关键词: cancer survivorship cardiomyopathy disparities patient education prostate cancer provider education risk factor risk prediction screening women's oncology

来  源:   DOI:10.1016/j.jaccao.2024.03.010   PDF(Pubmed)

Abstract:
Cardiovascular and cancer outcomes intersect within the realm of cardio-oncology survivorship care, marked by disparities across ethnic, racial, social, and geographical landscapes. Although the clinical community is increasingly aware of this complex issue, effective solutions are trailing. To attain substantial public health impact, examinations of cancer types and cardiovascular risk mitigation require complementary approaches that elicit the patient\'s perspective, scale it to a population level, and focus on actionable population health interventions. Adopting such a multidisciplinary approach will deepen our understanding of patient awareness, motivation, health literacy, and community resources for addressing the unique challenges of cardio-oncology. Geospatial analysis aids in identifying key communities in need within both granular and broader contexts. In this review, we delineate a pathway that navigates barriers from individual to community levels. Data gleaned from these perspectives are critical in informing interventions that empower individuals within diverse communities and improve cardio-oncology survivorship.
摘要:
心血管和癌症结果在心脏肿瘤生存护理领域相交,以种族差异为标志,种族,社会,和地理景观。尽管临床界越来越意识到这个复杂的问题,有效的解决方案正在落后。为了实现重大的公共卫生影响,癌症类型的检查和心血管风险缓解需要互补的方法来引出患者的观点,将其扩展到人口水平,并专注于可行的人群健康干预措施。采用这种多学科方法将加深我们对患者意识的理解,动机,健康素养,和社区资源,以解决心脏肿瘤学的独特挑战。地理空间分析有助于在粒度和更广泛的背景下确定需要的关键社区。在这次审查中,我们描绘了一条从个人到社区层面的障碍。从这些角度收集的数据对于告知干预措施至关重要,这些干预措施可以增强不同社区内的个人能力并改善心脏肿瘤的生存率。
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