Innovation in Precision Cardio-Oncology During the Coronavirus Pandemic and Into a Post-pandemic World

Brown, Sherry-Ann; Rhee, June‐Wha; Guha, Avirup; Rao, Vijay U.

doi:10.3389/fcvm.2020.00145

Cited by 24 publications

(18 citation statements)

References 89 publications

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“…The telemedicine visit is performed via three-way video or telephone call with the fellow, attending, and patient together. Telemedicine assessment can be supplemented by at-home medical equipment and digital health technology [ 17 ••, 18 ]. We request patients use an automated blood pressure cuff and home scale to keep logs of their blood pressures, heart rates, and daily weights so that we may review these during our visit and titrate guideline-directed medical therapy.…”

Section: Outpatient Clinical Experiencementioning

confidence: 99%

Cardio-oncology Training in the COVID-19 Era

Feldman

Liu

Steingart

et al. 2021

Curr. Treat. Options in Oncol.

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Opinion Statement Cardio-oncology is a field dedicated to the prevention, diagnosis, and management of cardiovascular disease in cancer patients before, during, and after cancer therapy. It is an emerging field with limited opportunities for structured education and training. In the year 2021, we cannot define the requirements of cardio-oncology training without acknowledging the impact of the global coronavirus disease 19 (COVID-19) pandemic. While this pandemic poses significant health risks to patients with cancer and cardiovascular disease as well as the providers who care for them, it also allows novel opportunities for the nascent field of cardio-oncology to readily adapt. In this article, we detail how the COVID-19 pandemic has impacted all aspects of cardio-oncology training, how programs and trainees can adapt to these challenges, and how lessons learned from the COVID-19 era can continue to positively impact cardio-oncology training for the foreseeable future.

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Section: Outpatient Clinical Experiencementioning

confidence: 99%

Cardio-oncology Training in the COVID-19 Era

Feldman

Liu

Steingart

et al. 2021

Curr. Treat. Options in Oncol.

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Section: Introductionmentioning

confidence: 99%

“…Various forms of innovation have come to bear in the pandemic, including telemedicine, digital health, artificial intelligence, social media, informatics, big data, and precision medicine [5,6]. Telemedicine is the primary form of innovation that has been most developed in the pandemic [2,5,7]. Social media has been very helpful for dissemination of information, as well as education, and has been integral for creating online groups for support and determining the best ways for proceeding in the pandemic and advocating for our patients and colleagues in this period [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Telemedicine is the primary form of innovation that has been most developed in the pandemic [2,5,7]. Social media has been very helpful for dissemination of information, as well as education, and has been integral for creating online groups for support and determining the best ways for proceeding in the pandemic and advocating for our patients and colleagues in this period [5,6]. In addition, the Doximity social media application has been valuable to practices across the nation, due to its telehealth platform (Doximity Video and Phone; https:// www.doximity.com/dialer-video).…”

Section: Introductionmentioning

confidence: 99%

“…One group has reported on their conversion from existing in-person Cardio-Oncology visits to telemedicine consultations, seeing 11 patients virtually within a few weeks [7]. Many have considered implications of the pandemic on the practice and study of cardio-oncology [2,4,5,[18][19][20], and two groups have suggested models for clinics converting from existing in-person care to televisits [4,5]. Yet, no groups have directly addressed steps for de novo virtualhybrid clinic formation within the limitations of the pandemic and without conversion of a pre-existing Cardio-Oncology clinic.…”

Section: Introductionmentioning

confidence: 99%

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A virtual-hybrid approach to launching a cardio-oncology clinic during a pandemic

et al. 2021

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Background As cardiovascular disease is a leading cause of death in cancer survivors, the new subspecialty of Cardio-Oncology has emerged to address prevention, monitoring, and management of cardiovascular toxicities to cancer therapies. During the coronavirus disease of 2019 (COVID-19) pandemic, we developed a Virtual-Hybrid Approach to build a de novo Cardio-Oncology Clinic. Methods We conceptualized a Virtual-Hybrid Approach including three arms: information seeking in locations with existing Cardio-Oncology clinics, information gathering at the location for a new clinic, and information sharing to report clinic-building outcomes. A retrospective review of outcomes included collection and synthesis of data from our first 3 months (at pandemic peak) on types of appointments, cancers, drugs, and cardiotoxicities. Data were presented using descriptive statistics. Results A de-novo Cardio-Oncology clinic was developed structured from the ground up to integrate virtual and in-person care in a hybrid and innovative model, using the three arms of the Virtual-Hybrid Approach. First, we garnered in-person and virtual preparation through hands-on experiences, training, and discussions in existing Cardio-Oncology Clinics and conferences. Next, we gleaned information through virtual inquiry and niche-building. With partners throughout the institution, a virtual referral process was established for outpatient referrals and inpatient e-consult referrals to actualize a hybrid care spectrum for our patients administered by a multidisciplinary hybrid care team of clinicians, ancillary support staff, and clinical pharmacists. Among the multi-subspecialty clinic sessions, approximately 50% were in Cardio-Oncology, 20% in Preventive Cardiology, and 30% in General Cardiology. In the hybrid model, the Heart & Vascular Center had started to re-open, allowing for 65% of our visits to be in person. In additional analyses, the most frequent cardiovascular diagnosis was cardiomyopathy (34%), the most common cancer drug leading to referral was trastuzumab (29%), and the most prevalent cancer type was breast cancer (42%). Conclusion This Virtual-Hybrid Approach and retrospective review provides guidance and information regarding initiating a brand-new Cardio-Oncology Clinic during the pandemic for cancer patients/survivors. This report also furnishes virtual resources for patients, virtual tools for oncologists, cardiologists, and administrators tasked with starting new clinics during the pandemic, and innovative future directions for this digital pandemic to post-pandemic era.

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The Role and Impact of Social Media in Cardio-oncology During the COVID-19 Pandemic

et al. 2021

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Purpose of Review To give an overview of the role of social media (SoMe) in cardio-oncology during the COVID-19 pandemic. Recent Findings SoMe has been critical in fostering education, outreach, awareness, collaboration, dissemination of information, and advocacy in cardio-oncology. This has become increasingly evident during the COVID-19 pandemic, during which SoMe has helped share best practices, community, and research focused on the impact of COVID-19 in cardiology and hematology/ oncology, with cardio-oncology at the interface of these two subspecialty fields. Summary A strength of SoMe is the ability to amplify a message in real-time, globally, with minimal investment of resources. This has been particularly beneficial for the emerging field of cardio-hematology/cardio-oncology, a field focused on the interplay of cancer and cardiovascular disease. SoMe field especially during the COVID-19 pandemic. We illustrate how social media has supported innovation (including telemedicine), amplification of healthcare workers' voice, and illumination of pre-existing and continued health disparities within the field of cardio-oncology during the pandemic.

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Innovation in Precision Cardio-Oncology During the Coronavirus Pandemic and Into a Post-pandemic World

Cited by 24 publications

References 89 publications

Cardio-oncology Training in the COVID-19 Era

Cardio-oncology Training in the COVID-19 Era

A virtual-hybrid approach to launching a cardio-oncology clinic during a pandemic

The Role and Impact of Social Media in Cardio-oncology During the COVID-19 Pandemic

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