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2. Information and consensus document for the detection and management of chronic kidney disease

Author

García-Maset, Rafael, Bover, Jordi, Segura de la Morena, Julián, Goicoechea Diezhandino, Marian, Cebollada del Hoyo, Jesús, Escalada San Martin, Javier, Fácila Rubio, Lorenzo, Gamarra Ortiz, Javier, García-Donaire, Jose A., García-Matarín, Lisardo, Gràcia Garcia, Sílvia, Isabel Gutiérrez Pérez, María, Hernández Moreno, Julio, Mazón Ramos, Pilar, Montañés Bermudez, Rosario, Muñoz Torres, Manuel, de Pablos-Velasco, Pedro, Pérez-Maraver, Manuel, Suárez Fernández, Carmen, Tranche Iparraguirre, Salvador, and Luis Górriz, José

Published
2022
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3. Documento de información y consenso para la detección y manejo de la enfermedad renal crónica

Author

García-Maset, Rafael, Bover, Jordi, Segura de la Morena, Julián, Goicoechea Diezhandino, Marian, Cebollada del Hoyo, Jesús, Escalada San Martín, Javier, Fácila Rubio, Lorenzo, Gamarra Ortiz, Javier, García-Donaire, Jose A., García-Matarín, Lisardo, Gràcia Garcia, Sílvia, Gutiérrez Pérez, María Isabel, Hernández Moreno, Julio, Mazón Ramos, Pilar, Montañés Bermudez, Rosario, Muñoz Torres, Manuel, Pablos-Velasco, Pedro de, Pérez-Maraver, Manuel, Suárez Fernández, Carmen, Tranche Iparraguirre, Salvador, Górriz, José Luis, Segura, Julián, Goicoechea, Marian, Isabel Gutiérrez Pérez, María, Pedro de Pablos-Velasco, and Luis Górriz, José

Published
2022
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4. Transforming Cardiotoxicity Detection in Cancer Therapies: The Promise of MicroRNAs as Precision Biomarkers.

Author

Moscoso, Isabel, Rodríguez-Mañero, Moisés, Cebro-Márquez, María, Vilar-Sánchez, Marta E., Serrano-Cruz, Valentina, Vidal-Abeijón, Iria, Martínez-Monzonís, María Amparo, Mazón-Ramos, Pilar, Pedreira, Milagros, González-Juanatey, José Ramón, and Lage, Ricardo

Subjects
GLOBAL longitudinal strain, NON-coding RNA, GENE expression, HEART injuries, PATHOLOGICAL physiology
Abstract

Cardiotoxicity (CDTX) is a critical side effect of many cancer therapies, leading to increased morbidity and mortality if not addressed. Early detection of CDTX is essential, and while echocardiographic measures like global longitudinal strain offer promise in identifying early myocardial dysfunction, the search for reliable biomarkers continues. MicroRNAs (miRNAs) are emerging as important non-coding RNA molecules that regulate gene expression post-transcriptionally, influencing key biological processes such as the cell cycle, apoptosis, and stress responses. In cardiovascular diseases, miRNAs have demonstrated potential as biomarkers due to their stability in circulation and specific expression patterns that reflect pathological changes. Certain miRNAs have been linked to CDTX and hold promise for early detection, prognosis, and therapeutic targeting. These miRNAs not only assist in identifying early cardiac injury, but also offer opportunities for personalized interventions by modulating their expression to influence disease progression. As research advances, integrating miRNA profiling with traditional diagnostic methods could enhance the management of CDTX in cancer patients, paving the way for improved patient outcomes and more tailored therapeutic strategies. Further clinical studies are essential to validate the clinical utility of miRNAs in managing CDTX. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Stratification and management of cardiovascular risk in cancer patients. A consensus document of the SEC, FEC, SEOM, SEOR, SEHH, SEMG, AEEMT, AEEC, and AECC

