The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work Group
Abstract Objective To enhance the understanding of cardiovascular care delivery in childhood cancer patients and survivors. Study design A 20-question survey was created by the Pediatric Cardio-oncology Work Group of the American College of Cardiology (ACC) Cardio-oncology Section to assess the care...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-10-01
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| Series: | Cardio-Oncology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40959-019-0051-8 |
| _version_ | 1818969492999372800 |
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| author | Thomas D. Ryan William L. Border Carissa Baker-Smith Ana Barac Matthew J. Bock Mary M. Canobbio Nadine F. Choueiter Devyani Chowdhury Katheryn E. Gambetta Julie S. Glickstein Lavanya Kondapalli Seema Mital Vasum Peiris Russell J. Schiff Robert L. Spicer Jeffrey A. Towbin Ming Hui Chen |
| author_facet | Thomas D. Ryan William L. Border Carissa Baker-Smith Ana Barac Matthew J. Bock Mary M. Canobbio Nadine F. Choueiter Devyani Chowdhury Katheryn E. Gambetta Julie S. Glickstein Lavanya Kondapalli Seema Mital Vasum Peiris Russell J. Schiff Robert L. Spicer Jeffrey A. Towbin Ming Hui Chen |
| author_sort | Thomas D. Ryan |
| collection | DOAJ |
| description | Abstract Objective To enhance the understanding of cardiovascular care delivery in childhood cancer patients and survivors. Study design A 20-question survey was created by the Pediatric Cardio-oncology Work Group of the American College of Cardiology (ACC) Cardio-oncology Section to assess the care, management, and surveillance tools utilized to manage pediatric/young adult cardio-oncology patients. The survey distribution was a collaborative effort between Cardio-oncology Section and membership of the Adult Congenital and Pediatric Cardiology Section (ACPC) of the ACC. Results Sixty-five individuals, all self-identified as physicians, responded to the survey. Most respondents (n = 58,89%) indicated childhood cancer patients are regularly screened prior to and during cancer therapy at their centers, predominantly by electrocardiogram (75%), standard echocardiogram (58%) and advanced echocardiogram (50%) (i.e. strain, stress echo). Evaluation by a cardiologist prior to/during therapy was reported by only 8(12%) respondents, as compared to post-therapy which was reported by 28 (43%, p < 0.01). The most common indications for referral to cardiology at pediatric centers were abnormal test results (n = 31,48%) and history of chemotherapy exposure (n = 27,42%). Of note, during post-treatment counseling, common cardiovascular risk-factors like blood pressure (31,48%), lipid control (22,34%), obesity & smoking (30,46%) and diet/exercise/weight loss (30,46%) were addressed by fewer respondents than was LV function (72%). Conclusions The survey data demonstrates that pediatric cancer patients are being screened by EKG and/or imaging prior to/during therapy at most centers. Our data, however, highlight the potential for greater involvement of a cardiovascular specialist for pre-treatment evaluation process, and for more systematic cardiac risk factor counseling in posttreatment cancer survivors. |
| first_indexed | 2024-12-20T14:21:27Z |
| format | Article |
| id | doaj.art-a27e73f84f1d40feab493648606dddf5 |
| institution | Directory Open Access Journal |
| issn | 2057-3804 |
| language | English |
| last_indexed | 2024-12-20T14:21:27Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardio-Oncology |
| spelling | doaj.art-a27e73f84f1d40feab493648606dddf52022-12-21T19:37:55ZengBMCCardio-Oncology2057-38042019-10-01511710.1186/s40959-019-0051-8The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work GroupThomas D. Ryan0William L. Border1Carissa Baker-Smith2Ana Barac3Matthew J. Bock4Mary M. Canobbio5Nadine F. Choueiter6Devyani Chowdhury7Katheryn E. Gambetta8Julie S. Glickstein9Lavanya Kondapalli10Seema Mital11Vasum Peiris12Russell J. Schiff13Robert L. Spicer14Jeffrey A. Towbin15Ming Hui Chen16Heart Institute, Cincinnati Children’s Hospital, University of Cincinnati College of MedicineChildren’s Sibley Heart Center, Children’s Healthcare of AtlantaDepartment of Pediatrics, University of Maryland School of MedicineMedStar Heart and Vascular Institute, Georgetown UniversityLoma