Abstract：
OBJECTIVE:To assess the prevalence of thyroidal disorders in our area using a representative sample of the population in terms of age and distribution by sex. DESIGN:Descriptive observational transversal study. SETTING:Six areas from the province of Lleida including its capital. PARTICIPANTS:All the inhabitants older than 6 and living in the region during the time of the study. MEASUREMENTS AND MAIN RESULTS:The study was carried out using a representative sample of the population. Several demographic and clinical parameters that are considered to be related to thyroidal disorders were gathered. A blood sample was performed to measure thyrotropin and thyroidal hormones (total T3, free T3 and free T4) and antithyroidal antibodies. 4 diagnostic categories were defined: overt hypothyroidism, subclinical hypothyroidism, overt hyperthyroidism and subclinical hyperthyroidism. Blood samples from 401 individuals were analyzed. The prevalence of hyperthyroidism has been 5.6% +/- 2.3% of which 4.6% +/- 2.1% corresponds to subclinical hyperthyroidism. The prevalence of hypothyroidism has been 3.48% +/- 1.7% with 1.24% of overt condition and 2.23% of subclinical. We have not found statistical significance by sex in hyperthyroidism while the prevalence of hypothyroidism is significantly higher among women. 42.8% of hypothyroidism showed positive values for antithyroidal antibodies. CONCLUSIONS:The prevalence of thyroidal disorders in the studied area is similar to those other regions with an adequate iodine intake. Hypothyroidism has diminished in the last years. Hyperthyroidism has not changed. Data about prevalence of thyroidal disorders will have increased value in the future if strategies such as screening and treatment of subclinical disorders prove to be beneficial.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Gascó Eguiluz E,Serna Arnaiz MC,Vázquez Torguet A,Peremiquel Lluch M,Ibarz Excuer M,Serra i Majem Lsubject
Has Abstractpub_date
1999-11-15 00:00:00pages
475-9issue
8eissn
0212-6567issn
1578-1275journal_volume
24pub_type
杂志文章abstract：OBJECTIVE:To establish the effectiveness of a broad offer for tetanus vaccination (ATT), to any person visiting his general practitioner, by evaluating its coverage, acceptance by patients and final vaccination figures. DESIGN:Intervention study of nonrandom type. SETTING:Primary care. PATIENTS:1349 people aged > or...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-09-30 00:00:00
abstract：OBJECTIVE:To measure the correctness of decisions concerning counter-indications to vaccination (CV), taken by Primary Care professionals involved with the vaccination programme; to identify their associations with personal or organisational variables; and to sound out professionals' views on the source of false counte...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVE:The echocardiogram (ECC) is not available to all Spanish General Practitioners (GP) despite its proven benefits in prevalent diseases, such as hypertension and heart failure. STUDY OBJECTIVE:To analyse the clinical adequacy of the application, performance, and diagnostic and therapeutic decisions of ECC indi...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2011.03.007
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE:The objectives of the present study are to describe to the social particularizations, reasons for consultation and diagnoses conducted in the adult immigrants without regularizing that they went to this doctor's office in the district of Villaverde-Usera (Madrid), excluding the data from obstetrics-gynecology...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVE:To describe the evolution of the number of potential years of life lost (PYLL) because of AIDS in La Rioja between 1986 and 1993. DESIGN:Descriptive study. SETTING:Autonomous Community of La Rioja. PATIENTS AND OTHER PARTICIPANTS:Secondary data from the regional Register of AIDS cases in La Rioja, from the...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-05-15 00:00:00
abstract：OBJECTIVE:To estimate the prevalence of orthostatic hypotension (OH) in patients 80 years old and over attending a primary care unit. To relate OH to the most prevalent pathologies and to the most used drugs. DESIGN:Transversal observational study. LOCATION:Primary care unit, Santiago de Compostela. PARTICIPANTS:Eig...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.12.003
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.01.017
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:The objective of this work was to value the relationship between cardiovascular disease and presence of hidden renal failure in patients between 35 and 74 years followed up for 10 years. DESIGN:Observational, longitudinal, retrospective study of a cohort of patients. SETTING:Primary care health centre. PAR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(08)75696-8
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVES:To calculate the prevalence of eating attitudes which determine eating disorders and their relationship to social, personal and cultural variables. DESIGN:Prevalence study. PARTICIPANTS:Centres of secondary education. Gijón Health Area (Asturias). Secondary school students (n = 17,000) selected by multi-st...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78511-8
更新日期：2000-03-31 00:00:00
abstract：OBJECTIVE:To get to know the profile of use of antidepressants (AD) and tranquilizers-hypnotics (T-H) in primary care in Catalonia. DESIGN:Transversal, observational, epidemiological study of prescription-indication. LOCATION:Health centres in Catalonia, Spain. PARTICIPANTS:Included, using consecutive sampling, pati...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13079144
更新日期：2005-09-30 00:00:00
abstract：OBJECTIVE:To find the prevalence of tobacco dependency in the population of six counties in Lleida and in patients with chronic diseases or vascular risk factors. DESIGN:Cross-sectional study. A descriptive analysis of the data. SETTING:Six counties in Lleida: 5 Pyrenean counties with a rural population and the Segri...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-03-31 00:00:00
abstract：OBJECTIVE:To find the sociodemographic and family characteristics of our Health Centre's over-user, along with the connection between psychological malaise, family dysfunction and greater or lesser attendance. DESIGN:We carried out a descriptive crossover study, after a prior simple random sampling. SETTING:La Felgue...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-02-15 00:00:00
