Impact of breast-, gastrointestinal-, and lung cancer on prognosis in patients with first-time pulmonary embolism: A Danish nationwide cohort study
Pulmonary embolism (PE) is described as a prognostic factor in patients with cancer however, the prognostic impact of PE remains unknown. This study investigated, the 1-year prognosis following PE in patients with breast-, gastrointestinal-, or lung cancer stratified by cancer status. All Danish pat...
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| Veröffentlicht in: | International journal of cardiology 2024-07, Vol.406, p.132001, Article 132001 |
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| creator | Nouhravesh, Nina Strange, Jarl E. Sindet-Pedersen, Caroline Holt, Anders Tønnesen, Jacob Andersen, Camilla Fuchs Nielsen, Sebastian K. Grove, Erik L. Nielsen, Dorte Schou, Morten Lamberts, Morten |
| description | Pulmonary embolism (PE) is described as a prognostic factor in patients with cancer however, the prognostic impact of PE remains unknown. This study investigated, the 1-year prognosis following PE in patients with breast-, gastrointestinal-, or lung cancer stratified by cancer status.
All Danish patients with first-time PE from 2008 to 2018 were included. Cancer status was categorized as no cancer, history of cancer, non-active cancer and active cancer. Unadjusted and age-stratified 1-year risk of death was estimated using the Kaplan-Meier estimator. Cause of death was reported using the Aalen-Johansen method.
Of 35,679 patients with PE, 18% had a breast-, gastrointestinal-, or lung cancer. Patients with cancer were older compared with no cancer (69.8 years [IQR: 56.2–79.8]). One-year risk of death (95% confidence interval) for active breast-, gastrointestinal-, and lung cancer was 49.5% (44.0%–54.9%), 75.0% (72.5%–77.4%) and 80.1% (78.0%–82.3%) respectively, compared with 18.9% (18.4%–19.3%) for no cancer. Age-stratified analysis revealed no association with increasing age in non-active lung cancer and all active cancers. Further, non-cardiovascular death accounted for an increasing proportion by cancer status (no cancer < history of cancer < non-active cancer < active cancer).
One-year risk of death was dependent on both cancer type and status; no association with age was found for patients with active cancers. Non-cardiovascular death was leading in non-active and active cancers. Thus, the occurrence of first-time PE could be regarded as a marker of cancer severity for patients with breast-, gastrointestinal-, and lung cancer.
[Display omitted]
•An increasing incidence of pulmonary embolism was found in patients with breast-, gastrointestinal- or lung cancer over the past decade.•The 1-year prognosis of pulmonary embolism was highly dependent on both cancer type and status in patients with breast-, gastrointestinal- or lung cancer.•The leading cause of death in patients with non-active and active breast-, gastrointestinal- or lung cancer was non-cardiovascular disease.•Increasing age had limited impact on the 1-year prognosis in patients with active breast-, gastrointestinal- and lung cancer. |
| doi_str_mv | 10.1016/j.ijcard.2024.132001 |
| format | Article |
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All Danish patients with first-time PE from 2008 to 2018 were included. Cancer status was categorized as no cancer, history of cancer, non-active cancer and active cancer. Unadjusted and age-stratified 1-year risk of death was estimated using the Kaplan-Meier estimator. Cause of death was reported using the Aalen-Johansen method.
Of 35,679 patients with PE, 18% had a breast-, gastrointestinal-, or lung cancer. Patients with cancer were older compared with no cancer (69.8 years [IQR: 56.2–79.8]). One-year risk of death (95% confidence interval) for active breast-, gastrointestinal-, and lung cancer was 49.5% (44.0%–54.9%), 75.0% (72.5%–77.4%) and 80.1% (78.0%–82.3%) respectively, compared with 18.9% (18.4%–19.3%) for no cancer. Age-stratified analysis revealed no association with increasing age in non-active lung cancer and all active cancers. Further, non-cardiovascular death accounted for an increasing proportion by cancer status (no cancer < history of cancer < non-active cancer < active cancer).
One-year risk of death was dependent on both cancer type and status; no association with age was found for patients with active cancers. Non-cardiovascular death was leading in non-active and active cancers. Thus, the occurrence of first-time PE could be regarded as a marker of cancer severity for patients with breast-, gastrointestinal-, and lung cancer.
