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Journal of the National Cancer Institute Advance Access originally published online on July 29, 2008
JNCI Journal of the National Cancer Institute 2008 100(15):1046-1047; doi:10.1093/jnci/djn241
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© The Author 2008. Published by Oxford University Press.

EDITORIALS

Anthracycline Cardiotoxicity: One Size Does Not Fit All!

Dawn L. Hershman, Alfred I. Neugut

Affiliations of authors: Department of Medicine and Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (DLH, AIN)

Correspondence to: Alfred I. Neugut, MD, PhD, Division of Medical Oncology, Columbia University Medical Center, 722 West 168th Street, Room 725, New York, NY 10032 (e-mail: ain1@columbia.edu).

The first 10% of the full text of this article appears below.

The oncology community has known for more than 30 years that anthracycline-containing chemotherapy improves disease-free and overall survival in patients with breast cancer (1). Despite this, physicians are often reluctant to use it in certain "high-risk" groups, such as the elderly, due to concerns over the risk of short- and long-term cardiotoxicity. Although the risk of cardiotoxicity is dose dependent (2,3), it has been hard to predict which patients are at greatest risk for developing complications from treatment.

Randomized clinical trials are excellent for establishing the efficacy of new therapies by comparing experimental and standard therapies. However, many patients do not qualify for the rigorous entry criteria of most trials, and, thus, . . . [Full Text of this Article]

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