Author

Martín García, Ana, Mitroi, Cristina, Mazón Ramos, Pilar, García Sanz, Ramón, Virizuela, Juan Antonio, Arenas, Meritxell, Egocheaga Cabello, Isabel, Albert, Dimpna, Anguita Sánchez, Manuel, Arrarte Esteban, Vicente Ignacio, Ayala de la Peña, Francisco, Bonanand Lozano, Clara, Castro, Almudena, Castro Fernández, Antonio, Córdoba, Raúl, Cosín-Sales, Juan, Chaparro-Muñoz, Marinela, Dalmau, Regina, Drak Hernández, Yasmin, Deiros Bronte, Lucía, Díez-Villanueva, Pablo, Escobar Cervantes, Carlos, Fernández Redondo, Concepción, García Rodríguez, Estíbaliz, Lozano, Teresa, Marco Vera, Pascual, Martínez Monzonis, Amparo, Mesa, Dolores, Oristrell, Gerard, Palma Gámiz, José Luis, Pedreira, Milagros, Reinoso-Barbero, Luis, Rodríguez, Isabel, Serrano Antolín, José María, Toral, Belén, Torres Royo, Laura, Velasco del Castillo, Sonia, Vicente-Herrero, Teófila, Zatarain-Nicolás, Eduardo, Tamargo, Juan, and López Fernández, Teresa

Published
2021
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9. Estratificación, monitorización y control del riesgo cardiovascular en pacientes con cáncer. Documento de consenso de SEC, FEC, SEOM, SEOR, SEHH, SEMG, AEEMT, AEEC y AECC

Author

Martín García, Ana, Mitroi, Cristina, Mazón Ramos, Pilar, García Sanz, Ramón, Virizuela, Juan Antonio, Arenas, Meritxell, Egocheaga Cabello, Isabel, Albert, Dimpna, Anguita Sánchez, Manuel, Arrarte Esteban, Vicente Ignacio, Ayala de la Peña, Francisco, Bonanand Lozano, Clara, Castro, Almudena, Castro Fernández, Antonio, Córdoba, Raúl, Cosín-Sales, Juan, Chaparro-Muñoz, Marinela, Dalmau, Regina, Drak Hernández, Yasmin, Deiros Bronte, Lucía, Díez-Villanueva, Pablo, Escobar Cervantes, Carlos, Fernández Redondo, Concepción, García Rodríguez, Estíbaliz, Lozano, Teresa, Marco Vera, Pascual, Martínez Monzonis, Amparo, Mesa, Dolores, Oristrell, Gerard, Palma Gámiz, José Luis, Pedreira, Milagros, Reinoso-Barbero, Luis, Rodríguez, Isabel, Serrano Antolín, José María, Toral, Belén, Torres Royo, Laura, Velasco del Castillo, Sonia, Vicente-Herrero, Teófila, Zatarain-Nicolás, Eduardo, Tamargo, Juan, and López Fernández, Teresa

Published
2021
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10. Enhancing patient outcomes: Integrating electronic cardiology consultation in primary care for cancer patients

Author

Universidade de Santiago de Compostela. Centro de Investigación en Medicina Molecular e Enfermidades Crónicas, Universidade de Santiago de Compostela. Departamento de Bioquímica e Bioloxía Molecular, Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, González‐Juanatey, José R., 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 Ramón, Universidade de Santiago de Compostela. Centro de Investigación en Medicina Molecular e Enfermidades Crónicas, Universidade de Santiago de Compostela. Departamento de Bioquímica e Bioloxía Molecular, Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, González‐Juanatey, José R., 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, and González Juanatey, José Ramón

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

Published
2024

11. Enhancing patient outcomes: Integrating electronic cardiology consultation in primary care for cancer patients.

Author

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, and González‐Juanatey, José R.

