Monitoring risk factors of cardiovascular disease in cancer survivors

被引:8
作者
Kapoor, Ambika [1 ]
Prakash, Vineet [1 ]
Sekhar, Mallika [2 ]
Greenfield, Diana M. [3 ,4 ]
Hatton, Matthew [5 ,6 ]
Lean, Michael E. J. [7 ]
Sharma, Pankaj [8 ]
Han, Thang S. [1 ,8 ]
机构
[1] Ashford & St Peters NHS Fdn Trust, Chertsey, England
[2] Royal Free NHS Fdn Trust, London, England
[3] Weston Pk Hosp, Sheffield, S Yorkshire, England
[4] Univ Sheffield, Sheffield, S Yorkshire, England
[5] Weston Pk Hosp, Sheffield, S Yorkshire, England
[6] Univ Sheffield, Sheffield, S Yorkshire, England
[7] Univ Glasgow, Sch Med, Dept Nutr, Glasgow, Lanark, Scotland
[8] Royal Holloway Univ London, Inst Cardiovasc Res, Egham TW10 0EX, Surrey, England
关键词
cardiometabolic risk; CVD prevention; health promotion; late effects; LONG-TERM SURVIVORS; METABOLIC SYNDROME; CHILDHOOD-CANCER; UNITED-KINGDOM; HEART-DISEASE; PREVALENCE; RADIOTHERAPY; STATEMENT; MORTALITY; BREAST;
D O I
10.7861/clinmedicine.17-4-293
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There exist published literature for cardiovascular disease (CVD) risk monitoring in cancer survivors but the extent of monitoring in clinical oncology practice is unknown. We performed an interactive survey at a Royal College of Physicians conference (11 November 2016) attended by practitioners with an interest in late effects of cancer treatment and supplemented the survey with an audit among 32 lung cancer survivors treated at St Peter's NHS Hospital in 2012-2016. Among the practitioners, 40% reported CVD risk monitoring performed at least annually, which is compatible with European Group for Blood and Marrow Transplantation Guidelines, but 31% indicated that monitoring was never performed. In contrast, 77% felt that at least an annual assessment was required (p<0.001). Corroborating these data, among the lung cancer survivors, 31% and 16% had lipids or glucose/HbA1C measured annually, and 28% and 31% had never had these tests performed since their cancer treatment. Alerting healthcare providers to review protocols may help reduce CVD after cancer treatments.
引用
收藏
页码:293 / 297
页数:5
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