Developing a Comprehensive Cardio-Oncology Program at a Cancer Institute: The Moffitt Cancer Center Experience

Area of Science:

• Cardio-oncology
• Multidisciplinary care
• Oncology
• Cardiology

Background:

• Cardio-oncology addresses cardiovascular complications in cancer patients and survivors.
• Initial focus on anthracycline-induced heart failure; now includes cardiotoxicities from novel anticancer agents (hypertension, arrhythmias, vascular disease).
• Rapid field development with program establishment in academic and community settings.

Purpose of the Study:

• To present experiences establishing a cardio-oncology program at an independent cancer center (Moffitt Cancer Center).
• To provide guidance for developing similar programs at stand-alone cancer institutions.
• To highlight unique opportunities and challenges in establishing such programs.

Main Methods:

• Review of experiences at Moffitt Cancer Center.
• Discussion of resource allocation, cardiovascular testing availability, and provider education.
• Guidance for program development at independent cancer centers.

Main Results:

• Establishing a cardio-oncology program at an independent cancer center involves specific opportunities and challenges.
• Key considerations include resource allocation, access to cardiovascular testing, and provider education.
• The review offers practical insights based on real-world program development.

Conclusions:

• Developing a cardio-oncology program requires a multidisciplinary approach and specialized knowledge of both cardiovascular disease and cancer therapeutics.
• Independent cancer centers face unique hurdles and benefits when establishing these programs.
• Guidance is provided to facilitate the successful creation of cardio-oncology services in similar settings.