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The year 2019 marks 10 years since the initiation of the Cardio-Oncologic activities in Poland. We have seen the birth of Polish expert groups and task forces, several scientific conferences, publications of textbooks and increase in the availability of cardio-oncology services. Nowadays its available in all regions of the country.
In 2009, Grzegorz Opolski, Polish National Consultant in Cardiology, and Maciej Krzakowski, Polish National Consultant in Clinical Oncology have appointed a first Task Force bringing together specialists from both fields in order to prepare two expert documents dedicated to cardio-oncology [1,2]. In 2014, Edyta Płońska-Gościniak suggested to publish the expert consensus statement of the Polish Clinical Forum for Cardiovascular Imaging on the diagnostic imaging in patients with cancer . In 2016, at the initiative of Maciej Krzakowski, the expert paper was prepared regarding recommendations for liposomal doxorubicin in treatment of patients with metastatic breast cancer , at the initiative of Marek Wojtukiewicz, the summary on prevention and treatment of thromboembolic complications in clinical oncology was elaborated , at the initiative of Tomasz Sacha from the Polish Adult Leukemia Group, the expert document was prepared regarding personalized treatment of patients suffering from chronic myeloid leukemia .
In 2012, at the initiative of Wojciech Jurczak, the Polish Lymphoma Research Group (PLRG) established the Cardio-Oncology Section within its structure. The first successive coordinators were chosen Adam Torbicki and Sebastian Szmit. The section focuses on algorithms for diagnostics and prevention of cardiotoxicity based on Polish multi-centre studies [7,8,9,10].
The Polish National Oncology Network brings together 18 hospitals of oncologic profile. The aim of the organization is to develop optimum and comprehensive oncological care in Poland. In 2016, Stanisław Góźdź suggested to establish an Expert Group for Onco-Cardiology. Sebastian Szmit was elected for the position of President and Barbara Sosnowska-Pasiarska – vice-President. From 2016 three annual nation-wide Polish congresses was organized by this Group. Scientific patronage has been provided by Waldemar Banasiak and Adam Torbicki, former Presidents of the Polish Cardiac Society. In 2017, Edyta Płońska-Gościniak and co-researchers published first results of the Polish multicenter study "ONCO-ECHO" performed as parts of scientific activities of the Echocardiography Section of the Polish Cardiac Society [11,12].
The Centre of Postgraduate Medical Education (CMKP) is a Polish medical academic institution responsible for preparation of programmes and conducting as well as coordinating postgraduate medical education in Poland. The Cardio-Oncology educational activity of CMKP includes: „Oncology in Cardiology” - obligatory courses within specialty program in cardiology (the current scientific director of the course is Sebastian Szmit) and „Basics of Cardio-Oncology” – obligatory lectures during introductory and summarizing courses of the specialization in internal medicine and clinical oncology. The 2016 ESC Position Paper on cancer treatments and cardiovascular toxicity was translated immediately into Polish and presented on the Polish Heart Journal website two months after publication in the European Heart Journal . This fact documents the promotion of cardio-oncology by the Polish Cardiac Society and coordination with European standards. In the period of 2017-2018, three cardio-oncology educational books were published in Poland [14,15,16]. The latest is a unique, pioneer monograph, the world’s first compendium of knowledge on cancer patients with hypertension, co-written by a multidisciplinary and multi-centre team with great activity of experts of the Polish Society of Hypertension.
According to the updated data of the Polish National Oncology Network from 2018, the Cardio-Oncology (C-O) service is carried out by 50 cardiologists, working alone or within teams. As part of research and development institutes, universities, regional cancer centers and smaller, private centers C-O services are available in 21 cities in each region of Poland for outpatient care and hospital consultations including public centers of the National Polish Oncology Network. There are two main forms of C-O services organization:
On March 27th, 2019, the National Council of Oncology at the Ministry of Health proposed to implement the following solutions for the development of Cardio-Oncology in Poland:
Opole Oncology Centre & University Hospital, Opole, Poland
Maria Skłodowska-Curie Memorial Cancer Centre & Institute of Oncology, Warsaw, Poland
Centre of Postgraduate Medical Education & European Health Centre, Otwock, Poland
Medical University of Warsaw, Warsaw, Poland
Our mission: To reduce the burden of cardiovascular disease.
© 2019 European Society of Cardiology. All rights reserved.