WONCA World 2025
EPCCS symposium focussed on Cardio-metabolic-renal risk, and what to do in primary care?
Impression of our symposium held at the WONCA 2025 World Conference in Lisbon
Cardio-metabolic-renal risk, the most important long-term condition for patients, families and health systems. What can we do in primary care?
The EPCCS, as WONCA special interest group held a symposium during the WONCA 2025 World Conference
As educational service the lectures can be viewed here:
- The impact of CMR on patients and health systems - Professor Richard Hobbs, University of Oxford & European PC Cardiovascular Society
- Key changes in clinical guidance for blood pressure and lipid PC management? - Nicholas Jones, University of Oxford & EPCCS
- Why it’s important to recognise & manage chronic kidney disease (CKD - Dr Raj Thakkar, Primary Care Cardiovascular Society, United Kingdom
18 minWhy it’s important to recognise & manage chronic kidney disease (CKD)
15 minKey changes in clinical guidance for blood pressure and lipid management
10 minIntroduction and the impact of CMR on patients and health systems
Background
The cause of most excess deaths in most countries during the COVID pandemic were from cardio-metabolic-renal disease (CMR) events in susceptible patients. Excess mortality rates continue post pandemic and are mainly from CMR causes. Health systems are failing to identify and mitigate the common risk factors that drive CMR disease despite the WHO’s priority call for increased focus on disease prevention and long-term condition (LTC) management.
Primary care has a key role to play in disease prevention and as much as 40% of GP caseload will relate to CMR disease. However, CMR has the largest evidence base in medicine and is the focus for much innovation in healthcare interventions given the importance of CMR disease to health systems. Alongside managing the classic CMR risk factors the impact of chronic kidney disease (CKD) on CMR outcomes and the options for risk reduction in CKD has a newer evidence base.
Conclusions
The most important lesson from the pandemic is health systems are failing to invest sufficiently in disease prevention and especially CMR disease prevention where the evidence base grows. The importance of CKD a key learning for primary care
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