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September 18, 2013Cancer Epidemiology Biomarkers & PreventionOpen Access

Impact of Cardiovascular Comorbidity on Ovarian Cancer Mortality

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Key result

Venous thromboembolism (HR 3.2; 95% CI 1.8-5.5) and pulmonary hypertension (HR 8.5; 95% CI 3.9-18.7) were associated with shorter survival in women with newly diagnosed ovarian cancer.

Why the study?

Do cardiovascular comorbidities (VTE, pulmonary hypertension) and increased baseline heart rate reduce overall survival in patients with newly diagnosed epithelial ovarian cancer?

Population

271 participants with newly diagnosed epithelial ovarian cancer

Comparison

Cardiovascular comorbidities and increased… vs Absence of these cardiovascular comorbidities or…

Design

Cohort

Follow-up

median 4.2 years

Authors

ESEileen H. ShinnDLDaniel J. LenihanDUDiana L. Urbauer

Discussion

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Overview

May inform prognostic stratification in ovarian cancer; hypothesis-generating and should not yet change practice.

Study Design

Type

Cohort (n=271)

Multicenter

No

Structured PICO

Do cardiovascular comorbidities (VTE, pulmonary hypertension) and increased baseline heart rate reduce overall survival in patients with newly diagnosed epithelial ovarian cancer?

P
Population
271 women with newly diagnosed epithelial ovarian cancer followed for a median of 4.2 years.
E
Exposure
Cardiovascular comorbidities (venous thromboembolism, pulmonary hypertension) and increased baseline heart rate
C
Comparator
Absence of these cardiovascular comorbidities or lower baseline heart rate
O
Outcome
Overall survivalhard clinical

Main Result

Hazard Ratio: 3.2 (95% CI 1.8–5.5)

The development of venous thromboembolism and pulmonary hypertension, as well as increased baseline heart rate, are significant predictors of decreased survival in women with ovarian cancer.

Cite This Study

Shinn et al. (2013) conducted a cohort in Epithelial ovarian cancer (n=271). Cardiovascular comorbidity (venous thromboembolism and pulmonary hypertension) vs. Absence of cardiovascular comorbidity was evaluated on Overall survival (HR 3.2, 95% CI 1.8-5.5). Venous thromboembolism (HR 3.2; 95% CI 1.8-5.5) and pulmonary hypertension (HR 8.5; 95% CI 3.9-18.7) were associated with shorter survival in women with newly diagnosed ovarian cancer.

synapsesocial.com/papers/6a7718ffd3a6aa87c6bd91dehttps://doi.org/10.1158/1055-9965.epi-13-0625
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Also Consider

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