Evidence map›Paper›PMID 20007921›Full record

ReviewJournal of the National Cancer Institute2010

Cardiotoxicity of anticancer drugs: the need for cardio-oncology and cardio-oncological prevention.

Adriana Albini, Giuseppina Pennesi, Francesco Donatelli, Rosaria Cammarota, Silvio De Flora, Douglas M Noonan

2 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Journal of the National Cancer Institute, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 313 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
313citing papers in PubMed, 4 pooled it
21.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02471053 nacompletednot on this mapstarted 2016, after this paper: background citation

Exercise to Prevent AnthrCycline-based Cardio-Toxicity Study (EXACT)

TypeinterventionalSponsorNova Scotia Health AuthorityRan2016 to 2017Enrolled12ConditionsNeoplasms, Heart, Disease, Functional, InflammationArmsModerate Intensity Exercise
NCT02571894 naunknown statusnot on this mapstarted 2014, after this paper: background citation

Effects of Identifying and Treating Early, Subclinical Cardiotoxicity on the Long-Term Incidence of Clinical Cardiotoxicity in Women With Breast Cancer, A Prospective Randomized Study: The Cardio-Oncology Breast Cancer Study (COBC)

TypeinterventionalSponsorKarolinska University HospitalRan2014 to 2020Enrolled320ConditionsCardiotoxicity, Cardiomyopathies, Breast CancerArmsSubclinical cardiotoxicity surveillance and treatment
3 · Its place in the literature

Who cites it

313 citing papers in PubMed, 4 syntheses or guidelines pooled it, 834 citations in OpenAlex.

  1. Pooled it
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  4. Chemotherapy management for unfit patients with metastatic castration-resistant prostate cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
    Pooled it
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  7. Addition of Zoledronate to Chemotherapy in Patients with Osteosarcoma Treated with Limb-Sparing Surgery: A Phase III Clinical Trial.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Trial
  8. Trial
  9. Article
  10. Delayed total-body [European journal of nuclear medicine and molecular imaging · 2026
    Article
  11. Observational
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  15. Review
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253 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Adriana AlbiniOncology Research Division, MultiMedica Castellanza (VA), Milan, Italy. adriana.albini@multimedica.it
Giuseppina Pennesi
Francesco Donatelli
Rosaria Cammarota
Silvio De Flora
Douglas M Noonan
MultiMedica · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the aging of the populations of developed countries and a common occurrence of risk factors, it is increasingly probable that a patient may have both cancer and cardiovascular disease. In addition, cytotoxic agents and targeted therapies used to treat cancer, including classic chemotherapeutic agents, monoclonal antibodies that target tyrosine kinase receptors, small molecule tyrosine kinase inhibitors, and even antiangiogenic drugs and chemoprevention agents such as cyclooxygenase-2 inhibitors, all affect the cardiovascular system. One of the reasons is that many agents reach targets in the microenvironment and do not affect only the tumor. Combination therapy often amplifies cardiotoxicity, and radiotherapy can also cause heart problems, particularly when combined with chemotherapy. In the past, cardiotoxic risk was less evident, but it is increasingly an issue, particularly with combination therapy and adjuvant therapy. Today's oncologists must be fully aware of cardiovascular risks to avoid or prevent adverse cardiovascular effects, and cardiologists must now be ready to assist oncologists by performing evaluations relevant to the choice of therapy. There is a need for cooperation between these two areas and for the development of a novel discipline, which could be termed cardio-oncology or onco-cardiology. Here, we summarize the potential cardiovascular toxicities for a range of cancer chemotherapeutic and chemopreventive agents and emphasize the importance of evaluating cardiovascular risk when patients enter into trials and the need to develop guidelines that include collateral effects on the cardiovascular system. We also discuss mechanistic pathways and describe several potential protective agents that could be administered to patients with occult or overt risk for cardiovascular complications.

Indexed as

AcetylcysteineAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAnimalsAnticoagulantsAnti-Inflammatory Agents, Non-SteroidalAntineoplastic AgentsAtrial FibrillationBlood CoagulationCardiotonic AgentsCardiovascular DiseasesCardiovascular SystemFlavonoidsFree Radical ScavengersHeartHumansAcetylcysteineAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAnticoagulantsAnti-Inflammatory Agents, Non-SteroidalAntineoplastic AgentsCardiotonic AgentsFlavonoidsFree Radical ScavengersPhenolsPlatelet Aggregation InhibitorsPolyphenols

Identifiers

PMID20007921
PMCPMC2802286
OpenAlexW2133528707

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.