Lung cancer and risk of cardiovascular mortality

PurposeThe aim of the present study was to investigate the cardiovascular mortality risk among lung cancer patients compared to the general population.MethodsUsing data from the National Cancer Institute's Surveillance, Epidemiology, and End Results program, we conducted a population-based coho...

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Main Authors: Chengshi Wang, Zhu Wang, Jing Yang, Songbo Zhang, Purong Zhang, Ye Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1491912/full
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author Chengshi Wang
Zhu Wang
Jing Yang
Songbo Zhang
Purong Zhang
Ye Yang
author_facet Chengshi Wang
Zhu Wang
Jing Yang
Songbo Zhang
Purong Zhang
Ye Yang
author_sort Chengshi Wang
collection DOAJ
description PurposeThe aim of the present study was to investigate the cardiovascular mortality risk among lung cancer patients compared to the general population.MethodsUsing data from the National Cancer Institute's Surveillance, Epidemiology, and End Results program, we conducted a population-based cohort study including 278,418 lung cancer patients aged over 30 years between 1 January 1990 and 31 December 2020 as well as the general population. Poisson regression was employed to calculate incidence rate ratios (IRRs) for cardiovascular mortality.ResultsPatients exhibited a significantly higher IRR of cardiovascular mortality risk compared to the general population [IRR 1.74, 95% confidence interval (CI) 1.71–1.77]. The risk was most pronounced in patients aged 30–79 years (IRR 2.61, 95% CI 2.55–2.66), peaking at ages 30–34 years (IRR 48.93, 95% CI 21.98–108.92). Elevated cardiovascular mortality risks were observed across all subgroups, including diseases of the heart (IRR 1.79, 95% CI 1.75–1.82), cerebrovascular diseases (IRR 1.52, 95% CI 1.45–1.59), and other cardiovascular diseases (IRR 1.78, 95% CI 1.67–1.90). The first month after diagnosis presented the highest risk for patients aged 30–79 years (IRR 12.08, 95% CI 11.49–12.70) and ≥80 years (IRR 4.03, 95% CI 3.70–4.39). Clinical characteristics significantly modified cardiovascular mortality.ConclusionsIntegrating cardiovascular disease monitoring and proactive management into lung cancer treatment protocols is essential to the improvement of overall survival and quality of life for lung cancer patients, particularly those who were young or with advanced tumor stage.
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spelling doaj-art-2c5205dfca074b368ddb7c5cf67cfa972025-01-06T06:58:45ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.14919121491912Lung cancer and risk of cardiovascular mortalityChengshi Wang0Zhu Wang1Jing Yang2Songbo Zhang3Purong Zhang4Ye Yang5Department of Breast Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, ChinaInstitute for Breast Health Medicine, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Breast Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Breast Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Breast Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Thoracic Oncology, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, ChinaPurposeThe aim of the present study was to investigate the cardiovascular mortality risk among lung cancer patients compared to the general population.MethodsUsing data from the National Cancer Institute's Surveillance, Epidemiology, and End Results program, we conducted a population-based cohort study including 278,418 lung cancer patients aged over 30 years between 1 January 1990 and 31 December 2020 as well as the general population. Poisson regression was employed to calculate incidence rate ratios (IRRs) for cardiovascular mortality.ResultsPatients exhibited a significantly higher IRR of cardiovascular mortality risk compared to the general population [IRR 1.74, 95% confidence interval (CI) 1.71–1.77]. The risk was most pronounced in patients aged 30–79 years (IRR 2.61, 95% CI 2.55–2.66), peaking at ages 30–34 years (IRR 48.93, 95% CI 21.98–108.92). Elevated cardiovascular mortality risks were observed across all subgroups, including diseases of the heart (IRR 1.79, 95% CI 1.75–1.82), cerebrovascular diseases (IRR 1.52, 95% CI 1.45–1.59), and other cardiovascular diseases (IRR 1.78, 95% CI 1.67–1.90). The first month after diagnosis presented the highest risk for patients aged 30–79 years (IRR 12.08, 95% CI 11.49–12.70) and ≥80 years (IRR 4.03, 95% CI 3.70–4.39). Clinical characteristics significantly modified cardiovascular mortality.ConclusionsIntegrating cardiovascular disease monitoring and proactive management into lung cancer treatment protocols is essential to the improvement of overall survival and quality of life for lung cancer patients, particularly those who were young or with advanced tumor stage.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1491912/fulllung cancergeneral populationmortalitycardiovascular diseaseincidence rate ratio
spellingShingle Chengshi Wang
Zhu Wang
Jing Yang
Songbo Zhang
Purong Zhang
Ye Yang
Lung cancer and risk of cardiovascular mortality
Frontiers in Cardiovascular Medicine
lung cancer
general population
mortality
cardiovascular disease
incidence rate ratio
title Lung cancer and risk of cardiovascular mortality
title_full Lung cancer and risk of cardiovascular mortality
title_fullStr Lung cancer and risk of cardiovascular mortality
title_full_unstemmed Lung cancer and risk of cardiovascular mortality
title_short Lung cancer and risk of cardiovascular mortality
title_sort lung cancer and risk of cardiovascular mortality
topic lung cancer
general population
mortality
cardiovascular disease
incidence rate ratio
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1491912/full
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AT zhuwang lungcancerandriskofcardiovascularmortality
AT jingyang lungcancerandriskofcardiovascularmortality
AT songbozhang lungcancerandriskofcardiovascularmortality
AT purongzhang lungcancerandriskofcardiovascularmortality
AT yeyang lungcancerandriskofcardiovascularmortality