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Coronary artery disease surveillance among childhood, adolescent and young adult cancer survivors : A systematic review and recommendations from the International Late Effects of Childhood Cancer Guideline Harmonization Group

van Dalen, Elvira C. (författare)
Princess Maxima Ctr Pediat Oncol, Utrecht, Netherlands.
Mulder, Renee L. (författare)
Princess Maxima Ctr Pediat Oncol, Utrecht, Netherlands.
Suh, Eugene (författare)
Loyola Univ, Chicago Hlth Sci Div, Maywood, IL USA.
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Ehrhardt, Matthew J. (författare)
St Jude Childrens Res Hosp, 332 N Lauderdale St, Memphis, TN 38105 USA.
Aune, Gregory J. (författare)
Univ Texas Hlth Sci Ctr San Antonio, Greehey Childrens Canc Res Inst, San Antonio, TX USA.
Bardi, Edit (författare)
Kepler Univ Clin, Dept Pediat, Div Pediat Hematooncol, Linz, Austria.;Med Univ Vienna, St Anna Childrens Hosp, Vienna, Austria.
Benson, Bradley J. (författare)
Univ Minnesota, Sch Med, Minneapolis, MN USA.
Bergler-Klein, Jutta (författare)
Med Univ Vienna, Dept Cardiol, Vienna, Austria.
Chen, Ming H. (författare)
Harvard Med Sch, Boston Childrens Hosp, Dana Farber Canc Inst, Dept Cardiol, Boston, MA USA.
Frey, Eva (författare)
Med Univ Vienna, St Anna Childrens Hosp, Vienna, Austria.
Hennewig, Ulrike (författare)
Univ Hosp Giessen & Marburg, Pediat Hematol & Oncol, Giessen, Germany.
Lockwood, Liane (författare)
Childrens Hlth Queensland Hosp & Hlth Serv, South Brisbane, Qld, Australia.
Martinsson, Ulla (författare)
Uppsala universitet,Experimentell och klinisk onkologi
Muraca, Monica (författare)
IRCCS Ist Giannina Gaslini, Genoa, Italy.
Pal, Helena van der (författare)
Princess Maxima Ctr Pediat Oncol, Utrecht, Netherlands.
Plummer, Chris (författare)
Newcastle Tyne Hosp NHS Fdn Trust, Dept Cardiol, Newcastle Upon Tyne, Tyne & Wear, England.
Scheinemann, Katrin (författare)
Kantonsspital Aarau, Dept Pediat, Div Pediat Hematol & Oncol, Aarau, Switzerland.;Univ Basel, Basel, Switzerland.;McMaster Univ, Hamilton, ON, Canada.;McMaster Childrens Hosp, Hamilton, ON, Canada.
Schindera, Christina (författare)
Univ Bern, Inst Social & Prevent Med, Bern, Switzerland.;Univ Childrens Hosp Basel, Pediat Hematol & Oncol, Basel, Switzerland.
Tonorezos, Emily S. (författare)
NCI, Off Canc Survivorship, Bethesda, MD USA.
Wallace, W. Hamish (författare)
Univ Edinburgh, Royal Hosp Sick Children, Dept Paediat Haematol & Oncol, Edinburgh, Midlothian, Scotland.
Constine, Louis S. (författare)
Univ Rochester, Med Ctr, Rochester, NY USA.
Skinner, Roderick (författare)
Newcastle Univ, Ctr Canc, Newcastle Upon Tyne, Tyne & Wear, England.;Great North Childrens Hosp, Ctr Canc, Newcastle Upon Tyne, Tyne & Wear, England.
Hudson, Melissa M. (författare)
St Jude Childrens Res Hosp, 332 N Lauderdale St, Memphis, TN 38105 USA.
Kremer, Leontien C. M. (författare)
Princess Maxima Ctr Pediat Oncol, Utrecht, Netherlands.;Univ Amsterdam, Amsterdam UMC, Emma Childrens Hosp, Amsterdam, Netherlands.
Levitt, Gill (författare)
Uppsala universitet,Experimentell och klinisk onkologi,Great Ormond St Hosp Children NHS Fdn Trust, Dept Haematol Oncol, London, England.
Mulrooney, Daniel A. (författare)
St Jude Childrens Res Hosp, 332 N Lauderdale St, Memphis, TN 38105 USA.
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Princess Maxima Ctr Pediat Oncol, Utrecht, Netherlands Loyola Univ, Chicago Hlth Sci Div, Maywood, IL USA. (creator_code:org_t)
Elsevier, 2021
2021
Engelska.
Ingår i: European Journal of Cancer. - : Elsevier. - 0959-8049 .- 1879-0852. ; 156, s. 127-137
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: Coronary artery disease (CAD) is a concerning late outcome for cancer survivors. However, uniform surveillance guidelines are lacking. Aim: To harmonise international recommendations for CAD surveillance for survivors of childhood, adolescent and young adult (CAYA) cancers. Methods: A systematic literature review was performed and evidence graded using the Grading of Recommendations, Assessment, Development and Evaluation criteria. Eligibility included English language studies, a minimum of 20 off-therapy cancer survivors assessed for CAD, and 75% diagnosed prior to age 35 years. All study designs were included, and a multidisciplinary guideline panel formulated and graded recommendations. Results: 32 of 522 identified articles met eligibility criteria. The prevalence of CAD ranged from 0 to 72% and was significantly increased compared to control populations. The risk of CAD was increased among survivors who received radiotherapy exposing the heart, especially at doses >15 Gy (moderate-quality evidence). The guideline panel agreed that healthcare providers and CAYA cancer survivors treated with radiotherapy exposing the heart should be counselled about the increased risk for premature CAD. While the evidence is insufficient to support primary screening, monitoring and early management of modifiable cardiovascular risk factors are recommended. Initiation and frequency of surveillance should be based on the intensity of treatment exposures, family history, and presence of co-morbidities but at least by age 40 years and at a minimum of every 5 years. All were strong recommendations. Conclusion: These systematically assessed and harmonised recommendations for CAD surveillance will inform care and guide research concerning this critical outcome for CAYA cancer survivors.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Nyckelord

Coronary artery disease
Childhood
adolescent and young adult cancer survivors
Clinical practice guideline

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