Evidence mapPaperPMID 37026536Full record

ArticleJournal of the American Heart Association2023

Mortality and Major Adverse Cardiac Events in Patients With Breast Cancer Receiving Radiotherapy: The First Decade.

Johanna E J Jacobs, Wouter L'Hoyes, Lieselotte Lauwens, Yu-Ling Yu, Marius Brusselmans, Caroline Weltens, Jens-Uwe Voigt, Hans Wildiers, Patrick Neven, Joerg Herrmann and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.6field-weighted citation impact, top 2% of its field
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

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Patient coaching for deep inspiration breath hold decreases set-up duration and left anterior descending artery dose for left-sided breast cancer radiotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Measuring early changes in heart function due to radiation treatment in breast cancer patients.American heart journal plus : cardiology research and practice · 2024
    Article
  12. Article
  13. 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

14 authors at 5 institutions in 2 countries.

Johanna E J JacobsDepartment of Cardiovascular Diseases University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0003-2913-6297
Wouter L'HoyesDepartment of Cardiovascular Diseases University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0002-5612-127X
Lieselotte LauwensDepartment of Radiation Oncology University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0002-0210-1548
Yu-Ling YuResearch Unit Environment and Health, KU Leuven Department of Public Health and Primary Care University of Leuven Leuven Belgium.ORCID 0000-0002-8255-3770
Marius BrusselmansLeuven Biostatistics and Statistical Bioinformatics Centre (L-Biostat) Leuven Belgium.
Caroline WeltensDepartment of Radiation Oncology University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0001-7790-7151
Jens-Uwe VoigtDepartment of Cardiovascular Diseases University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0002-0575-1888
Hans WildiersDepartment of Medical Oncology University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0001-8990-7837
Patrick NevenDepartment of Gynaecology University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0002-1434-9460
Joerg HerrmannDepartment of Cardiology Mayo Clinic Rochester MN USA.ORCID 0000-0001-6675-4559
Lutgarde ThijsDepartment of Cardiovascular Diseases University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0002-8108-2356
Jan A StaessenNon-Profit Research Association Alliance for the Promotion of Preventive Medicine (APPREMED) Mechelen Belgium.ORCID 0000-0002-3026-1637
Stefan JanssensDepartment of Cardiovascular Diseases University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0002-3609-1122
Lucas N L Van AelstDepartment of Cardiovascular Diseases University Hospitals (UZ) Leuven Leuven Belgium.ORCID 0000-0001-7252-5162
Universitair Ziekenhuis Leuven · BERode Kruis-Vlaanderen · BEJanssen (Belgium) · BEMayo Clinic · USStatistics Belgium · BE

Funding

NCI NIH HHS R01 CA233610
6 · The paper itself

Abstract

Background Treatment for breast cancer (BC) frequently involves radiotherapy. Guidelines recommend screening for cardiac adverse events starting 10 years after radiotherapy. The rationale for this interval is unclear. Methods and Results We aimed to study cardiovascular event rates in the first decade following curative radiotherapy for BC. We compared mortality and cardiovascular event rates with an age- and risk factor-matched control population. We included 1095 patients with BC (mean age 56±12 years). Two hundred and eighteen (19.9%) women died. Cancer and cardiovascular mortality caused 107 (49.1%) and 22 (10.1%) deaths, respectively. A total of 904 cases were matched to female FLEMENGHO (Flemish Study on Environment, Genes and Health Outcomes) participants. Coronary artery disease incidence was similar (risk ratio [RR], 0.75 [95% CI, 0.48-1.18]), yet heart failure (RR, 1.97 [95% CI, 1.19-3.25]) and atrial fibrillation/flutter (RR, 1.82 [95% CI, 1.07-3.08]) occurred more often in patients with BC. Age (hazard ratio [HR], 1.033 [95% CI, 1.006-1.061],

Indexed as

Atrial FibrillationBreast NeoplasmsHeart FailureAdultAgedCardiotoxicityFemaleHeartHumansMiddle Agedbreast cancercardio‐oncologycardiovascular diseasesepidemiologyradiation therapyrisk factors

Identifiers

PMID37026536
PMCPMC10227262
OpenAlexW4362692864

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.