Abstract：
OBJECTIVE:To analyse the appropriateness of specific immunotherapy treatment (IT) to indications based on scientific evidence. DESIGN:Cross-sectional, descriptive study. SETTING:Primary care in a health district of about 12,000 inhabitants. PATIENTS:166 patients for whom IT was prescribed in the period between January 1998 and June 1999 were included. The full evaluation covered 65 patients whose allergy report was available in their clinical records. MEASUREMENTS AND RESULTS:IT prescription was considered adequate in patients with single sensitivity to respiratory allergy or anaphylaxis to insect poison, in whom well-standardised single-component "vaccines" were used. IT was only used adequately in 36.4% of cases (71.4% in asthma, 46.1% in naso-bronchial allergy, and 18.7% in rhinitis). The high prescription of accompanying medication should be highlighted: oral H1 anti-histamines (81.8%), inhaled steroids for asthma (42.4%) and nasal steroids for rhinitis (72.4%). CONCLUSIONS:Use of IT in our health district is poorly suited to the indications based on contrasted scientific evidence. Clinical practice guidelines must be agreed at all care levels so as to improve the quality of care for all allergy patients.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Atienza Martín FJ,Márquez Ramírez P,Pérez Jigato R,Pérez Errazquin I,Alonso Pérez M,López Bueno Ndoi
10.1016/s0212-6567(00)78635-5subject
Has Abstractpub_date
2000-07-01 00:00:00pages
169-71issue
3eissn
0212-6567issn
1578-1275pii
S0212-6567(00)78635-5journal_volume
26pub_type
杂志文章abstract：OBJECTIVE:To evaluate the coverage of the programme of control and coverage of Hepatitis B among children doing their 7th year of EGB (basic) in Navarra. DESIGN:Descriptive study. SETTING:School centres in Navarra. PARTICIPANTS:7th-year EGB students in the 1992-3 school year. INTERVENTION:Vaccination of the suscept...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-02-28 00:00:00
abstract：:Western societies have displaced problems from the subjective and social fields over to medicine, and the search for the perfect health has become an obsession and a pathogenic predominant factor. Paradoxically, the number of ilnesses and sick people arises proportionally with health levels. We now tend to add «diseas...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.04.014
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:To discover the prevalence of serological markers of the Hepatitis B virus in the out-patient population of the city of Vigo. DESIGN:A year-long retrospective study (from January to December, 1990) of a total of 4,581 serums belonging to patients. These came to our laboratory from patients who attended the o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：OBJECTIVE:Determination of whether rational drug use is facilitated by the quality of the information provided by the Medicom International Vademecum on drugs containing vitamin A as active component. DESIGN:Descriptive study. SETTING:Primary, specialized and hospital health care within the national context. SUBJECT...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-05-31 00:00:00
abstract：OBJECTIVE:A clinical epidemiological study at a health centre of carriers of hepatitis C virus (HCV) antibodies. The prevalence of HCV antibodies in immediate family members. DESIGN:Crossover and descriptive. SETTING:Chopera I Primary Care team. PATIENTS AND FAMILY MEMBERS: 37 carriers of HCV antibodies in the Centre...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of an educational intervention to minimise the prescription of those new medicines whose therapeutic effects are of little benefit. DESIGN:Controlled and randomised experimental study. SETTING:27 health centres in the province of Sevilla, Spain. PARTICIPANTS:376 general practitione...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1157/13080299
更新日期：2005-10-31 00:00:00
abstract：OBJECTIVE:To measure with primary data the kinds of family doctor consultations, the reasons for them and the interruptions. DESIGN:Observational, transversal, and multi-centred study. SETTING:All the health centres in Area 17 of the Community of Valencia. PARTICIPANTS:Representative sample of 2051 patients belongin...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1157/13071914
更新日期：2005-02-15 00:00:00
abstract：OBJECTIVE:To analyse antibiotic consumption (ABC) and its trend in primary care in an area with a high rate of bacterial resistance during the periods 1993-96 and 2000-02. DESIGN:Comparative, retrospective analysis. SETTING:Costa de Ponent Health Region. Population in 1993-96 period was 1,158,098 inhabitants; in 2000...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79482-2
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVES:1) To identify the causes of the outbreak. 2) To adopt the appropriate measures to control it. DESIGN:Observational crossover study. SETTING:San Benito Health District in Jerez de la Frontera (Cádiz). PATIENTS AND OTHER PARTICIPANTS:Diners who attended a family celebration. MEASUREMENTS AND MAIN RESULTS:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-04-30 00:00:00
abstract：OBJECTIVE:To assess heart failure prevalence, epidemiology, co-morbidities and polypharmacy in our region from electronic patient records. To evaluate gender differences in heart failure patients. DESIGN:Descriptive, cross-sectional study. SETTING:Primary care Lleida (Spain). PARTICIPANTS:All patients from 21 primar...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.03.021
更新日期：2011-02-01 00:00:00
