Abstract：
OBJECTIVE:To analyse the impact of a formative / informative intervention on the treatment of non-oncological chronic pain in Primary Care. DESIGN:Quasi-experimental study before-after, and follow-up of the patient cohort. LOCATION:64 Primary Care teams/centres (770 physicians). PARTICIPANTS:Patients≥14 years without an oncological diagnosis on: 1) fentanyl citrate, 2) major opioids and≥2 anxiolytics-hypnotics, 3) long-term major and minor opioids, 4) transdermal lidocaine, out of indication. INTERVENTION:Dissemination of recommendations for the treatment of non-oncological chronic pain and the reporting of the incidents of their patients to each doctor. MAIN MEASUREMENTS:Number of incidents in 2 cross sections (June 2017 and June 2018). Number of incidents in June 2017, which were maintained in June 2018 (prospective cohort). RESULTS:Of the 2,465 incidents detected in 2017, there was a 21.1% reduction after the intervention. The reduction was higher (61.8%, p<.001) in the prospective cohort. In absolute values, the most important reduction was in incidences of lidocaine patches outside of indication (1,032 incidences). The approved indication was found in less than 8% of the treated patients. CONCLUSIONS:The intervention reduced the number of patients with incidences, and this reduction was higher in the prospective cohort, confirming the efficacy of sending information about patients with incidences to their physicians. The incorporation of new treatments during the follow-up year was significant, so these interventions should be perpetuated over time.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
García Vicente JA,Vedia Urgell C,Vallès Fernández R,Reina Rodríguez D,Rodoreda Noguerola S,Samper Bernal Ddoi
10.1016/j.aprim.2019.09.001subject
Has Abstractpub_date
2020-01-01 00:00:00pages
423-431issue
6eissn
0212-6567issn
1578-1275pii
S0212-6567(19)30370-1journal_volume
52pub_type
杂志文章abstract：OBJECTIVE:To find the prevalence of orthostatic hypotension (OH) and associated factors in elderly hypertensive patients in a primary care setting. DESIGN:Descriptive cross-sectional study. SETTING:La Marina Health Centre (an urban centre in Santander). PATIENTS:A random sample of 295 patients aged 65 years or older...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78924-x
更新日期：2001-07-01 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：:High blood pressure (HBP) is the main modifiable cardiovascular risk factor. HBP can be related to high salt intake. To measure intake, not all feeding surveys are comparable and valid. The reference procedure for assessing salt intake consists of measuring the urinary excretion of sodium in urine collected during 24h...
journal_title：Atencion primaria
pub_type： 杂志文章,评审
doi：10.1016/j.aprim.2019.05.012
更新日期：2019-12-01 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：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:A description of early diagnosis of cervical cancer in the Barbastro Hospital area. DESIGN:Descriptive and retrospective study on all the CIN III cases collected in the Tumor Hospital Registry from 1989 to 1998. To correlate the data to the population covered by the hospital. PARTICIPANTS AND METHODS:59 CIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70421-0
更新日期：2001-10-31 00:00:00
abstract：OBJECTIVE:To determine the validity and usefulness of brain natriuretic peptide (BNP) for diagnosing left ventricular dysfunction (LVD). DESIGN:Prospective, descriptive, multi-centred study to validate the diagnostic test. SETTING:Primary care centres in the Community of Madrid, Spain. PARTICIPANTS:Consecutive sampl...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(05)70554-0
更新日期：2005-11-30 00:00:00
abstract：OBJECTIVE:To quantify and describe consultations carried out with third parties in General Medicine. DESIGN:Prospective and descriptive study. SETTING:Three General Medical consulting rooms in INSALUD's Health Area IV, Madrid. PARTICIPANTS:All those consultations carried out with third parties from 15 February 1993 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-05-31 00:00:00
abstract：AIM:To evaluate the level of cardiovascular risk in smokers seenin Primary Care clinics. DESIGN:Epidemiologic, cross-sectional and multicentre study. SETTING:Primary Care. PATIENTS:Every investigator included 4 consecutive patients (3 smokers, 1 non-smoker) aged 35-50 years, who came to the clinic for any reason. A ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.10.005
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To find the pattern of mortality in people between 1 and 14 years old and how this evolved between 1980 and 1993. DESIGN:A descriptive, epidemiological study. SETTING:State-wide study of mortality. PATIENTS AND OTHER PARTICIPANTS:The source of information were the vital statistics published by the National...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-11-30 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 assess the views of primary care physicians (PCPs) in Spain regarding the purpose of inspection validation of prescriptions (IVP) and its impact on prescription and patients, as well as doctors' acceptance of this measure. DESIGN:Cross-sectional study through a telephone survey. SETTING:Primary care cent...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13086315
