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Clinical Research

Hypertension, obesity and prostate cancer biochemical recurrence after radical prostatectomy

Prostate Cancer and Prostatic Diseases volume 16, pages 62–66 (2013)Cite this article

Subjects

Abstract

Background:

The metabolic syndrome (MetS) comprises a constellation of risk factors associated with an increased risk for cardiovascular disease. Components of MetS have emerged as putative risk factors for prostate carcinoma. In this study, we examine the association between three features of the MetS (obesity, hypertension and diabetes) and the risk of biochemical recurrence (BCR) after radical prostatectomy (RP).

Methods:

We examined data from 1428 men in the University of Michigan Prostate Cancer Data Bank who elected to have RP as their primary treatment. We calculated body mass index from patients’ weight and height measured at the time of prostate cancer diagnosis. We used the University of Michigan’s Electronic Medical Record Search Engine to identify subjects with hypertension and/or diabetes before their prostate cancer diagnosis.

Results:

Of 1428 men who underwent RP, 107 (8%) subsequently developed BCR with a median length of follow-up post-surgery of 3.6 years. Obesity and hypertension were each associated with an increased risk of BCR (adjusted hazard ratio (aHR)=1.37; 95% CI 0.92–2.09 and aHR=1.51, 95% CI 1.01–2.26), whereas no association was observed between diabetes and BCR (aHR=0.73; 95% CI 0.40–1.33).

Conclusions:

Obesity and hypertension were each associated with an increased risk for BCR of prostate cancer after RP, independent of age at diagnosis and tumor pathological features. Given the increasing rates of obesity, hypertension and prostate cancer, a better understanding of the relationship between these entities is of significant public health importance. Elucidation of the involved pathogenic mechanisms will be needed to establish causality.

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Acknowledgements

We thank Dr David Hanaeur for assistance with use of EMERSE; and Drs David Wood, John Wei and Mr Michael Coehlo for access and guidance on use of the Radical Prostatectomy Data Bank. Sources of support/funding: NIH P50-CA69568, University of Michigan, Departments of Internal Medicine and Urology, UMCCC.

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Authors and Affiliations

  1. Department of Internal Medicine, University of Michigan Medical School and Comprehensive Cancer Center, Ann Arbor, MI, USA

    R Asmar, K Korgavkar & K A Cooney

  2. Karmanos Cancer Institute Program of Population Studies and Disparities Research, Detroit, MI, USA

    J L Beebe-Dimmer & G R Keele

  3. Department of Oncology, Wayne State University, Detroit, MI, USA

    J L Beebe-Dimmer & G R Keele

  4. Department of Urology, University of Michigan Medical School and Comprehensive Cancer Center, Ann Arbor, MI, USA

    K A Cooney

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  1. R Asmar
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Correspondence to R Asmar.

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Asmar, R., Beebe-Dimmer, J., Korgavkar, K. et al. Hypertension, obesity and prostate cancer biochemical recurrence after radical prostatectomy. Prostate Cancer Prostatic Dis 16, 62–66 (2013). https://doi.org/10.1038/pcan.2012.32

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