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BEYOND Cancer

Using Big Data to Identify Opportunities for Disease Prevention after Cancer.

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About

The BEYOND Cancer research group aims to understand the impact of the cancer diagnosis and treatments on the long-term physical and mental health of the growing numbers of cancer survivors in the population.

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About
BEYOND Cancer About 2 columns
BEYOND Cancer About
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The BEYOND Cancer group, established in 2015, investigates the long-term physical and mental health outcomes of cancer survivors in the UK. With over 3 million cancer survivors in the UK alone and tens of millions worldwide, this population continues to grow as cancer survival improves.

A cancer diagnosis profoundly impacts an individual's life. Beyond the risk of recurrence or second cancers, survivors face various long-term health challenges. Many cancer therapies have known toxic side effects, and several newer treatments have been associated with ¹û¶³´«Ã½Ó°Òô long-term health risks. These impacts can be wide-ranging, affecting:

  • Cardiovascular health
  • Bone density
  • Kidney function
  • Immune system response
  • Respiratory health
  • Sexual and reproductive health

Currently, significant knowledge gaps exist regarding the magnitude of these risks, the relationship between specific treatments and later health outcomes, and which patient groups are most vulnerable to poor long-term health. Additionally, we have limited understanding of how a cancer diagnosis and/or treatment affects survivors' long-term quality of life and mental health in the UK.

Our primary research focus is therefore examining how cancer history and treatment influence both physical and mental health outcomes in the survivor population. We believe there are significant opportunities to prevent illness and mortality among cancer survivors through better risk identification and targeted prevention strategies. Our research aims to provide the evidence base needed to develop these interventions.

Our work is supported by grants from Wellcome, the Royal Society, Cancer Research UK, and the Medical Research Council.

Research
BEYOND Cancer 2 columns research
BEYOND Cancer research
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Our previous research has mapped out a detailed picture of cardiovascular disease risks in cancer survivors, and we have shown how cancer survivorship affects a range of outcomes including fracture risks, poor mental health, risks of serious influenza, and overall quality of life (see Publications section).

Research questions we are currently investigating include:

  • How do anti-cancer treatments affect cardiovascular risk?
  • Do cancer survivors have poorer respiratory health than the general population?
  • How does a history of cancer affect immune function and infection risks?
  • Among younger women, what are the implications of a cancer diagnosis for later fertility and pregnancy outcomes?
  • How is cancer survivorship associated with kidney health?

We are also engaged in methodological research that supports our applied work, including research into the optimal use of matched cohort methods in electronic health records research, and how best to define diseases and treatments using routinely collected data.

Who we are
Profiles
Profiles List
Prof Krishnan Bhaskaran

Krishnan
Bhaskaran

Professor of Statistical Epidemiology
Dr Helena Carreira

Helena
Carreira

Assistant Professor

Kirsty
Andresen

Research Student - MPhil/PhD - Epidemiology & Population Health
Miss Harriet Forbes

