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Patient needs and self-care in cardio-oncology: questionnaire-based survey
Kyohei Daigo1, Yasuyuki Shiraishi2, Maho Inoue3
1Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Cancer patients with cardiovascular disease prioritize cancer concerns over heart health, especially during active treatment. Age also impacts self-care engagement, necessitating tailored cardio-oncology programs.
Area of Science:
- Cardio-oncology
- Patient-centered care
- Chronic disease management
Background:
- Coexistence of cancer and cardiovascular disease (CVD) is increasing.
- Patient self-care perspectives in cardio-oncology are not well understood.
Purpose of the Study:
- Identify patient concerns and self-care needs in cardio-oncology.
- Understand how cancer treatment phase and age influence self-care priorities.
Main Methods:
- Cross-sectional questionnaire survey of 72 patients with cancer and CVD.
- Patients allocated points to cancer vs. CVD concerns and ranked self-care domains.
- Analysis by cancer treatment status (active vs. completed) and age (<70 vs. ≥70 years).
Main Results:
- Cancer concerns were prioritized over CVD concerns (60 vs. 40 points).
- Patients undergoing active cancer treatment emphasized cancer more than those with completed treatment (80 vs. 50 points).
- Symptom management and medication were key self-care domains during active treatment; older age correlated with lower self-care interest.
Conclusions:
- Oncologic priorities generally outweigh cardiovascular ones, particularly during active cancer treatment.
- Age is a significant factor influencing self-care engagement in cardio-oncology.
- Development of phase- and age-sensitive self-care programs is crucial for cardio-oncology patients.
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