Evidence map›Paper›PMID 32782828›Full record

ArticleCardio-oncology (London, England)2020

Healthcare utilization and hospital variation in cardiac surveillance during breast cancer treatment: a nationwide prospective study in 5000 Dutch breast cancer patients.

Yvonne Koop, Saloua El Messaoudi, Hester Vermeulen, Angela H E M Maas, Femke Atsma

Abstract read
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Article in Cardio-oncology (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

5 authors.

Yvonne KoopDepartment of Cardiology, Radboud University Medical Center, Geert Grooteplein 10 - route 616, Postbus 9101, 6500 Nijmegen, HB The Netherlands.ORCID 0000-0001-6150-0859
Saloua El MessaoudiDepartment of Cardiology, Radboud University Medical Center, Geert Grooteplein 10 - route 616, Postbus 9101, 6500 Nijmegen, HB The Netherlands.
Hester VermeulenScientific Institute for Quality of Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
Angela H E M MaasDepartment of Cardiology, Radboud University Medical Center, Geert Grooteplein 10 - route 616, Postbus 9101, 6500 Nijmegen, HB The Netherlands.
Femke AtsmaScientific Institute for Quality of Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious breast cancer (BC) treatments, such as chemotherapy and targeted therapies, increase cardiotoxicity-risk and lead to premature ischemic heart disease and heart failure among survivors. Reducing this adverse risk through early recognition and (preventive) treatment is therefore important. Conversely, we feel that screening for cardiotoxicity is currently insufficiently standardized in daily practice. A fundamental first step in identifying areas of improvement is providing an overview of current practice.

objectiveThis study aims to describe current cardiac surveillance for women with BC during and after cardiotoxic cancer treatment, using routinely collected hospital data in the Netherlands. The study also describes hospital variation in cardiac surveillance.

methodsThis observational study was performed on claims data provided by Statistics Netherlands. From the data, newly diagnosed BC patients in 2013 (

resultsAlmost one third of all BC patients received high risk cardiotoxic treatments (

conclusionThis study shows that women treated for BC with cardiotoxic treatments do not receive recommended cardiac surveillance. Standardized approaches in clinical care are lacking, resulting in low rates of diagnostic testing and a substantial variation in surveillance between hospitals. A structured approach and increased interprofessional collaboration could lead to tailored cardiac surveillance for early detection of cardiotoxicity and therefore start of treatment.

Indexed as

Breast cancerCardiac imagingCardiotoxicityEpidemiologyHealth policyQuality of care

Identifiers

PMID32782828
PMCPMC7414746

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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.