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SHR Neuro Krebs Kardio Lipid

Terbuch, A; Posch, F; Annerer, LM; Bauernhofer, T; Pichler, M; Szkandera, J; Hutterer, GC; Pummer, K; Partl, R; Kapp, KS; Stöger, H; Gerger, A; Stotz, M.
Long-term cardiovascular complications in stage I seminoma patients.
Clin Transl Oncol. 2017; 19(11):1400-1408 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG


Autor/innen der Med Uni Graz:
Bauernhofer Thomas
Gerger Armin
Hutterer Georg C.
Kapp Karin S.
Partl Richard
Pichler Martin
Posch Florian
Pummer Karl
Stoeger Herbert
Stotz Michael
Szkandera Joanna
Terbuch Angelika

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The cure rate of stage I seminoma patients is close to 100% and so the recent focus of clinical research has shifted onto the prevention of treatment-related complications. We assessed long-term cardiovascular complications and identified risk factors for cardiovascular events (CVEs) in stage I seminoma patients. This retrospective cohort study included 406 consecutive stage I seminoma patients. Primary endpoint was CVE rate. During a median follow-up of 8.6 years, we observed 23 CVEs in 406 patients [10-year CVE risk 5.6% (95% CI 3.2 to 8.8)]. In univariable competing risk analysis, higher age, positive smoking status, history of diabetes and hypertension were significantly associated with the occurrence of CVE. In multi-state analysis, new onset of diabetes, hypertension and hyperlipidemia during follow-up predicted for an excessively increased CVE risk. In multivariable analysis adjusting for age and smoking, the development of hypertension and hyperlipidemia after tumor-specific treatment prevailed as risk factors for CVE. Regarding adjuvant treatment modalities, patients receiving adjuvant radiotherapy had a significantly higher probability of CVE than patients receiving adjuvant carboplatin [16% vs. 0%; risk difference (RD) = 16%, 95% CI 6 to 25%, p = 0.001]. This difference prevailed after adjusting for age, follow-up-time, diabetes, hypertension and smoking (RD = 11%, 95% CI 1 to 20%, p = 0.025). We identified a panel of baseline risk factors and dynamically, occurring predictors of CVE in stage I seminoma patients. This information may be used for targeting comorbidity management in these patients. The observed association of adjuvant radiotherapy with higher CVE risk warrants further investigation.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Carboplatin - adverse effects
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - etiology
Chemotherapy, Adjuvant -
Combined Modality Therapy - adverse effects
Follow-Up Studies -
Humans -
Male -
Middle Aged -
Neoplasm Staging -
Radiotherapy, Adjuvant - adverse effects
Retrospective Studies -
Risk Factors -
Seminoma - complications
Seminoma - pathology
Seminoma - therapy
Survival Rate -
Testicular Neoplasms - complications
Testicular Neoplasms - pathology
Testicular Neoplasms - therapy

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Testicular cancer
Cardiovascular risk
Active surveillance
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