Abstract:
AIM:To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN:Descriptive and retrospective study. SETTING:Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS:The population were the patients belonging to urban Primary Health Care centre, referred by their family physicians or paediatricians for the performing of MS during year 2013, and who consented to the intervention. A sample of 223 patients was obtained. MAIN MEASUREMENTS:Variables analysed were: sex, age, locations of the lesions, type of intervention, clinical diagnosis, histopathology diagnosis, complications, and patient satisfaction. The data were extracted from the medical history, the histopathology reports, and by using a satisfaction questionnaire completed by post or telephone by the patients. RESULTS:The population consisted of 53.8% males, and had a mean age of 51.12 years (SD 19.02). The location of the most intervened lesions was in the head (35.4%). Electro-surgery was the most used procedure (62.8%), with only 16.9% of the lesions being biopsied, of which the most frequent was fibroids (32.3%). The clinical pathological concordance was >80% and the Kappa index was 0.783 (P<.001). The complications presented were low. The patient's satisfaction was high. CONCLUSIONS:Although a simple MS technique like electro-surgery has become more extensive, MS in PC remains safe and satisfactory for the user.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Ramírez Arriola MG,Hamido Mohamed N,Abad Vivás-Pérez JJ,Bretones Alcaráz JJ,García Torrecillas JM,Huber Edoi
10.1016/j.aprim.2016.05.002subject
Has Abstractpub_date
2017-02-01 00:00:00pages
86-92issue
2eissn
0212-6567issn
1578-1275pii
S0212-6567(16)30173-1journal_volume
49pub_type
杂志文章abstract:OBJECTIVE:Study of the prevalence of smoking among La Rioja's health professionals. DESIGN:Descriptive study. SETTING:The Autonomous Community of La Rioja. PARTICIPANTS:A random sample of health workers taken from the censuses of their respective Professional Colleges on February 1st, 1988. RESULTS:Of a representat...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-04-30 00:00:00
abstract:OBJECTIVE:To find the satisfaction level of health users attended by Bizkaia primary care teams (PCT) with 5 or more permanent doctors and to determine whether there is any relationship between satisfaction and doctors being trained in doctor-patient relationships (DPR). SETTING:Primary Care. Towns in the 2 health are...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-11-15 00:00:00
abstract:INTRODUCTION:The lack of patient knowledge about their medication is considered to be one of the main reasons for an inappropriate use. OBJECTIVE:This study the level of knowledge in patients about their prescribed antibiotic, and describes some of the factors related to this. DESIGN:A cross-sectional, descriptive an...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2014.04.014
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of a training technique to improve clinical interview skills connected with Primary Care doctors' psycho-diagnostic ability: visual contact, posture, verbal and non-verbal ways of advancing the interview, verbal interruptions and questions with a psychological content. DESIGN:The doc...
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:1998-02-28 00:00:00
abstract:OBJECTIVE:To analyse the nutritional status of patients older than 65 years included in the home care program (PAD). DESIGN:Croos-sectional study. EMPLACEMENT:3 urban health centers. PARTICIPANTS:218 patients in the PAD. METHOD:Mini Nutritional Assessment questionnaire (MNA) was applied. Sociodemographic, anthropom...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2017.02.006
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:To find out whether the system for issuing prescriptions is linked to the therapeutic compliance and control of the blood pressure of a group of hypertense patients, and to quantify compliance with hypertension treatment through an indirect measurement method (counting pills). DESIGN:Crossover, descriptive ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-09-30 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
abstract:OBJECTIVE:For purposes of the present study of people over 65 attending a particular Health Centre, we aimed to discover and inter-relate their morbidity due to chronic illnesses, their frequency of attendance, and the total average outlay of drugs on them. DESIGN:Descriptive crossover study. Information on the clinic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-07-01 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
doi:10.1016/j.aprim.2017.04.004
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To determine the level of therapeutic inertia (TI), and the factors associated to the patient, doctor and the health organisation, in hypertensive patients treated in Primary Care (PC). DESIGN:Cross-sectional, multicentre study. SETTING:A sample of PC Teams from all over Spain. PARTICIPANTS:The study was ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.09.030
更新日期:2011-12-01 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:OBJECTIVES:To find the seroprevalence of Toxoplasma gondii in pregnant women and identify associated factors. To assess the relevance of systematic screening of pregnant women. DESIGN:A descriptive crossover study of prevalence. SETTING:Primary Care in the "Puerto de la Torre" district of Málaga. PATIENTS:Pregnant w...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:To measure doctors' attitudes to the opening of Health Centres. DESIGN:Descriptive study. SITE. Primary Care services on the island of Gran Canaria. PARTICIPANTS:Doctors with tenure. MAIN MEASUREMENTS AND RESULTS:From a self-administered Likert type questionnaire, it could be observed that the proportion o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-04-15 00:00:00
