Risk of Cardiovascular Disease Death in Older Malignant Melanoma Patients: A Population-Based Study

Noncancer deaths account for a large proportion of deaths in patients with malignant melanoma (MM), but the risk of cardiovascular disease (CVD) death in older MM patients remains unclear. This study aimed to estimate the risk of CVD death in older MM patients. Data on older MM patients were obtaine...

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Main Authors: Jiapeng Miao, Yujie Wang, Xiaoyu Gu, Wenrui Lin, Zhen Ouyang, Mi Wang, Mingliang Chen, Shuang Zhao, Xianggui Wang, Juan Su
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/19/4783
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author Jiapeng Miao
Yujie Wang
Xiaoyu Gu
Wenrui Lin
Zhen Ouyang
Mi Wang
Mingliang Chen
Shuang Zhao
Xianggui Wang
Juan Su
author_facet Jiapeng Miao
Yujie Wang
Xiaoyu Gu
Wenrui Lin
Zhen Ouyang
Mi Wang
Mingliang Chen
Shuang Zhao
Xianggui Wang
Juan Su
author_sort Jiapeng Miao
collection DOAJ
description Noncancer deaths account for a large proportion of deaths in patients with malignant melanoma (MM), but the risk of cardiovascular disease (CVD) death in older MM patients remains unclear. This study aimed to estimate the risk of CVD death in older MM patients. Data on older MM patients were obtained in the Surveillance, Epidemiology, and End Results database. Risk of CVD death was calculated by standardized mortality rates (SMRs), cumulative mortality and proportion of different causes of death. MM patients had a higher risk of CVD death than general populations (SMR = 1.98; 95% CI 1.93–2.03, <i>p</i> < 0.001). CVD death was more common in MM patients who were diagnosed at age 85 or older, had a localized stage, were white, had surgical treatment, had a primary head/neck/upper limb site and had a low-grade and superficial spreading/lentigo malignant pathologic type. Cumulative CVD mortality was more common than primary cancer in all older age groups, male or female, and patients with localized-stage disease. Other than primary cancer, CVD was the main cause of death in older patients diagnosed with MM. Our findings highlight CVD death is an important competing event of deaths in older MM patients, and more attention should be paid to reducing CVD death to improve survival.
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spelling doaj.art-f2e72da811504b16beae7f26d7cd73432023-11-23T19:56:32ZengMDPI AGCancers2072-66942022-09-011419478310.3390/cancers14194783Risk of Cardiovascular Disease Death in Older Malignant Melanoma Patients: A Population-Based StudyJiapeng Miao0Yujie Wang1Xiaoyu Gu2Wenrui Lin3Zhen Ouyang4Mi Wang5Mingliang Chen6Shuang Zhao7Xianggui Wang8Juan Su9Department of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaDepartment of Dermatology, Hunan Key Laboratory of Skin Cancer and Psoriasis, Hunan Engineering Research Center of Skin Health and Disease, Xiangya Clinical Research Center for Cancer Immunotherapy, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, ChinaNoncancer deaths account for a large proportion of deaths in patients with malignant melanoma (MM), but the risk of cardiovascular disease (CVD) death in older MM patients remains unclear. This study aimed to estimate the risk of CVD death in older MM patients. Data on older MM patients were obtained in the Surveillance, Epidemiology, and End Results database. Risk of CVD death was calculated by standardized mortality rates (SMRs), cumulative mortality and proportion of different causes of death. MM patients had a higher risk of CVD death than general populations (SMR = 1.98; 95% CI 1.93–2.03, <i>p</i> < 0.001). CVD death was more common in MM patients who were diagnosed at age 85 or older, had a localized stage, were white, had surgical treatment, had a primary head/neck/upper limb site and had a low-grade and superficial spreading/lentigo malignant pathologic type. Cumulative CVD mortality was more common than primary cancer in all older age groups, male or female, and patients with localized-stage disease. Other than primary cancer, CVD was the main cause of death in older patients diagnosed with MM. Our findings highlight CVD death is an important competing event of deaths in older MM patients, and more attention should be paid to reducing CVD death to improve survival.https://www.mdpi.com/2072-6694/14/19/4783malignant melanomacardio-oncologycardiovascular disease death
spellingShingle Jiapeng Miao
Yujie Wang
Xiaoyu Gu
Wenrui Lin
Zhen Ouyang
Mi Wang
Mingliang Chen
Shuang Zhao
Xianggui Wang
Juan Su
Risk of Cardiovascular Disease Death in Older Malignant Melanoma Patients: A Population-Based Study
Cancers
malignant melanoma
cardio-oncology
cardiovascular disease death
title Risk of Cardiovascular Disease Death in Older Malignant Melanoma Patients: A Population-Based Study
title_full Risk of Cardiovascular Disease Death in Older Malignant Melanoma Patients: A Population-Based Study
title_fullStr Risk of Cardiovascular Disease Death in Older Malignant Melanoma Patients: A Population-Based Study
title_full_unstemmed Risk of Cardiovascular Disease Death in Older Malignant Melanoma Patients: A Population-Based Study
title_short Risk of Cardiovascular Disease Death in Older Malignant Melanoma Patients: A Population-Based Study
title_sort risk of cardiovascular disease death in older malignant melanoma patients a population based study
topic malignant melanoma
cardio-oncology
cardiovascular disease death
url https://www.mdpi.com/2072-6694/14/19/4783
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