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• W3157683668 abstract "Background: Breast cancer survivors are at increased risk of developing new chronic conditions. Previous studies, however, have provided only limited descriptions of the temporal pattern of chronic disease incidence after breast cancer, partly due to small sample sizes and short follow-up times. We thus studied a large cohort of women to evaluate the temporal pattern of incidence of chronic conditions after developing breast cancer.Methods: We conducted a retrospective cohort study using a population-based national registry. We selected all women with newly diagnosed breast cancer between January 1st,, 2002 and December 31st, 2016 who received curative treatment (N = 84,969) and a 1:10 sample of age-matched non-breast cancer controls (N = 1,057,674). The main study exposure was incident breast cancer, considered as a time-varying exposure. The outcomes were incident cases of leukemia, endometrial cancer, myeloma, cardiomyopathy, osteoporosis, end stage renal disease (ESRD), pulmonary fibrosis, hypothyroidism, type 2 diabetes, hypertension and hyperlipidemia.Findings: The development of breast cancer was associated with a significantly increased risk of all outcomes analyzed except for ESRD and hypertension. The fully-adjusted risks of leukemia (HR 3.09; 95% CI 2.11–4.51), cardiomyopathy (HR 2.65; 95% CI 1.90–3.68), endometrial cancer (HR 3.53; 95% CI 2.76–4.53), hypothyroidism (HR 1.29; 95% CI 1.19–1.40), pulmonary fibrosis (HR 1.84; 95% CI 1.12–3.02), and hyperlipidemia (HR 1.24; 95% CI 1.20–1.28) remained significantly elevated after more than 5 years since diagnosis.Interpretation: The risks of multiple chronic conditions remained significantly elevated after more than 5 years since breast cancer diagnosis. Optimal care for breast cancer survivors requires close collaboration between oncologists and allied health care professionals to identify and manage the long-term morbidity and mortality associated with these chronic conditions.Funding Statement: We acknowledge the Ministry of Education and Ministry of Health & Welfare of Republic of Korea for funding this study. JC was funded by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare (HI19C1234). DK was funded by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education (2017R1D1A1B03031654). Declaration of Interests: All authors declare no competing interestsEthics Approval Statement: The Institutional Review Board (IRB) of the Samsung Medical Center approved this study and waived the requirement for informed consent as we used only de-identified data." @default.
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• W3157683668 date "2020-01-01" @default.
• W3157683668 modified "2023-09-26" @default.
• W3157683668 title "Temporal Pattern of Chronic Disease Incidence After Breast Cancer: A Nationwide Population-Based Cohort Study" @default.
• W3157683668 doi "https://doi.org/10.2139/ssrn.3727301" @default.
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