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Semin Oncol. 2019 Nov 20. pii: S0093-7754(19)30007-7. doi: 10.1053/j.seminoncol.2019.01.005. [Epub ahead of print]

Helping the cardio-oncologist: from real life to guidelines.

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City of Hope Comprehensive Cancer Center, Duarte, CA.
Department of Haematology, Jagiellonian University, Krakow, Poland.
Abramson Cancer Center and University of Pennsylvania, Philadelphia, PA.
Division of Oncology, University of Eastern Piedmont, Novara, Italy.
Department of Medicine, Campus Bio-Medico University, Rome, Italy. Electronic address:
MD Anderson Cancer Center and University of Texas, Houston, TX.


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.


Cardio-Oncology; Guidelines; Management; Real life; Treatment

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