Abstract：
OBJECTIVE:To describe the thyroid pathology seen at our health centre (HC) and its evolution. DESIGN:A longitudinal, retrospective study. SETTING:La Mina HC, Sant Adrià de Besòs, Barcelona. PATIENTS:Patients older than 14 who, between January 1985 and June 1993, had presented functional or morphological thyroid function disorders. They belonged to four general medical practices which attended 5,834 people. MEASUREMENTS AND MAIN RESULTS:160 people (2.74%) presented thyroid disorders at some point. Average age was 56.5 +/- 15.6 years. Women presented thyroid pathology more often: 142 (88.7%) against 18 (11.3%). The commonest disorder was Hypothyroidism with 68 cases (42.5%). 38 (58.8%) were sub-clinical (HS). Toxic diffuse goitre (TDG) was the most common diagnosis among the 15 cases of hyperfunction. Among morphological disorders, 19 cases of thyroid nodule (3 carcinomas: 2 papillary and 1 follicular) and 16 cases of non-toxic diffuse goitre were recorded. There were 5 cases of hypothyroidism associated with amiodarone treatment. Five women were diagnosed as having exogenous Hyperthyroidism. Of the 38 HS patients, 5 (13.2%) evolved towards Hypothyroidism and 3 died. Average period of observation was 43.6 +/- 27.4 months. At present 122 people (2.09%) present thyroid pathology, with women predominating (4.16% vs 0.35%). The most common diagnoses are: normally functioning goitre (25 cases), HS (20), and primary hypothyroidism in adults (HPA) (16). There are 13 cases of post-surgical hypothyroidism and 11 of autoimmune thyroiditis or probable Hashimoto's disease. The incidence of TDG in the last 5 years is 3 per 10,000 inhabitants per year. CONCLUSIONS:Our work contributes data on thyroid pathology among the population covered by a health centre. A proper procedure for tackling thyroid pathology in primary care could improve care for these patients.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Serra M,Méndez MA,Davins J,Borrell M,Baxarias J,Ríos Lsubject
Has Abstractpub_date
1995-04-30 00:00:00pages
457-60issue
7eissn
0212-6567issn
1578-1275journal_volume
15pub_type
杂志文章abstract：OBJECTIVE:To describe the health situation of the target population (women between 15 and 45 and children from 0 to 3), living in the towns on the West Bank in which the 12 dispensaries of the Palestine NGO Health Services Council were located, in order to plan a programme of support activities for that NGO. DESIGN:Cr...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-11-15 00:00:00
abstract：OBJECTIVE:To analyse the length of sick leave (SL) and its associated factors in Andalusia. DESIGN:Descriptive observational study. SETTING:Andalusia. PARTICIPANTS:A total of 1,633,405 sick leave forms issued from the 1st January 2002 to the 31st of December 2006 for any reason by Primary Health Care doctors in the ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2008.10.020
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:To find out the perceptions of family doctors (FD) and psychiatrists (PS) on their inter-relationships in the health care of patients with depression. DESIGN:Qualitative methodology. Exploratory design based on FD and PS discussion groups (DG). SETTING:Primary health care centres (PHCC) and mental health c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2008.04.003
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVE:To find the sociodemographic and family characteristics of our Health Centre's over-user, along with the connection between psychological malaise, family dysfunction and greater or lesser attendance. DESIGN:We carried out a descriptive crossover study, after a prior simple random sampling. SETTING:La Felgue...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-02-15 00:00:00
abstract：OBJECTIVE:To evaluate the results of a programme of intervention into the monitoring of short-term unfitness for work of members of the Special Sea Regime at Cádiz during 1997. DESIGN:Quasi-experimental intervention study with a pre- and post-intervention group, formed by the doctors from the Instituto Social de la Ma...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-11-30 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：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:Given the possibility of adverse side-effects, interactions with medicines and poisoning by contaminants among herbal medicine consumers (HM), we aimed to describe the consumption of HM by health centre users being treated with medicines. DESIGN:Cross-sectional, observational study.Setting. Thirteen health c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70381-2
更新日期：2001-09-30 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：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：OBJECTIVES:The main objective was to determine the prevalence of the burnout syndrome among health workers and its distribution by social, demographic and work variables. The secondary aim was to detect potentially modifiable causes. DESIGN:Descriptive cross-sectional study. SETTING:Primary care. PARTICIPANTS:All th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)79373-0
更新日期：2001-03-31 00:00:00
abstract：OBJECTIVE:To know the views, experiences and expectations of care provided by the Andalusian Public Health System (SSPA) of users of an urban area in need of social transformation (ZNTS). DESIGN:Qualitative methodology (exploratory study). LOCATION:Urban basic health zone (16,000 inhabitants, 40% ZNTS). PARTICIPANTS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.01.016
更新日期：2013-08-01 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：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：OBJECTIVES:The main objective was to evaluate the use of two diagnostic instruments for mental disorders in primary care (PC): the PRIME-MD and the Goldberg anxiety and depression scales. Second, to determine the concordance between the two tests and evaluate the quality of psychiatric diagnosis records in the clinical...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-03-31 00:00:00
abstract：:We describe one of four epidemic known outbreaks of type "A" hepatitis during the year 1987 in Jaén, and whose focal point was a day nursery placed in our sanitary area. We identify 75 cases; we followed 48 from a pediatric surgery (PS), 33 of them were from a day nursery (attack rate, 31.73%). To the 48 children from...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-08-01 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：:We have evaluated serum cholesterol in a primary care center with a recently introduced portable analyzer: Reflotron (Boehringer Mannheim). The linearity and exactitude were investigated with Hitachi 704 (Boehringer Mannheim) used in the reference laboratory. Accuracy was also tested. We found a good accuracy after re...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-05-01 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：OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.01.017
更新日期：2011-05-01 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 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：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：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 Janua...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78635-5
更新日期：2000-07-01 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：OBJECTIVE:To describe the functional ability of elderly people and analyse its relationship to the use of services. DESIGN:A crossover study. SETTING:An urban population within the metropolitan area of the Community of Madrid. PARTICIPANTS:A random sample of 300 people over 70, taken from the municipal census. MEAS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-03-31 00:00:00
abstract：OBJECTIVE:To assess the frequency of migraines attributable to continuous consumption of analgesics. DESIGN:A longitudinal prospective study of a descriptive type. SETTING:A specialised Neurology Clinic within a County hospital, which provides the Primary Care coverage for ibiza and Formentera. PATIENTS:All those pa...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-06-15 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：OBJECTIVES:To validate the Cockroft-Gault and the abbreviated Modification of Diet in Renal Disease (MDRD) formulas in a hypertense population aged over 60 and with blood pressure monitored in out-patients. To evaluate the prevalence of various stages of hidden chronic kidney disease in this population. DESIGN:Descrip...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13101799
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVE:To discover how osteoporosis is tackled in Spanish primary care before the publication of the semFYC osteoporosis guide. DESIGN:Self-filled questionnaire for primary care doctors sent out by commercial mail (in blocks per province). SETTING:Five thousand family medicine clinics in Spain.Participants. Doctor...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)79046-x
更新日期：2002-10-15 00:00:00
