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应对癌症中的心血管-肾脏-代谢负担

Tackling the Cardio-Kidney-Metabolic Burden in Cancer.

作者信息

Nahle Tarek, Shah Viraj, Kunhiraman Harikrishnan Hyma, Makram Omar M, Ahmed Ola, Yerraguntla Sandeep, Gopu Gaurav, Vy Jenny, Singh Shivam, Borse Tanvi, Kalinsky Kevin, Deswal Anita, Sadler Diego, Chitalia Vipul, Weintraub Neal L, Guha Avirup

机构信息

Division of Cardiology, Department of Medicine, Medical College of Georgia at Augusta University, Augusta, GA, 30912, USA.

Cardio-Oncology Program, Medical College of Georgia at Augusta University, Augusta, GA, 30912, USA.

出版信息

Curr Atheroscler Rep. 2025 Sep 15;27(1):92. doi: 10.1007/s11883-025-01336-5.

Abstract

PURPOSE OF THE REVIEW

This review aims to examine the clinical relevance of cardio-kidney-metabolic syndrome (CKMS) in oncology, highlighting its role as both a preexisting comorbidity and a consequence of cancer treatment. It aims to integrating CKMS staging into personalized cancer care.

RECENT FINDINGS

CKMS is a progressive syndrome marked by dysfunction across cardiovascular, renal, and metabolic systems. Cancer therapies-particularly hormonal agents, immune checkpoint inhibitors, and chemotherapeutics-can accelerate or reveal underlying CKMS through inflammatory and metabolic pathways. Early risk stratification based on CKMS stage enables more effective monitoring, referral, and therapeutic strategies. A stage-based, multidisciplinary approach tailored to cancer type and comorbidity burden is essential for optimizing outcomes. With rising multimorbidity among cancer patients, recognizing and addressing CKMS is increasingly critical. Routine CKMS assessment in oncology offers a pathway for earlier intervention and potentially altering its course. A comprehensive, individualized care model based on CKS stage is necessary to mitigate CKMS-related complications and deliver high-quality, integrated cancer care.

摘要

综述目的

本综述旨在探讨心脏-肾脏-代谢综合征(CKMS)在肿瘤学中的临床相关性,强调其作为一种既存合并症和癌症治疗后果的作用。它旨在将CKMS分期纳入个性化癌症护理中。

最新发现

CKMS是一种以心血管、肾脏和代谢系统功能障碍为特征的进行性综合征。癌症治疗——尤其是激素药物、免疫检查点抑制剂和化疗药物——可通过炎症和代谢途径加速或揭示潜在的CKMS。基于CKMS分期的早期风险分层能够实现更有效的监测、转诊和治疗策略。针对癌症类型和合并症负担量身定制的基于分期的多学科方法对于优化治疗结果至关重要。随着癌症患者中多重合并症的增加,识别和处理CKMS变得越来越关键。肿瘤学中常规的CKMS评估为早期干预和可能改变其病程提供了一条途径。基于CKS分期的全面、个性化护理模式对于减轻CKMS相关并发症和提供高质量的综合癌症护理是必要的。

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