Cardio-oncology organization patterns in Italy: one size does not fit all. Issue 5 (May 2018)

• Record Type: Journal Article
• Authors: Canale, Maria Laura; Lestuzzi, Chiara; Bisceglia, Irma; Vallerio, Paola; Parrini, Iris
• Is Part Of: Journal of cardiovascular medicine. Volume 19:Issue 5(2018:May)
• Publication Date: 2018-05
• Subjects: cardio-oncology -- organization -- pathway; Cardiology -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; Cardiology -- Periodicals; Cardiovascular Diseases -- Periodicals; 616.1005
• DOI: 10.2459/JCM.0000000000000642
• Languages: English
• ISSNs: 1558-2027

Abstract

Abstract : Aims: Cardio-oncology is imposing as the specialty deputed to the management of a large and rapidly increasing population of cancer patients receiving anticancer treatments with cardiovascular side effects or presenting with cardiac and oncological comorbidities. Organization patterns dramatically vary across Italy. Methods: On the behalf of ANMCO, we have analyzed the characteristics of cardio-oncology services across different hospital types in Italy. A questionnaire was sent out to all ANMCO divisions inquiring about inner organization, workload, multidisciplinary team and inter-hospital connections. Results: Ninety-eight centers sent back the questionnaire. We summarize different paths into four reference assistance models (sizes XL, L, M and S) according to hospital characteristics, cardio-oncology population size, specialists availability, local facilities and the hospital-surrounding network. We define sizes of the proposed pathways highlighting the need to tailor the model in each single situation. Conclusion: No single cardio-oncology organization model can be applied to all hospitals. Each center could select the size/model that best fits its organization. Multidisciplinarity and networking play a crucial role.