Abstract:
OBJECTIVES:To analyse the pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, requested by their primary care doctor during 1997. MEASUREMENTS:Review of clinical records and gastroscopy reports analysing: personal data, reasons for request, prior treatment, diagnoses, treatment to eradicate HP, later referral to the digestion specialist and waiting-time for the gastroscopy. RESULTS:206 gastroscopies were performed, 139 for epigastralgia (67%) and 73 for heartburn (35%). 161 patients (78%) had had previous treatment, with alkalines used in 94 cases (45%). The most common diagnoses were: 54 normal (26%), 60 hiatus hernias (30%), 43 oesophagitis (21%), 18 duodenal ulcers (9%) and 4 gastric ulcers (2%). The Helicobacter pylori study was positive in 67 cases, with triple treatment (amoxycillin, clarithromycin and omeprazole) to eradicate it given for 7 days in 36 cases (54%). Referral to the specialist of 3% of the patients. Waiting-time for the performance of the gastroscopy: 60 days (SD: 35). CONCLUSIONS:Gastroscopy is a diagnostic method habitually used in our PCC. The pathology diagnosed is mainly treated in primary care. Given the current controversy about actions at determined clinical entities, standardisation of criteria used by professionals at different care levels is very important. This standardisation should affect the indications of the examinations, and the treatment and follow-up of the pathologies. The reduction in waiting-time for a gastroscopy could possibly modify the prescription and duration of the prior treatment.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Vernet Vernet M,Roca Figueras G,Jovell Fernández E,Iglesias Rodríguez M,Ureña Tapia MM,Roca Fusalba Adoi
10.1016/s0212-6567(00)78496-4subject
Has Abstractpub_date
2000-03-15 00:00:00pages
253-7issue
4eissn
0212-6567issn
1578-1275pii
S0212-6567(00)78496-4journal_volume
25pub_type
杂志文章abstract:OBJECTIVES:To describe the qualitative-quantitative features of Primary Care prescriptions originated by specialists. DESIGN:A crossover descriptive study. SETTING:Txantrea Health Centre (Pamplona). PATIENTS AND OTHER PARTICIPANTS:All the prescriptions originated by out-clinic or hospital specialists over a two-mont...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-11-30 00:00:00
abstract:OBJECTIVE:To evaluate the prevalence of deformities of the vertebral column in the child population of a rural area; the index of false positives that diagnoses in the School Health programme generate; and the percentage of children where the diagnosis is confirmed and the treatment is then followed. DESIGN:Descriptiv...
journal_title:Atencion primaria
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doi:
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVES:The goal of this work was to prove the usefulness of simple standard geriatrics tools as a predictors of basic daily activities or quality of life decline in one year in older patients apparent healthy to apply in primary care. DESIGN:Prospective study of a randomised sample of 100 patients. SETTING:Urban ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:2003-09-30 00:00:00
abstract:OBJECTIVE:To compare portable coagulometer devices and conventional coagulometers. The clinical validity will be estimated via anticoagulation control (maintenance of therapeutic range), patient satisfaction, thrombotic or haemorrhagic events and mortality. Analytical validity will be studied in quality control terms. ...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2010.03.017
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:To find the views of family doctors (FD) on care demand, its conditioning factors, its repercussions and possible rationalizing measures, and to relate these to personal and professional characteristics. DESIGN:A descriptive crossover study. SETTING:Primary care. PARTICIPANTS:140 of 262 FD from Health Cen...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-06-15 00:00:00
abstract:OBJECTIVES:Insomnia is the most common sleeping disorder, increasing as people get older, which therefore creates an increase in the use of hypnotics. The presence of insomnia in elderly people, according to different authors, ranges between 17 and 43% depending on the criteria of diagnosis used and the group of popula...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78530-1
更新日期:2000-04-15 00:00:00
abstract:OBJECTIVES:To analyse the variability of certain indicators of the procedure and outcome of medical care in the clinical records of diabetic and hypertense patients, and their relationship with the doctor's style of practice. DESIGN:An observational, descriptive study. SETTING:Seven health centres in the public netwo...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-02-15 00:00:00
abstract:AIM:To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC). DESIGN:Multicentre cross-sectional study. SETTING:Primary Care Health Care Centres (Madrid). PARTICIPANTS:Women aged 16-50 years old, users of reversible contraception, who spe...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
