[Interaction of primary and specialized care and the patient in a program for early detection of cancer of the breast].

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 rural and geographically very large area, although it has a high proportion of its population concentrated in several urban nuclei. PARTICIPANTS:The women between 50 and 65 registered as living in the area were chosen: a total of 3548. MEASUREMENTS:The participation, detection and biopsy rates, and the length of delays between different steps in the process were measured. These steps were: performing the mammography, further tests, receipt of the report, referral for treatment if appropriate. MAIN RESULTS:2562 mammographies were carried out. There was 72.21% reply rate. 14 malign tumours were detected (detection rate 5.46 per 1000). The biopsy rate was 1.25%. The mean delay times were three days from the mammography to the primary care doctor's receiving the report; five days until the results were given to the patient; and 14 days before surgical treatment in case of breast cancer. CONCLUSIONS:The coordination between PCTs and specialist care considerably speeded up the development of the EDP for breast cancer in a large health area with a scattered population. Technically satisfactory results were achieved. The participation of the PC doctor enabled directed anamnesis and physical examination to be available and contributed to greater awareness among the target population.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Fernández-Hidalgo JM,Olmo Yáñez T,López-Muñiz C

subject

Has Abstract

pub_date

1998-10-31 00:00:00

pages

429-33

issue

7

eissn

0212-6567

issn

1578-1275

journal_volume

22

pub_type

杂志文章
  • [Risk of pregnancy in adolescence].

    abstract:OBJECTIVE:To describe the frequency and distribution of sexual conduct with risk of pregnancy, the degree of information on sexuality and contraceptive methods. To analyze the relationship between sexual conduct with risk of pregnancy and the most relevant variables of social surroundings of the adolescent: family, fri...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Fernández-Martínez de Alegría C,Brugos Larumbe A,Sánchez Cantalejo E

    更新日期:1992-02-01 00:00:00

  • [Health spending in Spain, 2002-2008. Does the Primary Care budget rescue begin?].

    abstract:OBJECTIVE:To determine the distribution of the public health spending (PHS) among health sectors from 2002 to 2008, and the eventual regional inequalities related to the regional income level and the ageing population. DESIGN:A longitudinal and retrospective study. SETTING:Spain. PARTICIPANTS:The 17 Autonomous Commu...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2011.01.005

    authors: Simó Miñana J

    更新日期:2012-01-01 00:00:00

  • [Hospital follow-up of referred patients over a year from the emergency service at a rural health center].

    abstract::We have evaluated the patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Torres Moreno J,Pérez-Cerezal Moreno M,Regife García V,Camacho Pizarro T,Pérez-Cerezal Moreno E,Munoz Iribarren MC,Vera Vázquez R

    更新日期:1991-01-01 00:00:00

  • [Traffic accidents: a health problem in primary care].

    abstract:OBJECTIVE:To discover the prevalence and most relevant epidemiological characteristics of the victims of traffic accidents which occur in our health area. SETTING:Hospital Casualty department (HC), Health area 19, Alcoy. PATIENTS:This was an observational, crossover study, based on the collection of data from all tho...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Blanquer JJ,Rapa M,Melchor A,Jiménez T,Adam A,Mulet MJ

    更新日期:1993-09-15 00:00:00

  • [Prevention of cervix cancer. Comparison of the sample quality obtained using cotton swab or cervical brush].

    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

    authors: Redondo Horcajo AM,Guerra Merino A,Pinedo Garrido G,García Aranda R

    更新日期:2000-06-15 00:00:00

  • [Diagnosis and management of type 2 diabetes].

    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

    authors: Díez Espino J

    更新日期:2010-09-01 00:00:00

  • [Prevalence of tobacco dependence in 6 counties of Lleida].

