Evidence map›Paper›PMID 40027994›Full record

ArticleEuropean cardiology2025

Interdisciplinary Management of Cardiotoxicity in Outpatient Settings: A Survey on Practices, Perceptions and Potential for Improvement.

Silvio Quick, Lorena Payo-Anez, Clara Marx Casimiro de Almeida, Jochen Schmitt, Karim Ibrahim, Markus Kösters, Marian Christoph, Tina Haase, Lorenz Harst

Abstract read
In one paragraph

Article in European cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Cardio-oncology care in German hospitals: a multicentre inpatient survey of practices, perceptions and guideline gaps.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    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

9 authors.

Silvio QuickDepartment of Internal Medicine I, Cardiology, Angiology and Intensive Care, Klinikum Chemnitz gGmbH, Medical Campus Chemnitz of the TUD Dresden University of Technology Dresden, Germany.
Lorena Payo-AnezDepartment of Internal Medicine I, Cardiology, Angiology and Intensive Care, Klinikum Chemnitz gGmbH, Medical Campus Chemnitz of the TUD Dresden University of Technology Dresden, Germany.
Clara Marx Casimiro de AlmeidaDepartment of Internal Medicine I, Cardiology, Angiology and Intensive Care, Klinikum Chemnitz gGmbH, Medical Campus Chemnitz of the TUD Dresden University of Technology Dresden, Germany.
Jochen SchmittCenter of Evidence-Based Health Care, University Hospital and Faculty of Medicine Carl Gustav Carus, TUD Dresden University of Technology Dresden, Germany.
Karim IbrahimDepartment of Internal Medicine I, Cardiology, Angiology and Intensive Care, Klinikum Chemnitz gGmbH, Medical Campus Chemnitz of the TUD Dresden University of Technology Dresden, Germany.
Markus KöstersCenter of Evidence-Based Health Care, University Hospital and Faculty of Medicine Carl Gustav Carus, TUD Dresden University of Technology Dresden, Germany.
Marian ChristophDepartment of Internal Medicine I, Cardiology, Angiology and Intensive Care, Klinikum Chemnitz gGmbH, Medical Campus Chemnitz of the TUD Dresden University of Technology Dresden, Germany.
Tina HaaseCenter of Evidence-Based Health Care, University Hospital and Faculty of Medicine Carl Gustav Carus, TUD Dresden University of Technology Dresden, Germany.
Lorenz HarstCenter of Evidence-Based Health Care, University Hospital and Faculty of Medicine Carl Gustav Carus, TUD Dresden University of Technology Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiotoxicity is a major concern in patients undergoing chemotherapy, requiring interdisciplinary management. However, the extent to which cardiotoxicity is managed in the outpatient setting among these specialists may vary, potentially leading to gaps in patient care. Methods: This questionnaire study assessed the current practices and perceptions of cardiologists, oncologists and gynaecologists regarding the management of cardiotoxicity in patients undergoing outpatient chemotherapy in Germany. Results: A total of 1,329 medical professionals were contacted via an online questionnaire; 132 (9.9%) were included in the survey. The participants in our survey reported treating a total of 1,905 chemotherapy patients per month (range 1-200). Of these patients, only 37% of those treated by oncologists (n=13) and 48% of those treated by gynaecologists (n=53) received cardiological care. The results showed that 37% (49/132) of the healthcare professionals surveyed said they performed cardiovascular toxicity risk assessment of chemotherapy in their clinical practice. More than half of the participants (56%, 39/70) expressed a need for simplified cardio-oncology guidelines. The majority of participants (84% [59/70] and 83% [58/70], respectively) requested tools to assist in cardiovascular toxicity risk assessment and the implementation of appropriate therapeutic measures for patients undergoing chemotherapy. Conclusion: Our study underscores potential interdisciplinary care gaps, possibly increasing the risk of undetected cardiotoxicity. Variations in cardiotoxicity management among specialities highlight the need for increased awareness and improved collaboration. Interdisciplinary clinical pathways could address these issues, as could a dedicated cardio-oncology network for primary care physicians' support.

Indexed as

cardio-oncology guidelinesCardiotoxicitycardiovascular risk assessmenthealthcare practicesinterdisciplinary managementsurvey

Identifiers

PMID40027994
PMCPMC11865667

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Registered trials

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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.