Risk of cardiovascular disease among cancer survivors: Protocol of a pooled analysis of population-based cohort studies

IntroductionCancer and cardiovascular disease remain leading causes of death and disability worldwide, which places a heavy burden on public health systems and causes widespread suffering. Because these entities have highly overlapping risk factors, including hyperlipidemia, hypertension, diabetes,...

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Main Authors: Botao Yu, Zubing Mei, Hang Yu, Yan Wang, Qian Geng, Jin Pu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.926218/full
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author Botao Yu
Zubing Mei
Zubing Mei
Hang Yu
Yan Wang
Qian Geng
Jin Pu
author_facet Botao Yu
Zubing Mei
Zubing Mei
Hang Yu
Yan Wang
Qian Geng
Jin Pu
author_sort Botao Yu
collection DOAJ
description IntroductionCancer and cardiovascular disease remain leading causes of death and disability worldwide, which places a heavy burden on public health systems and causes widespread suffering. Because these entities have highly overlapping risk factors, including hyperlipidemia, hypertension, diabetes, obesity, smoking and other lifestyle factors, many studies have reported that they have similar etiological mechanisms. Accumulating evidence indicates that there is an increased risk of cardiovascular disease among cancer survivors compared with the general population. However, whether cancer is associated with an increased risk of cardiovascular disease remains controversial.Methods and analysisWe will conduct and report the meta-analysis strictly based on the Cochrane Handbook for Systematic Reviews and the Meta-analysis of Observational Studies in Epidemiology guidelines combined with the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Protocols (PRISM-P). This meta-analysis was registered with PROSPERO (registration number CRD42022307056). We will search for studies published from database inception to December 1, 2021, regardless of language or date, in three electronic databases (PubMed, EMBASE, and Cochrane Library) to identify and appraise cohort studies examining the relationship between cancer and subsequent cardiovascular disease risk. The literature screening, inclusion and data extraction will be conducted independently by two investigators using pre-designed standardized data extraction forms. A senior investigator will be consulted in cases of disagreement. We will assess risk of bias in the included cohort studies using the Newcastle–Ottawa Scale (NOS). Quantitative synthesis will be conducted using a random-effects model. To explore potential sources of heterogeneity, we will carry out multiple sensitivity analysis, meta-regression and subgroup analysis according to baseline characteristics. Publication bias will be evaluated through visual inspection of funnel plot asymmetry as well as by Begg's rank correlation test and Egger's weighted linear regression test.
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spelling doaj.art-48d192be29b6472296392ea87d28e4ef2022-12-22T04:01:41ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-08-01910.3389/fcvm.2022.926218926218Risk of cardiovascular disease among cancer survivors: Protocol of a pooled analysis of population-based cohort studiesBotao Yu0Zubing Mei1Zubing Mei2Hang Yu3Yan Wang4Qian Geng5Jin Pu6Emergency Department, The Second Affiliated Hospital of Medical College of Qingdao University, Qingdao, ChinaAnorectal Disease Institute of Shuguang Hospital, Shanghai, ChinaDepartment of Anorectal Surgery, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaEmergency Department, Changhai Hospital, Naval Military Medical University, Shanghai, ChinaThe Second Department of Neurology, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaSpecial Clinic of Changhai Hospital, Naval Military Medical University, Shanghai, ChinaSpecial Clinic of Changhai Hospital, Naval Military Medical University, Shanghai, ChinaIntroductionCancer and cardiovascular disease remain leading causes of death and disability worldwide, which places a heavy burden on public health systems and causes widespread suffering. Because these entities have highly overlapping risk factors, including hyperlipidemia, hypertension, diabetes, obesity, smoking and other lifestyle factors, many studies have reported that they have similar etiological mechanisms. Accumulating evidence indicates that there is an increased risk of cardiovascular disease among cancer survivors compared with the general population. However, whether cancer is associated with an increased risk of cardiovascular disease remains controversial.Methods and analysisWe will conduct and report the meta-analysis strictly based on the Cochrane Handbook for Systematic Reviews and the Meta-analysis of Observational Studies in Epidemiology guidelines combined with the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Protocols (PRISM-P). This meta-analysis was registered with PROSPERO (registration number CRD42022307056). We will search for studies published from database inception to December 1, 2021, regardless of language or date, in three electronic databases (PubMed, EMBASE, and Cochrane Library) to identify and appraise cohort studies examining the relationship between cancer and subsequent cardiovascular disease risk. The literature screening, inclusion and data extraction will be conducted independently by two investigators using pre-designed standardized data extraction forms. A senior investigator will be consulted in cases of disagreement. We will assess risk of bias in the included cohort studies using the Newcastle–Ottawa Scale (NOS). Quantitative synthesis will be conducted using a random-effects model. To explore potential sources of heterogeneity, we will carry out multiple sensitivity analysis, meta-regression and subgroup analysis according to baseline characteristics. Publication bias will be evaluated through visual inspection of funnel plot asymmetry as well as by Begg's rank correlation test and Egger's weighted linear regression test.https://www.frontiersin.org/articles/10.3389/fcvm.2022.926218/fullcardiovascular diseasecancerpopulation-based cohort studyriskpooled analysis
spellingShingle Botao Yu
Zubing Mei
Zubing Mei
Hang Yu
Yan Wang
Qian Geng
Jin Pu
Risk of cardiovascular disease among cancer survivors: Protocol of a pooled analysis of population-based cohort studies
Frontiers in Cardiovascular Medicine
cardiovascular disease
cancer
population-based cohort study
risk
pooled analysis
title Risk of cardiovascular disease among cancer survivors: Protocol of a pooled analysis of population-based cohort studies
title_full Risk of cardiovascular disease among cancer survivors: Protocol of a pooled analysis of population-based cohort studies
title_fullStr Risk of cardiovascular disease among cancer survivors: Protocol of a pooled analysis of population-based cohort studies
title_full_unstemmed Risk of cardiovascular disease among cancer survivors: Protocol of a pooled analysis of population-based cohort studies
title_short Risk of cardiovascular disease among cancer survivors: Protocol of a pooled analysis of population-based cohort studies
title_sort risk of cardiovascular disease among cancer survivors protocol of a pooled analysis of population based cohort studies
topic cardiovascular disease
cancer
population-based cohort study
risk
pooled analysis
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.926218/full
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