Practical approaches to building up a cardiorenal clinic

Author:

de la Espriella Rafael1,Marcos Marta Cobo23ORCID,Ronco Claudio456,Banerjee Debasish78ORCID,González Miguel910,Górriz José Luis910ORCID,Quiroga Borja11ORCID,Soler María José12ORCID,Díez Javier3131415ORCID,Núñez Julio1310ORCID

Affiliation:

1. Department of Cardiology, Hospital Clínico Universitario de Valencia , Valencia , Spain

2. Department of Cardiology, Hospital Universitario Puerta de Hierro Majadahonda , Madrid , Spain

3. Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares , Madrid , Spain

4. Department of Medicine, University of Padova , Padova , Italy

5. International Renal Research Institute of Vicenza , Vicenza , Italy

6. Department of Nephrology, San Bortolo Hospital , Vicenza , Italy

7. Renal and Transplantation Unit, St George’s University Hospitals National Health Service Foundation Trust , London , UK

8. Cardiology Clinical Academic Group, Molecular and Clinical Sciences Research Institute, St George’s, University of London , London , UK

9. Department of Nephrology, Hospital Clínico Universitario de Valencia , Valencia , Spain

10. Department of Medicine, Universitat de Valencia , Valencia , Spain

11. Department of Nephrology, Hospital Universitario de la Princesa , Madrid , Spain

12. Department of Nephrology, Vall d’Hebron University Hospital, Universitat Autònoma de Barcelona, Nephrology and Kidney Transplant Research Group, Vall d’Hebron Research Institute , Barcelona , Spain

13. Department of Cardiology, University of Navarra Clinic , Pamplona , Spain

14. Department of Nephrology, University of Navarra Clinic , Pamplona , Spain

15. Program of Cardiovascular Diseases, Center of Applied Medical Research, University of Navarra , Pamplona , Spain

Abstract

ABSTRACT 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.

Publisher

Oxford University Press (OUP)

Subject

Transplantation,Nephrology

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