Linda University Children’s HospitalAhmanson/UCLA ACHD Center, UCLA HealthThe Children’s Hospital at Montefiore, Albert Einstein College of MedicineCardiology Care for ChildrenAnn and Robert H Lurie Children’s Hospital of ChicagoMorgan Stanley Children’s Hospital of New York, Columbia University Vagelos College of Physicians and SurgeonsUC Health Heart & Vascular Center – Anschutz, University of Colorado School of MedicineThe Hospital for Sick Children, University of TorontoDepartment of Health and Human Services, Food and Drug Administration Center for Devices and Radiological Health, Children’s National Health System and the George Washington University School of Medicine and Health SciencesCohen Children’s Medical Center of New York – Northwell HealthChildren’s Hospital and Medical Center, University of Nebraska Medical CenterLe Bonheur Children’s Hospital, The University of Tennessee Health Science Center, St. Jude Children’s Research HospitalDepartments of Cardiology and Pediatrics, Boston Children’s Hospital, Dana-Farber Cancer Institute/Harvard Cancer Center, and Harvard Medical SchoolAbstract Objective To enhance the understanding of cardiovascular care delivery in childhood cancer patients and survivors. Study design A 20-question survey was created by the Pediatric Cardio-oncology Work Group of the American College of Cardiology (ACC) Cardio-oncology Section to assess the care, management, and surveillance tools utilized to manage pediatric/young adult cardio-oncology patients. The survey distribution was a collaborative effort between Cardio-oncology Section and membership of the Adult Congenital and Pediatric Cardiology Section (ACPC) of the ACC. Results Sixty-five individuals, all self-identified as physicians, responded to the survey. Most respondents (n = 58,89%) indicated childhood cancer patients are regularly screened prior to and during cancer therapy at their centers, predominantly by electrocardiogram (75%), standard echocardiogram (58%) and advanced echocardiogram (50%) (i.e. strain, stress echo). Evaluation by a cardiologist prior to/during therapy was reported by only 8(12%) respondents, as compared to post-therapy which was reported by 28 (43%, p < 0.01). The most common indications for referral to cardiology at pediatric centers were abnormal test results (n = 31,48%) and history of chemotherapy exposure (n = 27,42%). Of note, during post-treatment counseling, common cardiovascular risk-factors like blood pressure (31,48%), lipid control (22,34%), obesity & smoking (30,46%) and diet/exercise/weight loss (30,46%) were addressed by fewer respondents than was LV function (72%). Conclusions The survey data demonstrates that pediatric cancer patients are being screened by EKG and/or imaging prior to/during therapy at most centers. Our data, however, highlight the potential for greater involvement of a cardiovascular specialist for pre-treatment evaluation process, and for more systematic cardiac risk factor counseling in posttreatment cancer survivors.http://link.springer.com/article/10.1186/s40959-019-0051-8PediatricsCardio-oncologyCancerSurveyACCCardiology |
| spellingShingle | Thomas D. Ryan William L. Border Carissa Baker-Smith Ana Barac Matthew J. Bock Mary M. Canobbio Nadine F. Choueiter Devyani Chowdhury Katheryn E. Gambetta Julie S. Glickstein Lavanya Kondapalli Seema Mital Vasum Peiris Russell J. Schiff Robert L. Spicer Jeffrey A. Towbin Ming Hui Chen The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work Group Cardio-Oncology Pediatrics Cardio-oncology Cancer Survey ACC Cardiology |
| title | The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work Group |
| title_full | The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work Group |
| title_fullStr | The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work Group |
| title_full_unstemmed | The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work Group |
| title_short | The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work Group |
| title_sort | landscape of cardiovascular care in pediatric cancer patients and survivors a survey by the acc pediatric cardio oncology work group |
| topic | Pediatrics Cardio-oncology Cancer Survey ACC Cardiology |
| url | http://link.springer.com/article/10.1186/s40959-019-0051-8 |
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