Evidence map›Paper›PMID 41501939›Full record

ArticleCardio-oncology (London, England)2026

Global disparities and future directions in cardio-oncology training: an international survey of cardiology trainees from the international cardio-oncology society.

James M Wilson, Joshua Lushington, Rhys Gray, Carolina Carvalho Silva, Cristian Herrera Flores, Daniel Sierra-Lara Martinez, Sebastian Szmit, Jose Alvarez, Daniel Lenihan, Stephen Caselli and 2 more

Abstract readLetter
In one paragraph

Article in Cardio-oncology (London, England), 2026. 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. Review
  2. 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

12 authors.

James M WilsonBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Joshua LushingtonBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Rhys GrayBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Carolina Carvalho SilvaRede D'Or Hospital Group, Sao Paulo, Brazil.
Cristian Herrera FloresDepartment of Cardiology, Instituto de Investigación Biomédica de Salamanca. Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBER-CV), Hospital Universitario de Salamanca, Salamanca, Spain.
Daniel Sierra-Lara MartinezNational Institute of Cardiology, Ciudad de Mexico, Mexico.
Sebastian SzmitDepartment of Cardio-Oncology, Centre of Postgraduate Medical Education & Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Jose AlvarezNew York University School of Medicine, New York City, NY, United States of America.
Daniel LenihanSt Francis Healthcare, Cape Girardeau, MO, USA.
Stephen CaselliInternational Cardio-Oncology Society, Tampa, FL, USA.
Susan DentDepartment of Medicine, Wilmot Cancer Institute, University of Rochester, Rochester, NY, USA.
Arjun K GhoshBarts Heart Centre, St Bartholomew's Hospital, London, UK. Arjun.Ghosh1@nhs.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardio-oncology has emerged as a vital subspecialty as the population of cancer patients with cardiovascular comorbidities and treatment-related cardiotoxicities grows. Despite its clinical importance, concerns have been raised as to the integration of cardio-oncology into cardiology training. To understand the global landscape of cardio-oncology training, the International Cardio-Oncology Society (IC-OS) carried out a survey of cardio-oncology education.

methodsAn electronic survey of international cardiology trainees was conducted between March and July 2024. The survey assessed the extent of cardio-oncology teaching, clinical exposure, awareness of cardio-oncology guidelines and professional societies, and interest in future fellowship, research and career in cardio-oncology.

results131 cardiology trainees from across the globe responded to the survey, (51% early years trainees, 49% late years trainees). 65% of respondents had cardio-oncology services at their current place of work. Only 39% of respondents reported receiving specific training in cardio-oncology, with significantly global disparity (UK, USA and Canada trainees = 64%, rest of the world 37%, p < 0.001). Clinical exposure was limited, with only 20% of trainees reporting having carried out inpatient cardio-oncology consultations and 17% reporting no cardio-oncology experience. Awareness of the cardio-oncology guidelines was good (75%), with awareness associated confidence in practicing cardio-oncology, as were receiving cardio-oncology training and > 50 h of clinical cardio-oncology experience.

conclusionsThis study highlights the urgent need for global standardization of cardio-oncology training, expanded fellowship programs, and increased awareness of guidelines and societies. Addressing these gaps is essential to ensure equitable, high-quality cardiovascular care for cancer patients worldwide.

Indexed as

EducationGuidelinesService deliveryTraining

Identifiers

PMID41501939
PMCPMC12781351

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.