RT Journal Article
T1 Enhancing patient outcomes: Integrating electronic cardiology consultation in primary care for cancer patients
A1 González‐Juanatey, José R.
A1 Cinza Sanjurjo, Sergio
A1 Mazón Ramos, Pilar
A1 Rey Aldana, Daniel
A1 Garcia Vega, David
A1 Portela Romero, Manuel
A1 Rodríguez Mañero, Moisés
A1 Sestayo Fernández, Manuela
A1 Lage Fernández, Ricardo
A1 López López, Rafael
A1 González Juanatey, José Ramón
K1 Cancer
K1 Cardio-oncology care
K1 Cardiovascular outcomes
K1 Inter-clinician electronic consultation
AB 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
PB Wiley
SN 0014-2972
YR 2024
FD 2024
LK http://hdl.handle.net/10347/33739
UL http://hdl.handle.net/10347/33739
LA eng
NO Cinza-Sanjurjo S, Mazón-Ramos P, Rey-Aldana D, et al. Enhancing patient outcomes: Integrating electronic cardiology consultation in primary care for cancer patients. Eur J Clin Invest. 2024; 00:e14197. doi:10.1111/eci.14197
NO Research grant from the Spanish Society of Cardiology
DS Minerva
RD 28 abr 2026