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16 results on '"Sánchez-Toril"'

1. Clinical characteristics and risk of exacerbations associated with different diagnostic criteria of asthma-COPD overlap

Author

Violeta Esteban, Cristina Soler, María Luisa Nieto, Laura Novella, Fernando Sánchez-Toril, Juan José Soler-Cataluña, and Marc Miravitlles

Subjects
Male, medicine.medical_specialty, Exacerbation, Population, Cohort Studies, Pulmonary Disease, Chronic Obstructive, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Eosinophilia, Prevalence, Humans, Medicine, Asthma copd overlap, education, Asthma, education.field_of_study, COPD, business.industry, General Medicine, medicine.disease, respiratory tract diseases, 030228 respiratory system, Cohort, Female, Observational study, medicine.symptom, business
Abstract

Introduction There is currently no universally accepted definition of asthma−COPD overlap (ACO). Objective To compare the prevalence of ACO in patients with asthma or COPD, and to assess their clinical characteristics and the capacity of the different definitions to predict the risk of exacerbation. Method Prospective observational study with a 12-month follow-up in an asthma cohort and a COPD cohort. Four diagnostic criteria were compared: A) the Spanish 2012 consensus; B) the 2016 international consensus; C) the 2017 consensus between the Spanish COPD guidelines (GesEPOC) and GEMA asthma guidelines; and D) the single criterion of ≥300 eosinophils/μL, proposed by GOLD 2019. The risk of exacerbations was evaluated in each group. Results A total of 345 patients were included, 233 (67.5%) with COPD and 112 (32.5%) with asthma, aged 63 ± 14 years, 70.4% men. Fifteen (4.3%) patients met the criteria for ACO according to the criteria described under A above; 30 (8.7%) with the criteria of B; 118 (34.2%) with the criteria of C; and 97 (28.1%), with the D criterion. The ACO-COPD subtype were older, had worse lung function, and an increased risk of exacerbation compared with the ACO-asthma group. Of all the definitions evaluated, those which distinguished a higher risk of exacerbations were the GesEPOC-GEMA consensus and the GOLD proposal. Conclusions The prevalence of ACO varies enormously depending on the diagnostic criteria used. The ACO population is heterogeneous, and the ACO-COPD subtype is very different from the ACO-asthma subtype. The definitions that include eosinophilia identify ACO patients with a greater risk of exacerbation.

Published
2020

2. Características clínicas y riesgo de agudizaciones asociados con diferentes criterios diagnósticos del solapamiento asma-EPOC

Author

Juan José Soler-Cataluña, Fernando Sánchez-Toril, Violeta Esteban, Cristina Soler, María Luisa Nieto, Laura Novella, and Marc Miravitlles

Subjects
Pulmonary and Respiratory Medicine, 03 medical and health sciences, 0302 clinical medicine, 030228 respiratory system, business.industry, Medicine, business, Humanities
Abstract

Resumen Introduccion En la actualidad no disponemos de una definicion de solapamiento asma-EPOC (ACO) universalmente aceptada. Objetivo Comparar la prevalencia del ACO en pacientes con asma o EPOC, valorar sus caracteristicas clinicas y la capacidad predictiva de riesgo de agudizacion de las diferentes definiciones. Metodo Estudio prospectivo observacional con seguimiento de 12 meses sobre una cohorte de asma y otra con EPOC. Se comparan 4 criterios diagnosticos: A) el consenso espanol del 2012; B) el consenso internacional del 2016; C) el consenso entre la guia espanola de la EPOC (GesEPOC) y la del asma (GEMA) del 2017; y D) el criterio unico de ≥ 300 eosinofilos/μl, propuesto por GOLD 2019. En cada grupo se evaluo el riesgo de agudizaciones. Resultados Se incluyeron 345 pacientes, 233 (67,5%) con EPOC y 112 (32,5%) con asma, con una edad de 63 ± 14 anos; el 70,4% eran hombres. Quince (4,3%) pacientes cumplian criterios de ACO con criterios A; 30 (8,7%) con los B; 118 (34,2%) con los C; y 97 (28,1%) con el criterio D. El subtipo ACO-EPOC presento mas edad, peor funcion pulmonar y mayor riesgo de agudizacion que los ACO-asma. De todas las definiciones evaluadas, las que presentaron mayor riesgo de agudizaciones fueron la del consenso GesEPOC-GEMA y la propuesta de GOLD. Conclusiones La prevalencia de ACO varia enormemente en funcion del criterio diagnostico utilizado. La poblacion de ACO es heterogenea, con un subtipo ACO-EPOC muy diferente al ACO-asma. Las definiciones que incluyen la eosinofilia identifican a los ACO de mas riesgo de agudizacion.

