Florida Inter-Specialty Collaborative Project to Improve Cardio-Oncology Awareness and Identify Existing Knowledge Gaps

Sadler, Diego; Fradley, Michael G.; Ismail‐Khan, Roohi; Raez, Luis E.; Bhandare, Deepti; Elson, Leah; Perloff, David; Guerrero, Patricia A.; Nahleh, Zeina; Arnold, Anita

doi:10.1016/j.jaccao.2020.06.009

Cited by 10 publications

(12 citation statements)

References 3 publications

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“…1 ). A statewide survey utilizing the electronic platforms of the FCACC and the FLASCO revealed that even among the more engaged group of physicians that responded to the survey, there was a remarkable lack of knowledge, awareness, cooperation between cardiologists and oncologists, and even lack of knowledge on cardiotoxicity of commonly used chemotherapy regimens in cancer patients [ 8 ••]. It also emphasized the need for more cardio-oncology programs.…”

Section: Building Local Cardio-oncology Programs and Network To Imprmentioning

confidence: 99%

Reaching Across the Aisle: Cardio-Oncology Advocacy and Program Building

et al. 2021

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Purpose of Review This study aims to assess the current state of cardio-oncology in reference to advocacy efforts, access to care, and perspective of stakeholders in their ability to provide patient care as well as development of “across the aisle” synergy among cardiologists and oncologists and academic and non-academic centers in various worldwide locations. Recent Findings During the last decade, there has been a significant and diverse growth in cardio-oncology. We reviewed the experience from cardiologists and oncologists across different healthcare systems, the global trends, the role of collaborative networks, and the importance of advocacy efforts. Summary Cardio-oncology will continue to grow, but there is an unmet need to increase awareness, improve education, and expand access to care to larger segments of the cancer population in order to have a more significant impact on their health. The growing collaboration through professional societies and collaborative networks provides an opportunity to advance the cardiovascular care of cancer patients to meet the projected needs in a growing and more diverse population.

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Section: Building Local Cardio-oncology Programs and Network To Imprmentioning

confidence: 99%

Reaching Across the Aisle: Cardio-Oncology Advocacy and Program Building

et al. 2021

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“…Our ndings, however, mirror responses from physicians internationally (22) and supports others' calls for improved education and collaboration across the cardiology and oncology disciplines to build trust and knowledge to ensure optimal patient care. (30,31) In order to ensure maximal relevance and uptake of any cardio-oncology program, both disciplines should be engaged to ensure consensus on protocols and processes for patient management.…”

Section: Implementation Participants: Patientsmentioning

confidence: 99%

Using the Consolidated Framework for Implementation Research (CFIR) to Guide Implementation of Cardio-Oncology Services

Clouser

McMullen

Adu

et al. 2023

Preprint

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Background: Cancer and cardiovascular disease are the top two causes of death in Kentucky and the United States. Cardio-oncology is a rising field focused on diagnosing and preventing adverse cardiovascular outcomes in cancer patients. Interdisciplinary cardio-oncology services address the spectrum of prevention, detection, monitoring, and treatment of cancer patients at risk of cardio-toxicity and aim to improve the continuum of cardiac care for oncology patients. Objectives: The goal of this study was to engage clinician and administrative stakeholders at an academic medical center to assess multilevel needs, barriers, and expectations regarding cardio oncology services. Methods: We interviewed clinicians and administrators at an academic medical center using the Consolidated Framework for Implementation Research (CFIR) to understand multilevel determinants influencing cardio-oncology service implementation. We also conducted a web-based survey to assess the knowledge, attitude, and perceptions of cardio-oncology services held by local and regional clinicians who may refer cardio-oncology patients to the study site. Results: Multiple facilitators to cardio-oncology service implementation emerged. Interview participants believed cardio-oncology services could benefit patients and the organization by providing a competitive advantage. A majority (74%) of clinicians surveyed thought a cardio-oncology service would significantly improve cancer patients’ prognoses. Implementation barriers frequently discussed included costs and a siloed organizational structure that complicated cross-service collaboration. In the clinician survey, we found differences in the views toward cardio-oncology services held by cardiology versus oncology providers that would need to be negotiated in future cardio-oncology service development. For example, while most providers accepted similar risk of cardio-toxicity when consenting patients for cancer therapy in a curative setting (68.8% accepted 1–5% risk; 15.6% accepted < 1% risk), cardiologists accepted significantly higher levels of risk than oncologists in an incurable setting: 75% of oncologists accepted 1–5% risk; 77% of cardiologists accepted ≥ 5% risk). Conclusions: Participants from administrative and clinical, cardiology and oncology backgrounds supported implementation and development of cardio-oncology services. Nonetheless, respondents also noted multi-level barriers that could be addressed to maximize the potential for success. Engaging administrators and clinicians from cardiology and oncology disciplines in the future development of such services can help ensure maximal relevance and uptake.

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“…Therefore, it is imperative to leverage novel predictive technologies to ensure that these subgroups are referred early for cardio-oncology care. Sadler et al (15) conducted a comprehensive, collaborative study and program development across the Florida chapters of the American College of Cardiology and American College of Clinical Oncology to assess physician knowledge gaps around chemotherapy-related cardiotoxicities among the two specialties. They found that only 14% (23/163) of oncologists and 16% (22/134) of cardiologists were comfortable managing cardio-oncology patients; more than half of cardiologists reported below-average knowledge of cardio-oncology care and cardiooncology services were available to less than half of respondents in each group (15).…”

Section: Knowledge Gaps In Cardio-oncology Carementioning

confidence: 99%