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更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:To validate a self-administrable version of the SMAST questionnaire for diagnosing alcoholism at the primary care level. DESIGN:A descriptive study of a crossover type. SETTING:An urban health centre. PATIENTS AND OTHER PARTICIPANTS:497 patients over 15, selected at random from the log-book of daily demand...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-06-30 00:00:00
abstract:OBJECTIVES:To determine whether the benefit on cardiovascular risk factors (CVRF) persists 5 years after an intensive intervention in lifestyle (LS) that lasted 2 years, in patients with hyperfibrinogenaemia and moderate or high cardiovascular risk. DESIGN:multicentre prospective observational study. LOCATION:13 Prim...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:The main aim was to calculate the prevalence of mental pathology in women between 18 and 70 in a Health District of Pamplona; second, to describe comorbidity and to analyse how mental pathology was recorded in the clinical histories. DESIGN:An observational crossover study with randomised selection. SETTIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-03-31 00:00:00
abstract:OBJECTIVE:To evaluate healthcare resource use and productivity in patients with gastro-esophageal reflux disease (GERD) and the influence of disease severity on these two factors. DESIGN:Sub-analysis of the Spanish population of a multinational study with a 4-month retrospective period for the identification and selec...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.09.009
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the costs of influenza epidemics in Spanish society. DESIGN:Observational, longitudinal, and multi-centre study of healthcare and non-healthcare resource use associated with flu. SETTING:Two primary care centres, 3 hospital emergency services, and the medical service at an old people's home. PA...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13092984
更新日期:2006-09-30 00:00:00
abstract:OBJECTIVE:Epidemiological studies and interventions to reduce inequalities in community health require the assignation of exhaustive and easy-to-obtain social indicators. Occupation and education are two of the most often used. In this study we attempt to evaluate the association between education and occupation among ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78733-6
更新日期:2000-11-30 00:00:00
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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:OBJECTIVE:To determine the prevalence of chronic kidney disease and associated risk factors in subjects over 60 years of age, as well as its staging by determining the glomerular filtration rate (GFR). DESIGN:Cross-sectional observational study. SETTING:Primary Health Care. PARTICIPANTS:Patients≥60 years of age who ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2014.06.003
更新日期:2015-04-01 00:00:00
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 olde...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-11-15 00:00:00
abstract:OBJECTIVES:To assess requests for microbiological analysis made by Primary Care doctors and to evaluate the quality of the procedure by the indicator: proportion of contaminated urine samples. DESIGN:A retrospective crossover study of requests to the Microbiology Laboratory in the University Hospital of Salamanca duri...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-03-15 00:00:00
abstract::We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
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journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1996-09-15 00:00:00
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journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79030-6
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pub_type: 杂志文章
doi:
更新日期:1993-05-31 00:00:00
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doi:
更新日期:1993-10-31 00:00:00
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更新日期:2020-12-13 00:00:00
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journal_title:Atencion primaria
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doi:
更新日期:1998-06-15 00:00:00
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journal_title:Atencion primaria
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doi:
更新日期:1994-05-31 00:00:00
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journal_title:Atencion primaria
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更新日期:1994-10-15 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of the implementation of a mindfulness and self-care program to treat common mental health disorders in primary care. DESIGN:Quasi-experimental non-controlled, non-randomised study, with repeated measurements. SETTING:Seven health centres, in area v of the Principality of Astur...
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更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To describe a method of carrying out an early detection programme (EDP) for breast cancer in a health area, as a coordinated activity between the primary care teams (PCTs) and specialist care. DESIGN:A descriptive, longitudinal study. SETTING:Area II of the Principality of Asturias. This is a predominantly ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-10-31 00:00:00