Table 1.
Cardio-oncology barriers (American College of Cardiology Survey)
| Barriers | Examples | Solutions |
|---|---|---|
| - Lack of national guidelines | - No formal ACC AHA guidelines |
- ASCO guidelines - SCAI documents - ASE EACVI consensus document multimodality imaging |
| - Absence of funding |
- Lack of institutional resources for programs - Lack of research funding |
- Increased institutional awareness based on patient data - Advocacy and engagement with NIH and funding agencies |
| - Limited interest | - Currently less of a problem, given rapid growth of cardio-oncology | - Has been reversed by dedicated committees by the ACC, ASCO, AHA, ESC, BCOS, and others |
| - Limited educational opportunities | - The number of educational activities increased dramatically in the last 5 years |
- ACC Cardio-Oncology Conference, MSKCC, GCOS Annual Conferences - Dedicated ACC, AHA, ASCO, and ESC sessions in scientific meetings - Multiple conferences and webinars - Journals: JACC Cardio-Oncology, and Cardio-Oncology Journal (ICOS) |
ACC, American College of Cardiology; AHA, American Heart Association; ASCO, American Society of Clinical Oncology; SCAI,: Society for Cardiovascular Angiography and Intervention; ASE, American Society of Echocardiography; NIH, National Institutes of Health; ESC, European Society of Cardiology; BCOS, British Cardio-Oncology Society; MSKCC, Memorial Sloan Kettering Cancer Center; GCOS, Global Cardio-Oncology Summit; JACC, Journal of the American College of Cardiology; ICOS, International Cardio-Oncology Society