Practical and cost-effective model to build and sustain a cardio-oncology program

Abstract Background Cardio-Oncology (CO) is a new subspecialty that thrives mostly in large academic quaternary centers. This study describes how to establish a successful cardio-oncology program, with limited resources, in order to effectively manage the unique care required by this patient populat...

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Main Authors: Diego Sadler, Chakra Chaulagain, Beatrice Alvarado, Robert Cubeddu, Elizabeth Stone, Thomas Samuel, Bruno Bastos, David Grossman, Chieh-Lin Fu, Evan Alley, Arun Nagarajan, Timmy Nguyen, Wesam Ahmed, Leah Elson, Zeina Nahleh
Format: Article
Language:English
Published: BMC 2020-07-01
Series:Cardio-Oncology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40959-020-00063-x
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author Diego Sadler
Chakra Chaulagain
Beatrice Alvarado
Robert Cubeddu
Elizabeth Stone
Thomas Samuel
Bruno Bastos
David Grossman
Chieh-Lin Fu
Evan Alley
Arun Nagarajan
Timmy Nguyen
Wesam Ahmed
Leah Elson
Zeina Nahleh
author_facet Diego Sadler
Chakra Chaulagain
Beatrice Alvarado
Robert Cubeddu
Elizabeth Stone
Thomas Samuel
Bruno Bastos
David Grossman
Chieh-Lin Fu
Evan Alley
Arun Nagarajan
Timmy Nguyen
Wesam Ahmed
Leah Elson
Zeina Nahleh
author_sort Diego Sadler
collection DOAJ
description Abstract Background Cardio-Oncology (CO) is a new subspecialty that thrives mostly in large academic quaternary centers. This study describes how to establish a successful cardio-oncology program, with limited resources, in order to effectively manage the unique care required by this patient population. Methods Clinical data was collected from 25 consecutive months. There were four foundational elements to establish a CO program: 1. Clinical program: integrating staff and resources from the Heart and Vascular, and Cancer Centers; 2. Education Program: establishing a platform to educate/advocate with respect to CO; 3. Engagement with professional societies: active engagement allowed for the successful establishment of the proposed CO program; and 4. Research program: establishing data collection modalities/cooperation with other institutions. Results 474 consecutive patients were treated by our CO program during the first 25 months of operation. Clinical data, information about cancer treatment, cardiovascular co morbidities, cardiac testing and impact of CO management are reported. Conclusions A successful CO program can be established utilizing existing resources without the need for significant additional assets. Integration with professional societies, advocacy, education and research, provide a platform for learning and growth. This model improves access to care and can be reproduced in a variety of settings.
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spelling doaj.art-348762118a77479e87c44536b570908e2022-12-21T18:41:16ZengBMCCardio-Oncology2057-38042020-07-016111010.1186/s40959-020-00063-xPractical and cost-effective model to build and sustain a cardio-oncology programDiego Sadler0Chakra Chaulagain1Beatrice Alvarado2Robert Cubeddu3Elizabeth Stone4Thomas Samuel5Bruno Bastos6David Grossman7Chieh-Lin Fu8Evan Alley9Arun Nagarajan10Timmy Nguyen11Wesam Ahmed12Leah Elson13Zeina Nahleh14Cleveland Clinic Florida, Heart and Vascular CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Heart and Vascular CenterCleveland Clinic Florida, Heart and Vascular CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterCleveland Clinic Florida, Maroone Cancer CenterAbstract Background Cardio-Oncology (CO) is a new subspecialty that thrives mostly in large academic quaternary centers. This study describes how to establish a successful cardio-oncology program, with limited resources, in order to effectively manage the unique care required by this patient population. Methods Clinical data was collected from 25 consecutive months. There were four foundational elements to establish a CO program: 1. Clinical program: integrating staff and resources from the Heart and Vascular, and Cancer Centers; 2. Education Program: establishing a platform to educate/advocate with respect to CO; 3. Engagement with professional societies: active engagement allowed for the successful establishment of the proposed CO program; and 4. Research program: establishing data collection modalities/cooperation with other institutions. Results 474 consecutive patients were treated by our CO program during the first 25 months of operation. Clinical data, information about cancer treatment, cardiovascular co morbidities, cardiac testing and impact of CO management are reported. Conclusions A successful CO program can be established utilizing existing resources without the need for significant additional assets. Integration with professional societies, advocacy, education and research, provide a platform for learning and growth. This model improves access to care and can be reproduced in a variety of settings.http://link.springer.com/article/10.1186/s40959-020-00063-xCardio-oncologyCardiologyOncologyScreeningCare delivery model
spellingShingle Diego Sadler
Chakra Chaulagain
Beatrice Alvarado
Robert Cubeddu
Elizabeth Stone
Thomas Samuel
Bruno Bastos
David Grossman
Chieh-Lin Fu
Evan Alley
Arun Nagarajan
Timmy Nguyen
Wesam Ahmed
Leah Elson
Zeina Nahleh
Practical and cost-effective model to build and sustain a cardio-oncology program
Cardio-Oncology
Cardio-oncology
Cardiology
Oncology
Screening
Care delivery model
title Practical and cost-effective model to build and sustain a cardio-oncology program
title_full Practical and cost-effective model to build and sustain a cardio-oncology program
title_fullStr Practical and cost-effective model to build and sustain a cardio-oncology program
title_full_unstemmed Practical and cost-effective model to build and sustain a cardio-oncology program
title_short Practical and cost-effective model to build and sustain a cardio-oncology program
title_sort practical and cost effective model to build and sustain a cardio oncology program
topic Cardio-oncology
Cardiology
Oncology
Screening
Care delivery model
url http://link.springer.com/article/10.1186/s40959-020-00063-x
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