title: Cardiovascular Disease Risk and Breast Cancer Outcomes: A Pilot Study.
abstract: OBJECTIVE
  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 .
  
  
  METHODS
  Retrospective, descriptive .
  
  
  METHODS
  A comprehensive cancer center in the southwestern United States .
  
  
  METHODS
  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 .
  
  
  METHODS
  CVD risk factors, such as blood pressure (BP) and hemoglobin A1C (HbA1C), and breast cancer outcomes, such as metastasis .
  
  
  RESULTS
  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 .
  
  
  CONCLUSIONS
  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 .
authors: University of Arizona.
authors: Shu-Fen
authors: SF
authors: Wung
authors: University of Arizona.
authors: Joseph T
authors: JT
authors: Hepworth
authors: Arizona Arrhythmia Consultants in Scottsdale.
authors: Danielle
authors: D
authors: Sparenga
authors: University of Arizona.
authors: Carrie J
authors: CJ
authors: Merkle
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000150:complications*; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010865:Pilot Projects; D011446:Prospective Studies; D012189:Retrospective Studies; D018570:Risk Assessment
keywords: breast cancer; breast cancer outcomes; cardiovascular disease risk; electronic health records