Evidence mapPaperPMID 38947889Full record

ArticleFrontiers in oncology2024

Cardio-oncology in advanced prostate cancer.

Kenneth Chen, Ting Hong Wong, Yu Guang Tan, Kae Jack Tay, Wei Chong Tan, Johan Chan, Henry Ho, Christopher Cheng, Jeremy Yuen-Chun Teoh, Peter Ka-Fung Chiu and 7 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

17 authors.

Kenneth ChenDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Ting Hong WongYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Yu Guang TanDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Kae Jack TayDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Wei Chong TanDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Johan ChanDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Henry HoDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Christopher ChengDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Jeremy Yuen-Chun TeohS. H. Ho Urology Centre, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Peter Ka-Fung ChiuS. H. Ho Urology Centre, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Hung Jen WangDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University and College of Medicine, Kaohsiung, Taiwan.
Marniza Binti SaadDepartment of Clinical Oncology, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Ravindran KanesvaranDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
You Quan LiDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Choon Ta NgDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.
Jeffrey Kit Loong TuanDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.
John Shyi Peng YuenDepartment of Urology, Singapore General Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment intensification with androgen deprivation therapy (ADT) and androgen receptor pathway inhibitors (ARPi) have led to improved survival in advanced prostate cancer. However, ADT is linked to significant cardiovascular toxicity, and ARPi also negatively impacts cardiovascular health. Together with a higher prevalence of baseline cardiovascular risk factors reported among prostate cancer survivors at diagnosis, there is a pressing need to prioritise and optimise cardiovascular health in this population. Firstly, While no dedicated cardiovascular toxicity risk calculators are available, other tools such as SCORE2 can be used for baseline cardiovascular risk assessment. Next, selected patients on combination therapy may benefit from de-escalation of ADT to minimise its toxicities while maintaining cancer control. These patients can be characterised by an exceptional PSA response to hormonal treatment, favourable disease characteristics and competing comorbidities that warrant a less aggressive treatment regime. In addition, emerging molecular and genomic biomarkers hold the potential to identify patients who are suited for a de-escalated treatment approach either with ADT or with ARPi. One such biomarker is AR-V7 splice variant that predicts resistance to ARPi. Lastly, optimization of modifiable cardiovascular risk factors for patients through a coherent framework (ABCDE) and exercise therapy is equally important. This article aims to comprehensively review the cardiovascular impact of hormonal manipulation in metastatic hormone-sensitive prostate cancer, propose overarching strategies to mitigate cardiovascular toxicity associated with hormonal treatment, and, most importantly, raise awareness about the detrimental cardiovascular effects inherent in our current management strategies involving hormonal agents.

Indexed as

abirateroneadvanced prostate cancerandrogen deprivation therapyandrogen receptor pathway inhibitorscardio-oncologycardiovascular healthenzalutamidemetastatic prostate cancer

Identifiers

PMID38947889
PMCPMC11211357

What Socratic 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 Socratic graph.