Evidence map›Paper›PMID 41940624›Full record

ArticleCancer medicine2026

Rising Risk of Subsequent Primary Cancers Among US Cancer Survivors, 2000-2021.

Hui G Cheng, Livingstone Aduse-Poku, Oxana Palesh, Susan Hong

Abstract read
In one paragraph

Article in Cancer medicine, 2026. 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. 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

4 authors.

Hui G ChengMassey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID https://orcid.org/0000-0001-7252-5090
Livingstone Aduse-PokuMassey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, Virginia, USA.
Oxana PaleshMassey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID https://orcid.org/0000-0002-5695-8678
Susan HongMassey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID https://orcid.org/0000-0002-8754-4523

Funding

Virus Vector Shared ResourceP30CA016059 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Renato Martins · 1985 to 2026
$51.0M
Multicenter Randomized Controlled Trial of Brief Behavioral Therapy for Cancer Related InsomniaR01CA239714 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI PALESH, OXANA G · 2020 to 2025
$4.5M
Very-long Term Neurocognitive Outcomes in Breast Cancer Survivors (ProbC2)R01CA172145 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI KESLER, SHELLI R, PALESH, OXANA G · 2012 to 2024
$3.3M
Predicting Long-Term Chemotherapy-Related Cognitive ImpairmentR01CA226080 · NCI · UNIVERSITY OF TEXAS AT AUSTIN · PI KESLER, SHELLI R, PALESH, OXANA G · 2019 to 2024
$3.1M
NCI NIH HHS P30CA016059NCI NIH HHS R01CA172145NCI NIH HHS R01CA226080NCI NIH HHS R01CA239714
6 · The paper itself

Abstract

backgroundAs cancer survival improves, the population at risk for subsequent primary cancers (SPCs) is growing rapidly. Yet, contemporary trends in SPC incidence remain undercharacterized, limiting the development of targeted surveillance and survivorship strategies.

objectiveTo evaluate long-term trends in SPC risk among US cancer survivors and identify high-risk subgroups by cancer type and demographic characteristics. DESIGN, SETTING, AND

participantsThis retrospective cohort study used data from 17 SEER registries and included over 6 million individuals diagnosed with an index primary cancer between 2000 and 2021. MAIN OUTCOMES AND MEASURES: Standardized incidence ratios (observed-to-expected ratios, OERs) and Cox proportional hazards models were used to assess SPC trends among male and female cancer survivors. Analyses were stratified by cancer site, latency between index and SPC, stage, age, and race/ethnicity.

resultsSPC risk increased substantially from 2000 to 2020. Among men, OERs rose from 0.95 (95% CI = 0.94, 0.97) to 1.75 (95% CI = 1.70, 1.80); among women, from 1.23 (95% CI = 1.21, 1.24) to 1.76 (95% CI = 1.70, 1.83). The highest SPC incidence occurred within 6 months of the index diagnosis. Variations were observed across demographic and cancer-related characteristics. CONCLUSIONS AND RELEVANCE: The rising burden of SPCs highlights a critical need in survivorship care. These findings support the need for updated, risk-stratified surveillance protocols and inform national cancer control strategies aimed at reducing long-term morbidity among survivors. STUDY TYPE: Cohort study.

Indexed as

Cancer SurvivorsNeoplasmsNeoplasms, Second PrimaryAdultAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsSEER ProgramUnited Statescancer survivorsepidemiologymultiple primary cancersSEERstandardized incidence ratiosurvivorshiptime trends

Identifiers

PMID41940624
PMCPMC13052203

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.