Published
2020

3. Anxiety, Depression, and Asthma Control: Changes After Standardized Treatment

Author

L. Fernandez Pellon, E. Macias Fernandez, Manuel J Rial, E. Morchon Miguel, V. Vilella Tomás, P. Marin Martinez, V. De Luque Piñana, V. García Paz, M. Morales Villarejo, J. Ruiz Hornillos, J. Herrero Jarque, J. Florido Lopez, J. Beitia Mazuecos, M. Rojas Vilchez, J. Medina Gallardo, J. Valldeperas Combas, A. Pallarés Sanmartín, I. García Núñez, J. Castro Landin, R. Diaz Campos, G. Gala Ortiz, M. Mena Rodriguez, O. Villarreal Balza De Vallejo, Vicente Plaza, E. Pinto Nogues, A. Suárez Rodríguez, P. Sánchez López, S. Díaz Angulo, F. Sola Martinez, M. Moscardó Orenes, M. Alvariño Martin, R. Tejedor Romera, J. Orta Cuevas, Z. Vasquez Gambasica, B. García Figueroa, A. Letran Camacho, M. Modesto Alapont, M. Cervera Del Pino, P. Benito Martinez, S. Varela Losada, F. Carballada Gonzalez, Irina Bobolea, M. Díaz Palacios, Y. Anta Mejias, D. González De Olano, J. Martos Velasco, P. Prieto Montaño, A. Sanchez Alonso, M. Martínez Ceres, J. Donado Uña, Ò. Sotorra Elias, B. Alcázar Navarrete, A. Arnedillo Muñoz, J. Alcazar Ramirez, J. Jiménez López, M. Alvarez Puebla, M. Antón Girones, J. Compaired Villa, P. Mata Calderon, M. Escribano Rodriguez, C. Morales García, I. Molero Sancho, M. De Las Marinas Alvarez, T. Bazus Gonzalez, M. Soria Esojo, A. Vega Castro, A. Moreno Fernandez, G. Jorro Martínez, E. Ortega Sáenz De Tejada, A. Regueiro Moreira, M. Garcimartin Galicia, A. Alonso Gomez, R. Rodriguez Martinez, J. Liñana Santafé, I. Ansotegui Zubeldia, R. Lama Martinez, A. Saura Vinuesa, N. Segura Arazuri, M. Torrecillas Toro, M. Climent Gregori, M. Herrerias Peña, T. Peña Miguel, C. Vila Albelda, C. Diaz Donado, M. Hernandez, A. Losada Peña, M. Gandolfo Cano, J. Montoro Lacomba, J. Quiralte Enriquez, R. Rodríguez Pacheco, M. Arroyo Cozar, P. Rubinstein Aguñin, M. Blanco Aparicio, F. Alvarez Gutierrez, C. Merinas Lopez, R. Mayorgas Costoya, M. Franco Campos, J. Garcia De Pedro, V. Moreno Garcia, J. De Frutos Arribas, J. Alvarez Fernandez, A. Robles Iniesta, M. Do Muíño Joga, A. Bueso Fernandez, P. Serrano Dominguez, M. Jimenez Lara, P. Losada Llorente, C. Colás Sanz, I. Raducan, B. Requejo Mañana, M. Mota Godoy, M. Martos Calahorro, F. Ortiz Portal, J. Zapata Yébenes, F. Nicolau Pastrie, C. Rabade Castedo, M. Salvador Segarra, F. Callejas González, M. Chacon Patiño, G. González Álvarez, J. Olaguibel Rivera, P. Gonzalez Delgado, B. Orosa Bertol, E. De Santiago Delgado, J. Cumplido Bonny, R. Nuñez Orjales, Antonio Fernandez-Sanchez, B. Añíbarro Bausela, D. Ferrer Pargada, S. Niño Bernal, A. Cobas Paz, B. Huertas Barbudo, J. Ciruelos Ayuso, M. Lara Jiménez, D. Gutierrez Fernandez, G. Castaño De Las Pozas, Y. García Villamuza, F. Sánchez-Toril López, E. Naval Sendra, C. Andreu Balaguer, M. Rico Diaz, L. Navarro Seisdedos, D. El-Qutob López, J. Ruiz Cubillan, Miguel Ibáñez Rodríguez, L. Fontan Garcia-Boente, M. Rivera Ortun, A. Padilla Galo, M. Muñoz Pamplona, I. Perez Sampedro, F. Garcia Gonzalez, E. Gómez Nieves, S. Aparicio Español, Astrid Crespo, A. Lloris Bayo, R. Lleonart Bellfill, E. Burches Baixauli, R. Andujar Espinosa, I. Picans, F. Linde De Luna, A. Tabar Purroy, L. Valverde Vazquez, R. Blanco Gonzalez, M. Ballester Canelles, P. Barranco Sanz, F. Ruano Perez, A. Romero Ortiz, S. Jimenez Timon, G. De Luiz Martínez, C. Baeza Martinez, G. Bernaola Hortigüela, J. Chamorro Mohedad, M. Garcés Sotillos, R. Moreno Borque, M. Moro, I. Ali García, S. Lizarza Mendizabal, J. Almagro Lopez, C. Perez Carral, J. Cegoñino De Sus, M. Reche Frutos, R. González Perez, M. Domínguez Fuentes, L. Cassini Gomez De Cadiz, A. Feliu Vila, M. Dordal Culla, M. Corbacho Abelaira, Y. Puente Crespo, D. Romero Ribate, J. Rozadilla Sacanell, J. Lopez Caballero, A. Velez Ruiz De Lobera, A. Montoro De Francisco, M. Ramirez Prieto, N. Marina Malanda, J. Juanola Pla, M. Millan Gonzalez, N. Subira Farre, P. Cordero Rodriguez, F. Gonzalez Barcala, S. Herrera Lara, M. Peña Arellano, J. Igea Aznar, R. Alvarez Sintes, E. Martinez Moragon, J. Greses Giner, M. Martínez Riaza, G. Mediero Carrasco, P. Catalán Serra, M. Rodriguez Hernandez, S. Porcel Carreño, Joaquín Sastre, A. Ruiz San Francisco, R. Bernabeu Mora, M. Alwakil Olbah, H. Izaguirre Flores, J. Subiza Garrido-Lestache, B. Labeguerie Arenaza, B. Presedo Garazo, S. Cimbollek, A. Fuster Gomila, G. Minguez Martin, M. Martín Pérez, S. Garrido Fernández, F. Iglesias Rio, A. Veres Racamonde, B. Rodriguez Jimenez, F. Muñoz Bellido, A. Moral De Gregorio, A. López Viña, J. Marin Torrado, I. Flores Martín, M. Avilés Inglés, A. Lahuerta Castro, and P. Galindo Bonilla

