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Cited by 746

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

Late cardiotoxicity after treatment for Hodgkin lymphoma

Open access
Aleman, Berthe M. P., van den Belt-Dusebout, Alexandra W., De Bruin, Marie L., van 't Veer, Mars B., Baaijens, Margreet H. A., Boer, Jan Paul de, Hart, Augustinus A. M., Klokman, Willem J., Kuenen, Marianne A., Ouwens, Gabey M., Bartelink, Harry, van Leeuwen, Flora E.·2007·Blood

Abstract

We assessed cardiovascular disease (CVD) incidence in 1474 survivors of Hodgkin lymphoma (HL) younger than 41 years at treatment (1965-1995). Multivariable Cox regression and competing risk analyses were used to quantify treatment effects on CVD risk. After a median follow-up of 18.7 years, risks of myocardial infarction (MI) and congestive heart failure (CHF) were strongly increased compared with the general population (standardized incidence ratios [SIRs] = 3.6 and 4.9, respectively), resulting in 35.7 excess cases of MI and 25.6 excess cases of CHF per 10 000 patients/year. SIRs of all CVDs combined remained increased for at least 25 years and were more strongly elevated in younger patients. Mediastinal radiotherapy significantly increased the risks of MI, angina pectoris, CHF, and valvular disorders (2- to 7-fold). Anthracyclines significantly added to the elevated risks of CHF and valvular disorders from mediastinal RT (hazard ratios [HRs] were 2.81 and 2.10, respectively). The 25-year cumulative incidence of CHF after mediastinal radiotherapy and anthracyclines in competing risk analyses was 7.9%. In conclusion, risks of several CVDs are 3- to 5-fold increased in survivors of HL compared with the general population, even after prolonged follow-up, leading to increasing absolute excess risks over time. Anthracyclines further increase the elevated risks of CHF and valvular disorders from mediastinal radiotherapy.

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Metadata

Authors
Aleman, B. M. P., van den Belt-Dusebout, A. W., De Bruin, M. L., van 't Veer, M. B., Baaijens, M. H. A., Boer, J. P. D., Hart, A. A. M., Klokman, W. J., Kuenen, M. A., Ouwens, G. M., Bartelink, H., & van Leeuwen, F. E.
Venue
Blood
Published
2006-11-21
Volume
109
Issue
5
Pages
1878-1886
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2024136031
Cited by
746
References
43
FWCI
10.72
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Late cardiotoxicity after treatment for Hodgkin lymphoma. https://app.cochat.ai/papers/10.1182/blood-2006-07-034405
The paper
Aleman, B. M. P., van den Belt-Dusebout, A. W., De Bruin, M. L., van 't Veer, M. B., Baaijens, M. H. A., Boer, J. P. D., Hart, A. A. M., Klokman, W. J., Kuenen, M. A., Ouwens, G. M., Bartelink, H., & van Leeuwen, F. E. (2007). Late cardiotoxicity after treatment for Hodgkin lymphoma. Blood. https://doi.org/10.1182/blood-2006-07-034405

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