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 selection of patients, and a clinical visit to obtain clinical information and data on use of healthcare resources, carried out between October 2007 and January 2008. POPULATION:A total of 477 patients attending a Primary Care centre, with a medical consultation for GERD. MAIN VARIABLES:Use of healthcare resources, changes in productivity based on the Work Productivity and Activity Impairment Questionnaire for GERD patients (WPAI-GERD). RESULTS:Despite having received pharmacological treatment at the baseline visit, after a median of 5.1 months follow-up (range 2.1-8.1), up to 15.9% (95% CI; 12.8-19.5) patients still showed clinically relevant GERD symptoms. Direct medical costs per year associated with diagnostic tests and medical consultations in patients with or without clinically relevant GERD symptoms were 666 € (SD: 2,097 €) and 370 € (SD: 2,060 €), respectively. The mean annual cost of reduced productivity (17%) was 5,316 € (SD: 8,615 €). This cost was 4 times higher for patients with clinically relevant GERD symptoms than for patients with no relevant symptoms (15,188 € [SD: 11,206 €] vs 3,926 € [SD: 7,232 €]). CONCLUSION:Patients with GERD use significant healthcare resources, attributable to associated medical costs and marked reduction in productivity, even though they receive pharmacological treatment.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Nuevo J,Tafalla M,Zapardiel J,Gisbert JPdoi
10.1016/j.aprim.2010.09.009subject
Has Abstractpub_date
2011-09-01 00:00:00pages
474-81issue
9eissn
0212-6567issn
1578-1275pii
S0212-6567(11)00044-8journal_volume
43pub_type
杂志文章abstract：OBJECTIVES:To evaluate the relationship between Health-Related Quality of Life (HRQL) and stress at work among Primary Care workers, as evidence of the construct validity of the Spanish version (PECVEC) of the profile of quality of life in the chronically ill (PLC) questionnaire. In addition, to check its other psychom...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13108617
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVE:To improve follow-up of health problems, once detected, until their resolution. Also to introduce corrective measures to the demand for Primary Care consultations. DESIGN:Prospective study of Organised Telephone Consultations (OTC). SITE. General Medicine quota of the PC team at Ofra-Delicias (Tenerife). PA...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-06-01 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 find the prevalence, characteristics, and consequences of falls in the elderly and related factors. DESIGN. Cross-sectional, descriptive study using personal interviews. SETTING:Three health districts in Cordoba city, Spain. PARTICIPANTS:A stratified sample of 362 people over 70. MAIN MEASUREMENTS:The a...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13094802
更新日期：2006-11-15 00:00:00
abstract：:The aim of the present study was to evaluate the prevalence of certain cardiovascular risk factors in the population of Asepeyo-Elche. The study sample was a working population of 697 persons (71.8% males and 28.2% females) with ages ranging from 15 to 65 years (mean age 34.7 +/- 13.2 years), seen during the first 6 m...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：OBJECTIVE:To design and validate a self-administered questionnaire to evaluate sexual function in women. DESIGN:Cross-sectional, multi-centre study. SETTING:Primary care, in 9 health centres of the Community of Valencia. PARTICIPANTS:Women not at risk of sexual dysfunction, selected by consecutive sampling. Initial ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/s0212-6567(04)79497-4
更新日期：2004-10-15 00:00:00
abstract：OBJECTIVES:Estimate the differences in the time of arrival at the Intensive Care Unite (ICU) among patients with previous++ infarction versus first infarction ones. DESIGN:Transversal retrospective study. SETTING:General Hospital of Elche. PATIENTS AND OTHER PARTICIPANTS:622 diagnosed of infarction between 1984-1990...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-10-15 00:00:00
abstract：OBJECTIVE:To describe the adverse drug events (ADEs) reported by doctors of a primary health care centre in the patient's medical record. DESIGN:A retrospective, descriptive study. SETTING:Burriana Health Centre (Castellón), Spain. PARTICIPANTS:All patients over 75 with a clinical history held on paper at the health...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13116153
更新日期：2008-02-01 00:00:00
abstract：:We retrospectively evaluated the 134 pregnancies which were controlled in our health center in a 4-year period, so as to evaluate anemia in pregnancy and the factors influencing its development. In the study sample, 18.65% of the women had anemia. The age did not have any influence on the hemoglobin and packed red cel...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-10-01 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：:The program of help to the smoker (PHS) consists of a systematic intervention upon the whole of the demanding population, identifying the smokers and acting on them with a short, concise advise in all visits. The results after 2 months of operation of the PHS in a primary care center are reported. Among 483 persons 10...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-05-01 00:00:00
