{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:34:15Z","timestamp":1786365255049,"version":"build-2736575974"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"unspecified","delay-in-days":14,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126113614_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Survivors of childhood cancer face an increased lifetime risk of cardiovascular disease related to cancer therapies. While paediatric and adolescent cancer cardio-oncology programmes have expanded in high-income settings, their implementation across Latin America remains poorly characterised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126113614_as2\">\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To describe the current landscape of paediatric and adolescent cardio-oncology care in Latin America, focusing on workforce training, clinical infrastructure, diagnostic resources, follow-up strategies, and research capacity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126113614_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a cross-sectional survey of healthcare professionals involved in the care of paediatric and adolescent oncology patients across Latin America. The questionnaire assessed institutional resources, availability of specialised cardio-oncology services, diagnostic modalities, cardioprotective strategies, survivorship follow-up, and training and research activities. Descriptive analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126113614_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 177 complete surveys were analysed. Most respondents worked in public, tertiary-level institutions. Only 16.4% reported access to cardiologists with formal cardio-oncology training, and 26.0% had a structured cardio-oncology team. While baseline cardiac evaluation was widely performed (77.4%), advanced diagnostic tools such as myocardial strain imaging (35.0%) and cardiac magnetic resonance (22.0%) were infrequently available. Formal long-term cardiovascular follow-up programmes for cancer survivors were present in only 13.6% of institutions, and structured transition to adult cardiology care in 22.0%. Participation in multicentre research and formal training programmes was limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126113614_as5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Paediatric and adolescent cardio-oncology care in Latin America is characterised by substantial heterogeneity and limited formal infrastructure. These findings highlight critical gaps and underscore the need for regional implementation strategies to improve cardiovascular care across the cancer survivorship continuum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126113614","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:26:37Z","timestamp":1781699197000},"page":"1202-1207","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Current landscape of paediatric and young adult cardio-oncology care in Latin America"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2018-5551","authenticated-orcid":false,"given":"Erica Victoria","family":"Stelmaszewski","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/051mda743","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital de Pediatr\u00eda Prof Dr Juan P Garrahan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Biancolini","sequence":"additional","affiliation":[{"name":"Hospital General de Ni\u00f1os Pedro de Elizalde"},{"name":"Sanatorio Sagrado Coraz\u00f3n"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Gonzalez Ortiz","sequence":"additional","affiliation":[{"name":"Asociaci\u00f3n Medica del Centro Medico ABC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Goldsman","sequence":"additional","affiliation":[{"name":"Ricardo Gutierrez Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Arevalo Leal","sequence":"additional","affiliation":[{"name":"Hospital Pediatrico La Misericordia"},{"name":"Hospital Universitario Mayor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga","family":"Maza Caneva","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Cl\u00ednica General del Norte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milena","family":"Prada Casilimas","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Imbanaco Quir\u00f3n salud"},{"name":"Pontificia Universidad Javeriana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7131-5662","authenticated-orcid":false,"given":"Angela","family":"Sardella","sequence":"additional","affiliation":[{"name":"El Hospital de Ninos Ricardo Gutierrez"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3862-7672","authenticated-orcid":false,"given":"Ricardo","family":"Pignatelli","sequence":"additional","affiliation":[{"name":"Texas Children\u2019s Hospital"},{"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"S1047951126113614_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehac244"},{"key":"S1047951126113614_ref7","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15245885"},{"key":"S1047951126113614_ref1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001308"},{"key":"S1047951126113614_ref14","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001174"},{"key":"S1047951126113614_ref18","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-21-1329"},{"key":"S1047951126113614_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2024.08.045"},{"key":"S1047951126113614_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacadv.2022.100155"},{"key":"S1047951126113614_ref13","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000641"},{"key":"S1047951126113614_ref15","first-page":"10","article-title":"Cancer 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