Cancer survivorship at heart: a multidisciplinary cardio-oncology roadmap for healthcare professionals

被引:8
作者
Bisceglia, Irma [1 ]
Canale, Maria Laura [2 ]
Silvestris, Nicola [3 ]
Gallucci, Giuseppina [4 ]
Camerini, Andrea [5 ]
Inno, Alessandro [6 ]
Camilli, Massimiliano [7 ,8 ]
Turazza, Fabio Maria [9 ]
Russo, Giulia [10 ]
Paccone, Andrea [11 ]
Mistrulli, Raffaella [12 ]
De Luca, Leonardo [13 ]
Di Fusco, Stefania Angela [14 ]
Tarantini, Luigi [15 ]
Luca, Fabiana [16 ]
Oliva, Stefano [17 ]
Moreo, Antonella [18 ]
Maurea, Nicola [11 ]
Quagliariello, Vincenzo [11 ]
Ricciardi, Giuseppina Rosaria [19 ]
Lestuzzi, Chiara [20 ]
Fiscella, Damiana [21 ]
Parrini, Iris [22 ]
Racanelli, Vito [23 ]
Russo, Antonio [24 ]
Incorvaia, Lorena [24 ]
Calabro, Fabio [25 ]
Curigliano, Giuseppe [26 ,27 ]
Cinieri, Saverio [28 ,29 ]
Gulizia, Michele Massimo [21 ]
Gabrielli, Domenico [13 ]
Oliva, Fabrizio [30 ]
Colivicchi, Furio [14 ]
机构
[1] Azienda Osped San Camillo Forlanini, Cardiothorac Vasc Dept, Integrated Cardiol Serv, Rome, Italy
[2] Osped Versilia, Azienda USL Toscana Nord Ovest, Div Cardiol, Lido Di Camaiore, Italy
[3] Univ Messina, Dept Human Pathol Adulthood & Childhood Gaetano, Unit Med Oncol, Messina, Italy
[4] IRCCS Referral Canc Ctr Basilicata, Dept OncoHaematol, Cardiooncol Unit, Rionero In Vulture, PZ, Italy
[5] Osped Versilia, Dept Med Oncol, Azienda Usl Toscana Nord Ovest, Lido Di Camaiore, Italy
[6] Sacro Cuore Don Calabria Hosp IRCCS, Dept Oncol, Negrar, Italy
[7] Univ Cattolica Sacro Cuore, Dept Cardiovasc & Pulm Sci, Rome, Italy
[8] Fdn Policlin Univ A Gemelli IRCCS, Dept Cardiovasc Med, Rome, Italy
[9] Natl Canc Inst Fdn IRCCS, Cardiol Dept, Milan, Italy
[10] Azienda Sanit Univ Giuliano Isontina ASUGI, SC Patol Cardiovasc, Trieste, Italy
[11] G Pascale Natl Canc Inst Fdn IRCCS, Dept Cardiol, Naples, Italy
[12] Sapienza Univ Rome, Fac Med & Psychol, Dept Clin & Mol Med, Cardiol Unit, Rome, Lazio, Italy
[13] San Camillo Forlanini Hosp, Div Cardiol, Rome, Italy
[14] San Filippo Neri Hosp, Clin & Rehabil Cardiol Unit, ASL Roma 1, Rome, Italy
[15] Arcispedale S Maria Nuova, Azienda Unita Sanit Locale IRCCS Reggio Emilia, Div Cardiol, Reggio Emilia, Italy
[16] Azienda Osped Bianchi Melacrino Morelli, Grande Osped Metropolitano, Cardiol Interventist, Utic, Reggio Di Calabria, Italy
[17] IRCCS Ist Tumori Giovanni Paolo II, UOSD Cardiol Interesse Oncol, Bari, Italy
[18] Azienda Socio Sanit Terr Grande Osped Metropolita, Cardio Ctr Gasperis, Milan, Italy
[19] Papardo Hosp, Unit Med Oncol, Messina, Italy
[20] Ctr Med Esperia, Porcia, PN, Italy
[21] Osped Garibaldi Nesima, Azienda Rilievo Nazl & Alta Specializzaz Garibald, UOC Cardiol, Catania, Italy
[22] Hosp Mauritian Turin, Dept Cardiol, Turin, Italy
[23] Univ Bari Aldo Moro, Sch Med, Dept Interdisciplinary Med, Bari, Italy
[24] Palermo Univ Hosp, Dept Surg Oncol & Oral Sci, Sect Med Oncol, Palermo, Italy
[25] San Camillo Forlanini Hosp, Dept Oncol & Specialized Med, Rome, Italy
[26] Univ Milan, Dept Oncol & Hemato Oncol, Milan, Italy
[27] Ist Europeo Oncol, IRCCS, Div Early Drug Dev, Milan, Italy
[28] Senatore Antonio Perrino Hosp, Med Oncol Div, ASL Brindisi, Brindisi, Italy
[29] Senatore Antonio Perrino Hosp, Breast Unit, ASL Brindisi, Brindisi, Italy
[30] Azienda Socio Sanit Terr Grande Osped Metropolita, Dipartimento Cardiotoracovasc A De Gasperis, Cardiol Emodinam 1, Milan, Italy
来源
FRONTIERS IN CARDIOVASCULAR MEDICINE | 2023年 / 10卷
关键词
cancer survivors (CSs); cardiovascular disease (CVD); cancer therapy-related cardiovascular toxicities (CTR-CVT); cardiovascular risk factors (CVRF); reverse cardio-oncology; survivorship care; CORONARY-ARTERY-DISEASE; HODGKIN-LYMPHOMA; CARDIOVASCULAR-DISEASE; RISK-FACTORS; ADULT SURVIVORS; RADIATION; RADIOTHERAPY; IMPACT; EVENTS; EXERCISE;
D O I
10.3389/fcvm.2023.1223660
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In cancer, a patient is considered a survivor from the time of initial diagnosis until the end of life. With improvements in early diagnosis and treatment, the number of cancer survivors (CS) has grown considerably and includes: (1) Patients cured and free from cancer who may be at risk of late-onset cancer therapy-related cardiovascular toxicity (CTR-CVT); (2) Patients with long-term control of not-curable cancers in whom CTR-CVT may need to be addressed. This paper highlights the importance of the cancer care continuum, of a patient-centered approach and of a prevention-oriented policy. The ultimate goal is a personalized care of CS, achievable only through a multidisciplinary-guided survivorship care plan, one that replaces the fragmented management of current healthcare systems. Collaboration between oncologists and cardiologists is the pillar of a framework in which primary care providers and other specialists must be engaged and in which familial, social and environmental factors are also taken into account.
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页数:14
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