abstract：OBJECTIVE:To analyse the frequency of attendance and the time elapsed between the diagnosis of Arterial Hypertension (AHT) and the control of Arterial Pressure (AP); and to analyse the different ways of presenting the level of control of AHT. DESIGN:Retrospective study. SETTING:Teaching Health Centre. PATIENTS:103 h...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-10-15 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:Development and training of a neurone network that enables the patients who attend the clinic with symptoms of dyspepsia to be classified into two groups: those who very probably have peptic ulcer disease or gastro-oesophageal reflux (GOR) and those more likely to have functional or idiopathic dyspepsia. Res...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2002-06-30 00:00:00
abstract：OBJECTIVE:To find the proportion of the adult population that practice physical exercise habitually. DESIGN:An observational study of a crossover nature. SETTING:The counties of Alt Camp and Conca de Barberà (Tarragona). PATIENTS AND OTHER PARTICIPANTS:A two-stage random sampling (stratified by age, gender and type ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-05-31 00:00:00
abstract：OBJECTIVE:To find the efficacy of two methods of detecting previously unknown hypertension--systematic taking of blood pressure (ST) and the Mobile Unit (MU)--and to evaluate the over-diagnosis of arterial hypertension (AHT) in crossover studies which only use epidemiological criteria (EC). DESIGN:A descriptive study ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-11-15 00:00:00
abstract：OBJECTIVE:To determine the percentage of women aged 40 to 70 years who had had at least one preventive Pap test (cytological examination) during the preceding 5 years, and the factors associated with use of the test. DESIGN:Population survey.Setting. Home interviews during October 2000. PARTICIPANTS:2409 women aged 4...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79407-x
更新日期：2004-03-31 00:00:00
abstract：OBJECTIVES:To determine the percentage of female authors in original articles published during 2periods, in the journal of Atención Primaria (Primary Care), and to examine the differences between the categories of authorship (first, last author, and co-author) between both periods. DESIGN:Cross-sectional study. SETTI...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.11.002
更新日期：2021-01-01 00:00:00
abstract：INTRODUCTION:Depressive symptomatology during adolescence can have severe consequences when not treated. Formal health and surveillance programs rarely research its presence. OBJECTIVE:To determine whether it is possible to integrate a depressive symptomatology questionnaire into a standard health survey; to determine...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2008.10.006
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:To describe referrals from primary care (PC) to mental health (MH) and to study the diagnostic and therapeutic concordance between the two. DESIGN:Retrospective, descriptive study. SETTING:Gavà II Primary Care Centre, Barcelona.Participants. All patients referred to MH in 1998, 1999 and 2000 (n=380). MAIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(03)70782-3
更新日期：2003-11-30 00:00:00
abstract：INTRODUCTION:On the centenary of the foundation of the Paediatrics Society of Madrid, a tribute is presented to rural medical practice of that time, although there are few documents on the history of rural medicine. The main objective is to describe the context of the rural medical practice in the late 19th and beginni...
journal_title：Atencion primaria
pub_type： 历史文章,杂志文章
doi：10.1016/j.aprim.2015.05.008
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:To compare the effectiveness of two interventions in the treatment of obese patients: hypocaloric diet and hypocaloric diet plus serotoninergic medication. DESIGN:Randomised clinical trial. SETTING:Primary Care. Out-patient Endocrinology clinic. PATIENTS:The trial included 60 obese adults, assigned at rand...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1995-10-15 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：OBJECTIVES:To find the evolution of consumption of self-analysis material used to control Diabetes (reactive strips of glucose) and the costs involved, in the metropolitan area of Málaga from July 1994 to the first quarter of 1996. DESIGN:Descriptive retrospective study. SETTING:Metropolitan area of Málaga (580, 586 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-02-15 00:00:00
abstract：OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-09-15 00:00:00
abstract：OBJECTIVE:To describe the situations of risk and the prevalence of HIV in women with a heterosexual partner infected by HIV. DESIGN:Cross-sectional descriptive study. SETTING:Out-patient HIV diagnosis centre in Madrid. PATIENTS:229 women seen for the first time between 1993 and 2002 because they had a stable heteros...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)78926-x
更新日期：2004-11-15 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:To determine the percentage of patients over 65 years of age with potential problems derived from the consumption of medications, and identify associated variables. DESIGN:A descriptive cross-sectional study. SETTING:Otero y Paulino Prieto Health Centers (Oviedo). PATIENTS:A randomly selected group of 298 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to detect alcoholism problems among the young population, using the CAGE test. DESIGN:Transversal descriptive study. SITE. Work developed with high school students (BUP and COU) from a rural context in Aragón. PATIENTS AND OTHER PARTICIPANTS:Random sample of 1,012 students, ordered ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-05-15 00:00:00
abstract：OBJECTIVE:To evaluate the clinical competence of first-year residents on the course specialising in family medicine, by applying a structured objective clinical test (SOCT) for simultaneous assessment of cognitive, affective and psychomotor areas. DESIGN:Observational and descriptive. SETTING:Family medicine clinics ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)79068-9
更新日期：2002-10-31 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
