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Cancer survivorship at heart: a multidisciplinary cardio-oncology roadmap for healthcare professionals

Journal

FRONTIERS IN CARDIOVASCULAR MEDICINE
Volume 10, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fcvm.2023.1223660

Keywords

cancer survivors (CSs); cardiovascular disease (CVD); cancer therapy-related cardiovascular toxicities (CTR-CVT); cardiovascular risk factors (CVRF); reverse cardio-oncology; survivorship care

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In cancer, patients are considered survivors throughout their entire journey from initial diagnosis to the end of life. The increase in the number of cancer survivors calls for attention to therapy-related cardiovascular toxicity. Personalized care and multidisciplinary collaboration are crucial for the healthcare of cancer survivors.
In cancer, a patient is considered a survivor from the time of initial diagnosis until the end of life. With improvements in early diagnosis and treatment, the number of cancer survivors (CS) has grown considerably and includes: (1) Patients cured and free from cancer who may be at risk of late-onset cancer therapy-related cardiovascular toxicity (CTR-CVT); (2) Patients with long-term control of not-curable cancers in whom CTR-CVT may need to be addressed. This paper highlights the importance of the cancer care continuum, of a patient-centered approach and of a prevention-oriented policy. The ultimate goal is a personalized care of CS, achievable only through a multidisciplinary-guided survivorship care plan, one that replaces the fragmented management of current healthcare systems. Collaboration between oncologists and cardiologists is the pillar of a framework in which primary care providers and other specialists must be engaged and in which familial, social and environmental factors are also taken into account.

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