Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/56196 |
Resumo: | © 2022 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa ̃na, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
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Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational studyExperiência de uma consulta de cardio-oncologia num hospital universitário terciário em Portugal: estudo observacionalCardio-oncology consultationCardiovascular risk factorsCardiotoxicityLVEFOutcomes© 2022 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa ̃na, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)Introduction: Heart disease and cancer are the two leading causes of morbidity and mortality worldwide. Advances in cancer screening and management have led to longer survival and better quality of life. Despite this progress, many cancer patients experience cardiovascular complications during and after cancer treatment. This study describes the experience of a cardio-oncology program at tertiary academic hospital. Methods: In this retrospective observational study, cancer patients referred to the CHULN cardio-oncology consultation (COC) between January 2016 and December of 2019 were included. Data collected included: patient demographics, cancer type, reason for referral, cardiovascular risk factors, cardiac and oncologic treatments and clinical outcomes. Results: A total of 520 patients (mean age: 65 ± 14 years; 65% women) were referred to the COC. The main reasons for referral were suspected heart failure (26%), pre-high risk chemotherapy assessment (20%) and decreased LVEF (15%). Pre-existing cardiovascular risk factors were common (79%) and 309 (59%) were taking cardiac medications. The most common type of malignancy was breast cancer (216, 41%) followed by gastrointestinal (139, 27%). More than half received anthracycline-based regimens (303, 58%). Most patients (401; 77%) successfully completed cancer therapy. At the time of last data collection, the majority of patients were alive (430, 83%). Cardiac-related mortality was observed in 16%. Conclusions: The close collaboration between cardiology and oncology teams and timely cardiac monitoring was the key to the majority of patients to completing their prescribed cancer therapy.ElsevierRepositório da Universidade de LisboaFiuza, ManuelaMagalhaes, AndreiaMenezes, Miguel NobreCosta, PaulaRibeiro, Maria LeonorMarques, CatarinaBrás, RaquelVieira, JoanaAfonso, Ana I.Morais, PedroValente Silva, BeatrizCosta, LuisPinto, Fausto J.2023-02-07T12:16:08Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/56196engRev Port Cardiol. 2022 Dec;41(12):979-9840870-255110.1016/j.repc.2021.07.0142174-2030info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:03:36Zoai:repositorio.ul.pt:10451/56196Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:06:43.473905Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study Experiência de uma consulta de cardio-oncologia num hospital universitário terciário em Portugal: estudo observacional |
| title |
Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study |
| spellingShingle |
Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study Fiuza, Manuela Cardio-oncology consultation Cardiovascular risk factors Cardiotoxicity LVEF Outcomes |
| title_short |
Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study |
| title_full |
Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study |
| title_fullStr |
Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study |
| title_full_unstemmed |
Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study |
| title_sort |
Clinical experience of a cardio-oncology consultation at a tertiary university hospital in Portugal: an observational study |
| author |
Fiuza, Manuela |
| author_facet |
Fiuza, Manuela Magalhaes, Andreia Menezes, Miguel Nobre Costa, Paula Ribeiro, Maria Leonor Marques, Catarina Brás, Raquel Vieira, Joana Afonso, Ana I. Morais, Pedro Valente Silva, Beatriz Costa, Luis Pinto, Fausto J. |
| author_role |
author |
| author2 |
Magalhaes, Andreia Menezes, Miguel Nobre Costa, Paula Ribeiro, Maria Leonor Marques, Catarina Brás, Raquel Vieira, Joana Afonso, Ana I. Morais, Pedro Valente Silva, Beatriz Costa, Luis Pinto, Fausto J. |
| author2_role |
author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Fiuza, Manuela Magalhaes, Andreia Menezes, Miguel Nobre Costa, Paula Ribeiro, Maria Leonor Marques, Catarina Brás, Raquel Vieira, Joana Afonso, Ana I. Morais, Pedro Valente Silva, Beatriz Costa, Luis Pinto, Fausto J. |
| dc.subject.por.fl_str_mv |
Cardio-oncology consultation Cardiovascular risk factors Cardiotoxicity LVEF Outcomes |
| topic |
Cardio-oncology consultation Cardiovascular risk factors Cardiotoxicity LVEF Outcomes |
| description |
© 2022 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa ̃na, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 2022-01-01T00:00:00Z 2023-02-07T12:16:08Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/56196 |
| url |
http://hdl.handle.net/10451/56196 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2022 Dec;41(12):979-984 0870-2551 10.1016/j.repc.2021.07.014 2174-2030 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Elsevier |
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Elsevier |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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