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Examining hypertension risk among Black and White breast cancer survivors

Arnethea L Sutton1,2, Jian He2, Wendy Bottinor3

  • 1Department of Kinesiology and Health Sciences, Virginia Commonwealth University, Richmond, Virginia, USA.

Cancer Medicine
|January 12, 2024
PubMed

Insights

Black breast cancer survivors have a significantly higher risk of developing hypertension. Older age and non-metropolitan residence also increase hypertension risk in this population, highlighting needs for targeted surveillance.

Area of Science:

  • Oncology
  • Cardiology
  • Public Health

Background:

  • Breast cancer survivors face increased cardiovascular risks.
  • Hypertension is an understudied complication in breast cancer survivors.
  • Understanding hypertension incidence is crucial for survivor care.

Purpose of the Study:

  • To examine hypertension incidence in breast cancer survivors.
  • To investigate the association between race and hypertension risk.
  • To identify demographic and clinical factors associated with hypertension development.

Main Methods:

  • Retrospective cohort study of 664 women with Stages I-III breast cancer.
  • Hypertension identified via International Classification of Diseases codes.
  • Bivariate and bivariable Cox regression analyses used.

Main Results:

  • 45.5% of survivors developed hypertension.
  • Black survivors had lower 1-year hypertension-free survival (47%) vs. White survivors (73%).
  • Older age (>50) and non-metropolitan residence were significant predictors of hypertension.

Conclusions:

  • Older, Black, and non-metropolitan-residing survivors may require enhanced hypertension surveillance.
  • Racial and geographic disparities in hypertension risk warrant further investigation.
  • Targeted prevention strategies are needed for high-risk breast cancer survivors.
Abstract

Keywords:
breast cancercancer treatment-related cardiac dysfunctioncardio-oncologygeographical disparitieshypertensionracial disparities

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