Evidence map›Paper›PMID 34904661›Full record

ArticleEuropean heart journal2022

Defining cardiovascular toxicities of cancer therapies: an International Cardio-Oncology Society (IC-OS) consensus statement.

Joerg Herrmann, Daniel Lenihan, Saro Armenian, Ana Barac, Anne Blaes, Daniela Cardinale, Joseph Carver, Susan Dent, Bonnie Ky, Alexander R Lyon and 17 more

2 registry-linked trialsOpen access · bronzeAbstract readConsensus Statement
In one paragraph

Article in European heart journal, 2022. 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 382 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
382citing papers in PubMed, 8 pooled it
56.0field-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.

NCT06005259 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

Effect of Spironolactone in the Prevention of Anthracycline-induced Cardiotoxicity: a Randomized Clinical Trial (SPIROTOX Trial)

TypeinterventionalSponsorUniversity of Sao PauloRan2023 to 2025Enrolled264ConditionsCardiotoxicity, Neoplasms, Chemotherapy Effect, Heart FailureArmsSpironolactone, Placebo
NCT06881940 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Rationale and Design of a Cardiac Rehabilitation Program on the Prevention of Cardiotoxicity in Breast Cancer Patients Undergoing Treatment With Anthracyclines and/or Trastuzumab: A Randomized, Active Control Group, Open-Label Trial

TypeinterventionalSponsorInstituto Nacional de Cardiologia Ignacio ChavezRan2025 to 2029Enrolled284ConditionsCancer Therapy-Related Cardiac DysfunctionArmsRehabilitation Program, No Rehabilitation Program
3 · Its place in the literature

Who cites it

382 citing papers in PubMed, 8 syntheses or guidelines pooled it, 555 citations in OpenAlex.

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322 more citing papers are in PubMed but not listed here.

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

27 authors at 20 institutions in 6 countries.