    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:

    authors: Serna Arnaiz MC,Serra i Majem L,Miret Montané M,Gascó Eguiluz E,Perera Enjuanes A,Mitjavila López J

    更新日期:1997-03-31 00:00:00

  • [Factors involved in noncompliance with pharmacological treatment in arterial hypertension].

    abstract:OBJECTIVES:To find the amount of non-compliance with medical treatment for Hypertension and its causes, and to describe the profile of non-compliant patients. DESIGN:A crossover study performed on two home visits. SETTING:A rural Health Centre at Calpe, Alicante. PATIENTS:The sample was obtained from the census of m...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Piñeiro F,Gil V,Donis M,Orozco D,Pastor R,Merino J

    更新日期:1997-09-15 00:00:00

  • [The social and economic cost of diabetes mellitus].

    abstract:OBJECTIVE:To evaluate the economic impact in terms of the direct costs (health care costs) and the indirect costs (effects on production caused by mortality and morbidity) of diabetes mellitus (DM) in the Canary Islands (Spain) during 1998. DESIGN:The approach used was to study the cost of the disease through looking ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(02)70526-x

    authors: López Bastida J,Serrano Aguilar P,Duque González B

    更新日期:2002-02-28 00:00:00

  • [Management of osteoporosis at a primary care center].

    abstract:OBJECTIVES:To find how suitable a semFYC guide is for the indication of bone densitometry in menopausal women; and how appropriate their Osteoporosis treatment is. DESIGN:Cross-sectional study.Setting. Girona-3 Health District. PARTICIPANTS:Women between 50 and 80 allocated to the Girona-3 Health District. Suffering ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(04)79391-9

    authors: Zwart Salmerón M,Fradera Vilalta M,Solanas Saura P,González Pastor C,Adalid Vilar C

    更新日期:2004-03-15 00:00:00

  • [Evaluation of a programme to monitor drug therapy in type-2 diabetics].

    abstract:OBJECTIVES:To evaluate the results of pharmaceutical intervention in a programme to monitor the drug therapy of type-2 diabetics; and to assess the improvement of the indicators, glycosylated haemoglobin, basal glycaemia, lipid profile, albumin/creatinine, blood pressure, BMI, medication-related problems and adherence....

    journal_title:Atencion primaria

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0212-6567(04)79451-2

    authors: Fornos Pérez JA,Guerra García MM,Andrés Rodríguez NF,Egea Ibernón B

    更新日期:2004-06-15 00:00:00

  • [Mortality due to asthma in the city of Barcelona (1983-1993)].

    abstract:OBJECTIVE:To find asthma mortality in the city of Barcelona. DESIGN:Descriptive study of mortality. SETTING:City of Barcelona. MAIN MEASUREMENTS:Deaths due to asthma in the city of Barcelona in the period 1983-1993 were studied through the register of mortality at Barcelona's Municipal Institute of Health, which in ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(04)78872-1

    authors: Naberan Toña K,Albertí Jaume J

    更新日期:2004-01-01 00:00:00

  • [State of internal communication in primary care].

    abstract:OBJECTIVES:To study internal communication between primary care health professionals DESIGN:Cross-sectional, descriptive. SETTING:Catalan Health Institute Costa de Ponent Primary Care Area, Spain. PARTICIPANTS:All workers in the area (n=3565). MEASUREMENTS:Three part questionnaire: a) sociodemographic questions; b)...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13125405

    authors: Ballvé Moreno JL,Pujol Ribó G,Romaguera Lliso A,Bonet Esteve A,Rafecas Ruiz M,Zarza Carretero E

    更新日期:2008-08-01 00:00:00

  • [The variability in the care for diabetic and hypertensive patients as a function of the styles of a physician's practice].

