Resumen de An integrated approach to the diagnosis and management of chronic diseases in clinical practice

Martín Gómez Luján, Jorge Angel Velasco Espinal, Ingrid Monserrat Jaimes Hernández, Miguel Angel Mayoral Antonio, Mayra Nayeli Estrada García, Adrián Jesús Santoyo Rojas, Ricardo Xavier Cárdenas Zambrano, José Guadalupe Alarcon Aguilar

• This review analyzes the transition from disease-specific guidelines to integrated approaches in the diagnosis and management of chronic diseases. Drawing on recent updates from the ADA 2025, AHA/ACC 2025, GINA 2024, GOLD 2025, KDIGO 2024, and NICE 2025 guidelines, the study highlights convergent principles such as early detection, cardiovascular risk reduction, patient-centeredness, and multimorbidity management. Cross-cutting strategies—including deprescribing, treatment burden reduction, and goal-oriented care—emerge as indispensable for resolving conflicts between overlapping recommendations and improving safety and adherence. The Chronic Care Model (CCM) and clinical decision support (CDS) systems provide operational frameworks to structure integrated interventions, while indicators that combine clinical, process, and patient-reported outcomes ensure comprehensive evaluation. The findings underscore that integrated chronic disease care is both a theoretical advance and a practical necessity, with implications for healthcare policy, practice, and future research.