Approaches to management of cardiovascular morbidity in adult cancer patients – cross-sectional survey among cardio-oncology experts
Abstract Background In cardio-oncology, a range of clinical dilemmas can be identified where high-quality evidence for management is still lacking. The aim of this project was to study clinical practices and expert approaches to several clinical cardio-oncological dilemmas regarding prediction, prev...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | Cardio-Oncology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40959-020-00070-y |
| _version_ | 1798046142869536768 |
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| author | E. Hedayati A. Papakonstantinou A. Månsson-Broberg J. Bergh L. Hubbert R. Altena |
| author_facet | E. Hedayati A. Papakonstantinou A. Månsson-Broberg J. Bergh L. Hubbert R. Altena |
| author_sort | E. Hedayati |
| collection | DOAJ |
| description | Abstract Background In cardio-oncology, a range of clinical dilemmas can be identified where high-quality evidence for management is still lacking. The aim of this project was to study clinical practices and expert approaches to several clinical cardio-oncological dilemmas regarding prediction, prevention and treatment of cardiovascular disease in adult cancer patients. Methods A cross-sectional online survey was sent out to internationally renowned experts in the field of cardio-oncology. Participants were selected based on being first or last authors of papers in the field of cardio-oncology, or principal investigators to trials in this field. Results Topics discussed include, among others, the use of biomarkers for subclinical cardiovascular toxicity, approaches towards primary prevention and follow-up with medication and life-style recommendations, and management of fluoropyrimidine-vasospasm, QTc-prolongation and asymptomatic declines in left ventricular ejection fraction. Conclusion The answers provided in this survey have shed light on expert-based practices in cardio-oncologic dilemmas. Attitudes towards, as well as discrepancies in those dilemmas are presented. Existing discrepancies clearly indicate the need for generation of high-quality data that allows for more evidence-based recommendations in the future. |
| first_indexed | 2024-04-11T23:32:45Z |
| format | Article |
| id | doaj.art-c01bdb6b58574dccb235dc583f27f111 |
| institution | Directory Open Access Journal |
| issn | 2057-3804 |
| language | English |
| last_indexed | 2024-04-11T23:32:45Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardio-Oncology |
| spelling | doaj.art-c01bdb6b58574dccb235dc583f27f1112022-12-22T03:57:04ZengBMCCardio-Oncology2057-38042020-09-016111210.1186/s40959-020-00070-yApproaches to management of cardiovascular morbidity in adult cancer patients – cross-sectional survey among cardio-oncology expertsE. Hedayati0A. Papakonstantinou1A. Månsson-Broberg2J. Bergh3L. Hubbert4R. Altena5Department of Oncology and Pathology Cancer Center Karolinska, Karolinska InstitutetDepartment of Oncology and Pathology Cancer Center Karolinska, Karolinska InstitutetCardiology Unit, Theme Heart, Vascular and Neuro, Karolinska University Hospital StockholmDepartment of Oncology and Pathology Cancer Center Karolinska, Karolinska InstitutetDepartment of Cardiology and Department of Health, Medicine and Caring Sciences, Linköping UniversityDepartment of Oncology and Pathology Cancer Center Karolinska, Karolinska InstitutetAbstract Background In cardio-oncology, a range of clinical dilemmas can be identified where high-quality evidence for management is still lacking. The aim of this project was to study clinical practices and expert approaches to several clinical cardio-oncological dilemmas regarding prediction, prevention and treatment of cardiovascular disease in adult cancer patients. Methods A cross-sectional online survey was sent out to internationally renowned experts in the field of cardio-oncology. Participants were selected based on being first or last authors of papers in the field of cardio-oncology, or principal investigators to trials in this field. Results Topics discussed include, among others, the use of biomarkers for subclinical cardiovascular toxicity, approaches towards primary prevention and follow-up with medication and life-style recommendations, and management of fluoropyrimidine-vasospasm, QTc-prolongation and asymptomatic declines in left ventricular ejection fraction. Conclusion The answers provided in this survey have shed light on expert-based practices in cardio-oncologic dilemmas. Attitudes towards, as well as discrepancies in those dilemmas are presented. Existing discrepancies clearly indicate the need for generation of high-quality data that allows for more evidence-based recommendations in the future.http://link.springer.com/article/10.1186/s40959-020-00070-yCardio-oncologyManagementPreventionExpert-based opinion |
| spellingShingle | E. Hedayati A. Papakonstantinou A. Månsson-Broberg J. Bergh L. Hubbert R. Altena Approaches to management of cardiovascular morbidity in adult cancer patients – cross-sectional survey among cardio-oncology experts Cardio-Oncology Cardio-oncology Management Prevention Expert-based opinion |
| title | Approaches to management of cardiovascular morbidity in adult cancer patients – cross-sectional survey among cardio-oncology experts |
| title_full | Approaches to management of cardiovascular morbidity in adult cancer patients – cross-sectional survey among cardio-oncology experts |
| title_fullStr | Approaches to management of cardiovascular morbidity in adult cancer patients – cross-sectional survey among cardio-oncology experts |
| title_full_unstemmed | Approaches to management of cardiovascular morbidity in adult cancer patients – cross-sectional survey among cardio-oncology experts |
| title_short | Approaches to management of cardiovascular morbidity in adult cancer patients – cross-sectional survey among cardio-oncology experts |
| title_sort | approaches to management of cardiovascular morbidity in adult cancer patients cross sectional survey among cardio oncology experts |
| topic | Cardio-oncology Management Prevention Expert-based opinion |
| url | http://link.springer.com/article/10.1186/s40959-020-00070-y |
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