    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:

    authors: Mira JJ,Llinás G,Gil V,Lorenzo S,Palazón I,Orozco D

    更新日期:1999-02-15 00:00:00

  • [Transferable skills of healthcare professionals in providing homecare in chronically ill patients].

    abstract:AIM:To determine the relevance level of non-technical skills of those professionals dedicated to the healthcare of patients with chronic diseases, from an analysis of home care professionals. DESIGN:Quantitative and qualitative research conducted in 2 phases: 1.st from November 2010 to March 2011 and 2.nd from Decembe...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2014.02.009

    authors: Escarrabill J,Clèries X,Sarrado JJ

    更新日期:2015-02-01 00:00:00

  • [Validity of the abdominal ecography in primary care for detection of aorta abdominal aneurism in male between 65 and 75 years].

    abstract:OBJECTIVE:To determine the usefulness of ultrasound examination in Primary Care (PC) for the detection of abdominal aortic aneurysm (AAA) in male patients from 65-75 years old, as well as the consistency between observers on the diagnosis between general practitioners and the reference specialty in this area, Vascular ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2017.10.005

    authors: Bravo-Merino L,González-Lozano N,Maroto-Salmón R,Meijide-Santos G,Suárez-Gil P,Fañanás-Mastral A

    更新日期:2019-01-01 00:00:00

  • [The prevalence of the burnout syndrome or professional exhaustion in primary care physicians].

    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:

    authors: de Pablo González R,Suberviola González JF

    更新日期:1998-11-30 00:00:00

  • [Current situation of goiter endemic and iodine intake in the population of the Pyrenees and the Segrià region of Lleida].

    abstract:OBJECTIVE:To assess the prevalence of goiter in five areas of the Pyrineans and in the region of Segrià in Lleida. DESIGN:Transversal descriptive study. SETTING:Five Pyrinean's regions and Segrià. PATIENTS:Randomised selection of a sample of 601 subjects from the population over 6 years old. MEASUREMENTS:The field ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Serna Arnaiz MC,Serra i Majem L,Gascó Eguiluz E,Muñoz Márquez J,Ribas L,Escobar del Rey F

    更新日期:1998-12-01 00:00:00

  • [Factors associated with asthma in children and adolescents in rural areas of Navarre (Spain)].

    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

    authors: Elizalde-Beiras I,Guillén-Grima F,Aguinaga-Ontoso I

    更新日期:2018-01-01 00:00:00

  • [Common health disorders: self-care and self-medication].

    abstract:SETTING:Community level. "Santa María de Benquerencia" Health District, Toledo. PARTICIPANTS:People over 15, chosen by random sampling from the municipal census, who stated that they had suffered some health disorder over the previous fortnight. MEASUREMENTS AND MAIN RESULTS:212 surveys were accepted as valid (averag...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Tejedor N,Zafra E,Sánchez del Viso Y,López Muñoz A,Vidal C,López de Castro F

    更新日期:1995-06-15 00:00:00

  • [The detection of factors predictive of the abandonment of disabled patients in a basic health area].

    abstract:OBJECTIVE: MAIN OBJECTIVE:to elaborate a Persons at Risk Index (PRI) for the abandonment of elderly handicapped. SECONDARY OBJECTIVES:to discover the profile of these invalids and their carers within our Health District. DESIGN:A case-control study. A uni- and multi-variant analysis (multiple logistic regression). ...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Muñoz Cobos F,Burgos Varo ML,Rogero Anaya P,García España F

    更新日期:1995-01-01 00:00:00

  • [Characteristics and evolution of COVID-19 in an urban Health Center at the pandemic beginning'].

    abstract:OBJETIVE:To evaluate SAR-COV-2 pacients' features. To analyse de diferences between those who required hospital care and those who didn't. DESIGN:Observational, descriptive and retrospective study. SETTING:Twomedical practices of an urban health center in Salamanca (Spain). PARTICIPANTS:≥18 years diagnosed with SAR-...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2020.10.005

    authors: Barroso López KR,Peñasco García P,Soria López CI,Pérez Fernández MC,Gómez Cruz JG,González Silva Y

    更新日期:2020-12-13 00:00:00

  • [Pre-malignant and malignant lesions in minor surgery at a health centre. Appearances can't be trusted].

