Evidence map›Paper›PMID 37891699›Full record

ArticleCardio-oncology (London, England)2023

Simplified rules-based tool to facilitate the application of up-to-date management recommendations in cardio-oncology.

Sherry-Ann Brown, Abdulaziz Hamid, Erin Pederson, Allen Hanna Bs, Ragasnehith Maddula, Rachel Goodman, Morgan Lamberg, Pedro Caraballo, Peter Noseworthy, Opeoluwa Lukan and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cardio-oncology (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05377320 (PAtient Similarity for Decision-Making in Prevention of Cardiovascular Toxicity), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.2field-weighted citation impact, top 10% 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.

NCT05377320 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

PAtient Similarity for Decision-Making in Prevention of Cardiovascular Toxicity (PACT): A Feasibility Study

TypeobservationalSponsorMedical College of WisconsinRan2026 to 2028Enrolled60ConditionsHeart Failure, Coronary Artery Disease, Peripheral Artery Disease, IschemiaArmsClinical Decision Aid, Standard Care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. Article
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

14 authors at 5 institutions in 1 country.

Sherry-Ann BrownCardio-Oncology Program, Division of Cardiovascular Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. shbrown@mcw.edu.
Abdulaziz HamidMedical College of Wisconsin, Milwaukee, WI, USA.
Erin PedersonMedical College of Wisconsin, Milwaukee, WI, USA.
Allen Hanna BsUniversity of Wisconsin - Milwaukee, Milwaukee, WI, USA.
Ragasnehith MaddulaMedical College of Wisconsin, Milwaukee, WI, USA.
Rachel GoodmanMedical College of Wisconsin, Milwaukee, WI, USA.
Morgan LambergMedical College of Wisconsin, Milwaukee, WI, USA.
Pedro CaraballoDepartment of Medicine, Mayo Clinic, Rochester, MN, USA.
Peter NoseworthyDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Opeoluwa LukanDepartment of Internal Medicine, Baton Rouge General Medical Center, Baton Rouge, LA, USA.
Gift EchefuDepartment of Internal Medicine, Baton Rouge General Medical Center, Baton Rouge, LA, USA.
Generika BermanMedical College of Wisconsin, Green Bay, WI, USA.
Indrajit ChoudhuriDepartment of Electrophysiology, Froedtert South, Kenosha, WI, USA.
Cardio-Oncology Artificial Intelligence Informatics & Precision Equity (CAIPE) and Patient Similarity Algorithms in the Prevention of Cardiovascular Toxicity (PACT) Research Team Investigators
Medical College of Wisconsin · USBaton Rouge General · USMayo Clinic in Arizona · USFroedtert Hospital · USUniversity of Wisconsin–Milwaukee · US

Funding

Institutional Career Development CoreKL2TR001438 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI WIDLANSKY, MICHAEL E · 2015 to 2024
$2.9M
NCATS NIH HHS KL2 TR001438NIH HHS KL2TR001438
6 · The paper itself

Abstract

backgroundMillions of cancer survivors are at risk of cardiovascular diseases, a leading cause of morbidity and mortality. Tools to potentially facilitate implementation of cardiology guidelines, consensus recommendations, and scientific statements to prevent atherosclerotic cardiovascular disease (ASCVD) and other cardiovascular diseases are limited. Thus, inadequate utilization of cardiovascular medications and imaging is widespread, including significantly lower rates of statin use among cancer survivors for whom statin therapy is indicated.

methodsIn this methodological study, we leveraged published guidelines documents to create a rules-based tool to include guidelines, expert consensus, and medical society scientific statements relevant to point of care cardiovascular disease prevention in the cardiovascular care of cancer survivors. Any overlap, redundancy, or ambiguous recommendations were identified and eliminated across all converted sources of knowledge. The integrity of the tool was assessed with use case examples and review of subsequent care suggestions.

resultsAn initial selection of 10 guidelines, expert consensus, and medical society scientific statements was made for this study. Then 7 were kept owing to overlap and revisions in society recommendations over recent years. Extensive formulae were employed to translate the recommendations of 7 selected guidelines into rules and proposed action measures. Patient suitability and care suggestions were assessed for several use case examples.

conclusionA simple rules-based application was designed to provide a potential format to deliver critical cardiovascular disease best-practice prevention recommendations at the point of care for cancer survivors. A version of this tool may potentially facilitate implementing these guidelines across clinics, payers, and health systems for preventing cardiovascular diseases in cancer survivors.

trial registrationClinicalTrials.Gov Identifier: NCT05377320.

Indexed as

Cancer SurvivorsCardio-oncologyGuidelinesScientific statements

Identifiers

PMID37891699
PMCPMC10605976
OpenAlexW4387973858

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.