Evidence map›Paper›PMID 31285675›Full record

Observational studyCurrent oncology (Toronto, Ont.)2019

Clinical experience of patients referred to a multidisciplinary cardio-oncology clinic: an observational cohort study.

C Kappel, M Rushton, C Johnson, O Aseyev, G Small, A Law, J Ivars, S Dent

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Current oncology (Toronto, Ont.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. ONCOR: design of the Dutch cardio-oncology registry.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2021
    Article
  11. Article
  12. Article
  13. Cardio-Oncology Education and Training: JACC Council Perspectives.Journal of the American College of Cardiology · 2020
    Review
  14. Review
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

C KappelCurrent: Department of Medicine, McMaster University, Hamilton, ON; Previous: Faculty of Medicine, University of Ottawa, Ottawa, ON.
M RushtonBC Cancer, Vancouver, BC.
C JohnsonDivision of Cardiology, The Ottawa Hospital, Ottawa, ON.
O AseyevRegional Cancer Care Northwest, Thunder Bay, ON.
G SmallDivision of Cardiology, The Ottawa Hospital, Ottawa, ON.
A LawDivision of Cardiology, The Ottawa Hospital, Ottawa, ON.
J IvarsFaculty of Health Science, McMaster University, Hamilton, ON.
S DentDuke Cancer Institute, Duke University, Durham, NC, U.S.A.
Ottawa Hospital · CAMcMaster University · CADuke University · USThunder Bay Regional Health Sciences Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cardiovascular disease is the 2nd leading cause of long-term morbidity and mortality in cancer survivors. Cardio-oncology clinics (cocs) have emerged to address the issue; however, there is a paucity of data about the demographics and clinical outcomes of patients seen in the coc setting. Methods: Cancer patients referred to The Ottawa Hospital coc were included in this retrospective observational study. Data collected were patient demographics, cancer type and stage, reason for referral, cardiac risk factors, cardiac assessments and treatment, and clinical outcomes. Results: Between 2008 and 2015, 779 patients (516 women, 66%; 263 men, 34%) were referred to the coc. Median age of the patients at cancer diagnosis was 60 years (range: 18-90 years). The most frequent reasons for referral were decreased left ventricular ejection fraction (33%), pre-chemotherapy assessment (14%), and arrhythmia (14%). Treatment with cardiac medication was given in 322 patients (41%), 181 (56%) of whom received more than 2 cardiac medications, with 57 (18%) receiving an angiotensin-converting enzyme inhibitor (acei), 46 (14%) receiving an acei and a beta-blocker, and 38 (12%) receiving a beta-blocker. Of 163 breast cancer patients, 129 (79%) were able to complete targeted therapy with coc co-management. Most of the 779 patients ( Conclusions: This cohort study is one of the largest to report characteristics and clinical outcomes of patients referred to a coc. Collaboration between oncologists and cardiologists resulted in completion of cancer therapy in most patients. Ongoing analysis of referral patterns, management plans, and patient outcomes will help to guide the cardiac care of oncology patients, ultimately optimizing cancer and cardiac outcomes alike.

Indexed as

AdolescentAdultAgedAged, 80 and overAmbulatory Care FacilitiesCardiologyCohort StudiesFemaleHumansMaleMedical OncologyMiddle AgedNeoplasmsReferral and ConsultationVentricular Function, LeftYoung Adultcardiac outcomesCardio-oncologycardiotoxicitylveftargeted therapy

Identifiers

PMID31285675
PMCPMC6588054
OpenAlexW2955291423

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.