[Display omitted]
•An increasing incidence of pulmonary embolism was found in patients with breast-, gastrointestinal- or lung cancer over the past decade.•The 1-year prognosis of pulmonary embolism was highly dependent on both cancer type and status in patients with breast-, gastrointestinal- or lung cancer.•The leading cause of death in patients with non-active and active breast-, gastrointestinal- or lung cancer was non-cardiovascular disease.•Increasing age had limited impact on the 1-year prognosis in patients with active breast-, gastrointestinal- and lung cancer.</description><identifier>ISSN: 0167-5273</identifier><identifier>ISSN: 1874-1754</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/j.ijcard.2024.132001</identifier><identifier>PMID: 38561107</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Aged, 80 and over ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - epidemiology ; Breast Neoplasms - mortality ; Cardio-oncology ; Cohort Studies ; Denmark - epidemiology ; Female ; Follow-Up Studies ; Gastrointestinal cancer ; Gastrointestinal Neoplasms - complications ; Gastrointestinal Neoplasms - diagnosis ; Gastrointestinal Neoplasms - epidemiology ; Gastrointestinal Neoplasms - mortality ; Humans ; Lung cancer ; Lung Neoplasms - diagnosis ; Lung Neoplasms - epidemiology ; Lung Neoplasms - mortality ; Male ; Middle Aged ; Prognosis ; Pulmonary embolism ; Pulmonary Embolism - diagnosis ; Pulmonary Embolism - epidemiology ; Pulmonary Embolism - mortality ; Registries ; Risk Factors</subject><ispartof>International journal of cardiology, 2024-07, Vol.406, p.132001, Article 132001</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c357t-31818abb8b326145967cfe3147542cd1c1cab5aef2e1df069891a31ff00189913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijcard.2024.132001$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38561107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nouhravesh, Nina</creatorcontrib><creatorcontrib>Strange, Jarl E.</creatorcontrib><creatorcontrib>Sindet-Pedersen, Caroline</creatorcontrib><creatorcontrib>Holt, Anders</creatorcontrib><creatorcontrib>Tønnesen, Jacob</creatorcontrib><creatorcontrib>Andersen, Camilla Fuchs</creatorcontrib><creatorcontrib>Nielsen, Sebastian K.</creatorcontrib><creatorcontrib>Grove, Erik L.</creatorcontrib><creatorcontrib>Nielsen, Dorte</creatorcontrib><creatorcontrib>Schou, Morten</creatorcontrib><creatorcontrib>Lamberts, Morten</creatorcontrib><title>Impact of breast-, gastrointestinal-, and lung cancer on prognosis in patients with first-time pulmonary embolism: A Danish nationwide cohort study</title><title>International journal of cardiology</title><addtitle>Int J Cardiol</addtitle><description>Pulmonary embolism (PE) is described as a prognostic factor in patients with cancer however, the prognostic impact of PE remains unknown. This study investigated, the 1-year prognosis following PE in patients with breast-, gastrointestinal-, or lung cancer stratified by cancer status.
All Danish patients with first-time PE from 2008 to 2018 were included. Cancer status was categorized as no cancer, history of cancer, non-active cancer and active cancer. Unadjusted and age-stratified 1-year risk of death was estimated using the Kaplan-Meier estimator. Cause of death was reported using the Aalen-Johansen method.
Of 35,679 patients with PE, 18% had a breast-, gastrointestinal-, or lung cancer. Patients with cancer were older compared with no cancer (69.8 years [IQR: 56.2–79.8]). One-year risk of death (95% confidence interval) for active breast-, gastrointestinal-, and lung cancer was 49.5% (44.0%–54.9%), 75.0% (72.5%–77.4%) and 80.1% (78.0%–82.3%) respectively, compared with 18.9% (18.4%–19.3%) for no cancer. Age-stratified analysis revealed no association with increasing age in non-active lung cancer and all active cancers. Further, non-cardiovascular death accounted for an increasing proportion by cancer status (no cancer < history of cancer < non-active cancer < active cancer).
One-year risk of death was dependent on both cancer type and status; no association with age was found for patients with active cancers. Non-cardiovascular death was leading in non-active and active cancers. Thus, the occurrence of first-time PE could be regarded as a marker of cancer severity for patients with breast-, gastrointestinal-, and lung cancer.
