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Updated: Jan 31, 2026
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Joining Forces: Establishing a Cardio-oncology Clinic
1Yale University School of Nursing, New Haven, Connecticut.
Journal of the Advanced Practitioner in Oncology
|December 28, 2018
Summary
Cancer survivors face cardiotoxicity risks from chemotherapy. A new cardio-oncology program in a community practice aims to screen and treat cardiovascular disease (CVD) in breast cancer patients, improving quality of life.
Area of Science:
- Cardio-oncology
- Cardiovascular disease in cancer patients
- Chemotherapy-induced cardiotoxicity
Background:
- Increasing cancer survival rates highlight the need to manage chemotherapy's cardiovascular side effects.
- Cardiotoxicity from cancer treatments poses significant risks, yet specific guidelines and programs are lacking.
- Cardiovascular disease (CVD) and cancer frequently co-occur, necessitating integrated care.
Purpose of the Study:
- To develop and implement a cardio-oncology program in a community cardiology practice.
- To address the gap in cardio-oncology services for breast cancer patients at risk of cardiotoxicity.
- To enhance the translation of research into practice using the RE-AIM framework.
Main Methods:
- Collaboration between oncologists and cardiologists.
- Development and implementation of a cardio-oncology program in a suburban community cardiology practice.
- Utilized the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework for guidance.
Main Results:
- Established a cardio-oncology program serving breast cancer patients at risk for cardiotoxicity.
- Demonstrated the feasibility of implementing such a program in a community setting.
- Provided a model for integrating cardio-oncology services to improve patient care.
Conclusions:
- Cardio-oncology programs are crucial for managing cardiovascular risks in cancer patients.
- Community-based cardio-oncology initiatives can effectively bridge the gap in specialized care.
- Integrated care models improve quality of life for cancer survivors by addressing treatment-related toxicities.
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