Evidence map›Paper›PMID 42279262›Full record

ReviewCancers2026

Sex Differences in Cancer and Cardiotoxicity: Mechanisms, Outcomes, and Clinical Implications Across Solid and Hematological Malignancies.

Kalliopi Keramida, Marianne C Aznar, Jutta Bergler-Klein, Giuseppe Boriani, Daniela Cardinale, Susan Dent, Alexandra Drakaki, Jose J Fuster, Mamas A Mamas, Tochi Okwuosa and 4 more

Abstract readReview
In one paragraph

Review in Cancers, 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. Cardio-oncology care in German hospitals: a multicentre inpatient survey of practices, perceptions and guideline gaps.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    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

14 authors.

Kalliopi KeramidaCardiology Department, General Anti-Cancer Oncological Hospital Agios Savvas, 11522 Athens, Greece.ORCID 0000-0002-9533-6951
Marianne C AznarDivision of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester M13 9PL, UK.
Jutta Bergler-KleinDepartment of Cardiology, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0003-2591-1380
Giuseppe BorianiDivision of Cardiology, Department of Biomedical, Metabolic and Neural Sciences, Modena University Hospital, University of Modena and Reggio Emilia, 41121 Modena, Italy.ORCID 0000-0002-9820-4815
Daniela CardinaleCardioncology Unit, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0002-4038-8033
Susan DentDepartment of Medicine, University of Rochester, Rochester, NY 14627, USA.
Alexandra DrakakiDivision of Hematology/Oncology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA.ORCID 0000-0001-8865-3548
Jose J FusterCentro Nacional de Investigaciones Cardiovasculares (CNIC), 28029 Madrid, Spain.ORCID 0000-0002-5970-629X
Mamas A MamasKeele Cardiovascular Research Group, Keele University, Stoke-on-Trent ST5 5BG, UK.
Tochi OkwuosaDivision of Cardiology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL 60612, USA.
Lydia ScarfoUniversità Vita Salute San Raffaele, 20132 Milano, Italy.
Peter Van Der MeerDepartment of Cardiology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands.
Eric H YangUCLA Cardio-Oncology Program, Division of Cardiology, Department of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA.ORCID 0000-0003-4889-7454
Teresa Lopez-FernandezCardio-Oncology Unit, Cardiology Department, IdiPAZ Research Institute, La Paz University Hospital, 28046 Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sex differences influence cancer incidence, treatment response, and susceptibility to cardiovascular toxicity. Males exhibit higher rates and poorer outcomes in most non-sex-specific cancers, while females more frequently experience treatment-related adverse events, including cancer therapy-related cardiac dysfunction. Biological factors such as hormonal status, genetic polymorphisms, immune responses, and pharmacokinetics contribute to these disparities. In cardio-oncology, women-particularly premenopausal or with specific genotypes-may be at increased risk for cardiotoxicity after treatment with anthracyclines, immune checkpoint inhibitors or radiotherapy. Clonal hematopoiesis and certain germline genetic variants such as single nucleotide polymorphisms (e.g., RARG rs2229774, HAS3 rs2232228) are emerging as potential sex-informed biomarkers for predicting cardiotoxicity risk. Despite growing evidence, sex remains insufficiently integrated into clinical trials and guideline development in cardio-oncology. This review highlights the importance of sex-specific surveillance, prevention, and multi-omic risk stratification to advance precision cardio-oncology and support better outcomes for patients across the cancer care continuum.

Indexed as

cancer therapycardiotoxicityhematological malignanciesprecision cardio-oncologyradiotherapysex

Identifiers

PMID42279262
PMCPMC13255899

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.