关键词: Cardio-Oncology Guidelines Management Real life Treatment

Mesh : Antineoplastic Combined Chemotherapy Protocols / adverse effects therapeutic use Cardiotoxicity Cardiovascular Diseases / diagnosis etiology prevention & control therapy Disease Management Humans Molecular Targeted Therapy / adverse effects methods Neoplasms / complications therapy Oncologists Physician's Role Practice Guidelines as Topic Radiotherapy / adverse effects methods

来  源:   DOI:10.1053/j.seminoncol.2019.01.005   PDF(Sci-hub)

Abstract:
Guidelines for the diagnosis, management, and surveillance of cancer patients have evolved with the single goal of improving patient care based on established data when available, or in the absence of firm data, on the standard practices of those with broad experience in actual hands-on patient care. Two initiatives intended to disseminate information to cardio-oncologists, were discussed in this session: the first, from the American Society of Clinical Oncology was focused on available data and the confidence level of that data; the second, from The European Society of Cardiology was a position paper. Interestingly, notwithstanding the somewhat different focus, there is considerable agreement between these two initiatives. Nevertheless, guidelines my not be applicable to all afflicted patients, and may raise questions as to when deviations from published standards should be considered. Such deviations may result in allegations of failure to meet standards of care or legal liability.
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