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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.
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1 Department of Cardiology, Hospital Clínico Universitario de Valencia , Valencia , Spain
2 Department of Cardiology, Hospital Universitario Puerta de Hierro Majadahonda , Madrid , Spain
3 Department of Medicine, University of Padova , Padova , Italy
4 Renal and Transplantation Unit, St George’s University Hospitals National Health Service Foundation Trust , London , UK
5 Department of Nephrology, Hospital Clínico Universitario de Valencia , Valencia , Spain
6 Department of Nephrology, Hospital Universitario de la Princesa , Madrid , Spain
7 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
8 Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares , Madrid , Spain