Harriet
Forbes

Assistant Professor
Dr Li-Ju Chen

Li-Ju
Chen

Research Fellow

Matthew
Hazell

Research Student - MPhil/PhD - Epidemiology & Population Health

William
Wilson

Research Student - MPhil/PhD - Epidemiology & Population Health
Publications
Scientific Papers
Publications List
Buzasi E, Carreira H, Funston G, Mansfield K, Forbes HJ, Strongman H, Bhaskaran K.
2024
Lancet Health Longevity 2024 5(3), e194-e203, doi: 10.1016/S2666-7568(23)00285-4
Brown JP, Hunnicutt JN, Ali MS, Bhaskaran K, Christensen D, Cole A, Dedman D, Langan SM, Nitsch D, Rentsch CT, Galwey NW, Wing K, Douglas IJ
2024
Pharmacoepidemiol Drug Saf 2024 doi 10.1002/pds.70026
Dedman D, Cabecinha M, Williams R, Evans SJW, Bhaskaran K, Douglas IJ.
2024
BMJ Open 14 (2), e070258
Matthewman J, Andresen K, Suffel A, Lin L, Schultze A, Tazare J, Bhaskaran K, Williamson E, Costello R, Quint J, Strongman H
2024
NIHR Open Res 2024, 4:20 doi: 10.3310/nihropenres.13550.2
Forbes H, Carreira H, Funston G, Andresen K, Bhatia U, Strongman H, Abrol E, Bowen L, Giles C, Bhaskaran K
2024
eClinicalMedicine 2024 doi: 10.1016/j.eclinm.2024.102826
Aldridge RW, Evans HER, Yavlinsky A, Moayyeri A, Bhaskaran K, Mathur R, Jordan KP, Croft P, Denaxas S, Shah AD, Blackburn RM, Moller H, Ng ESW, Hughes A, Fox S, Flowers J, Schmidt J, Hayward A, Gilbert R, Smeeth L, Hemingway H
2024
Wellcome Open Res 2024, 8:262 (https://doi.org/10.12688/wellcomeopenres.19470.2)
Thakrar DB, Douglas IJ, Smeeth L and Bhaskaran K
2023
Wellcome Open Res 2023, 8:295 doi:.12688/wellcomeopenres.19566.1
Strongman H, Herrett E, Jackson R, Sweeting M, Lyon A, Stanway S, Lawson C, Kadam U, Smeeth L, Bhaskaran K
2023
British Journal of General Practice, 2023; 73 (726): e34-e42. DOI: https://doi.org/10.3399/BJGP.2022.0088
Andresen K, Carreira H, Strongman H, McDonald HI, Benitez-Majano S, Mansfield KE, Nitsch D, Tomlinson LA, Bhaskaran K
2023
BMC Cancer. 2023 Sep 7;23(1):839. doi: 10.1186/s12885-023-11329-9.
Andresen K, Carreira H, Harley M, Bhaskaran K
2022
BMJ Open. 2022 Nov 21;12(11):e066029. doi: 10.1136/bmjopen-2022-066029.
Carreira H, Williams R, Dempsey H, Bhaskaran K
2022
BMJ Open 2022;12:e066949. doi: 10.1136/bmjopen-2022-066949
Strongman H, Gadd S, Matthews AM, Mansfield KE, Stanway S, Lyon AR, dos-Santos-Silva I, Smeeth L, Bhaskaran K
2022
JACC Cardio-oncology 2022: 4(1): 113-123.
Woods L; Rachet B; Morris M; Bhaskaran K; Coleman MP
2021
BMC Cancer 2021, 485 (2021). doi: 10.1186/s12885-021-08087-x
Matthews AA, Peacock Hinton S, Stanway S, Lyon AR, Smeeth L, Bhaskaran K, Lund JL
2021
J Natl Compr Canc Netw. 2021 Jan 5:1-10. doi: 10.6004/jnccn.2020.7629
Carreira H, Williams R, Funston G, Stanway S, Bhaskaran K
2021
PLoS Med. 2021 Jan 7;18(1):e1003504. doi: 10.1371/journal.pmed.1003504
Carreira H, Strongman H, Peppa M, McDonald HI, Dos-Santos-Silva I, Stanway S, Smeeth L, Bhaskaran K
2020
EClinicalMedicine. 2020 Nov 30;29-30:100656. doi: 10.1016/j.eclinm.2020.100656
Williamson EJ, Walker A, Bhaskaran K, Bacon S, Bates C, Morton CE, Curtis HJ, Mehrkar A, Evans D, Inglesby P, Cockburn J, McDonald HI, MacKenna B, Tomlinson L, Douglas IJ, Rentsch CT, Mathur R, Wong AYS, Grieve R, Harrison D, Forbes H, Schultze A, Croker R, Parry J, Hester F, Harper S, Perera R, Evans SJW, Smeeth L, Goldacre B.