Subjects
*CANCER patients, *CARDIOLOGY, *ELECTRONIC health records, *CANCER prognosis, *CANCER patient care, *OUTPATIENT medical care
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. [ABSTRACT FROM AUTHOR]

Published
2024
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13. Atrial Fibrillation in Active Cancer Patients: Expert Position Paper and Recommendations

Author

Marín, Francisco, López-Sendón, José Luis, Zamorano, José Luis, López-Fernández, Teresa, Martín-García, Ana, Roldán Rabadán, Inmaculada, Mitroi, Cristina, Mazón Ramos, Pilar, Díez-Villanueva, Pablo, Escobar Cervantes, Carlos, Alonso Martín, Concepción, Alonso Salinas, Gonzalo Luis, Arenas, Meritxell, Arrarte Esteban, Vicente Ignacio, Ayala de La Peña, Francisco, Castro Fernández, Antonio, García Pardo, Héctor, García-Sanz, Ramón, González Porras, José Ramón, López de Sá, Esteban, Lozano, Teresa, Marco Vera, Pascual, Martínez Marín, Virginia, Mesa Rubio, Dolores, Montero, Ángel, Oristrell, Gerard, Pérez de Prado, Armando, Velasco del Castillo, Sonia, Virizuela Echaburu, Juan Antonio, Zatarain-Nicolás, Eduardo, Anguita Sánchez, Manuel, and Tamargo Menéndez, Juan

Published
2019
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14. Abordaje de la fibrilación auricular en pacientes con cáncer activo. Documento de consenso de expertos y recomendaciones

Author

Marín, Francisco, López-Sendón, José Luis, Zamorano, José Luis, López-Fernández, Teresa, Martín-García, Ana, Roldán Rabadán, Inmaculada, Mitroi, Cristina, Mazón Ramos, Pilar, Díez-Villanueva, Pablo, Escobar Cervantes, Carlos, Alonso Martín, Concepción, Alonso Salinas, Gonzalo Luis, Arenas, Meritxell, Arrarte Esteban, Vicente Ignacio, Ayala de La Peña, Francisco, Castro Fernández, Antonio, García Pardo, Héctor, García-Sanz, Ramón, González Porras, José Ramón, López de Sá, Esteban, Lozano, Teresa, Marco Vera, Pascual, Martínez Marín, Virginia, Mesa Rubio, Dolores, Montero, Ángel, Oristrell, Gerard, Pérez de Prado, Armando, Velasco del Castillo, Sonia, Virizuela Echaburu, Juan Antonio, Zatarain-Nicolás, Eduardo, Anguita Sánchez, Manuel, and Tamargo Menéndez, Juan

Published
2019
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17. Cost Analysis of Magnetic Resonance Imaging and Computed Tomography in Cardiology: A Case Study of a University Hospital Complex in the Euro Region

Author

Reyes-Santias, Francisco, primary, García-García, Carlos, additional, Aibar-Guzmán, Beatriz, additional, García-Campos, Ana, additional, Cordova-Arevalo, Octavio, additional, Mendoza-Pintos, Margarita, additional, Cinza-Sanjurjo, Sergio, additional, Portela-Romero, Manuel, additional, Mazón-Ramos, Pilar, additional, and Gonzalez-Juanatey, Jose Ramon, additional

Published
2023
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18. Cardio-Onco-Hematology in Clinical Practice. Position Paper and Recommendations

Author

López-Fernández, Teresa, Martín García, Ana, Santaballa Beltrán, Ana, Montero Luis, Ángel, García Sanz, Ramón, Mazón Ramos, Pilar, Velasco del Castillo, Sonia, López de Sá Areses, Esteban, Barreiro-Pérez, Manuel, Hinojar Baydes, Rocío, Pérez de Isla, Leopoldo, Valbuena López, Silvia Cayetana, Dalmau González-Gallarza, Regina, Calvo-Iglesias, Francisco, González Ferrer, Juan José, Castro Fernández, Antonio, González-Caballero, Eva, Mitroi, Cristina, Arenas, Meritxell, Virizuela Echaburu, Juan Antonio, Marco Vera, Pascual, Íñiguez Romo, Andrés, Zamorano, José Luis, Plana Gómez, Juan Carlos, and López Sendón Henchel, José Luis

Published
2017
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19. Cardio-Onco-Hematología en la práctica clínica. Documento de consenso y recomendaciones

