco, Turin, Italy.
Daniela Di CuonzoUnit of Cancer Epidemiology, "Città Della Salute E Della Scienza" Hospital and Centre for Cancer Prevention, Turin, Italy.
Alessandra MacciottaCentre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Lucia DanseroCentre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Angelo d'ErricoUnit of Epidemiology, Regional Health Service, ASL TO3, Grugliasco, Turin, Italy.
Pierfrancesco FrancoDepartment of Translational Medicine (DIMET), University of Eastern Piedmont, Novara, Italy.
Gianmauro NumicoUnit of Oncology, Santa Croce E Carle" Hospital and Regional Oncology Network, Cuneo, Italy.
Roberto GnaviUnit of Epidemiology, Regional Health Service, ASL TO3, Grugliasco, Turin, Italy.
Giuseppe CostaCentre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Eva Pagano *Unit of Cancer Epidemiology, "Città Della Salute E Della Scienza" Hospital and Centre for Cancer Prevention, Turin, Italy.
Carlotta Sacerdote *Department of Health Sciences (DISS), University of Eastern Piedmont, Novara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast cancer (BC) is a leading public-health issue affecting women on a global scale. Thanks to the widespread implementation of screening programs and the improvement in therapies, women with BC live longer but they also are more likely to experience an increased risk of other diseases. Reasons for this increased risk include genetics, shared risk factors, and adverse effects from BC treatment. Therefore, this research aimed to analyse the risk of myocardial infarction (MI) and stroke in women with BC, considering the potential side effects of treatments.

methodsFor the analysis, we used data coming from the Piedmont Longitudinal Study (PLS), an administrative cohort based on the record-linkage among census data and several health-administrative databases involving more than 4 million inhabitants. The study population comprised women aged 30-75 years from the PLS study, excluding those with myocardial infarction or stroke at baseline. To analyse the investigated associations, competing risk analyses were performed, through the Cause-Specific Proportional Hazards model.

resultsAmong 1,342,333 women ranging from 30 to 75 years old, 19,203 had a BC diagnosis, of whom 206 (1.1%) experienced a subsequent MI and 203 (1.1%) a stroke. Women with BC showed an increased risk for MI (HR: 1.20; 95% CI 1.05-1.38) and for stroke (HR: 1.58; 95% CI 1.38-1.82). Chemotherapy was observed to be the major risk factor for MI in BC women, while no different risk by therapy was found for stroke.

conclusionThe results supported the hypothesis about the toxic effect of BC therapies, suggesting that clinicians should routinely and actively screen for treatment-related toxicities in women with BC and that researchers should prioritize personalized treatments to minimize potentially devastating side effects.

Indexed as

Breast NeoplasmsMyocardial InfarctionStrokeAdultAgedFemaleHumansItalyLongitudinal StudiesMiddle AgedProportional Hazards ModelsRisk FactorsBreast cancerChemotherapyCompeting risksMyocardial infarctionStroke

Identifiers

PMID41609957
PMCPMC12855238

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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.