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Applying the unattainable triangle in cardio-oncology care: Balancing cost, quality, and time

John Hoverson1, Chirag Buch1, Juan Ulloa-Rodriguez1

  • 1Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

Oncotarget
|June 4, 2025
PubMed

Insights

The unattainable triangle model helps balance time, cost, and quality in cardio-oncology. This approach aims to improve cardiovascular care for cancer patients by optimizing resource allocation and collaboration.

Area of Science:

  • Cardio-oncology
  • Health services research
  • Business management principles

Background:

  • Cardio-oncology integrates cardiovascular care with cancer treatment.
  • Cancer patients face increased risks of cardiovascular complications.
  • The specialty struggles to balance timely, high-quality, and cost-effective care.

Purpose of the Study:

  • To explore the application of the unattainable triangle model in cardio-oncology.
  • To identify strategies for optimizing care delivery in this emerging field.
  • To enhance patient outcomes by balancing competing demands.

Main Methods:

  • Conceptual analysis applying the unattainable triangle (time, cost, quality) to cardio-oncology.
  • Discussion of challenges in integrating cardiovascular and cancer care.
  • Proposal for establishing centers of excellence for collaborative care.

Main Results:

  • The unattainable triangle framework highlights inherent tensions in cardio-oncology.
  • Real-time collaboration between oncologists and cardiologists is crucial.
  • Centers of excellence can improve care coordination and resource management.

Conclusions:

  • Applying the unattainable triangle model can guide cardio-oncology practice.
  • Balancing time, cost, and quality is essential for comprehensive patient care.
  • Optimized collaboration and resource utilization can lead to affordable, timely, high-quality cardio-oncology services.

Keywords:
cardio-oncologycardiologyoncologyquality improvement

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