The Crossroads of Geriatric Cardiology and Cardio-Oncology.
Kim-Lien NguyenRami AlrezkPejman G MansourianArash NaeimMatthew B RettigCathy C LeePublished in: Current geriatrics reports (2015)
Cancer and cardiovascular disease (CVD) are two major causes of mortality in older adults. With improved survival and outcomes from cancer and CVD, the role of the geriatrician is evolving. Geriatricians provide key skills to facilitate patient-centered and value-based care in the growing older population of cancer patients (and survivors). Cancer treatment in older adults is particularly injurious with respect to complications stemming from cancer therapy and as well as to CVD related to cancer therapy in the context of physiologic aging. To best meet their natural potential as caregiving leaders, geriatricians must hone skills and insights pertaining to oncologic and cardiovascular care, insights that can inform and enhance key management expertise. In this paper, we will review common chemotherapy and radiation-induced cardiovascular complications, screening recommendations, and advance the concept of a geriatric, cardiology, and oncology collaboration. We assert that geriatricians are well suited to a leadership role in the care of older cardio-oncology patients and in the education of primary care physicians and subspecialists on geriatric principles.
Keyphrases
- palliative care
- cancer therapy
- primary care
- healthcare
- radiation induced
- quality improvement
- cardiovascular disease
- physical activity
- papillary thyroid
- end stage renal disease
- community dwelling
- drug delivery
- middle aged
- risk factors
- chronic kidney disease
- hip fracture
- newly diagnosed
- squamous cell
- type diabetes
- cardiac surgery
- ejection fraction
- pain management
- prognostic factors
- prostate cancer
- young adults
- cardiovascular events
- peritoneal dialysis
- medical students
- coronary artery disease
- childhood cancer
- patient reported outcomes
- risk assessment
- climate change
- cardiovascular risk factors
- acute kidney injury
- patient reported
- locally advanced
- squamous cell carcinoma
- drug induced
- robot assisted
- thoracic surgery