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The Current Cardio-Oncology Landscape Across Australia
Daniel H Chen1,2,3, Lloyd Butel-Simoes4,5,6,7, Mitchum Bower8,9
1Prince of Wales Hospital, Randwick, Sydney, NSW, 2031, Australia. Daniel.chen1@health.nsw.gov.au.
Cardio-oncology services in Australia are growing but face access challenges, particularly for rural and Indigenous populations. Future priorities include workforce development, education, and equitable outreach to address cardiovascular disease risks in cancer survivors.
Area of Science:
- Cardio-oncology as an emerging medical subspecialty.
- Intersection of oncology and cardiovascular disease (CVD).
Background:
- Cancer therapies improve survival but increase cardiovascular risks in survivors.
- CVD is a leading cause of late mortality in Australian cancer survivors.
- Growing need for specialized cardio-oncology care in Australia.
Purpose of the Study:
- To provide a comprehensive overview of the Australian cardio-oncology landscape.
- To outline the development, achievements, challenges, and future directions of cardio-oncology in Australia.
Main Methods:
- Review of the current state of cardio-oncology services in Australia.
- Analysis of achievements, challenges, and future priorities.
- Inclusion of contributions from national professional societies and research initiatives.
Main Results:
- Cardio-oncology services have evolved from grassroots initiatives to structured clinics.
- Uneven access to services exists, with disparities for rural, remote, and Indigenous populations.
- National societies and registries (e.g., ACOR) are advancing research and guidelines.
Conclusions:
- Key priorities include workforce scaling, integrated education, and expanded telehealth models.
- Addressing health inequities is crucial for underserved populations.
- Future initiatives aim to further develop the cardio-oncology subspecialty in Australia.
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