Joerg HerrmannDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA.
Daniel LenihanInternational Cardio-Oncology Society, 465 Lucerne Ave., Tampa, FL 33606, USA.ORCID 0000-0001-9458-0154
Saro ArmenianCity of Hope Comprehensive Cancer Center, Department of Population Sciences, 500 E Duarte Rd, Duarte, CA 91010, USA.ORCID 0000-0003-2604-8603
Ana BaracMedStar Heart and Vascular Institute, Georgetown University, 10 Irving Street Northwest Suite NW, Washington, DC 20010, USA.ORCID 0000-0002-9935-8904
Anne BlaesUniversity of Minnesota, Division of Hematology/Oncology, 420 Delaware Street SE, Minneapolis, MN 55455, USA.ORCID 0000-0002-5433-4810
Daniela CardinaleCardioncology Unit, European Institute of Oncology, IRCCS, Via Adamello 16, 20139 Milan, Italy.ORCID 0000-0002-4038-8033
Joseph CarverAbraham Cancer Center, University of Pennsylvania, Philadelphia, 3400 Civic Center Boulevard, Pavilion 2nd Floor, Philadelphia, PA 19104, USA.ORCID 0000-0001-8804-0653
Susan DentDuke Cancer Institute, Department of Medicine, Duke University, 20 Duke Medicine Circle, Durham, NA 27704, USA.ORCID 0000-0002-9183-9340
Bonnie KyDivision of Cardiology, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA.ORCID 0000-0002-6628-9981
Alexander R LyonCardio-Oncology Service, Royal Brompton Hospital, Imperial College, Sydney St, London SW3 6NP, United Kingdom.ORCID 0000-0001-8026-840X
Teresa López-FernándezDivision of Cardiology; Cardiac Imaging and Cardio-Oncology Unit; La Paz University Hospital, IdiPAZ Research Institute, CIBER CV, C. de Pedro Rico, 6, 28029 Madrid, Spain.ORCID 0000-0002-3414-7022
Michael G FradleyDivision of Cardiology, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA.ORCID 0000-0001-8352-8975
Sarju GanatraCardio-Oncology Program, Department of Cardiovascular Medicine, Lahey Hospital and Medical Center, 41 Burlington Mall Road, Burlington, MA 01805, USA.ORCID 0000-0003-0296-6864
Giuseppe CuriglianoDepartment of Oncology and Hemato-Oncology, University of Milano, Via Festa del Perdono 7. 20122 Milano, Italy.ORCID 0000-0003-1781-2518
Joshua D MitchellCardio-Oncology Center of Excellence, Washington University, 4921 Parkview Pl, St. Louis, MO 63110, USA.ORCID 0000-0001-7371-5742
Giorgio MinottiDepartment of Medicine, University Campus Bio-Medico, Via Álvaro del Portillo, 21, 00128 Roma, Italy.ORCID 0000-0002-5678-6175
Ninian N LangBritish Heart Foundation Centre for Cardiovascular Sciences, University of Glasgow, 126 University Place, Glasgow, G12 8TA Scotland, United Kingdom.ORCID 0000-0001-8441-6887
Jennifer E LiuMemorial Sloan Kettering Cancer Center, Department of Medicine/Cardiology Service, 1275 York Ave, New York, NY 10065, USA.
Tomas G NeilanCardio-oncology Program, Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114, USA.
Anju NohriaCardio-Oncology Program, Brigham and Women's Hospital and Dana Farber Cancer Institute, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.ORCID 0000-0002-7113-1118
Rupal O'QuinnDivision of Cardiology, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA.
Iskra PusicWashington University School of Medicine, Division of Oncology, 4921 Parkview Place, St. Louis, MO 63110, USA.
Charles PorterCardiovascular Medicine, Cardio-Oncology Unit, University of Kansas Medical Center, 4000 Cambridge Street, Kansas City, KS 66160, USA.ORCID 0000-0001-8820-9279
Kerry L ReynoldsMassachusetts General Hospital Cancer Center, Harvard Medical School, 55 Fruit St, Boston, MA 02114, USA.
Kathryn J RuddyDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55902, USA.
Paaladinesh ThavendiranathanDepartment of Medicine, Division of Cardiology, Ted Rogers Program in Cardiotoxicity Prevention, Peter Munk Cardiac Centre, University Health Network, University of Toronto, 585 University Ave, Toronto, ON M5G 2N2, Canada.ORCID 0000-0002-6497-1098
Peter ValentDepartment of Internal Medicine I, Division of Hematology and Hemostaseology and Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
University of Pennsylvania · USHarvard University · USMayo Clinic · USBrigham and Women's Hospital · USBritish Heart Foundation · GBCentro de Investigación en Red en Enfermedades Cardiovasculares · ESCity of Hope · USDuke University · USEuropean Institute of Oncology · ITGeorgetown University · USLahey Hospital and Medical Center · USMedical University of Vienna · ATMemorial Sloan Kettering Cancer Center · USRoyal Brompton Hospital · GBUniversità Campus Bio-Medico · ITUniversity Health Network · CAUniversity of Kansas Medical Center · USUniversity of Milan · ITUniversity of Minnesota · USWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
TrAstuzumab Cardiomyopathy Therapeutic Intervention with Carvedilol (TACTIC) TrialR01CA233610 · NCI · MAYO CLINIC ROCHESTER · PI HERRMANN, JOERG, RUDDY, KATHRYN JEAN · 2019 to 2024
$4.3M
STOP-CA: Statins to prevent Cardiotoxicity from AnthracyclinesR01HL130539 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEILAN, TOMAS G, SCHERRER-CROSBIE, MARIELLE · 2016 to 2020
$3.2M
Mechanisms of Cardiac Dysfunction in HIV and the Effect of StatinsR01HL137562 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEILAN, TOMAS G, ZANNI, MARKELLA V. · 2017 to 2020
$2.7M
Transcriptional and Epigenetic Adaptation as Novel Therapeutic Vulnerabilities for Mantle Cell LymphomaR01CA233601 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI DUCKETT, DEREK RONALD, QI, JUN · 2020 to 2024
$2.5M
Cardiovascular Diseases among Patients with Cancer and Patients living with HIVK24HL150238 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Tomas G Neilan · 2020 to 2026
$883k
Austrian Science Fund FWF P 30625British Heart Foundation PG/19/64/34434CIHR 137132CIHR 142456NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014236NCI NIH HHS R01 CA233601NCI NIH HHS R01 CA233610NHLBI NIH HHS K24 HL150238NHLBI NIH HHS R01 HL130539NHLBI NIH HHS R01 HL137562
6 · The paper itself

Abstract

The discipline of Cardio-Oncology has seen tremendous growth over the past decade. It is devoted to the cardiovascular (CV) care of the cancer patient, especially to the mitigation and management of CV complications or toxicities of cancer therapies, which can have profound implications on prognosis. To that effect, many studies have assessed CV toxicities in patients undergoing various types of cancer therapies; however, direct comparisons have proven difficult due to lack of uniformity in CV toxicity endpoints. Similarly, in clinical practice, there can be substantial differences in the understanding of what constitutes CV toxicity, which can lead to significant variation in patient management and outcomes. This document addresses these issues and provides consensus definitions for the most commonly reported CV toxicities, including cardiomyopathy/heart failure and myocarditis, vascular toxicity, and hypertension, as well as arrhythmias and QTc prolongation. The current document reflects a harmonizing review of the current landscape in CV toxicities and the definitions used to define these. This consensus effort aims to provide a structure for definitions of CV toxicity in the clinic and for future research. It will be important to link the definitions outlined herein to outcomes in clinical practice and CV endpoints in clinical trials. It should facilitate communication across various disciplines to improve clinical outcomes for cancer patients with CV diseases.

Indexed as

Antineoplastic AgentsCardiovascular DiseasesHeart DiseasesNeoplasmsHumansMedical OncologyAntineoplastic AgentsCardiomyopathyCardio-oncologyCardiotoxicityHypertensionMyocarditisQTc prolongationVascular disease

Identifiers

PMID34904661
PMCPMC8803367
OpenAlexW3204395813

What OpenQuestion holds

Textmetadata
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.