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

Author:

Cinza‐Sanjurjo Sergio1234ORCID,Mazón‐Ramos Pilar2345,Rey‐Aldana Daniel236ORCID,Garcia‐Vega David235ORCID,Portela‐Romero Manuel237ORCID,Rodríguez‐Mañero Moisés235ORCID,Sestayo‐Fernández Manuela235ORCID,Lage‐Fernández Ricardo23ORCID,López‐López Rafael238ORCID,González‐Juanatey José R.2345ORCID

Affiliation:

1. CS Milladoiro, Área Sanitaria Integrada Santiago de Compostela A Coruña Spain

2. Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) Santiago de Compostela, A Coruña Spain

3. Centro de Investigación Biomédica en Red‐Enfermedades Cardiovasculares (CIBERCV) Madrid Spain

4. Medicine Department Santiago de Compostela University Santiago de Compostela Spain

5. Cardiology Department Complejo Hospitalario Universitario de Santiago de Compostela Santiago de Compostela, A Coruña Spain

6. CS A Estrada Área Sanitaria Integrada Santiago de Compostela Pontevedra Spain

7. CS Concepción Arenal, Área Sanitaria Integrada Santiago de Compostela, Rúa de Santiago León de Caracas Santiago de Compostela, A Coruña Spain

8. Oncology Department Complejo Hospitalario Universitario de Santiago de Compostela Santiago de Compostela, A Coruña Spain

Abstract

AbstractBackgroundThe 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.MethodsWe 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.ResultsIntroduction 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.ConclusionsCompared 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.

Funder

Sociedad Española de Cardiología

Publisher

Wiley

Reference29 articles.

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2. 2022 ESC guidelines on cardio‐oncology developed in collaboration with the European Hematology Association (EHA), the European Society for Therapeutic Radiology and Oncology (ESTRO) and the international cardio‐oncology society (IC‐OS);Lyon AR;Eur Heart J,2022

3. Growing Need for Primary Care Physicians Caring for Cancer Survivors

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