Implementation of Cardiometabolic Centers and Training Programs.

IF 5.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Current Diabetes Reports Pub Date : 2022-05-01 DOI:10.1007/s11892-022-01459-y

Mohamad B Taha, Neha Rao, Muthiah Vaduganathan, Miguel Cainzos-Achirica, Khurram Nasir, Kershaw V Patel

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引用次数: 0

Abstract

Purpose of review: Type 2 diabetes is frequently accompanied by obesity, nonalcoholic fatty liver disease, chronic kidney disease, and cardiovascular disease, which collectively contribute to the high burden of cardiometabolic disease. This review discusses cardiometabolic disease management, strategies to implement cardiometabolic centers to deliver care, and dedicated programs to train the next generation of cardiometabolic experts.

Recent findings: Sodium-glucose cotransporter 2 inhibitors, glucagon-like peptide 1 receptor agonists, and a nonsteroidal mineralocorticoid receptor antagonist have demonstrated beneficial effects across cardiometabolic conditions. However, utilization of effective pharmacotherapies is low in clinical practice, in part due to clinical inertia and traditional sharp delineation in clinical responsibilities of specialists. Multidisciplinary clinics and population-health models can provide comprehensive care but require investment in physical and information technology infrastructure as well as in training and accreditation. Post-internal medicine residency cardiometabolic health training programs have been proposed. Implementing cardiometabolic centers in health systems involves reshaping current practices. Training programs focused on cardiometabolic health are needed to address the growing burden of disease and specific training needs in this ever-expanding area.

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心脏代谢中心和训练计划的实施。

综述目的:2型糖尿病经常伴有肥胖、非酒精性脂肪性肝病、慢性肾病和心血管疾病，这些共同导致了心脏代谢疾病的高负担。这篇综述讨论了心脏代谢疾病的管理，实施心脏代谢中心提供护理的策略，以及培养下一代心脏代谢专家的专门计划。最近的研究发现:钠-葡萄糖共转运蛋白2抑制剂、胰高血糖素样肽1受体激动剂和非甾体矿皮质激素受体拮抗剂已被证明对心脏代谢疾病有有益作用。然而，在临床实践中，有效药物治疗的利用率很低，部分原因是临床惰性和传统上对专家临床责任的明确界定。多学科诊所和人口保健模式可以提供全面护理，但需要在物质和信息技术基础设施以及培训和认证方面进行投资。内科住院医师后心脏代谢健康培训计划已被提出。在卫生系统中实施心脏代谢中心需要重塑当前的做法。在这个不断扩大的领域，需要以心脏代谢健康为重点的培训计划来解决日益增长的疾病负担和特定的培训需求。

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来源期刊

Current Diabetes Reports 医学 -

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.