Evidence map›Paper›PMID 40165228›Full record

SynthesisBMC medicine2025

Cancer risk subsequent to cardiovascular disease: a prospective population-based study and meta-analysis.

Chi Shu, Huiqiao Han, Hong Li, Linru Wei, Hong Wu, Changtao Li, Xuan Xie, Bin Zhang, Zhexuan Li, Xin Chen and 4 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Tumour necrosis factor-Frontiers in nutrition · 2025
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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.

Chi Shu *Department of General Surgery, Division of Vascular Surgery, West China Hospital, Sichuan University, Chengdu, China.
Huiqiao Han *Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
Hong LiDepartment of Oncology & Department of Epidemiology and Medical Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Linru WeiDepartment of Oncology & Department of Epidemiology and Medical Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Hong WuDepartment of Oncology & Cancer Institute, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Changtao LiDepartment of Oncology & Department of Epidemiology and Medical Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Xuan XieDepartment of Oncology & Department of Epidemiology and Medical Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Bin ZhangDepartment of Cardiology, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
Zhexuan LiYu-Yue Pathology Scientific Research Center, Chongqing, China.
Xin ChenDepartment of Oncology & Department of Epidemiology and Medical Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Jichun ZhaoDepartment of General Surgery, Division of Vascular Surgery, West China Hospital, Sichuan University, Chengdu, China.
Yanhong ZhouDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.
Yazhou HeDepartment of Oncology & Cancer Institute, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. yazhou.he@ed.ac.uk.
Chuan XuDepartment of Oncology & Cancer Institute, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. xuchuan100@uestc.edu.cn.

Funding

National High Level Hospital Clinical Research Funding 2023-GSP-RC-02National Key Research and Development Program of China 2023YFC3402100National Natural Science Foundation of China 82103918National Natural Science Foundation of China 92259102Natural Science Foundation of Sichuan Province 2024NSFSC0057Natural Science Foundation of Sichuan Province,China 2025ZNSFSC0553Science and technology planning project 24QYCX0412the Special Program for Young Clinical Researcher in Gastrointestinal and Genitourinary Cancer from the Wu jieping Medical Foundation 320.6750.2025-02-10
6 · The paper itself

Abstract

backgroundPrevious preclinical studies have revealed the biological links between cardiovascular diseases (CVD) and cancer. However, population-based evidence remained inconclusive.

methodsWe assessed cancer incidence among individuals with and without CVD condition in a prospective cohort from the UK Biobank (UKB). Multivariable Cox regression and competing risk models were fitted to estimate hazard ratios (HR). A systematic literature search was conducted in Medline, Embase and Cochrane Library databases to identify published population-based cohort studies (last updated on 1 October 2023) investigating the associations between CVD status and subsequent cancer risk. Random-effects meta-analysis was employed to pool relative effect estimates reported by eligible cohorts. Subgroup and sensitivity analyses were conducted to evaluate the associations across various CVD and cancer subtypes.

resultsFor the cohort study in the UKB, after a median follow-up of 11.58 years, a total of 18,471 and 66,891 cancer cases occurred among 94,845 CVD patients and 368,695 non-CVD individuals (Incidence rate: 25.62 vs. 15.41 per 1000 person-years). Individuals with prior CVD exhibited higher overall cancer risk (HR 1.14, 95% CI 1.12-1.17, p < 0.001), and we observed consistently higher cancer risk after adjusting for competing risk from non-cancer deaths. The effect size of CVD on cancer risk was greater among younger individuals (< 65 years) than those ≥ 65 years (p for interaction < 0.001). The meta-analysis included 47 population-based cohort studies where a total of 1.49 million cancer cases were documented among over 45 million participants (9.49 million CVD patients). A 13% higher risk of overall cancer was observed among individuals with prior CVD (pooled RR 1.13, 95% CI 1.11-1.15, p < 0.001). The associations remained significant between various CVD subtypes and cancer risk at multiple sites.

conclusionsOur study identified a significantly higher cancer risk among individuals with CVD conditions compared with the non-CVD population, underpinning the need for continued cancer surveillance among CVD patients and further exploration of the possible etiological relation between CVD and cancer.

Indexed as

Cardiovascular DiseasesNeoplasmsAdultAgedFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsUnited KingdomCancerCardiovascular diseaseMeta-analysisPopulation-based cohort

Identifiers

PMID40165228
PMCPMC11959738

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.