Cardio-oncology & other

Incidence rate of coronary atherosclerosis among cancer types during survivorship: A systematic review and meta-analysis

Am Heart JPublished Systematic review and meta-analysis

Authors' conclusion

Cancer survivors are at an increased risk of developing coronary atherosclerosis compared to the noncancer population, especially over a longer follow-up period.

Study context

Population
Adult cancer survivors
Participants
8,099,752 survivors · 18 studies
Comparison
Cancer survivors vs noncancer population
Outcome
Risk of coronary atherosclerosis vs general population, as risk difference
Methodological detailsRisk of bias of included studies low; no evidence of publication bias
  • Risk of bias of included studies low; no evidence of publication bias

Pooled result

As reported in the abstract

Coronary atherosclerosis by cancer type
  • Survivors of hematological, renal and testicular cancer more likely to be diagnosed with coronary atherosclerosis vs noncancer population

Further pooled results

OutcomeSurvivorsControlsRD (95% CI)P value
Coronary atherosclerosis, longer follow-up · >10 years17%8%0.12 (0.03–0.22)P < 0.001

CV risk factors contributing to risk difference

Hypercholesterolemia β = 0.012
P < 0.001
Hypertension β = 0.008
P = 0.017
Obesity β = 0.008
P = 0.021

Original publication

Incidence rate of coronary atherosclerosis among cancer types during survivorship: A systematic review and meta-analysis. Am Heart J. Published 23 April 2025. doi:10.1016/j.ahj.2025.04.026

Summarised from the published abstract; every number is checked against it

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