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Treatment-related cardiovascular toxicity in long-term survivors of testicular cancer Cover

Treatment-related cardiovascular toxicity in long-term survivors of testicular cancer

Open Access
|Apr 2016

Figures & Tables

Table 1

Risk for coronary artery disease in testicular cancer survivors regarding to different treatment modalities

Author (year)NPeriod of treatmentMedian follow up (range), in yearsAge at diagnosis (range)Age at follow-up (range)Risk for CAD (CI 95 %)Treatment ModalitiesNote
Meinardi et al.17 (2000)87Before 1987a14 (10 to 20)27 (17-36)42 (30-50)SIR=7.1 (1.9 to 18.3)ChTAge adjusted results. Older than 50
years at follow-up were excluded
Huddart et al.24 (2003)9921982-199210.2 (0 to 20.3)31.7 (10-82)44 (23-78)RR=1.00 (reference)
RR=2.59 (1.15 to 5.84)
RR=2.40 (1.04 to 5.45)
RR=2.78 (1.09 to 7.07)
Surveillance
ChT
ChT RT
ChT and RT
Age adjusted results. Only 8.3 %
of RT treated patients had also
med. RT
Van der Belt-
Dusebuot et
al.11 (2006)
23391965-199518.4 (5 to 38.4)38.3b (n.r.)
28.1c (n.r.)
59.8b
(n.r.)
50.4c
(n.r.)
SIR=0.94 (0.61 to 1.39)
SIR=1.35 (0.97 to 1.83)
SIR=1.07 (0.92 to 1.23)
SIR=2.48 (1.77 to 3.37)
SIR=0.92 (0.77 to 1.08)
SIR=2.97 (1.73 to 4.77)
SIR=1.83 (1.08 to 2.90)
Surveillance
ChT
RT
RT – med
RT – subdia
RT – med. + ChT
RT – subdia. + ChT
Patients with CAD before or
within 5 years from diagnosis were
excluded
Haughnes et al.12 (2010)9901980-199419 (13 to 28)31 (15-53)51 (31-69)HR=1.0 (reference)
HR=2.0 (0.64 to 6.1)
HR=5.7 (1.9 to 17.1)
HR=2.1 (0.78 to 5.4)
HR=5.3 (1.5 to 18.3)
Surveillance
ChT (CVB)
ChT (BEP)
RT
ChT + RT
Age adjusted results. Patients with
CAD before or within 2 years from
diagnosis were excluded. Only 3
of 420 RT treated patients had also
med. RT

BEP = bleomycin, etoposid, cisplatin; CAD = coronary artery disease; ChT = chemotherapy; CVB = cisplatin, etoposid, bleomycin; HR = hazard ratio; med. = mediastinal; N = number of patients; n.r. = not reported; RT =radiotherapy; RR = relative risk; SIR = standardized incidence ratio; subdia. = subdiaphragmatic;

a All patients treated with cisplatin based chemotherapy before 1987.

b Age for seminoma patients.

c Age for nonseminoma patients.

b Age for seminoma patients.

c Age for nonseminoma patients.

DOI: https://doi.org/10.1515/raon-2016-0021 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 221 - 227
Submitted on: Feb 4, 2016
Accepted on: Feb 14, 2016
Published online: Apr 19, 2016
Published in print: May 24, 2017
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2016 Jasenka Gugic, Lorna Zadravec Zaletel, Irena Oblak, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.