Improving Care Using a Bidirectional Geriatric Cardiology Consultative Conference

More than 13 million persons in the United States aged 65 and older have cardiovascular disease (CVD), and this population is expected to increase exponentially over the next several decades. In the absence of clinical studies that would inform how best to manage this population, there is an urgent...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2018-07, Vol.66 (7), p.1415-1419
Main Authors: Grant, Eleonore V., Skolnick, Adam H., Chodosh, Joshua, Perskin, Michael H., Orr, Nicole M., Blaum, Caroline, Dodson, John A.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cardiology
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - therapy
Collaboration
Disease Management
Female
Geriatrics
Geriatrics - organization & administration
Health Services for the Aged - organization & administration
Health Services Needs and Demand - organization & administration
Heart surgery
Humans
innovation
Interdisciplinary Communication
Male
multidisciplinary
Older people
Practice Guidelines as Topic
United States
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Summary:More than 13 million persons in the United States aged 65 and older have cardiovascular disease (CVD), and this population is expected to increase exponentially over the next several decades. In the absence of clinical studies that would inform how best to manage this population, there is an urgent need for collaborative, thoughtful approaches to their care. Although cardiologists are traditionally regarded as leaders in the care of older adults with CVD, these individuals have multiple comorbidities, physiological differences, and distinct goals of care than younger patients that require a specialized geriatric lens. Thus, collaboration is needed between geriatricians, cardiologists, and other specialists to address the unique needs of this growing population. Accordingly, clinicians at New York University Langone Health and School of Medicine established a monthly Geriatric Cardiology Conference to foster an integrative approach to the care of older adults with CVD by uniting specialists across disciplines to collaborate on treatment strategies. At each conference, an active case is discussed and analyzed in detail, and a consensus is reached among participants regarding optimal treatment strategies. The conference attracts faculty and trainees at multiple levels from geriatrics, cardiology, and cardiothoracic surgery. The model may serve as a paradigm for other institutions moving towards geriatric‐informed care of older adults with CVD.
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.15356