Abstract
BACKGROUND: Anthracycline usage has been linked to cardiovascular adverse events (CAEs), which is unpredictable. It is critical to identify the characteristics of vulnerable populations and risk factors in order to reduce the occurrence of CAEs. OBJECTIVES: This meta-analysis aimed to assess the correlation between various risk factors and CAEs induced by anthracyclines. METHODS: We systematically searched for studies from PubMed, Cochrane, Embase, and assessed the publication bias. Anthracyclines, hypertension, radiation therapy, diabetes, smoking, age, gender, hyperlipidemia, and obesity were meta-analyzed using a fixed or random effects model. RESULT: Sixteen studies were included in this meta-analysis. The results showed that pooled relative ratio for CAEs was 1.69 (95% CI: 1.39-2.06, p<0.001) for anthracyclines, and that risk factors for CAEs caused by anthracyclines included hypertension (RR = 2.15, 95% CI: 1.53-3.01, p < 0.001), radiation therapy (RR = 1.71, 95% CI: 1.19-2.47, p < 0.001), diabetes (RR = 1.57, 95% CI: 1.20-2.06, p<0.001), smoking (RR = 1.35, 95% CI: 0.96-1.88, p < 0.05), and age (RR = 1.16, 95% CI: 1.07-1.26, p < 0.001). In addition, BMI > 25 kg/m(2) (RR = 1.34, 95% CI: 1.08-1.67, p = 0.470), gender (RR = 1.17, 95% CI: 1.06-1.2, p = 0.350), and hyperlipidemia (RR = 1.10, 95% CI: 0.91-1.34, p = 0.327) was not significantly associated with CAEs caused by anthracyclines. CONCLUSIONS: Our research findings indicate that patients with a history of hypertension, radiation therapy, diabetes, smoking, and elderly individuals are at an elevated risk of cardiovascular disease in the process of administration of anthracycline drugs. Consequently, careful case selection and condition monitoring are important in the treatment process.