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New research · Oncology
Clinical research in cardiology : official journal of the German Cardiac Society · 1w
Cross-sectionalClinical research in cardiology : official journal of the German Cardiac Society · 2026

Cardio-oncology care in German hospitals: a multicentre inpatient survey of practices, perceptions and guideline gaps.

S Poley, L Payo-Anez, F M Heidrich … S Quick
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OncologyCross-sectional

Only 1.3% of surveyed German hospitals had dedicated cardio-oncology boards despite broad endorsement

Cardio-oncology care in German hospitals: a multicentre inpatient survey of practices, perceptions and guideline gaps.

S Poley … S Quick
Clinical research in cardiology : official journal of the German Cardiac Society · 2026
Background

Cancer therapy-related cardiovascular toxicity (cancer therapy-related cardiovascular toxicity) is a leading non-cancer cause of morbidity and mortality in oncology patients.

Methods

Cross-sectional online survey of 1,435 German hospital departments (February-October 2025).

n = 120 physicians
1.3%
Results
1.3%
very few hospitals had a dedicated joint heart-and-cancer specialist team, despite broad support
n = 120 physicians
More results

Pre-chemotherapy risk stratification was reported by 85.4% of oncologists and gynaecologists, yet cardiologists were involved in only 28-35%, with heterogeneous risk parameters across specialties.

More results

In high-risk patients (anthracyclines plus pre-existing heart failure), gynaecologists monitored significantly less than oncologists at every time point, with 12-month surveillance at 5.3% versus 54.2% (p = 0.001); acute cardiac events were the predominant trigger (36.8%), reflecting reactive rather than proactive practice.

“
Conclusion · 1 of 2

This survey shows that, among participating hospitals, inpatient cardio-oncology care had substantial guideline-practice gaps.

Conclusion · 2 of 2

Structured solutions were broadly endorsed: digital risk-stratification tools, post-treatment surveillance and cardio-oncology boards are concrete implementation targets.

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