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February 12, 2021Current OncologyOpen Access

Blood Cholesterol and Outcome of Patients with Cancer under Regular Cardiological Surveillance

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Key result

Total cholesterol levels were significantly lower in deceased cancer patients (157 vs 188 mg/dL, p<0.0001) and were a significant predictor of mortality (HR 1.70, p=0.002).

Why the study?

Cardiovascular diseases and cancer share common risk factors, but the relationship between cholesterol levels and mortality in patients undergoing cancer treatment remains to be evaluated.

Are total cholesterol levels associated with mortality in patients receiving anticancer treatment under cardiological surveillance?

Population

551 patients receiving anticancer treatment under regular cardiological surveillance

Comparison

Cholesterol levels across survival status and tumour entities

Design

Cohort study

Follow-up

Median of 41 (95% CI 40, 43) months

Authors

AHAnna HohneckUniversity of MannheimSRStephanie RosenkaimerHeidelberg UniversityRHRalf‐Dieter HofheinzGoethe University Frankfurt

Discussion

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Implication

Lower cholesterol may signal higher mortality risk in cancer; this Level 5 finding leaves open causality and requires prospective validation.

Study Design

Type

Cohort (n=551)

Structured PICO

Are total cholesterol levels associated with mortality in patients receiving anticancer treatment under cardiological surveillance?

P
Population
551 patients receiving anticancer treatment undergoing regular cardiological surveillance, followed for a median of 41 months.
E
Exposure
Total cholesterol levels (exposure)
O
Outcome
Mortality over a median of 41 monthshard clinical

Main Result

Hazard Ratio: 1.7

p-value: p=0.002

Lower total cholesterol levels are associated with increased mortality in cancer patients undergoing cardiological surveillance, highlighting a potential prognostic marker in cardio-oncology.

Cite This Study

Hohneck et al. (2021) conducted a cohort in Cancer (n=551). Total cholesterol was evaluated on Mortality (HR 1.70, p=0.002). Total cholesterol levels were significantly lower in deceased cancer patients (157 vs 188 mg/dL, p<0.0001) and were a significant predictor of mortality (HR 1.70, p=0.002).

synapsesocial.com/papers/6a63011950e2b8a4ef6a8924https://doi.org/10.3390/curroncol28010085

Topics

Cardio-oncology
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 12016 ESC Position Paper on Cancer Treatments and Cardiovascular Toxicity Developed Under the Auspices of the ESC Committee for Practice Guidelines2016 · 1,805 citations
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  3. 3TOTAL SERUM CHOLESTEROL AND CANCER MORTALITY IN A MIDDLE-AGED MALE POPULATION1980 · 133 citations
  4. 4Elevated low density lipoprotein receptor activity in leukemic cells with monocytic differentiation1984 · 170 citations