2020
Nature. 2020. doi: 10.1038/s41586-020-2521-4
Matthews A, Hinton SP, Stanway S, Lyon A, Smeeth L, Lund JL, Bhaskaran K
2020
Heart. 2020 Nov 11;heartjnl-2020-317510. doi: 10.1136/heartjnl-2020-317510.
Carreira H, Williams R, Dempsey H, Stanway S, Smeeth L, Bhaskaran K
2020
J Cancer Surviv. 2020 Oct 21. doi: 10.1007/s11764-020-00950-3
Strongman H, Williams R, Bhaskaran K
2020
BMJ Open. 2020 Aug 20;10(8):e037719. doi: 10.1136/bmjopen-2020-037719
Rentsch CT, Farmer RE, Eastwood SV, Mathur R, Garfield V, Farmaki A, Bhaskaran K, Chaturvedi N, Smeeth L
2020
BMJ Open Diabetes Res Care. 2020 Aug;8(1):e001600. doi: 10.1136/bmjdrc-2020-001600
Kathryn E Mansfield, Sigrún A J Schmidt, Bianka Darvalics, Amy Mulick, Katrina Abuabara, Angel Y S Wong, Henrik Toft Sørensen, Liam Smeeth, Krishnan Bhaskaran, Isabel Dos Santos Silva, Richard J Silverwood, Sinéad M Langan
2020
JAMA Dermatol. 2020 Jun 24;e201948. doi: 10.1001/jamadermatol.2020.1948
Helena Carreira, Rachael Williams, Helen Strongman, Krishnan Bhaskaran
2019
BMJ Open. 2019 Jul 2;9(7):e029227. doi: 10.1136/bmjopen-2019-029227
Helen Strongman, H, Gadd S, Matthews A, Mansfield KE, Stanway S, Lyon AR, dos-Santos-Silva I, Smeeth L, Bhaskaran K.
2019
Lancet. DOI: 10.1016/S0140-6736(19)31674-5
Bromley SE, Matthews A, Smeeth L, Stanway S, Bhaskaran K.
2019
J Cancer Survivorship 2019 13: 632. DOI: 10.1007/s11764-019-00782-w
Carreira, H; Williams, R; Müller, M; Harewood, R; Stanway, S; Bhaskaran, K
2018
Journal of the National Cancer Institute. ISSN 0027-8874 DOI: https://doi.org/10.1093/jnci/djy177
Søgaard, KK; Sørensen, HT; Smeeth, L; Bhaskaran, K
2018
Journal of the American Heart Association, 7 (16). e009428. ISSN 2047-9980 DOI: https://doi.org/10.1161/JAHA.118.009428
Chidwick, K; Strongman, H; Matthews, A; Stanway, S; Lyon, AR; Smeeth, L; Bhaskaran, K
2018
BMC cancer, 18 (1). p. 1018. ISSN 1471-2407 DOI: https://doi.org/10.1186/s12885-018-4947-8
Matthews, A; Stanway, S; Farmer, RE; Strongman, H; Thomas, S; Lyon, AR; Smeeth, L; Bhaskaran, K
2018
BMJ (Clinical research ed), 363. k3845. ISSN 0959-8138 DOI: https://doi.org/10.1136/bmj.k3845
Carreira, H; Williams, R; Müller, M; Harewood, R; Bhaskaran, K
2017
Systematic reviews, 6 (1). p. 162. ISSN 2046-4053 DOI: https://doi.org/10.1186/s13643-017-0551-2
Hansson, E; Forbes, HJ; Langan, SM; Smeeth, L; Bhaskaran, K
2017
British journal of cancer, 116 (12). pp. 1643-1651. ISSN 0007-0920 DOI: https://doi.org/10.1038/bjc.2017.124
Morris, M; Woods, LM; Bhaskaran, K; Rachet, B
2017
Bmc Cancer, 17. p. 11. ISSN 1471-2407 DOI: https://doi.org/10.1186/s12885-017-3129-4
Pedersen, RN; Bhaskaran, K; Heide-Jørgensen, U; Nørgaard, M; Christiansen, PM; Kroman, N; Sørensen, HT; Cronin-Fenton, DP
2017
The British journal of surgery. ISSN 0007-1323 DOI: https://doi.org/10.1002/bjs.10592
Søgaard, KK; Farkas, DK; Ehrenstein, V; Bhaskaran, K; Bøtker, HE; Sørensen, HT
2017
Circulation. ISSN 0009-7322 DOI: https://doi.org/10.1161/CIRCULATIONAHA.116.024041