Home > Publications database > The impact of cardiovascular disease on all-cause and cancer mortality: results from a 16-year follow-up of a German breast cancer case-control study. > print |
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024 | 7 | _ | |a 10.1186/s13058-023-01680-x |2 doi |
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024 | 7 | _ | |a 1465-5411 |2 ISSN |
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037 | _ | _ | |a DKFZ-2023-01520 |
041 | _ | _ | |a English |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Möhl, Annika |b 0 |
245 | _ | _ | |a The impact of cardiovascular disease on all-cause and cancer mortality: results from a 16-year follow-up of a German breast cancer case-control study. |
260 | _ | _ | |a London |c 2023 |b BioMed Central |
336 | 7 | _ | |a article |2 DRIVER |
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520 | _ | _ | |a Cardiovascular disease (CVD) is the leading cause of death worldwide. The aim of this study was to examine if CVD affects the mortality of women after a breast cancer diagnosis and population controls differently.The analysis included a total of 3,555 women, diagnosed with primary stage 1-3 breast cancer or in situ carcinoma between 2002 and 2005 and 7,334 controls breast cancer-free at recruitment, all aged 50-74 years, who were followed-up in a German breast cancer case-control study until June, 30 2020. Kaplan-Meier and cumulative incidence function were calculated for all-cause mortality and mortality from any cancer, stratified for case-control status and CVD, separately for women aged < 65 and ≥ 65 years. Cox regression and Fine-Gray subdistribution hazard models were used to estimate hazard ratios (HR) and 95% confidence intervals (95% CI) for the association between case-control-status, CVD and mortality from all causes/any cancer.The median follow-up was 16.1 years. In total, 1,172 cases (33.0%) and 1,401 initial controls (19.1%) died. CVD prevalence at recruitment was 15.2% in cases and controls. Cases with CVD had the highest and controls without CVD the lowest mortality during the entire observation period in both age groups (< 65 and ≥ 65 years). CVD was identified as a risk factor for all-cause mortality in both cases and controls aged < 65 years (HR 1.22, 95%CI 0.96-1.55 and HR 1.79, 95%CI 1.43-2.24) as well as at ages of ≥ 65 years (HR 1.44, 95%CI 1.20-1.73 and HR 1.59, 95%CI 1.37-1.83). A significant association of CVD and cancer mortality was found only for cases aged ≥ 65 years.CVD was significantly associated with all-cause mortality of both cases and controls and CVD was identified as a risk factor for cancer mortality of cases aged ≥ 65 years at recruitment. Therefore, attention should be paid on monitoring and preventing CVD in breast cancer patients, especially in those diagnosed at older ages. |
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650 | _ | 7 | |a Breast cancer |2 Other |
650 | _ | 7 | |a Cardiovascular disease |2 Other |
650 | _ | 7 | |a Case–control study |2 Other |
650 | _ | 7 | |a Mortality |2 Other |
700 | 1 | _ | |a Behrens, Sabine |0 P:(DE-He78)6b04712f3afe72044d496a25505cb1ea |b 1 |u dkfz |
700 | 1 | _ | |a Flaßkamp, Fabian |b 2 |
700 | 1 | _ | |a Obi, Nadia |b 3 |
700 | 1 | _ | |a Kreienbrinck, Annika |b 4 |
700 | 1 | _ | |a Holleczek, Bernd |b 5 |
700 | 1 | _ | |a Gali, Kathleen |b 6 |
700 | 1 | _ | |a Chang-Claude, Jenny |0 P:(DE-He78)c259d6cc99edf5c7bc7ce22c7f87c253 |b 7 |u dkfz |
700 | 1 | _ | |a Becher, Heiko |b 8 |
773 | _ | _ | |a 10.1186/s13058-023-01680-x |g Vol. 25, no. 1, p. 89 |0 PERI:(DE-600)2041618-0 |n 1 |p 89 |t Breast cancer research |v 25 |y 2023 |x 1465-5411 |
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