Practical approaches to building up a cardiorenal clinic
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Published on: April 4, 2025
Rafael de la Espriella1, Marta Cobo Marcos2,3, Claudio Ronco4,5,6
1Department of Cardiology, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Insights
The growing population with cardiorenal disease needs coordinated care. Establishing multidisciplinary cardiorenal programs can improve patient outcomes and healthcare efficiency.
Area of Science:
- Cardiorenal Medicine
- Public Health
- Healthcare Management
Background:
- Concomitant heart and kidney disease (cardiorenal disease) is increasing, posing significant public health challenges.
- The cardiorenal nexus involves a complex, bidirectional relationship worsening patient prognosis and complicating treatment, especially in elderly patients.
- Current care models may not adequately address the multifaceted needs of cardiorenal patients.
Purpose of the Study:
- To define the organizational aspects and key elements for establishing a multidisciplinary cardiorenal clinical program.
- To propose a novel healthcare model tailored to the unique characteristics of patients with cardiorenal disease.
- To improve patient outcomes and optimize healthcare resource utilization through coordinated care.
Main Methods:
- Review of existing literature on multidisciplinary care models.
- Analysis of the specific challenges in managing cardiorenal disease.
- Framework development for a specialized cardiorenal program.
Main Results:
- Identification of essential components for a successful multidisciplinary cardiorenal program.
- Outlining of organizational structures and key personnel roles.
- Emphasis on the need for integrated diagnostic and therapeutic pathways.
Conclusions:
- A cohesive, multidisciplinary approach is crucial for managing cardiorenal disease.
- Implementing specialized cardiorenal programs can enhance patient care and resource management.
- This model offers a promising strategy to address the growing burden of cardiorenal conditions.
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.
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