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International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

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Article

Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology

  • Authors:
    • Leopoldo Pérez De Isla
    • Fernando Moreno
    • Jose Angel Garcia Saez
    • Matias Clavero
    • Nuno Moreno
    • Carlos Aguado De La Rosa
    • Jose Alberto De Agustin
    • Jose Juan Gomez De Diego
    • Miguel Angel Cobos
    • Adriana Saltijeral
    • Carlos Macaya
    • Miguel Angel Garcia‑Fernandez
  • View Affiliations / Copyright

    Affiliations: Department of Cardiology, Clinical Hospital San Carlos, Health Research Institute, San Carlos, 28040 Madrid, Spain, Department of Oncology, Clinical Hospital San Carlos, Health Research Institute, San Carlos, 28040 Madrid, Spain, Department of Cardiology, Hospital del Tajo, 28300 Madrid, Spain
  • Pages: 820-824
    |
    Published online on: April 9, 2015
       https://doi.org/10.3892/mco.2015.543
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Abstract

Certain chemotherapy drugs for breast cancer may induce cardiotoxicity and these patients should be echocardiographically monitored. The performance of a focused echocardiographic evaluation (echoscopy) at the patient's location by a non‑cardiologist appears to be feasible. The aim of the present study was to assess the accuracy of echoscopy performed by medical oncologists in an outpatient clinic using hand‑held echocardiography devices. The study cohort comprised consecutive unselected patients who attended an oncology outpatient clinic. Two medical oncologists attended a one‑week training period, which included theoretical and practical teaching by an expert cardiologist. Every subject underwent two echo examinations. The first examination was performed by an oncologist using a hand‑held echo device and the second was performed by a cardiologist using a ‘premium’ device. Out of the 101 enrolled patients, 32 were men (31.7%) and the mean age was 56.03±16.88 years. There was a good global agreement [intra‑class correlation coefficient (ICC): 0.65 for left ventricular ejection fraction (LVEF)]. When the results were analyzed depending on the period of time when the echo studies were performed, a clear and short learning curve was observed: LVEF started at ICC=0.58 and increased to 0.66 and 0.77 in the second and third period, respectively. There were extremely few clinically significant differences and a learning curve was also evident. In conclusion, cardiac echoscopy performed by an oncologist with a hand‑held device may lead to a similar clinical management as a study performed by an expert cardiologist with a ‘premium’ system in patients under chemotherapy following a short training period.
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Copy and paste a formatted citation
Spandidos Publications style
Pérez De Isla L, Moreno F, Garcia Saez JA, Clavero M, Moreno N, Aguado De La Rosa C, De Agustin JA, Gomez De Diego JJ, Cobos MA, Saltijeral A, Saltijeral A, et al: Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology. Mol Clin Oncol 3: 820-824, 2015.
APA
Pérez De Isla, L., Moreno, F., Garcia Saez, J.A., Clavero, M., Moreno, N., Aguado De La Rosa, C. ... Garcia‑Fernandez, M.A. (2015). Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology. Molecular and Clinical Oncology, 3, 820-824. https://doi.org/10.3892/mco.2015.543
MLA
Pérez De Isla, L., Moreno, F., Garcia Saez, J. A., Clavero, M., Moreno, N., Aguado De La Rosa, C., De Agustin, J. A., Gomez De Diego, J. J., Cobos, M. A., Saltijeral, A., Macaya, C., Garcia‑Fernandez, M. A."Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology". Molecular and Clinical Oncology 3.4 (2015): 820-824.
Chicago
Pérez De Isla, L., Moreno, F., Garcia Saez, J. A., Clavero, M., Moreno, N., Aguado De La Rosa, C., De Agustin, J. A., Gomez De Diego, J. J., Cobos, M. A., Saltijeral, A., Macaya, C., Garcia‑Fernandez, M. A."Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology". Molecular and Clinical Oncology 3, no. 4 (2015): 820-824. https://doi.org/10.3892/mco.2015.543
Copy and paste a formatted citation
x
Spandidos Publications style
Pérez De Isla L, Moreno F, Garcia Saez JA, Clavero M, Moreno N, Aguado De La Rosa C, De Agustin JA, Gomez De Diego JJ, Cobos MA, Saltijeral A, Saltijeral A, et al: Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology. Mol Clin Oncol 3: 820-824, 2015.
APA
Pérez De Isla, L., Moreno, F., Garcia Saez, J.A., Clavero, M., Moreno, N., Aguado De La Rosa, C. ... Garcia‑Fernandez, M.A. (2015). Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology. Molecular and Clinical Oncology, 3, 820-824. https://doi.org/10.3892/mco.2015.543
MLA
Pérez De Isla, L., Moreno, F., Garcia Saez, J. A., Clavero, M., Moreno, N., Aguado De La Rosa, C., De Agustin, J. A., Gomez De Diego, J. J., Cobos, M. A., Saltijeral, A., Macaya, C., Garcia‑Fernandez, M. A."Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology". Molecular and Clinical Oncology 3.4 (2015): 820-824.
Chicago
Pérez De Isla, L., Moreno, F., Garcia Saez, J. A., Clavero, M., Moreno, N., Aguado De La Rosa, C., De Agustin, J. A., Gomez De Diego, J. J., Cobos, M. A., Saltijeral, A., Macaya, C., Garcia‑Fernandez, M. A."Efficacy and learning curve of a hand‑held echocardiography device in an oncology outpatient clinic: Expanding the use of echoscopic heart examination beyond cardiology". Molecular and Clinical Oncology 3, no. 4 (2015): 820-824. https://doi.org/10.3892/mco.2015.543
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