Evidence map›Paper›PMID 41631764›Full record

ArticleJournal of the American Heart Association2026

Increased Incidence of De Novo Malignancies Compared With Malignancy Recurrences in Survivors of Cancer Undergoing Heart Transplantation.

Jayant Raikhelkar, Daniel Oren, Stephanie Golob, Jaya Batra, Sarah Godfrey, Matthew Regan, Kevin Clerkin, Justin Fried, Ersilia M DeFilippis, Veli Topkara and 8 more

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 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

18 authors.

Jayant RaikhelkarDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0002-8561-7899
Daniel OrenDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0002-2447-3713
Stephanie GolobDivision of Cardiology NYU Grossman School of Medicine New York New York USA.
Jaya BatraDivision of Cardiology Columbia University Irving Medical Center New York New York USA.
Sarah GodfreyDivision of Cardiology University of Texas Southwestern Medical Center Dallas Texas USA.ORCID 0000-0003-2896-2124
Matthew ReganDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0009-0001-5590-8222
Kevin ClerkinDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0001-8351-9219
Justin FriedDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0001-6146-2637
Ersilia M DeFilippisDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0002-0493-1326
Veli TopkaraDivision of Cardiology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA.ORCID 0000-0002-2236-2008
Melana YuzefpolskayaDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0003-4729-8943
Paolo ColomboDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0003-4977-3285
Yoshifumi NakaDivision of Cardiac, Thoracic and Vascular Surgery, Department of Surgery Columbia University Irving Medical Center New York New York USA.ORCID 0000-0003-1808-7063
Yuji KakuDivision of Cardiac Surgery Cooper University Health Care Camden New Jersey USA.ORCID 0000-0002-1366-1129
Koji TakedaDivision of Cardiac, Thoracic and Vascular Surgery, Department of Surgery Columbia University Irving Medical Center New York New York USA.ORCID 0000-0001-8263-1911
Farhana LatifDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0002-4127-656X
Gabriel SayerDivision of Cardiology Columbia University Irving Medical Center New York New York USA.
Nir UrielDivision of Cardiology Columbia University Irving Medical Center New York New York USA.ORCID 0000-0003-2301-3587

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA proportion of cancer survivors (CS) with heart failure develop advanced heart failure. In select CS with advanced heart failure, heart transplantation (HT) remains the gold standard treatment. CS have been shown to have increased incidence of subsequent primary cancers (SPC). This study investigated the incidence and characteristics of SPC in CS undergoing HT at a high-volume HT center.

methodsA retrospective analysis of adult CS (age≥18) who underwent HT at Columbia University Irving Medical Center between January 1, 2000, and August 1, 2020, was conducted. Patients with nonmelanoma skin cancer were excluded. Kaplan-Meier analysis was used to measure cancer-free survival.

resultsOf 1332 consecutive patients undergoing HT at our institution between January 1, 2000, and August 1, 2020, 104 patients were CS (7.8%). CS had improved survival compared with the non-CS group, with a 5-, 10-, and 15-year survival of 89%, 70%, and 60% in the CS group compared with 78%, 64%, and 41% in the non-CS group. Twenty-two (21.2%) developed SPC at a median of 4 years (interquartile range, 3-7.75) posttransplant. Eighteen of 22 SPC (82%) were de novo malignancies, and 4 were recurrences.

conclusionsCS are 4 times more likely to have de novo malignancies unrelated to their primary malignancy rather than a recurrence. Despite the high rate of SPC, survival in this cohort was comparable to contemporary survival in HT patients. Further studies are required to understand optimal prevention and screening for SPC in CS undergoing HT beyond recommendations in the general population.

Indexed as

Cancer SurvivorsHeart TransplantationNeoplasm Recurrence, LocalNeoplasms, Second PrimaryAdultAgedFemaleHumansIncidenceMaleMiddle AgedNew York CityRetrospective Studiescancer survivorshipcardio‐oncologyheart transplantation

Identifiers

PMID41631764
PMCPMC13055697

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.