Batalik Ladislav, Filakova Katerina, Radkovcova Ivana, Dosbaba Filip, Winnige Petr, Vlazna Daniela, Batalikova Katerina, Felsoci Marian, Stefanakis Marios, Liska David, Papathanasiou Jannis, Pokorna Andrea, Janikova Andrea, Rutkowski Sebastian, Pepera Garyfallia
Department of Rehabilitation, University Hospital Brno, Brno, Czechia.
Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czechia.
Front Cardiovasc Med. 2022 Apr 15;9:858334. doi: 10.3389/fcvm.2022.858334. eCollection 2022.
The direct toxicity of cancer treatment threatens patients and survivors with an increased risk of cardiovascular disease or adverse functional changes with subsequent progression of cardiovascular complications. An accumulation of cardiovascular risk factors combined with an unhealthy lifestyle has recently become more common in cancer patients and survivors. It has been recommended to integrate a comprehensive cardiac rehabilitation model called cardio-oncology rehabilitation to mitigate cardiovascular risk. Nevertheless, cardiac rehabilitation interventions limit barriers in low utilization, further exacerbated by the restrictions associated with the COVID-19 pandemic. Therefore, it is essential to integrate alternative interventions such as telehealth, which can overcome several barriers. This literature review was designed as a framework for developing and evaluating telehealth interventions and mobile applications for comprehensive cardio-oncology rehabilitation. We identify knowledge gaps and propose strategies to facilitate the development and integration of cardio-oncology rehabilitation telehealth as an alternative approach to the standard of care for cancer patients and survivors. Despite the limited evidence, the pilot results from included studies support the feasibility and acceptability of telehealth and mobile technologies in cardio-oncology rehabilitation. This new area suggests that telehealth interventions are feasible and induce physiological and psychological benefits for cancer patients and survivors. There is an assumption that telehealth interventions and exercise may be an effective future alternative approach in supportive cancer care.
癌症治疗的直接毒性使患者和幸存者面临心血管疾病风险增加或出现不良功能变化以及随后心血管并发症进展的威胁。心血管危险因素的累积与不健康的生活方式相结合，最近在癌症患者和幸存者中变得更加普遍。有人建议采用一种名为心脏肿瘤康复的综合心脏康复模式来降低心血管风险。然而，心脏康复干预措施存在利用率低的障碍，而与2019年冠状病毒病大流行相关的限制进一步加剧了这一问题。因此，整合远程医疗等替代干预措施至关重要，因为它可以克服多个障碍。这篇文献综述旨在为开发和评估用于综合心脏肿瘤康复的远程医疗干预措施和移动应用程序提供一个框架。我们找出了知识空白，并提出了促进心脏肿瘤康复远程医疗的开发和整合的策略，将其作为癌症患者和幸存者护理标准的一种替代方法。尽管证据有限，但纳入研究的初步结果支持了远程医疗在心脏肿瘤康复中的可行性和可接受性。这个新领域表明，远程医疗干预措施是可行的，并且能给癌症患者和幸存者带来生理和心理上的益处。有一种假设认为，远程医疗干预措施和运动可能是未来癌症支持性护理中一种有效的替代方法。
