{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:23:38Z","timestamp":1790396618649,"version":"4.1.0"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["ATVB"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Epidemiological and mechanistic data support a potential causal link between cardiovascular disease (CVD) and cancer. Abdominal aortic aneurysms (AAAs) represent a common form of CVD with at least partially distinct genetic and biologic pathogenesis from other forms of CVD. The risk of cancer and how this risk differs compared with other forms of CVD, is unknown among AAA patients. We conducted a retrospective cohort study using the IBM MarketScan Research Database to test whether individuals with AAA have a higher cancer risk independent of traditional shared risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>All individuals \u226518 years of age with \u226536 months of continuous coverage between 2008 and 2020 were enrolled. Those with potential Mendelian etiologies of AAA, aortic aneurysm with nonspecific anatomic location, or a cancer diagnosis before the start of follow-up were excluded. A subgroup analysis was performed of individuals having the Health Risk Assessment records including tobacco use and body mass index. The following groups of individuals were compared: (1) with AAA, (2) with non-AAA CVD, and (3) without any CVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The propensity score\u2013matched cohort included 58\u2005993 individuals with AAA, 117\u2005986 with non-AAA CVD, and 58\u2005993 without CVD. The 5-year cumulative incidence of cancer was 13.1% (12.8%\u201313.5%) in participants with AAA, 10.1% (9.9%\u201310.3%) in participants with non-AAA CVD, and 9.6% (9.3%\u20139.9%) in participants without CVD. Multivariable-adjusted Cox proportional hazards regression models found that patients with AAA exhibited a higher cancer risk than either those with non-AAA CVD (hazard ratio, 1.28 [95% CI, 1.23\u20131.32];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001) or those without CVD (hazard ratio, 1.32 [95% CI, 1.26\u20131.38];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). Results remained consistent after excluding common smoking-related cancers and when adjusting for tobacco use and body mass index.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Patients with AAA may have a unique risk of cancer requiring further mechanistic study and investigation of the role of enhanced cancer screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/atvbaha.123.320543","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T05:00:42Z","timestamp":1716440442000},"page":"1694-1701","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Cancer Incidence After Diagnosis of Abdominal Aortic Aneurysm\u2014Brief Report"],"prefix":"10.1161","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0601-0053","authenticated-orcid":true,"given":"Lingfeng","family":"Luo","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery (L.L., C.F.B., R.A.B., S.S.A., C.F., D.K., N.J.L.), Stanford University School of Medicine, Palo Alto, CA."},{"name":"Stanford Cardiovascular Institute, CA (L.L., C.F.B., R.A.B., S.S.A., C.F., N.J.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6214-4446","authenticated-orcid":true,"given":"Allen M.","family":"Haas","sequence":"additional","affiliation":[{"name":"Department of Health Services Research (A.M.H., S.H.G.), University of Texas MD Anderson Cancer Center, Houston."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin F.","family":"Bell","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery (L.L., C.F.B., R.A.B., S.S.A., C.F., D.K., N.J.L.), Stanford University School of Medicine, Palo Alto, CA."},{"name":"Division of Cardiovascular Medicine, Department of Medicine (C.F.B., N.J.L.), Stanford University School of Medicine, Palo Alto, CA."},{"name":"Stanford Cardiovascular Institute, CA (L.L., C.F.B., R.A.B., S.S.A., C.F., N.J.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7040-7920","authenticated-orcid":true,"given":"Richard A.","family":"Baylis","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery (L.L., C.F.B., R.A.B., S.S.A., C.F., D.K., N.J.L.), Stanford University School of Medicine, Palo Alto, CA."},{"name":"Stanford Cardiovascular Institute, CA (L.L., C.F.B., R.A.B., S.S.A., C.F., N.J.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaunak S.","family":"Adkar","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery (L.L., C.F.B., R.A.B., S.S.A., C.F., D.K., N.J.L.), Stanford University School of Medicine, Palo Alto, CA."},{"name":"Stanford Cardiovascular Institute, CA (L.L., C.F.B., R.A.B., S.S.A., C.F., N.J.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7568-3369","authenticated-orcid":true,"given":"Changhao","family":"Fu","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery (L.L., C.F.B., R.A.B., S.S.A., C.F., D.K., N.J.L.), Stanford University School of Medicine, Palo Alto, CA."},{"name":"Stanford Cardiovascular Institute, CA (L.L., C.F.B., R.A.B., S.S.A., C.F., N.J.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1597-1873","authenticated-orcid":true,"given":"Ivan","family":"Angelov","sequence":"additional","affiliation":[{"name":"School of Medicine, Baylor College of Medicine, Houston, TX 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