[Cross-speciality geriatrics: A health-care challenge for the 21st century].

Autor:	González-Montalvo JI; Servicio de Geriatría, Hospital Universitario La Paz, IdiPAZ, Madrid, España; Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España. Electronic address: juanignacio.gonzalez@salud.madrid.org., Ramírez-Martín R; Servicio de Geriatría, Hospital Universitario La Paz, IdiPAZ, Madrid, España., Menéndez Colino R; Servicio de Geriatría, Hospital Universitario La Paz, IdiPAZ, Madrid, España., Alarcón T; Servicio de Geriatría, Hospital Universitario La Paz, IdiPAZ, Madrid, España; Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España., Tarazona-Santabalbina FJ; Servicio de Geriatría, Hospital Universitario de La Ribera, Alzira, Alicante, España., Martínez-Velilla N; Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Universidad Pública de Navarra (UPNA), IDISNA, Pamplona, España., Vidán MT; Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, IiSGM, Facultad de Medicina, Universidad Complutense de Madrid, CIBERFES, Madrid, España., Pi-Figueras Valls M; Servicio de Geriatría, Hospital del Mar, Parc de Salut Mar, Barcelona, España., Formiga F; Unidad de Geriatría, Servicio de Medicina Interna, IDIBELL, Hospital Universitario de Bellvitge, ĹHospitalet de Llobregat, Barcelona, España., Rodríguez Couso M; Servicio de Geriatría, Hospital Universitario Fundación Jiménez Díaz, Madrid, España., Hormigo Sánchez AI; Servicio de Geriatría, Hospital Universitario Fundación Jiménez Díaz, Madrid, España; Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España., Vilches-Moraga A; Servicio de Geriatría, Salford Royal NHS Foundation Trust, Facultad de Medicina, Universidad de Manchester, Manchester, Inglaterra., Rodríguez-Pascual C; Servicio de Geriatría, Complejo Hospitalario Universitario de Vigo, Vigo, España., Gutiérrez Rodríguez J; Área de Gestión Clínica de Geriatría, Hospital Monte Naranco, Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, España., Gómez-Pavón J; Servicio de Geriatría, Hospital Central de la Cruz Roja San José y Santa Adela, Facultad de Medicina, Universidad Alfonso X el Sabio, Madrid, España., Sáez López P; Unidad de Geriatría, Hospital Universitario Fundación de Alcorcón, IdiPAZ, Alcorcón, Madrid, España., Bermejo Boixareu C; Servicio de Geriatría, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España., Serra Rexach JA; Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, IiSGM, Facultad de Medicina, Universidad Complutense de Madrid, CIBERFES, Madrid, España., Martínez Peromingo J; Servicio de Geriatría. Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España., Sánchez Castellano C; Servicio de Geriatría, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, España., González Guerrero JL; Servicio de Geriatría, Hospital San Pedro de Alcántara, Complejo Hospitalario Universitario de Cáceres, Cáceres, España., Martín-Sánchez FJ; Servicio de Urgencias, Hospital Universitario Clínico San Carlos, IdiSSC, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España.
Jazyk:	Spanish; Castilian
Zdroj:	Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2020 Mar - Apr; Vol. 55 (2), pp. 84-97. Date of Electronic Publication: 2019 Dec 20.
DOI:	10.1016/j.regg.2019.10.011
Abstrakt:	Increasing numbers of older persons are being treated by specialties other than Geriatric Medicine. Specialists turn to Geriatric Teams when they need to accurately stratify their patients' risk and prognosis, predict the potential impact of their, often, invasive interventions, optimise their clinical status, and contribute to discharge planning. Oncology and Haematology, Cardiology, General Surgery, and other surgical departments are examples where such collaborative working is already established, to a varying extent. The use of the term "Cross-speciality Geriatrics" is suggested when geriatric care is provided in clinical areas traditionally outside the reach of Geriatric Teams. The core principles of Geriatric Medicine (comprehensive geriatric assessment, patient-centred multidisciplinary targeted interventions, and input at point-of-care) are adapted to the specifics of each specialty and applied to frail older patients in order to deliver a holistic assessment/treatment, better patient/carer experience, and improved clinical outcomes. Using Comprehensive Geriatric Assessment methodology and Frailty scoring in such patients provides invaluable prognostic information, helps in decision making, and enables personalised treatment strategies. There is evidence that such an approach improves the efficiency of health care systems and patient outcomes. This article includes a review of these concepts, describes existing models of care, presents the most commonly used clinical tools, and offers examples of excellence in this new era of geriatric care. In an ever ageing population it is likely that teams will be asked to provide Cross-specialty Geriatrics across different Health Care systems. The fundamentals for its implementation are in place, but further evidence is required to guide future development and consolidation, making it one of the most important challenges for Geriatrics in the coming years. (Copyright © 2019 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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