abstract：OBJECTIVES:To evaluate the efficacy of nursing care and monitoring of patients over 65 in primary care, to reduce the rate of readmission and to extend time till readmission. DESIGN:Non-randomised clinical trial with control. SETTING:Base Area 8, Madrid, Spain. Primary and specialist care. PARTICIPANTS:Patients over...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：10.1157/13123681
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVES:To determine the factors associated with asthma and asthma-related symptoms in children and adolescents in rural areas of Navarre (Spain). PARTICIPANTS AND METHODS:A cross-sectional study using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, as well as additional variable...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2017.05.005
更新日期：2018-01-01 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 quantify and to evaluate the reliability of Primary Care (PC) computerised medication records of as an information source of patient chronic medications, and to identify associated factors with the presence of discrepancies. DESIGN:A descriptive cross-sectional study. LOCATION:General Referral Hospital i...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.05.003
更新日期：2016-03-01 00:00:00
abstract：:The general situation of pediatric care in Asturias is characterized by the imbalance between the two levels of care, with a high number of hospital beds and staff members, requiring a redistribution in number and functions, and a deficit in staff and material resources at the primary care level, with massified practi...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:To examine how some factors connected with Continuous Care Points (CCP) affect attendance at hospital Casualty departments and admittance from them. DESIGN:Ecological study. SETTING:León Health area. PATIENTS AND OTHER PARTICIPANTS:All the CCP's belonging to the León Health area. MEASUREMENTS AND MAIN RES...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-11-30 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：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: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 assess the level of initial non-compliance with treatment. DESIGN:An observational study with interviews of patients, which compared prescriptions filled at the Siruela Health Centre (Badajoz) with those dispensed at the town's only pharmacy. SETTING:Primary Care; rural ambit. RESULTS:8,100 prescription...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：AIMS:to validate the PROFUND index in PP in Primary Health Care (PHC). DESIGN:two-year prospective multicenter study. LOCATION:three health care centers in Seville Province (Spain). SUBJECTS OF THE ASSESSMENT:PP with signed informed consent. SAMPLE:n=446 (p=20%; α=5%; β=99%); consecutive sampling. MEASUREMENT:Depe...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/S0212-6567(14)70064-2
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVES:To obtain a first Spanish version of the KINDL questionnaire idiomatic and culturally equivalent to the German original version, and then to evaluate its psychometric properties in a sample of healthy children/adolescents 8-16 years old, and their parents. DESIGN:Cross-sectional study. SETTING:2 public sch...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79429-9
更新日期：2004-05-15 00:00:00
abstract：OBJECTIVE:To describe the experience of women caregivers with chronic conditions who care for a dependent relative. DESIGN:Qualitative study based on constructivist grounded theory. LOCATION:Study conducted on two Health Areas urban of the Community of Madrid. PARTICIPANTS:Thirty nine women with a chronic condition ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.03.006
更新日期：2016-02-01 00:00:00
abstract：OBJECTIVES:To analyse the qualitative composition of medication prescribed to paediatric patients, in function of the intrinsic value of the medication and active principles used, and to evaluate risks run by children through being exposed to medication. DESIGN:An observational, descriptive, crossover study. SETTING:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVES:To analyse the degree of professional burnout in primary care doctors from our province and the effect of various factors.Design. Descriptive and analytic cross-sectional study. SETTING:Primary care (PC) in the province. PARTICIPANTS:All the PC doctors in the province of Cáceres (n=255). MAIN MEASUREMENTS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70567-2
更新日期：2002-03-31 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 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 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 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
