{
  "abstract": "Introduction Cancer and cardiovascular disease (CVD) are leading causes of death among Texas residents. While advances in cancer treatment have increased survival, long-term survivors face elevated CVD risk. We examined temporal trends in cancer- and CVD-related incidence-based mortality (IBM) rates among Texas residents diagnosed with cancer by cancer stage, primary site, and county, and associations between the CVD-to-cancer IBM ratio and survival. Methods Using Texas Cancer Registry data, this retrospective cohort study calculated cancer- and CVD-related IBM rates overall and by stage and the five sites with the highest cancer- and CVD-related deaths, and assessed annual percentage change (APC) using Joinpoint regression. County-level heatmaps displayed cumulative IBM rates and CVD-to-cancer IBM ratios, defined as CVD-related IBM rate divided by cancer-related IBM rate, by these groupings. Weighted Pearson correlations with bootstrap standard errors examined associations between CVD-to-cancer IBM ratios and 1- and 5-year survival among patients diagnosed during 2010-2015, followed through 2020. Results In 2010-2019, cancer-related IBM rates declined (APC = -2.51%, 95% CI -3.02 to -2.01, p < 0.001), while CVD-related IBM rates increased (APC = +1.87%, 95% CI 0.81-2.93, p < 0.001). Cancer-related IBM rates decreased, and CVD-related IBM rates generally increased across localized, regional, and distant-stage groups. CVD-to-cancer IBM ratios were higher for high-survival cancers including prostate and breast cancers. Across stages (n=4), correlations between CVD-to-cancer IBM ratio and survival were r = 0.81 (1-year) and r = 0.86 (5-year); inferential statistics were unobtainable. Across sites (n=29), correlations were r = 0.86 (5-year; 95% CI 0.80-0.93, p < 0.001) and r = 0.81 (1-year; 95% CI 0.74-0.89, p < 0.001). Conclusions Cancer-related IBM rates declined while CVD-related IBM rates increased, especially in localized-stage, high-survival sites, and specific Texas counties. Incorporating cardiovascular risk assessment and prevention early in cancer care, focusing on underserved areas, may improve long-term survival.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "name": "Ted Sohn Pharm.D"
    },
    {
      "name": "Sola Han Pharm.D, Ph.D"
    },
    {
      "name": "Won Seog Choi Pharm.D"
    },
    {
      "name": "Chanhyun Park Ph.D"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1rvz4fmmrejea.bib",
  "cited_by": 0,
  "doi": "10.1177/10732748261500302",
  "fulltext_url": "https://doi.org/10.1177/10732748261500302",
  "id": "1rvz4fmmrejea",
  "issns": [
    "1526-2359",
    "1073-2748"
  ],
  "landing_url": "https://doi.org/10.1177/10732748261500302",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC254-282"
    ],
    [
      "openalex",
      "2730|Global Cancer Incidence and Screening"
    ]
  ],
  "openalex": "W7223296933",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-23",
  "publisher": "SAGE Publishing",
  "ris": "https://research.draconitic.com/paper/1rvz4fmmrejea.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:25Z",
      "native_id": "14615cd82a9b4959918224f62ddbf0ba",
      "source": "doaj",
      "url": "https://doi.org/10.1177/10732748261500302"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Global Cancer Incidence and Screening",
      "subfield": "oncology"
    }
  ],
  "title": "Cardiovascular and Cancer Mortality Among Texas Residents With Cancer: A Population-Based Study in Texas",
  "title_text": "Cardiovascular and Cancer Mortality Among Texas Residents With Cancer: A Population-Based Study in Texas",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:44:12Z",
  "url": "https://research.draconitic.com/paper/1rvz4fmmrejea",
  "venue": "Cancer Control",
  "versions": []
}