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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.

BMJ Supportive & Palliative Care
|April 28, 2026
PubMed

Insights

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.
Abstract

Keywords:
CancerHeart failureSymptoms and symptom management

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