The risk of cardiovascular disease following breast cancer by Framingham risk score
| Autor: | Petra H.M. Peeters, Diederick E. Grobbee, Rhodé M Bijlsma, Sofie A M Gernaat, Desirée H.J.G. van den Bongard, J.M.A. Boer, Helena M. Verkooijen, Carmen C. van der Pol, Angela H.E.M. Maas |
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| Přispěvatelé: | Academic Medical Center |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Cancer Research medicine.medical_specialty Cvd risk Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] Breast Neoplasms Disease 030204 cardiovascular system & hematology Risk Assessment Cohort Studies 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine Breast cancer Risk Factors Internal medicine medicine Humans Longitudinal Studies cardiovascular diseases skin and connective tissue diseases GeneralLiterature_REFERENCE(e.g. dictionaries encyclopedias glossaries) Aged Proportional Hazards Models Framingham Risk Score business.industry Cancer Middle Aged medicine.disease Cvd mortality Oncology Cardiovascular Diseases 030220 oncology & carcinogenesis Cohort Female business |
| Zdroj: | Breast cancer research and treatment, 170(1), 119-127. Springer New York Breast Cancer Research and Treatment, 170, 1, pp. 119-127 Breast Cancer Research and Treatment, 170, 119-127 |
| ISSN: | 0167-6806 |
| Popis: | Objectives: This study evaluates the risk of cardiovascular disease (CVD) following breast cancer, accounting for baseline CVD risk. Methods: Within the EPIC-NL (Dutch part of the European Prospective Investigation into Nutrition and Cancer) cohort, 1103 women were diagnosed with breast cancer. For every breast cancer patient, 3–4 women without breast cancer (n = 4328) were selected matched for age, year, and time since cohort enrollment. Based on CVD risk factors at cohort enrollment, 10-year risk of CVD was calculated and categorized: low ( 20%). Cox proportional hazard models assessed the risk of CVD events (hospitalization or mortality) and CVD mortality of women with versus without breast cancer, adjusted for baseline CVD risk. Results: After median follow-up of 5 and 6 years, 92 (8.3%) and 325 (7.5%) CVD events occurred in women with and without breast cancer, respectively. In the low CVD risk group, women with breast cancer had 1.44 (95% CI 1.00–2.06) times higher risk of CVD events than women without breast cancer. In the intermediate and high CVD risk categories, risk of CVD events was similar in women with and without breast cancer. Overall, women with breast cancer had 1.77 (95% CI 1.10–2.86) times higher risk of CVD mortality than women without breast cancer. Conclusions: Among women with low CVD risk, women with breast cancer have a higher risk of CVD event than women without breast cancer. Overall, women with breast cancer have a higher risk of CVD mortality than women without breast cancer. |
| Databáze: | OpenAIRE |
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