RT Journal Article
T1 Unanswered clinical questions in the management of cardiometabolic risk in the elderly: a statement of the Spanish society of internal medicine.
A1 Gómez-Huelgas, Ricardo
A1 Giner-Galvañ, Vicente
A1 Mostaza, José M
A1 Cuende, José I
A1 Miguel-Yanes, Jose M de
A1 Rovira, Eduardo
A1 Sánchez-Fuentes, Demetrio
A1 Suárez Fernández, Carmen
A1 Román Sánchez, Pilar
K1 Anciano
K1 Enfermedades cardiovasculares
K1 Complicaciones de la diabetes
K1 Hipertensión
K1 Enfermedades metabólicas
K1 Evaluación nutricional
K1 Obesidad
K1 Prevención primaria
K1 Factores de riesgo
K1 Prevención secundaria
K1 España
AB BACKGROUNDDespite the progressive increase in life expectancy and the relationship between aging with multi-morbidities and the increased use of healthcare resources, current clinical practice guidelines (CPG) on cardiometabolic risk cannot be adequately applied to elderly subjects with multiple chronic conditions. Its management frequently becomes complicated by both, an excessive use of medications that may lead to overtreatment, drug interactions and increased toxicity, and errors in dosage and non-compliance. Concerned by this gap, the Spanish Society of Internal Medicine created a group of independent experts on cardiometabolic risk who discussed what they considered to be unanswered questions in the management of elderly patients.DISCUSSIONCurrent guidelines do not specifically address the problem of elderly with multiple chronic conditions. For this reason, the combined use of the limited available evidence, clinical experience and common sense, could all help us to address this unmet need. In very old people, life expectancy and functionality are the most important factors for guiding potential treatments. Their higher propensity to develop serious adverse events and their shorter lifespan could prevent them from obtaining the potential benefits of the interventions administered.SUMMARYIn this document, experts on cardiometabolic risk factors have established a number of consensual recommendations that have taken into account international guidelines and clinical experience, and have also considered the more effective use of healthcare resources. This document is intended to provide general recommendations for clinicians and to promote the effective use of procedures and medications.
PB BioMed Central
YR 2014
FD 2014-12-18
LK http://hdl.handle.net/10668/1977
UL http://hdl.handle.net/10668/1977
LA en
NO Gómez-Huelgas R, Giner-Galvañ V, Mostaza JM, Cuende JI, de Miguel-Yanes JM, Rovira E, et al. Unanswered clinical questions in the management of cardiometabolic risk in the elderly: a statement of the Spanish society of internal medicine. BMC Cardiovasc Disord. 2014; 14(1):193
NO Journal Article;
DS RISalud
RD Apr 8, 2025