摘要
目的了解中国肿瘤专业及心血管专业医师在临床实践中对肿瘤患者合并心血管疾病的风险管理及对肿瘤心脏病学的知晓情况.方法 2018年10月—12月,采用电子问卷的形式,对全国27个省(自治区/直辖市)的673名肿瘤专业和心血管专业医师进行肿瘤心脏病学相关知识问卷调查,采取SPSS软件进行统计分析.结果 673名医师中,肿瘤专业医师329名,心血管专业医师344名.75.1%的肿瘤专业医师及51.5%的心血管专业医师经常遇到肿瘤患者合并心血管疾病;11.2%的肿瘤专业医师和16.9%的心血管专业医师非常了解肿瘤心脏病学,18.5%的肿瘤专业医师和19.5%的心血管专业医师完全不了解肿瘤心脏病学.86.3%和74.8%的肿瘤专业医师建议患者在抗肿瘤治疗前和治疗中进行心血管疾病风险评估,75.0%和61.0%的心血管专业医师建议患者在抗肿瘤治疗前和治疗中进行心血管疾病风险评估.抗肿瘤治疗结束后2~10年,两个专业的医师对随访评估患者心血管疾病风险的关注度明显下降.96.0%的肿瘤专业医师及86.9%的心血管专业医师支持开设肿瘤心脏病多学科门诊.结论大多数肿瘤专业和心血管专业的医师对肿瘤心脏病学相关知识具有基本的认识和了解,对于肿瘤患者合并心血管疾病风险的管控理念,因医师专业不同,其认知度有不同程度的差别.设立肿瘤心脏病多学科门诊有助于加强学科协作和发展,综合诊治有助于改善患者的临床获益.
Objective To investigate the knowledge of clinicians in department of oncology and cardiology on risk management of cardiovascular disease in cancer patients and onco-cardiology in clinical practice. Method From October to December in 2018, 673 clinicians in department of oncology and cardiology from 27 provinces (autonomous regions/ municipalities) in China were investigated with electronic questionnaire regarding onco-cardiology-related knowledge. SPSS software were used for data analysis. Result Among the 673 clinicians, 329 were oncologists, and 344 were cardiovascular clinicians. 75.1% of oncologists and 51.5% of cardiovascular clinicians often encountered tumor patients with cardiovascular diseases;11.2% of oncologists and 16.9% of cardiovascular clinicians were very familiar with oncocardiology, while 18.5% of oncologists and 19.5% of cardiovascular clinicians had little knowledge about it. 86.3% and 74.4% of oncologists recommended to assess cardiac function before and during anti-tumor treatment, besides, 75.0% and 61.0% of cardiovascular clinicians would advise to perform the same assessment before and during anti-tumor treatment, respectively. Within 2-10 years after the end of anti-tumor treatment, the clinicians of both specialties showed consistently decreased attention to evaluating the cardiovascular risk among cancer patients. 96.0% of oncologists and 86.9% of cardiovascular clinicians supported setting up the multidisciplinary onco-cardiology clinic. Conclusion The majority of oncologists and cardiovascular clinicians possess basic knowledge of onco-cardiology, and their awareness of the risk management and control of cardiovascular disease in cancer patients varies due to different specialties. Setting up onco-cardiology clinic is helpful to strengthen disciplinary cooperation and development, furthermore, comprehensive diagnosis and treatment is beneficial to ensure the clinical benefit of patients.
作者
王延风
刘斌亮
安涛
杨科
孙晓莹
张宇辉
于雷
马飞
WANG Yanfeng;LIU Binliang;AN Tao;YANG Ke;SUN Xiaoying;ZHANG Yuhui;YU Lei;MAFei(Department of Comprehensive Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;Heart Failure Center, National Key Laboratory of Cardiovascular Diseases, National Center for Cardiovascular Diseases/Fuwai Hospital,Chinese Academy of Medical Sciences Peking Union Medical College, Beijing 100037, China;Department of Medical Oncology, Huanxing Cancer Hospital of Chaoyang District, Beijing 100122, China)
出处
《癌症进展》
2019年第14期1642-1646,共5页
Oncology Progress
基金
2017年度北京市朝阳区科技计划项目(CYSF1716)
