The risk of second primary malignancies in colorectal cancer patients using calcium channel blockers.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
01 03 2023
Historique:
received: 18 10 2022
accepted: 06 02 2023
entrez: 1 3 2023
pubmed: 2 3 2023
medline: 4 3 2023
Statut: epublish

Résumé

Calcium channel blockers are among the most commonly used agents in the treatment of cardiovascular diseases. There are several known side-effects associated with their long-term use, whereas other potential adverse effects are yet to be proven. This study aims to evaluate the association between calcium channel blockers exposure and the incidence of second primary malignancy. We established a cohort of 1401 patients with colorectal cancer diagnosed in our institution between January 2003 and December 2016. Patients were followed-up until December 2020. The tumor characteristics and basic clinical data including medication information were obtained from the hospital information system database. Second malignancy was detected in 301 patients (21.5%), and occurred in 27.8% of patients who used calcium channel blockers compared to only 19.9% among non-users. Their use was associated with an increased incidence of bladder cancer in particular. Subanalysis of patients with second malignancy displayed a higher proportion of right-sided colon cancer compared to rectal carcinoma in non-users. Survival analysis revealed significantly better outcomes in early-stage colorectal cancer patients without a history of calcium channel blockers treatment or second primary malignancy.

Identifiants

pubmed: 36859505
doi: 10.1038/s41598-023-29535-7
pii: 10.1038/s41598-023-29535-7
pmc: PMC9977965
doi:

Substances chimiques

Calcium Channel Blockers 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

3490

Informations de copyright

© 2023. The Author(s).

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Auteurs

Jana Halámková (J)

Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Department of Comprehensive Cancer Care, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Lucia Bohovicová (L)

Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Department of Comprehensive Cancer Care, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Lucie Pehalová (L)

Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic.
Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Tomáš Kazda (T)

Department of Radiation Oncology, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Department of Radiation Oncology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Roman Goněc (R)

Department of Pharmacy, Masaryk Memorial Cancer Institute, Brno, Czech Republic.

Teodor Staněk (T)

Department of General Surgical Oncology, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Department of Surgical Oncology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Lucie Mouková (L)

Department of Gynecologic Oncology, Masaryk Memorial Cancer Institute, Brno, Czech Republic.

Dagmar Adámková Krákorová (D)

Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic.

Šárka Kozáková (Š)

Department of Pharmacy, University Hospital Brno, Brno, Czech Republic.
Department of Pharmacology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Marek Svoboda (M)

Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Department of Comprehensive Cancer Care, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Regina Demlová (R)

Department of Pharmacology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Clinical Trial Unit, Masaryk Memorial Cancer Institute, Brno, Czech Republic.

Lucie Gabrielová (L)

Department of Surgical Oncology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Department of Breast, Skin and Oncoplastic Surgery, Masaryk Memorial Cancer Institute, Brno, Czech Republic.

Lenka Hernychová (L)

Research Centre for Applied Molecular Oncology, Masaryk Memorial Cancer Institute, Brno, Czech Republic.

Igor Kiss (I)

Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic. kiss@mou.cz.
Department of Comprehensive Cancer Care, Faculty of Medicine, Masaryk University, Brno, Czech Republic. kiss@mou.cz.
Masaryk Memorial Cancer Institute, Žlutý Kopec 7, 656 53, Brno, Czech Republic. kiss@mou.cz.

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