• Eur. J. Clin. Invest. · Aug 2024

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

    • Sergio Cinza-Sanjurjo, Pilar Mazón-Ramos, Daniel Rey-Aldana, David Garcia-Vega, Manuel Portela-Romero, Moisés Rodríguez-Mañero, Manuela Sestayo-Fernández, Ricardo Lage-Fernández, Rafael López-López, and José R González-Juanatey.
    • CS Milladoiro, Área Sanitaria Integrada Santiago de Compostela, A Coruña, Spain.
    • Eur. J. Clin. Invest. 2024 Aug 1; 54 (8): e14197e14197.

    BackgroundThe 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.© 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.

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