4.6 Article

AGS and NIA bench-to bedside conference summary: Cancer and cardiovascular disease

Journal

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 70, Issue 10, Pages 2764-2774

Publisher

WILEY
DOI: 10.1111/jgs.17921

Keywords

aging; cancer; cardiotoxicity; cardiovascular disease

Funding

  1. National Institute on Aging [5U13AG054139]

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This report summarizes the presentations, discussions, and recommendations of a recent research conference on Cancer and Cardiovascular Disease, organized by the American Geriatrics Society and the National Institute on Aging. The conference aimed to address the relationship between cancer and heart disease, which are the leading causes of death among older Americans. The discussions covered topics such as the mechanisms of co-development of cancer and cardiovascular disease, the cardiotoxic effects of cancer therapy, and the management of comorbid cancer and cardiovascular disease.
This report summarizes the presentations, discussions, and recommendations of the most recent American Geriatrics Society and National Institute on Aging research conference, Cancer and Cardiovascular Disease, on October 18-19, 2021. The purpose of this virtual meeting was to address the interface between cancer and heart disease, which are the two leading causes of death among older Americans. Age-related physiologic changes are implicated in the pathogenesis of both conditions. Emerging data suggest that cancer-related cardiovascular disease (CVD) involves disrupted cell signaling and cellular senescence. The risk factors for CVD are also risk factors for cancer and an increased likelihood of cancer death, and people who have both cancer and CVD do more poorly than those who have only cancer or only CVD. Issues addressed in this bench-to-bedside conference include mechanisms of cancer and CVD co-development in older adults, cardiotoxic effects of cancer therapy, and management of comorbid cancer and CVD. Presenters discussed approaches to ensure equitable access to clinical trials and health care for diverse populations of adults with CVD and cancer, mechanisms of cancer therapy cardiotoxicity, and management of comorbid CVD and cancer, including the role of patient values and preferences in treatment decisions. Workshop participants identified many research gaps and questions that could lead to an enhanced understanding of comorbid CVD and cancer and to better and more equitable management strategies.

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