2026-06-14T03:42:05Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/170772024-11-28T15:21:05Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16927

00925njm 22002777a 4500 dc Gómez-Huelgas, Ricardo author Giner-Galvañ, Vicente author Mostaza, José M author Cuende, José I author Miguel-Yanes, Jose M de author Rovira, Eduardo author Sánchez-Fuentes, Demetrio author Suárez Fernández, Carmen author Román Sánchez, Pilar author SEMI Working Group author 2014-12-18 BACKGROUND: Despite 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. DISCUSSION: Current 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. SUMMARY: In 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. 10.1186/1471-2261-14-193 1471-2261 BMC cardiovascular disorders http://hdl.handle.net/10668/1977 25519433 http://hdl.handle.net/20.500.12105/17077 Anciano Enfermedades cardiovasculares Complicaciones de la diabetes Hipertensión Enfermedades metabólicas Evaluación nutricional Obesidad Prevención primaria Factores de riesgo Prevención secundaria España Unanswered clinical questions in the management of cardiometabolic risk in the elderly: a statement of the Spanish society of internal medicine.