Author

López-Fernández, Teresa, Martín García, Ana, Santaballa Beltrán, Ana, Montero Luis, Ángel, García Sanz, Ramón, Mazón Ramos, Pilar, Velasco del Castillo, Sonia, López de Sá Areses, Esteban, Barreiro-Pérez, Manuel, Hinojar Baydes, Rocío, Pérez de Isla, Leopoldo, Valbuena López, Silvia Cayetana, Dalmau González-Gallarza, Regina, Calvo-Iglesias, Francisco, González Ferrer, Juan José, Castro Fernández, Antonio, González-Caballero, Eva, Mitroi, Cristina, Arenas, Meritxell, Virizuela Echaburu, Juan Antonio, Marco Vera, Pascual, Íñiguez Romo, Andrés, Zamorano, José Luis, Plana Gómez, Juan Carlos, and López Sendón Henchel, José Luis

Published
2017
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20. Gender differences on healthcare accessibility and outcomes of a electronic inter-clinician consultation program at the cardiology department in a Galician Health Area

Author

Universidade de Santiago de Compostela. Departamento de Bioquímica e Bioloxía Molecular, Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, Mazón Ramos, Pilar, Rey Aldana, Daniel, Garcia Vega, David, Portela Romero, Manuel, Rodríguez Mañero, Moisés, Lage Fernández, Ricardo, Cinza Sanjurjo, Sergio, González Juanatey, José Ramón, Universidade de Santiago de Compostela. Departamento de Bioquímica e Bioloxía Molecular, Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, Mazón Ramos, Pilar, Rey Aldana, Daniel, Garcia Vega, David, Portela Romero, Manuel, Rodríguez Mañero, Moisés, Lage Fernández, Ricardo, Cinza Sanjurjo, Sergio, and González Juanatey, José Ramón

Abstract

Aims To assess the longer-term results (hospital admissions and mortality) in women versus men referred to a cardiology department from primary care using an e-consultation in our outpatient care programme. Methods We selected 61,306 patients (30,312 women and 30,994 men) who visited the cardiology service at least once between 2010 and 2021: 69.1% (19,997 women and 20,462 men) were attended in e-consultation (from 2013 to 2021) and 30.9% (8920 women and 9136 men) in in-person consultations (from 2010 to 2012) without gender differences in the proportion of patients attended in each period. Using an interrupted time series regression model, we analysed the impact of incorporating e-consultation into the healthcare model and evaluated the elapsed time to cardiology care, heart failure (HF), cardiovascular (CV), and all-cause hospital admissions and mortality during the one-year after cardiology consultation. Results The introduction of e-consultation substantially decreased waiting times to cardiology care; during the in-person consultation period, the mean delay for cardiology care was 57.9 (24.8) days in men and 55.8 (22.8) days in women. During the e-consultation period, the waiting time to cardiology care was markedly reduced to 9.41 (4.02) days in men and 9.46 (4.18) in women. After e-consultation implantation, there was a significant reduction in the 1-year rate of hospital admissions and mortality, both in women and men iRR [IC 95%]: 0.95 [0.93–0.96] for HF, 0.90 [0.89–0.91] for CV and 0.70 [0.69–0.71] for all-cause hospitalization; and 0.93 [0.92–0.95] for HF, 0.86 [0.86–0.87] for CV and 0.88 [0.87–0.89] for all-cause mortality in women; and 0.91 [0.89–0.92] for HF, 0.90 [0.89–0.91] for CV and 0.72 [0.71–0.73] for all-cause hospitalization; and 0.96 [0.93–0.97] for HF, 0.87 [95% CI: 0.86–0.87] for CV and 0.87 [0.86–0.87] for all-cause mortality, in men. Conclusion Compared with the in-person consultation period, an outpatient care programme that includes an e

Published
2023

21. A clinician-to-clinician universal electronic consultation programme at the cardiology department of a Galician healthcare area improves healthcare accessibility and outcomes in elderly patients