[Display omitted]
•An increasing incidence of pulmonary embolism was found in patients with breast-, gastrointestinal- or lung cancer over the past decade.•The 1-year prognosis of pulmonary embolism was highly dependent on both cancer type and status in patients with breast-, gastrointestinal- or lung cancer.•The leading cause of death in patients with non-active and active breast-, gastrointestinal- or lung cancer was non-cardiovascular disease.•Increasing age had limited impact on the 1-year prognosis in patients with active breast-, gastrointestinal- and lung cancer.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - mortality</subject><subject>Cardio-oncology</subject><subject>Cohort Studies</subject><subject>Denmark - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrointestinal cancer</subject><subject>Gastrointestinal Neoplasms - complications</subject><subject>Gastrointestinal Neoplasms - diagnosis</subject><subject>Gastrointestinal Neoplasms - epidemiology</subject><subject>Gastrointestinal Neoplasms - mortality</subject><subject>Humans</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - diagnosis</subject><subject>Lung Neoplasms - epidemiology</subject><subject>Lung Neoplasms - mortality</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Pulmonary embolism</subject><subject>Pulmonary Embolism - diagnosis</subject><subject>Pulmonary Embolism - epidemiology</subject><subject>Pulmonary Embolism - mortality</subject><subject>Registries</subject><subject>Risk Factors</subject><issn>0167-5273</issn><issn>1874-1754</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1OHDEQhK0oKGxI3gAhH3NgFvd4fjkgIQgBCSmX5Gx57PauVzP2YntAPAcvHKMBjjm1bFV166si5BjYGhg0Z7u13SkZ9LpkZbUGXjIGn8gKurYqoK2rz2SVZW1Rly0_JF9j3DHGqr7vvpBD3tUNAGtX5OVu2kuVqDd0CChjKk7pJo_grUsYk3VyzF_SaTrObkOVdAoD9Y7ug984H22kNj9ksuhSpE82bamxIS9KdkK6n8fJOxmeKU6DH22czuklvZbOxi112eXdk9VIld_6kGhMs37-Rg6MHCN-f5tH5O_Nzz9Xt8X97193V5f3heJ1mwoOHXRyGLqBlw1Udd-0yiCHKsOXSoMCJYdaoikRtGFN3_UgORiTg-r6HvgR-bHszSgPc4YVk40Kx1E69HMUnHHIuXJosrRapCr4GAMasQ92ylgCmHitQ-zEUod4rUMsdWTbyduFeZhQf5je88-Ci0WAmfPRYhBR5SAVahtQJaG9_f-FfwOgnxw</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Nouhravesh, Nina</creator><creator>Strange, Jarl E.</creator><creator>Sindet-Pedersen, Caroline</creator><creator>Holt, Anders</creator><creator>Tønnesen, Jacob</creator><creator>Andersen, Camilla Fuchs</creator><creator>Nielsen, Sebastian K.</creator><creator>Grove, Erik L.</creator><creator>Nielsen, Dorte</creator><creator>Schou, Morten</creator><creator>Lamberts, Morten</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240701</creationdate><title>Impact of breast-, gastrointestinal-, and lung cancer on prognosis in patients with first-time pulmonary embolism: A Danish nationwide cohort study</title><author>Nouhravesh, Nina ; Strange, Jarl E. ; Sindet-Pedersen, Caroline ; Holt, Anders ; Tønnesen, Jacob ; Andersen, Camilla Fuchs ; Nielsen, Sebastian K. ; Grove, Erik L. ; Nielsen, Dorte ; Schou, Morten ; Lamberts, Morten</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-31818abb8b326145967cfe3147542cd1c1cab5aef2e1df069891a31ff00189913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - mortality</topic><topic>Cardio-oncology</topic><topic>Cohort Studies</topic><topic>Denmark - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastrointestinal cancer</topic><topic>Gastrointestinal Neoplasms - complications</topic><topic>Gastrointestinal Neoplasms - diagnosis</topic><topic>Gastrointestinal Neoplasms - epidemiology</topic><topic>Gastrointestinal Neoplasms - mortality</topic><topic>Humans</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - diagnosis</topic><topic>Lung Neoplasms - epidemiology</topic><topic>Lung Neoplasms - mortality</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Pulmonary embolism</topic><topic>Pulmonary Embolism - diagnosis</topic><topic>Pulmonary Embolism - epidemiology</topic><topic>Pulmonary Embolism - mortality</topic><topic>Registries</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nouhravesh, Nina</creatorcontrib><creatorcontrib>Strange, Jarl E.</creatorcontrib><creatorcontrib>Sindet-Pedersen, Caroline</creatorcontrib><creatorcontrib>Holt, Anders</creatorcontrib><creatorcontrib>Tønnesen, Jacob</creatorcontrib><creatorcontrib>Andersen, Camilla Fuchs</creatorcontrib><creatorcontrib>Nielsen, Sebastian K.</creatorcontrib><creatorcontrib>Grove, Erik L.</creatorcontrib><creatorcontrib>Nielsen, Dorte</creatorcontrib><creatorcontrib>Schou, Morten</creatorcontrib><creatorcontrib>Lamberts, Morten</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nouhravesh, Nina</au><au>Strange, Jarl E.</au><au>Sindet-Pedersen, Caroline</au><au>Holt, Anders</au><au>Tønnesen, Jacob</au><au>Andersen, Camilla Fuchs</au><au>Nielsen, Sebastian K.</au><au>Grove, Erik L.</au><au>Nielsen, Dorte</au><au>Schou, Morten</au><au>Lamberts, Morten</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of breast-, gastrointestinal-, and lung cancer on prognosis in patients with first-time pulmonary embolism: A Danish nationwide cohort study</atitle><jtitle>International journal of cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>406</volume><spage>132001</spage><pages>132001-</pages><artnum>132001</artnum><issn>0167-5273</issn><issn>1874-1754</issn><eissn>1874-1754</eissn><abstract>Pulmonary embolism (PE) is described as a prognostic factor in patients with cancer however, the prognostic impact of PE remains unknown. This study investigated, the 1-year prognosis following PE in patients with breast-, gastrointestinal-, or lung cancer stratified by cancer status.
All Danish patients with first-time PE from 2008 to 2018 were included. Cancer status was categorized as no cancer, history of cancer, non-active cancer and active cancer. Unadjusted and age-stratified 1-year risk of death was estimated using the Kaplan-Meier estimator. Cause of death was reported using the Aalen-Johansen method.
Of 35,679 patients with PE, 18% had a breast-, gastrointestinal-, or lung cancer. Patients with cancer were older compared with no cancer (69.8 years [IQR: 56.2–79.8]). One-year risk of death (95% confidence interval) for active breast-, gastrointestinal-, and lung cancer was 49.5% (44.0%–54.9%), 75.0% (72.5%–77.4%) and 80.1% (78.0%–82.3%) respectively, compared with 18.9% (18.4%–19.3%) for no cancer. Age-stratified analysis revealed no association with increasing age in non-active lung cancer and all active cancers. Further, non-cardiovascular death accounted for an increasing proportion by cancer status (no cancer < history of cancer < non-active cancer < active cancer).
One-year risk of death was dependent on both cancer type and status; no association with age was found for patients with active cancers. Non-cardiovascular death was leading in non-active and active cancers. Thus, the occurrence of first-time PE could be regarded as a marker of cancer severity for patients with breast-, gastrointestinal-, and lung cancer.
[Display omitted]
•An increasing incidence of pulmonary embolism was found in patients with breast-, gastrointestinal- or lung cancer over the past decade.•The 1-year prognosis of pulmonary embolism was highly dependent on both cancer type and status in patients with breast-, gastrointestinal- or lung cancer.•The leading cause of death in patients with non-active and active breast-, gastrointestinal- or lung cancer was non-cardiovascular disease.•Increasing age had limited impact on the 1-year prognosis in patients with active breast-, gastrointestinal- and lung cancer.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>38561107</pmid><doi>10.1016/j.ijcard.2024.132001</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Breast cancer Breast Neoplasms - diagnosis Breast Neoplasms - epidemiology Breast Neoplasms - mortality Cardio-oncology Cohort Studies Denmark - epidemiology Female Follow-Up Studies Gastrointestinal cancer Gastrointestinal Neoplasms - complications Gastrointestinal Neoplasms - diagnosis Gastrointestinal Neoplasms - epidemiology Gastrointestinal Neoplasms - mortality Humans Lung cancer Lung Neoplasms - diagnosis Lung Neoplasms - epidemiology Lung Neoplasms - mortality Male Middle Aged Prognosis Pulmonary embolism Pulmonary Embolism - diagnosis Pulmonary Embolism - epidemiology Pulmonary Embolism - mortality Registries Risk Factors |
| title | Impact of breast-, gastrointestinal-, and lung cancer on prognosis in patients with first-time pulmonary embolism: A Danish nationwide cohort study |
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