1. Brazilian cardio-oncology: the 10-year experience of the Instituto do Cancer do Estado de Sao Paulo
- Author
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Carolina Maia Silva, Isabela Bispo Santos da Silva Costa, Cecilia Cruz, Marilia Harumi Higuchi dos Santos Rehder, Stephanie Itala Rizk, Clara Salles Figueiredo, Ludhmila Abrahão Hajjar, Silvia Moulin Ribeiro Fonseca, Fernanda Thereza de Almeida Andrade, Cristina Salvadori Bittar, Fernanda A. de S. Costa, Letticya P. Machado, Thalita Barbosa González, Ludmila de Andrade Barberino, Marcel Pina Ciuffo Almeida, Julia Tizue Fukushima, and Roberto Kalil Filho
- Subjects
Male ,medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Time Factors ,Heart Diseases ,Cardiology ,Antineoplastic Agents ,030204 cardiovascular system & hematology ,Medical Oncology ,Hospitals, University ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Ambulatory care ,Cancer Survivors ,Risk Factors ,Internal medicine ,Neoplasms ,medicine ,Outpatient clinic ,Humans ,Radiation Injuries ,Aged ,Retrospective Studies ,Cancer ,Cardiotoxicity ,Radiotherapy ,business.industry ,Delivery of Health Care, Integrated ,Mortality rate ,Retrospective cohort study ,Perioperative ,Middle Aged ,Cardio-oncology ,lcsh:RC666-701 ,030220 oncology & carcinogenesis ,Cohort ,Quality of Life ,Cardiology and Cardiovascular Medicine ,business ,Brazil ,Specialization ,Research Article - Abstract
Background In recent years, the field of cardio-oncology has grown worldwide, bringing benefits to cancer patients in terms of survival and quality of life. This study reports the experience of a pioneer cardio-oncology programme at University Cancer Hospital in Brazil over a period of 10 years, describing the clinical profile of patients and the clinical outcomes. Methods A retrospective study was conducted on a cohort of patients treated at the cardio-oncology programme from April 2009 to February 2019. We analysed the characteristics of patients and outcomes, including mortality, according to the type of clinical indication for outpatient care (general cardiology, perioperative evaluation and follow-up and treatment cardiotoxicity). Results From a total of 26,435 medical consultations, we obtained the data of 4535 individuals among the medical care outpatients. When we analysed the clinical characteristics of patients considering the clinical indication - general cardiology, perioperative evaluation and cardiotoxicity outpatient clinics, differences were observed with respect to age (59 [48–66], 66 [58–74] and 69 [62–76], p p p p p = 0.650]). Conclusion The number of oncologic patients in the Cardio-Oncology Programme has grown in the last decade. A well-structured cardio-oncology programme is the key to achieving the true essence of this area, namely, ongoing care for cancer patients throughout the disease treatment process, optimizing their cardiovascular status to ensure they can receive the best therapy against cancer.
- Published
- 2019