Author

Mazón-Ramos, Pilar, primary, Cinza-Sanjurjo, Sergio, additional, Garcia-Vega, David, additional, Portela-Romero, Manuel, additional, Sanmartin-Pena, Juan C, additional, Rey-Aldana, Daniel, additional, Martínez Monzonís, Amparo, additional, Espasandín-Domínguez, Jenifer, additional, Gude-Sampedro, Francisco, additional, and González-Juanatey, José R, additional

Published
2023
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24. The impact of inter‐clinician electronic consultation in patients diagnosed with atrial fibrillation in primary care

Author

Mazón‐Ramos, Pilar, primary, Cinza‐Sanjurjo, Sergio, additional, Garcia‐Vega, David, additional, Portela‐Romero, Manuel, additional, Rodríguez‐Mañero, Moisés, additional, Rey‐Aldana, Daniel, additional, Morandeira, Agustín Pía, additional, Lage‐Fernández, Ricardo, additional, Gude‐Sampedro, Francisco, additional, and González‐Juanatey, José R., additional

Published
2022
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25. Gender differences on healthcare accessibility and outcomes of a electronic inter‐clinician consultation program at the cardiology department in a Galician Health Area.

Author

Mazón‐Ramos, Pilar, Rey‐Aldana, Daniel, Garcia‐Vega, David, Portela‐Romero, Manuel, Rodríguez‐Mañero, Moisés, Lage‐Fernández, Ricardo, Cinza‐Sanjurjo, Sergio, and González‐Juanatey, José R.

Subjects
*GENDER differences (Sociology), *HEALTH services accessibility, *CARDIOLOGY, *HOSPITAL mortality, *WOMEN'S mortality, *MEDICAL care wait times
Abstract

Aims: To assess the longer‐term results (hospital admissions and mortality) in women versus men referred to a cardiology department from primary care using an e‐consultation in our outpatient care programme. Methods: We selected 61,306 patients (30,312 women and 30,994 men) who visited the cardiology service at least once between 2010 and 2021: 69.1% (19,997 women and 20,462 men) were attended in e‐consultation (from 2013 to 2021) and 30.9% (8920 women and 9136 men) in in‐person consultations (from 2010 to 2012) without gender differences in the proportion of patients attended in each period. Using an interrupted time series regression model, we analysed the impact of incorporating e‐consultation into the healthcare model and evaluated the elapsed time to cardiology care, heart failure (HF), cardiovascular (CV), and all‐cause hospital admissions and mortality during the one‐year after cardiology consultation. Results: The introduction of e‐consultation substantially decreased waiting times to cardiology care; during the in‐person consultation period, the mean delay for cardiology care was 57.9 (24.8) days in men and 55.8 (22.8) days in women. During the e‐consultation period, the waiting time to cardiology care was markedly reduced to 9.41 (4.02) days in men and 9.46 (4.18) in women. After e‐consultation implantation, there was a significant reduction in the 1‐year rate of hospital admissions and mortality, both in women and men iRR [IC 95%]: 0.95 [0.93–0.96] for HF, 0.90 [0.89–0.91] for CV and 0.70 [0.69–0.71] for all‐cause hospitalization; and 0.93 [0.92–0.95] for HF, 0.86 [0.86–0.87] for CV and 0.88 [0.87–0.89] for all‐cause mortality in women; and 0.91 [0.89–0.92] for HF, 0.90 [0.89–0.91] for CV and 0.72 [0.71–0.73] for all‐cause hospitalization; and 0.96 [0.93–0.97] for HF, 0.87 [95% CI: 0.86–0.87] for CV and 0.87 [0.86–0.87] for all‐cause mortality, in men. Conclusion: Compared with the in‐person consultation period, an outpatient care programme that includes an e‐consultation significantly reduced waiting time to cardiology care and was safe, with a lower rate of hospital admissions and mortality in the first year, without significative gender differences. [ABSTRACT FROM AUTHOR]

Published
2023
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26. An electronic consultation program impacts on heart failure patients' prognosis: implications for heart failure care

