González‐Juanatey, José R.Cinza Sanjurjo, SergioMazón Ramos, PilarRey Aldana, DanielGarcia Vega, DavidPortela Romero, ManuelRodríguez Mañero, MoisésSestayo Fernández, ManuelaLage Fernández, RicardoLópez López, RafaelGonzález Juanatey, José Ramón2024-04-302024-04-302024Cinza-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.141970014-2972http://hdl.handle.net/10347/33739Background: 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 admissionsengAtribución 4.0 Internacional© 2024 The Authors. European Journal of Clinical Investigation published by John Wiley & Sons Ltd on behalf of Stichting European Society for Clinical Investigation Journal Foundation. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly citedhttp://creativecommons.org/licenses/by/4.0/CancerCardio-oncology careCardiovascular outcomesInter-clinician electronic consultationjournal article10.1111/eci.141971365-2362open access