Subjects
Adult, Male, Spirometry, medicine.medical_specialty, Vital capacity, Anxiety, Hospital Anxiety and Depression Scale, Severity of Illness Index, 03 medical and health sciences, FEV1/FVC ratio, 0302 clinical medicine, Forced Expiratory Volume, Internal medicine, Health care, Humans, Immunology and Allergy, Medicine, 030212 general & internal medicine, Depression (differential diagnoses), Asthma, medicine.diagnostic_test, Depression, business.industry, Middle Aged, medicine.disease, respiratory tract diseases, 030228 respiratory system, Female, medicine.symptom, business
Abstract

Background It has been documented that anxiety and depression are prevalent in patients with asthma and are associated with greater frequency of exacerbations, increased use of health care resources, and poor asthma control. Objective To examine the association of asthma diagnosis with symptoms of depression/anxiety and asthma control not only at baseline but also over a 6-month period of specialist supervision. Methods We enrolled 3182 patients with moderate to severe asthma. All were evaluated with spirometry, the Asthma Control Test, and the Hospital Anxiety and Depression Scale at baseline and at 6 months. Treatments were decided by specialists according to published guidelines. Results At baseline, 24.2% and 12% of the patients were diagnosed with anxiety and depression, respectively, according to the Hospital Anxiety and Depression Scale. After 6 months, anxiety and depression improved, affecting 15.3% and 8.1% of patients, respectively (P Conclusion Under standardized asthma care and after a specific visit with the specialist, patients present significant improvement in these psychological disorders and exhibit better asthma control and functional parameters.

Published
2018

7. Long-term safety and efficacy of benralizumab in patients with severe, uncontrolled asthma: 1-year results from the BORA phase 3 extension trial