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:OBJECTIVES:Ascertain what effect post-natal visits have on recruiting involvement in the mother and child programme of activities. Identify the profile of mothers and children with little involvement in these activities. Ascertain how suitable the register is. DESIGN:Study of cohorts of previous years. The term expose...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-09-15 00:00:00
abstract:OBJECTIVE:To evaluate the attitudes, knowledge and training needs for primary care health professionals (PCP) dealing with HIV/AIDS infection. DESIGN:An observational, crossover study. SETTING:primary care: health districts in the Ciutat Vella health area of the city of Barcelona. PARTICIPANTS:34 nursing professiona...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-05-15 00:00:00
abstract:OBJECTIVE:To quantify and describe the self-treatment existing among users requesting a consultation about an illness which had commenced in the previous 15 days. DESIGN:Observational prospective study. SETTING:Primary care in a semi-rural environment. Family Medicine Unit in Valls (Tarragona). PATIENTS AND OTHERS P...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-03-15 00:00:00
abstract:OBJECTIVE:To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-05-31 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:To evaluate the quality of the care provided for low-level urinary infections in the Toledo Health Area. DESIGN:Retrospective study based on data on procedures supplied from clinical histories. SITE. Primary Care teams in the Toledo Health Area. PATIENTS OR OTHER PARTICIPANTS:Those patients over 14 with a p...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-11-01 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 determine the pap smear adequacy, and to compare the quality using cervical cytobrush with that obtain by using cotton swab in the endocervical sample. DESIGN:Transversal study. Carried out in two periods both pre and post intervention. SETTING:Primary care centre in the south of Madrid. INTERVENTION:We...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78604-5
更新日期:2000-06-15 00:00:00
abstract:OBJECTIVE:To investigate the habits and risk factors of adolescents from two Health Centres in two semi-urban populations using a structured clinical interview with open questions. DESIGN:Cross-sectional descriptive study. SETTING:Two semi-urban populations from the Malaga area. PARTICIPANTS:Adolescents aged between...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.02.008
更新日期:2011-04-01 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
abstract:OBJECTIVE:To analyze adherence to treatment of tuberculosis infection and to identify risk factors for its compliance. DESIGN:An observational historical cohort study. SETTING:Hospital Universitari Sant Joan d'Alacant (Alicante). PARTICIPANTS:All patients with a tuberculin skin test (TST) done during tuberculosis co...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.05.009
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:The Spanish Family Medicine National Commission is proposing a new portfolio-type Specialist Training Book (STB). OBJECTIVE:To pilot its contents, structure, and implementation strategies. DESIGN:Cross-sectional, descriptive study. SETTING:A Provincial Family Medicine Teaching Unit. PARTICIPANTS:Twenty-e...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13109498
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of joining a home care program on primary caregivers of dependent elderly people. DESIGN:Non-randomised "before-after" intervention study. SETTING:Primary Care. PARTICIPANTS:Primary carers of elderly dependent people included in a home care program (n=156; 7.8% loss to follow up). I...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.09.011
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To find whether the systematic investigation of the contacts of Pulmonary Tuberculosis patients is carried out. DESIGN:Crossover and descriptive. SETTING:Asturias Health Area VIII. PATIENTS AND OTHER PARTICIPANTS:We examined whether contacts of the cases of Pulmonary Tuberculosis diagnosed in our area duri...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-09-15 00:00:00
abstract:OBJECTIVE:To discover the recruitment and follow-up coverage of Prenatal Care in Parla Health Center, derivation causes and quality control of follow-up. DESIGN:Descriptive and retrospective study. PATIENTS:We obtained 445 newborns (from May 1991 to April 1992) in pediatric records of Health Center, and encountered 4...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-10-31 00:00:00
abstract:OBJECTIVE:To know the opinion of the primary health care (PHC) physicians on the assistance demand in mental health (MH), their training necessities and their attitudes about this disorders. DESIGN:Observational and transversal study. SETTING:Primary care. PARTICIPANTS:The subjects of the study were PHC physicians. ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13076608
更新日期:2005-06-30 00:00:00