Practical approaches to building up a cardiorenal clinic

被引:11
作者
de la Espriella, Rafael [1 ]
Cobo Marcos, Marta [2 ,3 ]
Ronco, Claudio [4 ,5 ,6 ]
Banerjee, Debasish [7 ,8 ]
Gonzalez, Miguel [9 ,10 ]
Luis Gorriz, Jose [9 ,10 ]
Quiroga, Borja [11 ]
Jose Soler, Maria [12 ]
Diez, Javier [3 ,13 ,14 ,15 ]
Nunez, Julio [1 ,3 ,10 ]
机构
[1] Hosp Clin Univ Valencia, Dept Cardiol, Valencia, Spain
[2] Hosp Univ Puerta de Hierro Majadahonda, Dept Cardiol, Madrid, Spain
[3] Ctr Invest Biomed Red Enfermedades Cardiovasc, Madrid, Spain
[4] Univ Padua, Dept Med, Padua, Italy
[5] Int Renal Res Inst Vicenza, Vicenza, Italy
[6] San Bortolo Hosp, Dept Nephrol, Vicenza, Italy
[7] St Georges Univ Hosp Natl Hlth Serv Fdn Trust, Renal & Transplantat Unit, London, England
[8] St Georges Univ London, Mol & Clin Sci Res Inst, Cardiol Clin Acad Grp, London, England
[9] Hosp Clin Univ Valencia, Dept Nephrol, Valencia, Spain
[10] Univ Valencia, Dept Med, Valencia, Spain
[11] Hosp Univ Princesa, Dept Nephrol, Madrid, Spain
[12] Univ Autonoma Barcelona, Vall dHebron Univ Hosp, Vall dHebron Res Inst, Dept Nephrol,Nephrol & Kidney Transplant Res Grp, Barcelona, Spain
[13] Univ Navarra Clin, Dept Cardiol, Pamplona, Spain
[14] Univ Navarra Clin, Dept Nephrol, Pamplona, Spain
[15] Univ Navarra, Ctr Appl Med Res, Program Cardiovasc Dis, Pamplona, Spain
关键词
cardiorenal clinics; cardiorenal disease; cardiorenal program; heart failure; kidney disease; CHRONIC KIDNEY-DISEASE; HEART-FAILURE; SCIENTIFIC STATEMENT; ATRIAL-FIBRILLATION; VASCULAR ACCESS; OUTCOMES; DIALYSIS; CARE; COMORBIDITIES; COMPLICATIONS;
D O I
10.1093/ckj/sfac258
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The population with concomitant heart and kidney disease (often termed 'cardiorenal' disease) is expected to grow, significantly impacting public health and healthcare utilization. Moreover, the cardiorenal nexus encompasses a bidirectional relationship that worsens prognosis and may complicate pharmacological management in often elderly and frail patients. Therefore, a more cohesive multidisciplinary team approach aiming to provide holistic, coordinated and specialized care would be a positive shift towards improving patient outcomes and optimizing healthcare resources. This article aims to define the organizational aspects and key elements for setting up a multidisciplinary cardiorenal clinical program as a potential healthcare model adapted to the particular characteristics of patients with cardiorenal disease.
引用
收藏
页码:780 / 792
页数:13
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