The Use of Gonadotropin-Releasing Hormone Agonist Does Not Affect the Development of Cardiovascular Disease in Prostate Cancer Patients: a Nationwide Population-Based Cohort Studyopen access
- Authors
- Shim, Myungsun; Bang, Woo Jin; Oh, Cheol Young; Lee, Yong Seong; Jeon, Seong Soo; Ahn, Hanjong; Ju, Young Su; Cho, Jin Seon
- Issue Date
- Feb-2020
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Keywords
- Antineoplastic Agents; Prostatic Neoplasm; Adverse Effects; Cardiovascular Diseases
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE, v.35, no.4
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 35
- Number
- 4
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74446
- DOI
- 10.3346/jkms.2020.35.e47
- ISSN
- 1011-8934
1598-6357
- Abstract
- Background: The objective of this study was to investigate whether androgen deprivation therapy (ADT) with gonadotropin-releasing hormone agonist (GnRHa) in prostate cancer (Pca) patients is associated with cardiovascular disease in the cohort based from the entire Korean population. Methods: Using the Korean National Health Insurance database, we conducted an observational study of 579,377 men who sought treatment for Pca between January 1, 2012 and December 31, 2016. After excluding patients with previously diagnosed cardiovascular disease or who had undergone chemotherapy, we extracted the data from 2,053 patients who started GnRHa (GnRHa users) and 2,654 men who were newly diagnosed with Pca (GnRHa nonusers) between July 1, 2012, and December 31, 2012, with follow-up through December 31, 2016. The primary outcomes were cerebrovascular attack (CVA) and ischemic heart disease (IHD). Results: GnRHa users were older, were more likely to reside in rural areas, had lower socioeconomic status, and had more comorbidities than nonusers (all P< 0.050). Although GnRHa users had an increased incidence of CVA and IHD (P= 0.013 and 0.048, respectively) in univariate analysis, GnRHa use was not associated with the outcomes in multivariate analysis. Furthermore, the cumulative duration of ADT was not associated with the outcomes whereas the associations between age at diagnosis with all diseases were significant. Conclusion: Our complete enumeration of the Korean Pca population shows that ADT is not associated with increased risks of cardiovascular disease.
- Files in This Item
-
- Appears in
Collections - ETC > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74446)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.