Author

Mazón‐Ramos, Pilar, primary, Álvarez‐Álvarez, Belén, additional, Ameixeiras‐Cundins, Cristina, additional, Portela‐Romero, Manuel, additional, Garcia‐Vega, David, additional, Rigueiro‐Veloso, Pedro, additional, Rey‐Aldana, Daniel, additional, Lage‐Fernández, Ricardo, additional, Cinza‐Sanjurjo, Sergio, additional, and González‐Juanatey, José R., additional

Published
2022
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27. The impact of inter-clinician electronic consultation in patients diagnosed with atrial fibrillation in primary care

Author

Universidade de Santiago de Compostela. Departamento de Bioquímica e Bioloxía Molecular, Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, Mazón Ramos, Pilar, Cinza Sanjurjo, Sergio, Garcia Vega, David, Portela Romero, Manuel, Rodríguez Mañero, Moisés, Rey Aldana, Daniel, Pía Morandeira, Agustín, Lage Fernández, Ricardo, Gude Sampedro, Francisco, González Juanatey, José Ramón, Universidade de Santiago de Compostela. Departamento de Bioquímica e Bioloxía Molecular, Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, Mazón Ramos, Pilar, Cinza Sanjurjo, Sergio, Garcia Vega, David, Portela Romero, Manuel, Rodríguez Mañero, Moisés, Rey Aldana, Daniel, Pía Morandeira, Agustín, Lage Fernández, Ricardo, Gude Sampedro, Francisco, and González Juanatey, José Ramón

Abstract

Background An early diagnosis and early initiation of oral anticoagulants (OAC) are main determinants for outcomes in patients with atrial fibrillation (AF). Inter-clinician electronic consultations (e-consultations) program for the general practitioner referrals to cardiologist may improve health care access by reducing the elapsed time for cardiology care. Objective To evaluate the effect of a reduced elapsed time to care after a inter-clinician e-consultations program implementation (2013–2019) in comparison with previous in-person consultation (2010–2012) in the outpatient health care management in a Cardiology Department. Methodology We included 10,488 patients with AF from 1 January 2010, to 31 December 2019. Until 2012, all patients attended an in-person consultation (2010–2012). In 2013, we instituted an e-consult program (2013–2019) for all primary care referrals to cardiologists that preceded patient's in-person consultation when considered. The shared electronic patient dossier (EPD) was available between GP and cardiologist, and any change in therapy advice from cardiologist was directly implemented in this EPD. Results During the e-consultation period (2013–2019) were referred 6627 patients by GPs to cardiology versus 3861 during the in-person consultation (2010–2012). The e-consultation implementation was associated with a reduction in the elapsed time to anticoagulation prescription (177.6 ± 8.9 vs. 22.5 ± 8.1 days, p < .001), and an increase of OAC use (61% [95% IC: 19.6%–102.4%], p < .001). The e-consult program implementation was associated with a reduction in the 1-year CV mortality (.48 [95% CI: .30–.75]) and all-cause mortality (.42 [95% CI: .29–.62]). The OAC reduces the stroke mortality (.15 [95% CI: .06–.39]) and CV mortality (.43 [95% CI: .29–.62]) and all-cause mortality (.23 [95% CI: .17–.31]). Conclusion A shared EPD-based inter-clinician e-consultation program significantly reduced the elapsed time for cardiology consultation and initiat

Published
2022

28. Comprehensive Cardiovascular and Renal Protection in Patients with Type 2 Diabetes.

Author

Castro Conde, Almudena, Marzal Martín, Domingo, Campuzano Ruiz, Raquel, Fernández Olmo, Maria Rosa, Morillas Ariño, Carlos, Gómez Doblas, Juan José, Gorriz Teruel, Jose Luis, Mazón Ramos, Pilar, García-Moll Marimon, Xavier, Soler Romeo, Maria Jose, León Jiménez, David, Arrarte Esteban, Vicente, Obaya Rebollar, Juan Carlos, Escobar Cervantes, Carlos, and Gorgojo Martínez, Juan J.

