Cardiology consultation in oncology practice: a 5-year survey
Cardiology consultation in oncology practice: a 5-year survey
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肿瘤学实践中的心脏病学咨询：一项为期 5 年的调查
DOI：
10.1093/jjco/hyaa118
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发表时间：
2020
影响因子：
2.4
通讯作者：
Ieda Masaki
中科院分区：
文献类型：
--
作者：
Tajiri Kazuko;Sekine Ikuo;Naito Hiroyuki;Murata Momoko;Li Siqi;Inoue Keiko;Sasamura Rumi;Nakajima Hideki;Iida Noriko;Nagashio Kenji;Honda Junya;Murakoshi Nobuyuki;Ishizu Tomoko;Ieda Masaki
肿瘤心脏病学服务在日本迅速扩大。为了提供更好的服务，重要的是要考虑肿瘤学家的需求。然而，关于肿瘤学家应该咨询心脏病学家以管理患者的心血管问题的具体需求知之甚少。我们分析了肿瘤学家寻求的心脏科会诊，以评估心脏科医生在癌症治疗中的作用。MethodWe回顾性调查了2014年1月至2018年12月期间日本筑波大学医院连续2064例癌症患者的心脏科会诊。（n= 1355; 65.7%），其次是癌症治疗开始后（n= 686; 33.2%）。在361次抗癌药物给药前的咨询中，235次（65.1%）为蒽环类药物治疗方案。有506例（24.5%）在癌症治疗开始后发生的心血管急症管理咨询;静脉血栓栓塞最常见（n= 125; 24.7%），其次是房颤（n= 110; 21.7%）和心力衰竭（n= 74; 14.6%）。有显着差异的类型的心血管急症的类型取决于cancer.ConclusionsThis调查揭示了各种心血管问题，肿瘤学家寻求心脏病专家的干预措施。肿瘤心脏病学服务中的多学科方法对于实现最佳长期结局至关重要。
ObjectiveOnco-cardiology services are expanding rapidly in Japan. To provide a better service, it is important to consider the needs of oncologists. However, little is known regarding specific needs for which oncologists should consult cardiologists to manage cardiovascular problems of their patients. We analysed cardiology consultations sought by oncologists to evaluate the role of cardiologists in cancer treatment.MethodWe retrospectively investigated consecutive 2064 cardiology consultations of cancer patients in the University of Tsukuba Hospital, Tsukuba, Japan, between January 2014 and December 2018.ResultsThe most common timing of cardiology consultation was before the commencement of cancer treatment (n= 1355; 65.7%), followed by after the commencement of cancer treatment (n= 686; 33.2%). Among the 361 consultations before the administration of anticancer drugs, 235 (65.1%) were for anthracycline-based regimens. There were 506 (24.5%) consultations for the management of cardiovascular emergencies developing after the commencement of cancer treatment; venous thromboembolism was the most frequent (n= 125; 24.7%), followed by atrial fibrillation (n= 110; 21.7%) and heart failure (n= 74; 14.6%). There were marked differences in the types of cardiovascular emergencies depending on the type of cancer.ConclusionsThis survey revealed the various cardiovascular problems for which oncologists sought interventions by cardiologists. A multidisciplinary approach in an onco-cardiology service is essential to achieve optimal long-term outcomes.