    abstract:OBJECTIVE:To describe the characteristics of the malignant and pre-malignant lesions found in the minor surgical interventions performed at a health centre. DESIGN:Retrospective, descriptive study. PARTICIPANTS:682 lesions: all the lesions extirpated and referred to pathology except for epidermal and trichilemmal cys...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/s0212-6567(03)79334-2

    authors: González Anguren C,Osés Primo R,Molinero Pinilla R,Parra Osés A,de la Red Arroyo S

    更新日期:2003-12-01 00:00:00

  • [Domiciliary care of the terminal cancer patient: evaluation and proposals by physicians and nurses].

    abstract:OBJECTIVE:To detect problems that terminal cancer patients pose to primary health care (PHC) professionals. DESIGN:Cross-sectional study. SETTING:PHC professionals of the Manresa (province of Barcelona) health Sector of the National Health System. PARTICIPANTS:151 professionals (87 physicians and 64 nurses). MEASUR...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Busquet Durán X,Porta Serra M,Jariod M,Busquet Mas C,Sánchez Blanco AM,Duocastella Bastardes P

    更新日期:1994-04-15 00:00:00

  • [To find out the life habits and risk factors of adolescents seen in the Health Centres of two semi-urban populations using a structured open response clinical interview].

    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

    authors: López García A,Rodríguez González I,Almagro Martín-Lomeña P,Garófano Gordo R,Fernández Cano EM,Maldonado Barrionuevo A

    更新日期:2011-04-01 00:00:00

  • [Profile of the over-user of a health center].

    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:

    authors: Llorente Alvarez S,López Ruiz T,García Lavandera LJ,Alonso Fernández M,Alonso Arias P,Muñoz Baragaño P

    更新日期:1996-02-15 00:00:00

  • [Short-term time off work: its characteristics at a health centre from 2000-2002 inclusive].

    abstract:OBJECTIVE:To describe short-term time off work procedures, its duration and the determining factors in an active population covered by health insurance at a health centre. DESIGN:Descriptive and observational study of prevalence. SETTING:Ribadeo Health Centre, Lugo, Spain. PARTICIPANTS:All sickness certificates issu...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13083937

    authors: García-Díaz AM,Pértega-Díaz S,Pita-Fernández S,Santos-García C,Vázquez-Vázquez J

    更新日期:2006-01-01 00:00:00

  • [Quality of registration of dementia diagnosis in primary care: The situation in Spain in 2002-2011].

    abstract:OBJECTIVE:To ascertain the diagnosis associated with specific treatment for dementia in the Primary Care Electronic Clinical Record (PC-ECR) and to analyse the factors associated with the quality of registration. METHODS:Descriptive study of patients taking cholinesterase inhibitors or memantine registered in Database...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2015.03.002

    authors: de Hoyos-Alonso Mdel C,Bonis J,Bryant V,Castell Alcalá MV,Otero Puime Á

    更新日期:2016-01-01 00:00:00

  • [Utility of an information system for primary care].

    abstract:OBJECTIVE:To know the usefulness and applicability of an information system for basic health areas put into operation 16 years ago. DESIGN:Descriptive study of selected indicators registered in 1994 and 2004. SETTING:Basic health areas of Barcelona, Spain. PARTICIPANTS:Population living in Barcelona, Spain, during 1...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1157/13118058

    authors: Grau M,García-Altés A,Pasarín MI,Arribas P,Borrell C,Brugal T

    更新日期:2008-04-01 00:00:00

  • [Fixed drug combinations in hypertension: a budget impact analysis for the Spanish Health System on the marketing of a fixed combination of olmesartan/amlodipine].

    abstract:OBJECTIVE:To carry out a budget impact analysis (BIA) of olmesartan/amlodipine (20/5, 40/5 and 40/10mg) marketed as a fixed combination (FC) in its approved indication for the National Health System (NHS). DESIG:We developed a decision tree model in order to estimate usual hypertension treatment algorithm in Spanish c...

    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:10.1016/j.aprim.2010.04.017

    authors: Belén Ferro-Rey M,Roca-Cusachs A,Sicras-Mainar A,Alvarez-Martín C,de Salas-Cansado M

    更新日期:2011-07-01 00:00:00