Cardiovascular disease risk and breast cancer outcomes: A pilot study

Research output: Contribution to journalArticle

Abstract

Purpose/Objectives: To assess feasibility of using electronic health records for profiling multiple cardiovascular disease (CVD) risk factors in women with breast cancer at diagnosis and five years post-treatment, and to explore relationships among CVD risk factors and breast cancer outcomes. Design: Retrospective, descriptive. Setting: A comprehensive cancer center in the southwestern United States. Sample: 200 women with stage 0-III breast cancer. Methods: A record review using an instrument to profile multiple CVD risk factors and breast cancer outcomes. Main Research Variables: CVD risk factors, such as blood pressure (BP) and hemoglobin A1C (HbA1C), and breast cancer outcomes, such as metastasis. Findings: Most data on CVD risk factors were undocumented. Even BP values to assess hypertension were missing in 35% of women at breast cancer diagnosis. Women with poor outcomes had trends toward higher blood glucose and HbA1C than women with good outcomes. Conclusions: The study failed to comprehensively capture CVD risk factors in women with breast cancer because of missing data. Glucose control may be associated with breast cancer outcomes. Implications for Nursing: Better documentation of shared risk factors for CVD and breast cancer is needed. Prospective studies are needed to evaluate shared CVD risk factors and breast cancer outcomes because of missing health record information.

Original languageEnglish (US)
Pages (from-to)E330-E338
JournalOncology Nursing Forum
Volume42
Issue number5
DOIs
StatePublished - Sep 1 2015

Fingerprint

Cardiovascular Diseases
Breast Neoplasms
Hemoglobins
Southwestern United States
Blood Pressure
Electronic Health Records
Documentation
Blood Glucose
Nursing
Prospective Studies
Neoplasm Metastasis
Hypertension
Glucose
Health
Research
Neoplasms

Keywords

  • Breast cancer
  • Breast cancer outcomes
  • Cardiovascular disease risk
  • Electronic health records

ASJC Scopus subject areas

  • Oncology(nursing)

Cite this

Cardiovascular disease risk and breast cancer outcomes : A pilot study. / Wung, Shu-Fen; Hepworth, Joseph; Sparenga, Danielle; Merkle, Carrie J.

In: Oncology Nursing Forum, Vol. 42, No. 5, 01.09.2015, p. E330-E338.

Research output: Contribution to journalArticle

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