更新日期：2006-03-31 00:00:00
abstract：OBJECTIVE:To determine the comorbidity, the therapeutic objectives, and economic impact in subjects with cardiovascular risk in primary care (PC). DESIGN:Multicentre, cross-sectional study. SETTING:Five urban PC centres, Spain. PARTICIPANTS:Patients over 55 years seen during the year 2006. Compared according to the ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1157/13126421
更新日期：2008-09-01 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 estimate the importance of the working environment in sickness absence, as well as to show possible relationships with clinical-work variables. DESIGN:A descriptive observational study. SITE: Medical Inspection of an Andalusian province. PARTICIPANTS:A total of 1016 workers on certified sick leave due to...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.03.011
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVES:To find the profile of the heroin addict included in the Methadone Maintenance Programme (MMP) and the standard of information which primary care doctors have about these patients. DESIGN:A descriptive crossover study. PATIENTS AND OTHER PARTICIPANTS:All the drug addicts included in the MMP, located at the...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-05-31 00:00:00
abstract：OBJETIVE:To assess the prevalence and risk factors associated with diabetic retinopathy (DR) in Cantabria. DESIGN:ross-sectional population based study. LOCATION:Health center of Cantabria. PARTICIANTS:A random sample of 442 patients with type 2 diabetes. MAIN MEASUREMENTS:Non-mydiatric retinography, classifying th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.10.001
更新日期：2020-01-01 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：AIM:To determine the effectiveness of medical counseling for alcohol abuse, when it is provided in primary care centers. DESIGN:Quasi-experimental, open, multicenter before-after study.Setting. 14 primary care physician's practices (7 rural, 7 urban) in the province of Córdoba (Spain). PARTICIPANTS:306 patients of bo...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/s0212-6567(03)70674-x
更新日期：2003-02-28 00:00:00
abstract：OBJECTIVE:To find the prevalence of burnout syndrome in general practitioners of the Public Sanitary Service in a health area in Zaragoza (Spain) and compare the results with the original American and two Spanish samples (general practitioners and specialists). DESIGN:A descriptive, crossover population study. SETTIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-11-30 00:00:00
abstract：OBJECTIVE:To determine if the ETAP smoking scale, which measures accumulated exposure to tobacco, both actively and passively, is applicable and effective in the clinical practice of Primary Care for the prevention of acute myocardial infarction (AMI). Location Barranco Grande Health Centre in Tenerife, Spain. DESIGN:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.05.010
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation. DESIGN:Validatio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2009.03.006
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:An analysis of the impact of the commercialisation of intranasal administration on calcitonin consumption. DESIGN:Descriptive study. SETTING:Non-hospital ambit within the national health system. PATIENTS AND OTHER PARTICIPANTS:A protected population group within the national health system, with occupationa...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-03-15 00:00:00
abstract：OBJECTIVE:Principally, to establish the prevalence of xerostomia in the general population and, second, to find the association of xerostomia with the consumption of tranquillizers and anti-depression, anti-allergy, anti-Hypertension and hypnotic drugs. DESIGN:A crossover study of prevalence. SETTING:The urban area o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-03-15 00:00:00
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：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：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：AIM:Description of a clinical case of enteropathic arthritis. DESIGN:Descriptive study. SITE. Health Centre. PATIENTS AND OTHER PARTICIPANTS:A clinical case is described, starting with back pain where X-rays perceive no irregularity. Later a diagnosis of Crohn's disease is made. Finally lesions characteristic of anch...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-01-01 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 measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN:Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT:Andalusia. PARTICIPANTS:Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.09.020
更新日期：2020-02-01 00:00:00
