title: Clinical decisions in patients with diabetes and other cardiovascular risk factors. A statement of the Spanish Society of Internal Medicine.
abstract: Although the mortality associated to cardiovascular diseases (CVD) has been reduced in the last decades, CVD remains the main cause of mortality in Spain and they are associated with an important morbidity and a huge economic burden. The increasing prevalence of obesity and diabetes could be slowing down the mortality reduction in Spain. Clinicians have often difficulty making clinical decisions due to the multiple clinical guidelines available. Moreover, in the current context of economic crisis it is critical to promote an efficient use of diagnostic and therapeutic proceedings to ensure the viability of public health care systems. The Spanish Society of Internal Medicine (SEMI) has coordinated a consensus document to answer questions of daily practice with the aim of facilitating physicians' decision-making in the management of diabetes and cardiovascular risk factors from a cost-efficiency point of view.
authors.affiliation: Hospital Regional Universitario de Málaga, Internal Medicine Department, Málaga, Spain. Electronic address: ricardogomezhuelgas@hotmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Gómez-Huelgas
authors.affiliation: Hospital Universitario Reina Sofia, Lipid and Atherosclerosis Unit, IMIBIC/Hospital Universitario Reina Sofia/Universidad de Cordoba, and CIBER Fisiopatologia Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Córdoba, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Pérez-Jiménez
authors.affiliation: Hospital Clínico San Carlos, Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), Instituto de Investigacion (IdISSC), Madrid, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Serrano-Ríos
authors.affiliation: Hospital Clínico Universitario Virgen de la Victoria, Internal Medicine Service, Malaga, Spain.
authors.forename: P
authors.initials: P
authors.lastname: González-Santos
authors.affiliation: Hospital General de Requena, Internal Medicine Department, Requena, Valencia, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Román
authors.affiliation: Hospital Clinic IDIBAPS Universidad de Barcelona, Internal Medicine Department, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Camafort
authors.affiliation: Hospital Gregorio Marañon, Internal Medicine Unit, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Conthe
authors.affiliation: Hospital Costa del Sol, Internal Medicine Department, Autovia, Marbella, Málaga, Spain.
authors.forename: J
authors.initials: J
authors.lastname: García-Alegría
authors.affiliation: Hospital Regional Universitario Carlos Haya, Internal Medicine Unit, Malaga, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Guijarro
authors.affiliation: Hospital Universitario Reina Sofia, Lipid and Atherosclerosis Unit, IMIBIC/Hospital Universitario Reina Sofia/Universidad de Cordoba, and CIBER Fisiopatologia Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Córdoba, Spain.
authors.forename: J
authors.initials: J
authors.lastname: López-Miranda
authors.affiliation: Hospital Infanta Margarita, Internal Medicine Department, Cabra, Cordoba, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Tirado-Miranda
authors.affiliation: Hospital Clínico Universitario Virgen de la Victoria, Internal Medicine Department, Malaga, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Valdivielso
mesh_terms: D002318:Cardiovascular Diseases / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D003657:Decision Making; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology
keywords: Agregación plaquetaria; Cardiovascular diseases; Diabetes mellitus; Dislipidemia; Dyslipidemia; Enfermedades cardiovasculares; Hipertensión; Hypertension; Obesidad; Obesity; Platelet aggregation; Prevención primaria; Prevención secundaria; Primary prevention; Secondary prevention