A call to action: implementing cardio-oncology rehabilitation programs for comprehensive patient care

Abstract

[Abstract] Cancer patients face a significantly higher risk of cardiovascular diseases (CVD), with heart disease mortality rates exceeding those in the general population. Cardio-Oncology Rehabilitation (CORe) programs have emerged as a therapeutic tool, incorporating cardiovascular risk assessment, exercise training, and nutritional guidance. Despite evidence supporting the effectiveness of CORe programs in improving functional capacity, muscle mass, strength, and quality of life, their clinical implementation remains limited. CORe programs are designed similarly to traditional cardiac rehabilitation but tailored to meet the specific needs of cancer patients. They generally include three phases: inpatient (risk stratification and health education), outpatient (including supervised and/or telemonitored exercise), and maintenance (long-term support through collaboration with primary care providers and patient associations). Effective collaboration among medical doctors (e.g., cardiologists, oncologists) and physiotherapists is crucial. CORe programs offer effective strategies for managing and preventing CVD in cancer patients through a comprehensive approach to patient care. Ongoing research is essential to confirm their long-term benefits and support wider clinical implementation. CONTRIBUTION OF THE PAPER.