Cardio-oncology & other

IGHG Recommendations for Anthracycline and Anthraquinone Cardiac Dysfunction Equivalence Ratios After Childhood Cancer: JACC: CardioOncology Expert Panel

JACC CardioOncolPublished Guideline recommendations based on systematic review

Recommendations

As issued by the authors

  1. moderate-quality evidence; strong recommendation

    Risk of cardiac dysfunction is lower with daunorubicin and higher with mitoxantrone vs doxorubicin

  2. low-quality evidence; moderate recommendation

    Use an approximate ratio of 0.6 to convert daunorubicin to a doxorubicin-equivalent dose and a ratio of 10.5 for mitoxantrone

  3. No recommendation for epirubicin or idarubicin due to inconclusive evidence

Original publication

IGHG Recommendations for Anthracycline and Anthraquinone Cardiac Dysfunction Equivalence Ratios After Childhood Cancer: JACC: CardioOncology Expert Panel. JACC CardioOncol. Published 20 June 2025. doi:10.1016/j.jaccao.2025.05.009

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