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May 30, 2026Journal of Clinical Oncology

Cardiometabolic-linked breast cancer mortality rose ~7% annually from 2018 to 2021, disproportionately affecting Black women.

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Why the study?

Trends in deaths with breast cancer as the underlying cause and cardiometabolic disorders as contributing causes remain poorly characterized, particularly across demographic and geographic subgroups.

Population

167,620 deaths among U.S. women aged ≥45 years

Comparison

Trends stratified by race, U.S. census region, and urbanization

Design

Retrospective mortality data analysis using joinpoint regression

Key result

Mortality for breast cancer with cardiometabolic contributions among U.S. women ≥45 years increased sharply from 2018–2021 (APC +6.88%, p<0.01), disproportionately affecting Black women.

Authors

MJMian Muinuddin JamshedAZAmna ZaheerMSMariam Shahabi

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Overview

Rising cardiometabolic-linked breast cancer mortality, especially among Black women, warrants vigilance; leaves open whether targeted interventions can reduce disparities.

Key Points

  • This analysis aims to characterize trends in breast cancer mortality coupled with cardiometabolic disorders among U.S. women aged ≥45.
  • Analyzed U.S. mortality data from 1999 to 2024 for women aged ≥45 with breast cancer as the underlying cause and cardiometabolic disorders as contributing causes.
  • Calculated age-adjusted mortality rates (AAMR) and utilized joinpoint regression to estimate annual percent change (APC) and average annual percent change (AAPC).
  • Total of 167,620 deaths among women ≥45 from 1999–2024, with an overall AAMR of 8.40 per 100,000.
  • Mortality among Black women rose significantly from 2015–2024 (APC +3.56%, p < 0.001) with an AAMR of 15.72 in 2024 compared to 9.54 among White women.
  • Nonmetropolitan areas faced alarming trends, especially noncore areas with an APC of +13.35% from 2017 onward.

Study Design

Type

Observational (n=167,620)

Multicenter

Yes

Structured PICO

P
Population
167,620 U.S. women aged ≥45 years who died with breast cancer as the underlying cause and cardiometabolic disorders as contributing causes between 1999 and 2024.
O
Outcome
Age-adjusted mortality rates (AAMR) per 100,000 and Annual Percent Change (APC) in mortalityhard clinical

Main Result

Effect estimate: APC +6.88%

p-value: p=<0.01

Breast cancer mortality with contributing cardiometabolic disorders is rising among U.S. women aged ≥45, with significant racial and geographic disparities highlighting the need for targeted cardio-oncology interventions.

Cite This Study

Jamshed et al. (2026) conducted an observational in Breast cancer with contributing cardiometabolic disorders (n=167,620). Mortality for breast cancer with cardiometabolic contributions among U.S. women ≥45 years increased sharply from 2018–2021 (APC +6.88%, p<0.01), disproportionately affecting Black women.

synapsesocial.com/papers/6a1a82370307b78509433eeehttps://doi.org/10.1200/jco.2026.44.16_suppl.e12704
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