Subjects
TYPE 2 diabetes, RENIN-angiotensin system, CARDIOVASCULAR agents, DRUGS, MEDICAL care
Abstract

Type 2 diabetes (T2DM) is one of the main public health care problems worldwide. It is associated with a marked increased risk of developing atherosclerotic vascular disease, heart failure, chronic kidney disease and death. It is essential to act during the early phases of the disease, through the intensification of lifestyle changes and the prescription of those drugs that have been shown to reduce these complications, with the aim not only of achieving an adequate metabolic control, but also a comprehensive vascular risk control. In this consensus document, developed by the different specialists that treat these patients (endocrinologists, primary care physicians, internists, nephrologists and cardiologists), a more appropriate approach in the management of patients with T2DM or its complications is provided. A particular focus is given to the global control of cardiovascular risk factors, the inclusion of weight within the therapeutic objectives, the education of patients, the deprescription of those drugs without cardiovascular benefit, and the inclusion of GLP-1 receptor agonists and SGLT2 inhibitors as cardiovascular protective drugs, at the same level as statins, acetylsalicylic acid, or renin angiotensin system inhibitors. [ABSTRACT FROM AUTHOR]

Published
2023
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31. The impact of inter‐clinician electronic consultation in patients diagnosed with atrial fibrillation in primary care.

Author

Mazón‐Ramos, Pilar, Cinza‐Sanjurjo, Sergio, Garcia‐Vega, David, Portela‐Romero, Manuel, Rodríguez‐Mañero, Moisés, Rey‐Aldana, Daniel, Morandeira, Agustín Pía, Lage‐Fernández, Ricardo, Gude‐Sampedro, Francisco, and González‐Juanatey, José R.

Subjects
*CARDIOLOGISTS, *ATRIAL fibrillation, *PRIMARY care, *HEALTH services accessibility, *GENERAL practitioners, *ORAL medication
Abstract

Background: An early diagnosis and early initiation of oral anticoagulants (OAC) are main determinants for outcomes in patients with atrial fibrillation (AF). Inter‐clinician electronic consultations (e‐consultations) program for the general practitioner referrals to cardiologist may improve health care access by reducing the elapsed time for cardiology care. Objective: To evaluate the effect of a reduced elapsed time to care after a inter‐clinician e‐consultations program implementation (2013–2019) in comparison with previous in‐person consultation (2010–2012) in the outpatient health care management in a Cardiology Department. Methodology: We included 10,488 patients with AF from 1 January 2010, to 31 December 2019. Until 2012, all patients attended an in‐person consultation (2010–2012). In 2013, we instituted an e‐consult program (2013–2019) for all primary care referrals to cardiologists that preceded patient's in‐person consultation when considered. The shared electronic patient dossier (EPD) was available between GP and cardiologist, and any change in therapy advice from cardiologist was directly implemented in this EPD. Results: During the e‐consultation period (2013–2019) were referred 6627 patients by GPs to cardiology versus 3861 during the in‐person consultation (2010–2012). The e‐consultation implementation was associated with a reduction in the elapsed time to anticoagulation prescription (177.6 ± 8.9 vs. 22.5 ± 8.1 days, p <.001), and an increase of OAC use (61% [95% IC: 19.6%–102.4%], p <.001). The e‐consult program implementation was associated with a reduction in the 1‐year CV mortality (.48 [95% CI:.30–.75]) and all‐cause mortality (.42 [95% CI:.29–.62]). The OAC reduces the stroke mortality (.15 [95% CI:.06–.39]) and CV mortality (.43 [95% CI:.29–.62]) and all‐cause mortality (.23 [95% CI:.17–.31]). Conclusion: A shared EPD‐based inter‐clinician e‐consultation program significantly reduced the elapsed time for cardiology consultation and initiation of OAC. The implementation of this program was associated with a lower risk of stroke and cardiovascular/all‐cause mortality. [ABSTRACT FROM AUTHOR]

Published
2023
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47. Abordaje de la fibrilación auricular en pacientes con cáncer activo. Documento de consenso de expertos y recomendaciones

