Cargando…

Portrait of Italian Cardio-Oncology: Results of a Nationwide Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) Survey

Aims: Cardio-oncology has achieved a pivotal role in science, but real world data on its clinical impact are still limited. Methods: A questionnaire was sent out to all cardio-oncology services across Italy (n = 120). The questionnaire was made up of 28 questions divided into four blocks: (A) genera...

Descripción completa

Detalles Bibliográficos
Autores principales: Canale, Maria Laura, Turazza, Fabio, Lestuzzi, Chiara, Parrini, Iris, Camerini, Andrea, Russo, Giulia, Colivicchi, Furio, Gabrielli, Domenico, Gulizia, Michele Massimo, Oliva, Stefano, Tarantini, Luigi, Maurea, Nicola, Rigacci, Luigi, Petrolati, Sandro, Casolo, Giancarlo, Bisceglia, Irma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8242580/
https://www.ncbi.nlm.nih.gov/pubmed/34222373
http://dx.doi.org/10.3389/fcvm.2021.677544
_version_ 1783715635954450432
author Canale, Maria Laura
Turazza, Fabio
Lestuzzi, Chiara
Parrini, Iris
Camerini, Andrea
Russo, Giulia
Colivicchi, Furio
Gabrielli, Domenico
Gulizia, Michele Massimo
Oliva, Stefano
Tarantini, Luigi
Maurea, Nicola
Rigacci, Luigi
Petrolati, Sandro
Casolo, Giancarlo
Bisceglia, Irma
author_facet Canale, Maria Laura
Turazza, Fabio
Lestuzzi, Chiara
Parrini, Iris
Camerini, Andrea
Russo, Giulia
Colivicchi, Furio
Gabrielli, Domenico
Gulizia, Michele Massimo
Oliva, Stefano
Tarantini, Luigi
Maurea, Nicola
Rigacci, Luigi
Petrolati, Sandro
Casolo, Giancarlo
Bisceglia, Irma
author_sort Canale, Maria Laura
collection PubMed
description Aims: Cardio-oncology has achieved a pivotal role in science, but real world data on its clinical impact are still limited. Methods: A questionnaire was sent out to all cardio-oncology services across Italy (n = 120). The questionnaire was made up of 28 questions divided into four blocks: (A) general information on hospitals and service, (B) the inner organization of cardio-oncology and its relationships with out-of-hospital cardiologists and general practitioners, (C) educational needs and referral guidelines, and (D) activities/specific workload. Results: Ninety-six out of 120 (80%) completed the questionnaire; 9.4% were cancer centers while 90.6% were general hospitals. A cardio-oncology team was present in 56% of the cancer centers and in 20% only of general hospitals, and a cardio-oncology pathway was active in 55% of cancer centers and in just 14% of the general hospitals. Relationships with out-of-hospital cardiologists and general practitioners were lacking. The guidelines of reference were ESC and ANMCO/AIOM. Patients receiving anthracycline chemotherapy underwent scheduled monitoring by means of echocardiography in 58% of cases. Routine use of cardiac damage biomarkers was overall low, ranging from 22 to 33% while the use of global longitudinal strain reached 44%. Conclusions: Italian cardio-oncology showed a growing influence on clinical practice but still has room for improvement. Cardio-oncology teams are still scarce, and the application of dedicated paths is poor. The need for specific training has been highlighted.
format Online
Article
Text
id pubmed-8242580
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-82425802021-07-01 Portrait of Italian Cardio-Oncology: Results of a Nationwide Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) Survey Canale, Maria Laura Turazza, Fabio Lestuzzi, Chiara Parrini, Iris Camerini, Andrea Russo, Giulia Colivicchi, Furio Gabrielli, Domenico Gulizia, Michele Massimo Oliva, Stefano Tarantini, Luigi Maurea, Nicola Rigacci, Luigi Petrolati, Sandro Casolo, Giancarlo Bisceglia, Irma Front Cardiovasc Med Cardiovascular Medicine Aims: Cardio-oncology has achieved a pivotal role in science, but real world data on its clinical impact are still limited. Methods: A questionnaire was sent out to all cardio-oncology services across Italy (n = 120). The questionnaire was made up of 28 questions divided into four blocks: (A) general information on hospitals and service, (B) the inner organization of cardio-oncology and its relationships with out-of-hospital cardiologists and general practitioners, (C) educational needs and referral guidelines, and (D) activities/specific workload. Results: Ninety-six out of 120 (80%) completed the questionnaire; 9.4% were cancer centers while 90.6% were general hospitals. A cardio-oncology team was present in 56% of the cancer centers and in 20% only of general hospitals, and a cardio-oncology pathway was active in 55% of cancer centers and in just 14% of the general hospitals. Relationships with out-of-hospital cardiologists and general practitioners were lacking. The guidelines of reference were ESC and ANMCO/AIOM. Patients receiving anthracycline chemotherapy underwent scheduled monitoring by means of echocardiography in 58% of cases. Routine use of cardiac damage biomarkers was overall low, ranging from 22 to 33% while the use of global longitudinal strain reached 44%. Conclusions: Italian cardio-oncology showed a growing influence on clinical practice but still has room for improvement. Cardio-oncology teams are still scarce, and the application of dedicated paths is poor. The need for specific training has been highlighted. Frontiers Media S.A. 2021-06-16 /pmc/articles/PMC8242580/ /pubmed/34222373 http://dx.doi.org/10.3389/fcvm.2021.677544 Text en Copyright © 2021 Canale, Turazza, Lestuzzi, Parrini, Camerini, Russo, Colivicchi, Gabrielli, Gulizia, Oliva, Tarantini, Maurea, Rigacci, Petrolati, Casolo and Bisceglia. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Canale, Maria Laura
Turazza, Fabio
Lestuzzi, Chiara
Parrini, Iris
Camerini, Andrea
Russo, Giulia
Colivicchi, Furio
Gabrielli, Domenico
Gulizia, Michele Massimo
Oliva, Stefano
Tarantini, Luigi
Maurea, Nicola
Rigacci, Luigi
Petrolati, Sandro
Casolo, Giancarlo
Bisceglia, Irma
Portrait of Italian Cardio-Oncology: Results of a Nationwide Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) Survey
title Portrait of Italian Cardio-Oncology: Results of a Nationwide Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) Survey
title_full Portrait of Italian Cardio-Oncology: Results of a Nationwide Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) Survey
title_fullStr Portrait of Italian Cardio-Oncology: Results of a Nationwide Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) Survey
title_full_unstemmed Portrait of Italian Cardio-Oncology: Results of a Nationwide Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) Survey
title_short Portrait of Italian Cardio-Oncology: Results of a Nationwide Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) Survey
title_sort portrait of italian cardio-oncology: results of a nationwide associazione nazionale medici cardiologi ospedalieri (anmco) survey
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8242580/
https://www.ncbi.nlm.nih.gov/pubmed/34222373
http://dx.doi.org/10.3389/fcvm.2021.677544
work_keys_str_mv AT canalemarialaura portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT turazzafabio portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT lestuzzichiara portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT parriniiris portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT cameriniandrea portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT russogiulia portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT colivicchifurio portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT gabriellidomenico portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT guliziamichelemassimo portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT olivastefano portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT tarantiniluigi portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT maureanicola portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT rigacciluigi portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT petrolatisandro portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT casologiancarlo portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey
AT biscegliairma portraitofitaliancardiooncologyresultsofanationwideassociazionenazionalemedicicardiologiospedalierianmcosurvey