Conclusions
cancer, cardiovascular disease
CANCER, CARDIOVASCULAR DISEASE, CHILDHOOD CANCER
In this cross-sectional study, adult survivors of childhood cancer at elevated risk for cardiovascular disease had low adherence to recommended cardiac testing and documentation of their risk based on comprehensive review of their primary care offices’ medical records. Acknowledgment of a participant’s increased risk for cardiovascular disease and documentation of a need for late-effects surveillance in the medical record were both independently associated with receipt of cardiac screening at the time of study enrollment. Increasing patients’ and PCPs’ awareness of cardiovascular risks related to cancer therapy and recommendations for surveillance may improve adherence to guideline-recommended care to detect and intervene on cardiovascular disease earlier to impact overall outcomes.