Cardiovascular Disease Incidence and Cardiovascular Health Among Diverse Women With Breast and Gynecologic Cancers.
Timiya S Nolan, Jennifer A Sinnott, Jessica L Krok-Schoen and 9 others
PMID 38442281WHAT IT FOUND
Black women with breast or gynecologic cancer did not have higher heart disease risk than White women in this small study.
Most survivors had nonideal heart health regardless of race. Nurses should focus on teaching risk reduction to all cancer survivors.
Key findings
01Neither race nor cardiovascular health status was independently associated with the risk of developing cardiovascular disease.
02The distribution of nonideal versus ideal cardiovascular health was not statistically different between Black and White women.
03The majority of breast and gynecologic cancer survivors in the study had nonideal cardiovascular health.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample size was small, particularly for White women (93 participants), which reduces the ability to detect true differences. Cardiovascular health metrics like blood pressure and cholesterol were based on self-reported diagnoses rather than measured biometric data. The study lacked detailed data on specific cancer treatments, many of which are known to affect heart health. Results may be biased because they only included women who survived long enough to be tracked for cardiovascular outcomes.
Declared interests
The study was supported by the National Institutes of Health (N.I.H., Extramural). No other conflicts of interest were reported in the provided text.
The easy way to misread this
Do not conclude that race does not influence cardiovascular health or disease risk in cancer survivors. This study was underpowered and found no difference, but other research indicates disparities. The null result here reflects the limitations of this specific small sample, not the absence of broader health inequities.