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. 2016 Apr 19;51(2):221–227. doi: 10.1515/raon-2016-0021

Table 1.

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

Author (year) N Period of treatment Median follow up (range), in years Age at diagnosis (range) Age at follow-up (range) Risk for CAD (CI 95 %) Treatment Modalities Note
Meinardi et al.17 (2000) 87 Before 1987a 14 (10 to 20) 27 (17-36) 42 (30-50) SIR=7.1 (1.9 to 18.3) ChT Age adjusted results. Older than 50
years at follow-up were excluded
Huddart et al.24 (2003) 992 1982-1992 10.2 (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)
2339 1965-1995 18.4 (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) 990 1980-1994 19 (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.