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Evaluation and management of chemotherapy-induced cardiotoxicity in breast cancer: a Delphi study
Gavila, J; Seguí, MA; Calvo, L; López, T; Alonso, JJ; Farto, M; Sánchez-de la Rosa, R.
Afiliação
  • Gavila, J; Fundación Instituto Valenciano de Oncología. Servicio de Oncología Médica. Valencia. Spain
  • Seguí, MA; Corporació Sanitaria ParcTaulí. Servicio de Oncología Médica. Sabadell. Spain
  • Calvo, L; Complejo Hospitalario Universitario A Coruña. Servicio de Oncología Médica. A Coruña. Spain
  • López, T; Hospital Universitario La Paz. Servicio de Cardiología. Madrid. Spain
  • Alonso, JJ; Hospital Universitario de Getafe. Servicio de Cardiología. Getafe. Spain
  • Farto, M; TEVA Pharma. Medical Department. Madrid. Spain
  • Sánchez-de la Rosa, R; TEVA Pharma. Medical Department. Madrid. Spain
Clin. transl. oncol. (Print) ; 19(1): 91-104, ene. 2017. tab, graf
Artigo em Inglês | IBECS | ID: ibc-159123
Biblioteca responsável: ES1.1
Localização: BNCS
ABSTRACT
Purpose. While much progress has been made in the treatment of breast cancer, cardiac complications resulting from therapy remain a significant concern. Both anthracyclines and novel targeted agents can inflict cardiac damage. The present study aimed to evaluate the difference between what it is currently done and what standards of care should be used to minimizing and managing cardiac toxicity in breast cancer survivors. Methods. A two-round multicenter Delphi study was carried out. The panel consisted of 100 oncologists who were asked to define the elected therapies for breast cancer patients, the clinical definition and patterns of cancer drug-derived cardiac toxicity, and those protocols focused on early detection and monitoring of cardiovascular outcomes. Results. Experts agreed a more recent definition of cardiotoxicity. Around 38 % of patients with early-stage disease, and 51.3 % cases with advanced metastatic breast cancer had preexisting risk factors for cardiotoxicity. Among risk factors, cumulative dose of anthracycline ≥450 mg/m2 and its combination with other anticancer drugs, and a preexisting cardiovascular disease were considered the best predictors of cardiotoxicity. Echocardiography and radionuclide ventriculography have been the proposed methods for monitoring changes in cardiac structure and function. Breast cancer is generally treated with anthracyclines (80 %), so that the panel strongly stated about the need to plan a strategy to managing cardiotoxicity. A decline of left ventricular ejection fraction (LVEF) >10 %, to an LVEF value <53 % was suggested as a criterion for changing the dose schedule of anthracyclines, or suspending the treatment of chemotherapy plus trastuzumab until the normalization of the left ventricular function. The use of liposomal anthracyclines was strongly suggested as a treatment option for breast cancer patients. Conclusions. The present report is the first to produce a set of statements on the prevention, evaluation and monitoring of chemotherapy-induced cardiac toxicity in breast cancer patients (AU)
RESUMEN
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Assuntos

Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Neoplasias da Mama / Antraciclinas / Cardiotoxicidade Tipo de estudo: Ensaio clínico controlado / Estudo de etiologia / Guia de prática clínica / Estudo prognóstico / Estudo de rastreamento Limite: Feminino / Humanos Idioma: Inglês Revista: Clin. transl. oncol. (Print) Ano de publicação: 2017 Tipo de documento: Artigo Instituição/País de afiliação: Complejo Hospitalario Universitario A Coruña/Spain / Corporació Sanitaria ParcTaulí/Spain / Fundación Instituto Valenciano de Oncología/Spain / Hospital Universitario La Paz/Spain / Hospital Universitario de Getafe/Spain / TEVA Pharma/Spain

Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Neoplasias da Mama / Antraciclinas / Cardiotoxicidade Tipo de estudo: Ensaio clínico controlado / Estudo de etiologia / Guia de prática clínica / Estudo prognóstico / Estudo de rastreamento Limite: Feminino / Humanos Idioma: Inglês Revista: Clin. transl. oncol. (Print) Ano de publicação: 2017 Tipo de documento: Artigo Instituição/País de afiliação: Complejo Hospitalario Universitario A Coruña/Spain / Corporació Sanitaria ParcTaulí/Spain / Fundación Instituto Valenciano de Oncología/Spain / Hospital Universitario La Paz/Spain / Hospital Universitario de Getafe/Spain / TEVA Pharma/Spain
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