abstract：OBJECTIVE:To determine the distribution of the public health spending (PHS) among health sectors from 2002 to 2008, and the eventual regional inequalities related to the regional income level and the ageing population. DESIGN:A longitudinal and retrospective study. SETTING:Spain. PARTICIPANTS:The 17 Autonomous Commu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.01.005
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-09-30 00:00:00
abstract：:We review the mechanisms of the mental operation to identify the disease in family medicine, using five cases where the diagnosis process began in "the trace that should not be there" or "Robinson sign" as happened to Robinson Crusoe when he saw a human footprint on the beach of the "desert island". How could it be th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.02.008
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:To assess the prevalence of goiter in five areas of the Pyrineans and in the region of Segrià in Lleida. DESIGN:Transversal descriptive study. SETTING:Five Pyrinean's regions and Segrià. PATIENTS:Randomised selection of a sample of 601 subjects from the population over 6 years old. MEASUREMENTS:The field ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：OBJECTIVES:To discover the view of primary care doctors on aspects of the safety of medicines, their knowledge of the programme of automatic notification of negative side-effects of medicines (NSEM), their opinion of the programme and factors affecting low notification. DESIGN:A survey of views. SETTING:Madrid's Heal...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-04-15 00:00:00
abstract：:In 2010, the American Diabetes Association included glycosylated hemoglobin (HbA1c) as a criterion for the diagnosis of diabetes with a cut-off point of ≥ 6.5%. However, there may be a substantial percentage of false negative results. Other scientific societies have accepted this approach but with slight differences. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/S0212-6567(10)70002-0
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that women with epilepsy come from families with poor cohesion and adaptability to the disease, compared with healthy women. DESIGN:Cross-sectional study. SETTING:A retrospective study was done on 263 women from a neurology outpatient department and a family medicine unit from the Mex...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.10.005
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVES:To estimate the use of cardiovascular medicines and its distribution by age and sex. DESIGN:Observational study. SETTING:Region of Murcia. MAIN MEASUREMENTS:Daily doses of cardiovascular drugs prescribed and dispensed in all the pharmacies of the Region per 1,000 inhabitants-day (DHD). A comparison was ma...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.09.003
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to estimate risky-drug use patterns of consumption of primary care patients. DESIGN:Multicentric descriptive cross-sectional study. SETTING:five primary health care centers of the South of Madrid. PARTICIPANTS:all patients between 16-100 year-old consulting with their family physic...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2017.03.021
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To analyse the modifications in cardiovascular risk in patients seen over two years in adult services for dyslipaemia, diabetes mellitus or hypertension. DESIGN:Observational, retrospective study with repeated measurement tests. SETTING:Two health centres. PATIENTS:265 patients attended by the above servic...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78857-9
更新日期：2001-05-15 00:00:00
abstract：OBJECTIVES:To find how many diabetics should receive anti-aggregant treatment according to the recommendations made since 2001 by the American Diabetes Association (ADA), how many cardiovascular events could be avoided by 100 mg daily of acetylsalicylic acid (ASA), and the cost per event avoided by this measure. DESIG...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(03)70699-4
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To find asthma mortality in the city of Barcelona. DESIGN:Descriptive study of mortality. SETTING:City of Barcelona. MAIN MEASUREMENTS:Deaths due to asthma in the city of Barcelona in the period 1983-1993 were studied through the register of mortality at Barcelona's Municipal Institute of Health, which in ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)78872-1
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:To carry out a budget impact analysis (BIA) of olmesartan/amlodipine (20/5, 40/5 and 40/10mg) marketed as a fixed combination (FC) in its approved indication for the National Health System (NHS). DESIG:We developed a decision tree model in order to estimate usual hypertension treatment algorithm in Spanish c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.04.017
更新日期：2011-07-01 00:00:00
abstract：AIM:To analyze if breast-feeding (BF) is a protective factor against infectious diseases. DESIGN:Case-control study. Retrospective study during 1998. SETTING:Primary care. Teaching health center. Population of 22,500 inhabitants. PATIENTS:We consider an alpha risk of .05 and a beta risk of .20, unilateral hypothesis...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13071939
更新日期：2005-02-28 00:00:00
abstract：OBJECTIVE:To check whether the information in the written publicity that the pharmaceutical industry gives to family doctors really is based on the scientific studies that support it. DESIGN:Cross-sectional study. SETTING:Health centre on the outskirts of a big city. PARTICIPANTS:Over a year, all the scientific stud...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13075926
更新日期：2005-06-15 00:00:00
abstract：OBJECTIVES:With a system of qualitative indicators, to analyse the pharmaceutical prescription of general practitioners (GPs), and to evaluate the relationship of these indicators to the overall pharmaceutical prescription expenditure per inhabitant. DESIGN:Retrospective descriptive study. SETTING:Primary care. MEAS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78545-3
更新日期：2000-04-30 00:00:00
abstract：OBJECTIVE:To determine what family doctors think about various aspects of patient involvement in clinical decision making in Primary Care. DESIGN:Qualitative study using focus groups. LOCATION:Primary Care. PARTICIPANTS:Family physicians with and without expertise in clinical communication. METHODS:Three focus grou...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.07.007
更新日期：2012-07-01 00:00:00
abstract：:We have evaluated the patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