Author

López-Fernández, Teresa, primary, Martín-García, Ana, additional, Roldán Rabadán, Inmaculada, additional, Mitroi, Cristina, additional, Mazón Ramos, Pilar, additional, Díez-Villanueva, Pablo, additional, Escobar Cervantes, Carlos, additional, Alonso Martín, Concepción, additional, Alonso Salinas, Gonzalo Luis, additional, Arenas, Meritxell, additional, Arrarte Esteban, Vicente Ignacio, additional, Ayala de La Peña, Francisco, additional, Castro Fernández, Antonio, additional, García Pardo, Héctor, additional, García-Sanz, Ramón, additional, González Porras, José Ramón, additional, López de Sá, Esteban, additional, Lozano, Teresa, additional, Marco Vera, Pascual, additional, Martínez Marín, Virginia, additional, Mesa Rubio, Dolores, additional, Montero, Ángel, additional, Oristrell, Gerard, additional, Pérez de Prado, Armando, additional, Velasco del Castillo, Sonia, additional, Virizuela Echaburu, Juan Antonio, additional, Zatarain-Nicolás, Eduardo, additional, Anguita Sánchez, Manuel, additional, Tamargo Menéndez, Juan, additional, Marín, Francisco, additional, López-Sendón, José Luis, additional, and Zamorano, José Luis, additional

Published
2019
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48. Atrial Fibrillation in Active Cancer Patients: Expert Position Paper and Recommendations

Author

López-Fernández, Teresa, primary, Martín-García, Ana, additional, Roldán Rabadán, Inmaculada, additional, Mitroi, Cristina, additional, Mazón Ramos, Pilar, additional, Díez-Villanueva, Pablo, additional, Escobar Cervantes, Carlos, additional, Alonso Martín, Concepción, additional, Alonso Salinas, Gonzalo Luis, additional, Arenas, Meritxell, additional, Arrarte Esteban, Vicente Ignacio, additional, Ayala de La Peña, Francisco, additional, Castro Fernández, Antonio, additional, García Pardo, Héctor, additional, García-Sanz, Ramón, additional, González Porras, José Ramón, additional, López de Sá, Esteban, additional, Lozano, Teresa, additional, Marco Vera, Pascual, additional, Martínez Marín, Virginia, additional, Mesa Rubio, Dolores, additional, Montero, Ángel, additional, Oristrell, Gerard, additional, Pérez de Prado, Armando, additional, Velasco del Castillo, Sonia, additional, Virizuela Echaburu, Juan Antonio, additional, Zatarain-Nicolás, Eduardo, additional, Anguita Sánchez, Manuel, additional, Tamargo Menéndez, Juan, additional, Marín, Francisco, additional, López-Sendón, José Luis, additional, and Zamorano, José Luis, additional

Published
2019
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49. Continuidad asistencial entre cardiología y AP en pacientes con cardiopatía isquémica crónica: diseño del estudio CAPRICI

Author

Cinza-Sanjurjo, Sergio, Seijas-Amigo, José, Fontela-Sánchez, Beatriz, Rey-Aldana, Daniel, Sempere-Serrano, Paloma, Mazón-Ramos, Pilar, Mosteiro-Miguéns, Diego Gabriel, Portela-Romero, Manuel, Sánchez-Varela, Nerea, Reyes-Santias, Francisco, Teresa Ferreiro-Serrano, M., Barral-Carregal, Mónica, Grela-Beiroa, Andrea, Suárez-Dios, Ana, Rego-Lijó, Isabel, and González-Juanatey, Jose Ramón

Abstract

Introducción y objetivos:El control de los factores de riesgo cardiovascular (FRCV) debe realizarse en atención primaria, labor especialmente interesante en los pacientes con enfermedad cardiovascular previa. Un seguimiento semestral, acorde a las recomendaciones de las guías de práctica clínica y coincidiendo con la administración de un fármaco inyectable, como es el caso de inclisirán, podría mejorar la eficiencia de la atención sanitaria. El estudio CAPRICI plantea analizar si la implantación de un programa de seguimiento, con visitas semestrales paralelas a la administración de inclisirán en atención primaria, a pacientes con cardiopatía isquémica crónica, permite optimizar el seguimiento y mejorar el control de los FRCV.

Published
2024
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