Incorporating Exercise Training into Cardio-Oncology Care

Wilson, Rebekah L.; Christopher, Cami N.; Yang, Eric H.; Barac, Ana; Adams, Scott C.; Scott, Jessica M.; Dieli-Conwright, Christina M.

doi:10.1016/j.jaccao.2023.08.008

Cited by 8 publications

(2 citation statements)

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“…A prior study of cardio‐oncology training programmes in the US and UK demonstrated the significant heterogeneity of cancer patients that trainees are exposed to, which may lead to varying experiences making a uniform curricular design difficult, as all cancer centres globally may have significant variation in the types of patients they treat 13 . In addition, there remain certain services that are not uniformly available, such as cardio‐oncology rehabilitation (CORE), which are mentioned in the ESC document but may not be a realistic service or competency to master for many trainees currently given lack of access 14 . Documents such as this ESC proposal, hopefully will bring attention and identify gaps in education for those wishing to pursue a cardio‐oncology based career and engage in successful programme‐building.…”

Section: Figurementioning

confidence: 99%

“…13 In addition, there remain certain services that are not uniformly available, such as cardio-oncology rehabilitation (CORE), which are mentioned in the ESC document but may not be a realistic service or competency to master for many trainees currently given lack of access. 14 Documents such as this ESC proposal, hopefully will bring attention and identify gaps in education for those wishing to pursue a cardio-oncology based career and engage in successful programme-building. Crucial to increasing enthusiasm for the training of cardiooncologists and for the dedicated time requirements for advanced training is the formal designation of cardio-oncology as a separate subspecialty, which requires recognized certification of experts in the field, similar to their other cardiology subspecialty counterparts.…”

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Moving theory and reality closer together in cardio‐oncology training

Keramida,

Yang,

Deswal

2024

European J of Heart Fail

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This article refers to 'European Society of Cardiology Core Curruculum for cardio-oncology' by T. López-Fernández et al., published in this issue on pages 754-771.The landscape of cancer survivorship has been significantly shaped by the success of modern anticancer treatments, leading to a growing number of individuals triumphing over cancer. According to World Health Organization, in 2022, there were 20 million new cases of cancer and 53.5 million individuals were alive 5 years after a cancer diagnosis. 1 In the United States (US) alone, the number of cancer survivors has increased from ∼3 million in the 1970s to over 18 million in 2022. 2 However, this victory is not without challenges. The ever-increasing number of cancer therapeutics across the spectrum of chemotherapy, targeted therapies, immunotherapies and radiation therapy have been associated with a variety of cardiovascular (CV) toxicities ranging from cardiomyopathy and heart failure to arrhythmias, cardiometabolic disorders, hypertension, vascular disease and myocarditis. 3 Notably, CV disease and cancer therapy-related CV toxicity (CTR-CVT) is the second leading cause of mortality among cancer survivors. 4 Recognition of this critical intersection between oncology and cardiology has created a need to effectively train the international workforce for the growing cardio-oncology patient population.Specialized cardio-oncology clinics and inpatient services have rapidly emerged as essential to addressing the unique CV concerns of individuals requiring treatment for cancer and for cancer survivors, especially in Europe 5 and the US. 6 Although there are at least 134 cardio-oncology programmes from 28 countries globally registered with the International Cardio-Oncology Society (IC-OS), 7 this is likely an underestimate as many healthcare systems and physician groups are providing cardio-oncology services that are not officially recognized.The scope of cardio-oncologists has also broadened from the initial need of managing CTR-CVT to a pivotal role which nowThe opinions expressed in this article are not necessarily those of the Editors of the European Journal of Heart Failure or of the European Society of Cardiology.

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