Your browser doesn't support javascript.
loading
Enhancing patient outcomes: Integrating electronic cardiology consultation in primary care for cancer patients.
Cinza-Sanjurjo, Sergio; Mazón-Ramos, Pilar; Rey-Aldana, Daniel; Garcia-Vega, David; Portela-Romero, Manuel; Rodríguez-Mañero, Moisés; Sestayo-Fernández, Manuela; Lage-Fernández, Ricardo; López-López, Rafael; González-Juanatey, José R.
Afiliación
  • Cinza-Sanjurjo S; CS Milladoiro, Área Sanitaria Integrada Santiago de Compostela, A Coruña, Spain.
  • Mazón-Ramos P; Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, Spain.
  • Rey-Aldana D; Centro de Investigación Biomédica en Red-Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.
  • Garcia-Vega D; Medicine Department, Santiago de Compostela University, Santiago de Compostela, Spain.
  • Portela-Romero M; Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, Spain.
  • Rodríguez-Mañero M; Centro de Investigación Biomédica en Red-Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.
  • Sestayo-Fernández M; Medicine Department, Santiago de Compostela University, Santiago de Compostela, Spain.
  • Lage-Fernández R; Cardiology Department, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain.
  • López-López R; Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, Spain.
  • González-Juanatey JR; Centro de Investigación Biomédica en Red-Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.
Eur J Clin Invest ; 54(8): e14197, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38519859
ABSTRACT

BACKGROUND:

The prevalence of cancer patients with concomitant cardiovascular (CV) disease is on the rise due to improved cancer prognoses. The aim of this study is to evaluate the long-term outcomes of cancer patients referred to a cardiology department (CD) via primary care using e-consultation.

METHODS:

We analysed data from cancer patients with prior referrals to a CD between 2010 and 2021 (n = 6889) and compared two care models traditional in-person consultations and e-consultations. In e-consultation model, cardiologists reviewed electronic health records (e-consultation) to determine whether the demand could be addressed remotely or necessitated an in-person consultation. We used an interrupted time series regression model to assess outcomes during the two periods (1) time to cardiology consultation, (2) rates of all-cause and CV related hospital admissions and (3) rates of all-cause and CV-related mortality within the first year after the initial consultation or e-consultation at the CD.

RESULTS:

Introduction of e-consultation for cancer patients referred to cardiology care led to a 51.8% reduction (95%CI 51.7%-51.9%) in waiting times. Furthermore, we observed decreased 1-year incidence rates, with incidence rate ratios (iRRs) [IC95%] of .75 [.73-.77] for CV-related hospitalizations, .43 [.42-.44] for all-cause hospitalizations, and .87 [.86-.88] for all-cause mortality.

CONCLUSIONS:

Compared to traditional in-person consultations, an outpatient care program incorporating e-consultation for cancer patients significantly reduced waiting times for cardiology care and demonstrated safety, associated with lower rates of hospital admissions.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Derivación y Consulta / Enfermedades Cardiovasculares / Neoplasias Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Clin Invest Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Derivación y Consulta / Enfermedades Cardiovasculares / Neoplasias Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Clin Invest Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido