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Table 1 Clinical reports that demonstrated an association between cancer incidence and cardiovascular diseases

From: Current evidence regarding the cellular mechanisms associated with cancer progression due to cardiovascular diseases

Model

Type of study/country/age/FU time

Number of CVD/number of cancer in CVD

Primary outcome

Interpretation

Refs.

HF

Retrospective cohort/Italy/mean 76/median 5.6 yr

103,421/12,036

HR 1.76 (95% CI 1.71–1.81) unadjusted

HF was associated with an increased risk of cancer

[10]

HF

Case–control/US/mean 73 yr/mean 7.7 yr

596/102

HR 1.60 (95% CI 1.14–2.26) adjusted for BMI, smoking, and Charlson comorbidity index

HF was associated with an increased risk of cancer

[6]

HF (LVEF < 45%)

Prospective cohort/Denmark/mean 67.8 yr/mean 4.5 yr

9307/975

IRR 1.24 (95% CI 1.15–1.33) adjusted for age and sex

HF was associated with an increased risk of cancer

[7]

HF

Retrospective cohort/Germany/mean 72.6 yr/0–10 yr

100,124/25,732

OR 1.76 (95% CI 1.71–1.81) unadjusted

HF was associated with an increased risk of cancer

[11]

HF post-MI

Prospective cohort/US/mean 72 yr/mean 4.9 yr

228/28

HR 2.16 (95% CI 1.39–3.35) adjusted for age, sex, and Charlson comorbidity index

Post MI patients who developed HF had increased risk of cancer

[5]

HF

Retrospective cohort/US/mean 61 yr/median 19.9 yr

1420/177

HR 1.02 (95% CI 0.84–1.25) adjusted for enrollment group, race, smoking, alcohol use, aspirin, family history of cancer, cirrhosis, PPI, H2 blocker, and sun exposure

HF was not associated with an increased risk of cancer among male physicians

[14]

MI

Prospective cohort/Norway/mean 62 yr/median 15.7 yr

1747/146

HR 1.46 (95% CI 1.21–1.77) adjusted for age, sex, BMI, SBP, DM, HDL, smoking, physical activity, and education level

MI was associated with an increased risk of cancer

[9]

MI

Retrospective cohort/Denmark/median male 59.2 yr, female 68.5 yr/0–17 yr

122,275/9769

IRR 1.08 (95% CI 1.03–1.13) adjusted for age, sex, calendar year, HT, DLP, DM, COPD, and socioeconomic status

MI was associated with an increased risk of cancer

[12]

MI

Retrospective cohort/Denmark/median male 63 yr, female 69 yr mean 5.9 yr

96,891/10,514

SIR 1.05 (95% CI 1.03–1.07) unadjusted

MI was associated with an increased risk of cancer

[13]

  1. COPD chronic obstructive pulmonary disease, DM diabetes mellitus, HF heart failure, HR hazard ratio, IRR incidence rate ratio, MI myocardial infarction, OR odd ratio, PHS Physician Health study, PPI proton pump inhibitor, SIR Standardized incidence ratio, yr years