Clinical complexity and diabetes : a multidimensional approach for the management of cardiorenal metabolic syndrome
Copyright © 2022 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved..
Diabetes mellitus (DM) is one of the fastest-growing health emergencies of the 21st century, and one of the chronic diseases with the highest socio-economic impact on health care systems. DM is the main cause of chronic kidney disease, and is associated with a significant increase in cardiovascular risk and clinical and care complexity. The presence of a constellation of cardiac, metabolic, and renal diseases, in a complex patient with DM, constitutes the CardioRenal Metabolic Syndrome (CRMS). The management of these patients should include a paradigm shift from a reactive strategy to a proactive approach, and the integration of territorial, hospital and social assistance services according to the Chronic Care Model (CCM). Complexity science suggests an alternative model in which disease and health arise from complex, dynamic, and unique interactions among the different components of the overall system. The hospital should be viewed as a highly specialized hub of the chronic care system, which interacts with the outpatient specialist and primary care. In order to create effective communication among territorial care units and highly specialized hospitals, levels of clinical complexity are here proposed and included in a multidimensional management model for the complex patient with diabetes and cardiorenal comorbidity.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
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| Enthalten in: |
Nutrition, metabolism, and cardiovascular diseases : NMCD - 32(2022), 12 vom: 01. Dez., Seite 2730-2738 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mattina, Alessandro [VerfasserIn] |
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| Links: |
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| Themen: |
Cardiorenal metabolic syndrome |
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| Anmerkungen: |
Date Completed 22.11.2022 Date Revised 02.12.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.numecd.2022.09.008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 520 | |a Diabetes mellitus (DM) is one of the fastest-growing health emergencies of the 21st century, and one of the chronic diseases with the highest socio-economic impact on health care systems. DM is the main cause of chronic kidney disease, and is associated with a significant increase in cardiovascular risk and clinical and care complexity. The presence of a constellation of cardiac, metabolic, and renal diseases, in a complex patient with DM, constitutes the CardioRenal Metabolic Syndrome (CRMS). The management of these patients should include a paradigm shift from a reactive strategy to a proactive approach, and the integration of territorial, hospital and social assistance services according to the Chronic Care Model (CCM). Complexity science suggests an alternative model in which disease and health arise from complex, dynamic, and unique interactions among the different components of the overall system. The hospital should be viewed as a highly specialized hub of the chronic care system, which interacts with the outpatient specialist and primary care. In order to create effective communication among territorial care units and highly specialized hospitals, levels of clinical complexity are here proposed and included in a multidimensional management model for the complex patient with diabetes and cardiorenal comorbidity | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Diabetes mellitus | |
| 650 | 4 | |a cardiorenal metabolic syndrome | |
| 650 | 4 | |a cardiovascular | |
| 650 | 4 | |a healthcare system | |
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| 700 | 1 | |a Brunori, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Lupo, Umberto |e verfasserin |4 aut | |
| 700 | 1 | |a Raspanti, Massimo |e verfasserin |4 aut | |
| 700 | 1 | |a Lo Monaco, Marika |e verfasserin |4 aut | |
| 700 | 1 | |a Bocchio, Raffaella Mallaci |e verfasserin |4 aut | |
| 700 | 1 | |a Natoli, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Giusti, Maria Ausilia |e verfasserin |4 aut | |
| 700 | 1 | |a Corrao, Salvatore |e verfasserin |4 aut | |
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