Author

Busse, William W, primary, Bleecker, Eugene R, additional, FitzGerald, J Mark, additional, Ferguson, Gary T, additional, Barker, Peter, additional, Sproule, Stephanie, additional, Olsson, Richard F, additional, Martin, Ubaldo J, additional, Goldman, Mitchell, additional, Yañez, Anahí, additional, Fernández, Marcelo, additional, Tolcachier, Alberto, additional, Belloni, Juan, additional, Taborda, Jorge, additional, De Salvo, Maria, additional, Maspero, Jorge, additional, Victorio, Carlos, additional, Navarta, Miguel Chirino, additional, Grilli, Monica, additional, Rodríguez, Pablo, additional, Otaola, María, additional, Cambursano, Víctor, additional, Malamud, Patricia, additional, Stok, Ana, additional, Arce, German, additional, Roza, Osiris, additional, Scherbovsky, Fernando, additional, Elias, Pedro, additional, Saez, Maria Salazan, additional, Peters, Matthew, additional, Phillips, Martin, additional, Upham, John, additional, Gibson, Peter, additional, Thien, Francis, additional, Douglass, Jo, additional, Thomas, Paul, additional, Bardin, Philip, additional, Sajkov, Dimitar, additional, Hew, Mark, additional, Langton, David, additional, Pez, Andreia, additional, Fritscher, Carlos, additional, Hetzel, Jorge, additional, Mattos, Waldo, additional, Stelmach, Rafael, additional, Antila, Martti, additional, Fernandes, Ana Luisa, additional, Metev, Hristo, additional, Ivanov, Yavor, additional, Bogdanova, Aneliya, additional, Markova, Ana Dancheva, additional, Peneva, Marinka, additional, Veselinova, Rumyana, additional, Petkova, Tatyana, additional, Petrova, Vanushka, additional, Shopova, Elena, additional, Ivanova, Yuliya, additional, Yotsova, Rumyana, additional, Kirkova, Ginka, additional, Petrova, Galina, additional, Dachev, Svetoslav, additional, Sotirova, Kostadinka, additional, Stoyanova, Mariyana, additional, Yakov, Oleg, additional, Ilieva-Fartunova, Vanya, additional, Lemiere, Catherine, additional, Laviolette, Michel, additional, Yang, William, additional, Pek, Bonavuth, additional, Killorn, William Patrick, additional, Poirier, Claude, additional, Chouinard, Guy, additional, Melenka, Lyle, additional, Leigh, Richard, additional, Nair, Parameswaran, additional, Dorscheid, Delbert, additional, Martin, James, additional, Pavie, Juana, additional, Rosenblut, Andres, additional, Cartagena, Claudia, additional, Quilodran, Carlos, additional, Muñoz, Silvia, additional, Malkusova, Ivana, additional, Veverka, Josef, additional, Holub, Stanislav, additional, Mares, Jaroslav, additional, Kozel, Radovan, additional, Kopecka, Daniela, additional, Zindr, Vladimir, additional, Cerva, Pavel, additional, Chanez, Pascal, additional, Bourdin, Arnaud, additional, Devouassoux, Gilles, additional, Taille, Camille, additional, De Blay, Frédéric, additional, Goupil, Francois, additional, Leroyer, Christophe, additional, Gourcerol, Delphine, additional, Didi, Toufik, additional, Didier, Alain, additional, Garcia, Gilles, additional, Bonniaud, Philippe, additional, Vasram, Riazate Rossanaly, additional, Lommatzsch, Marek, additional, Harnest, Ulf, additional, Linnhoff, Anneliese, additional, Keller, Claus, additional, Hoheisel, Gerhard, additional, Förster, Karin, additional, Schultz, Thomas, additional, Schenkenberger, Isabelle, additional, Kirschner, Joachim, additional, Schmoller, Tibor, additional, Zielen, Stefan, additional, Kornmann, Marc, additional, Beck, Ekkehard, additional, Volgmann, Lutz, additional, Dichmann, Rolf, additional, Overlack, Axel, additional, Winkler, Jörg, additional, Mikloweit, Petra, additional, Ballenberger, Sabine, additional, Rolke, Mathias, additional, Korn, Stephanie, additional, Pabel, Helmut, additional, Hoffmann, Martin, additional, Feimer, Jan, additional, Rabe, Klaus, additional, Deckelmann, Regina, additional, Welte, Tobias, additional, Ohbayashi, Hiroyuki, additional, Hozawa, Soichiro, additional, Shimoda, Terufumi, additional, Yoshida, Makoto, additional, Nagakura, Toshikazu, additional, Kamei, Tadashi, additional, Sano, Yasuyuki, additional, Kagami, Shinichiro, additional, Takahashi, Hisaho, additional, Haida, Michiko, additional, Kimura, Goro, additional, Nakamura, Hiroyuki, additional, To, Yasuo, additional, Shinkai, Masaharu, additional, Shimokawaji, Tadasuke, additional, Kudo, Makoto, additional, Shijyubo, Noriharu, additional, Tochigi, Takao, additional, Kato, Motokazu, additional, Tanaka, Akihiko, additional, Gon, Yasuhiro, additional, Sasaki, Norihisa, additional, Ohdaira, Tetsuro, additional, Omori, Chiharu, additional, Takahashi, Toshiki, additional, Takeuchi, Satomi, additional, Nakajima, Kiyotaka, additional, Makita, Hironi, additional, Kaneko, Masahiro, additional, Furuta, Kenjiro, additional, Taniguchi, Masami, additional, Inobe, Yoshito, additional, Miki, Hiroshi, additional, Nakamura, Yoichi, additional, Miyazawa, Naoki, additional, Yano, Shuichi, additional, Iijima, Masayuki, additional, Yamato, Tsuyoshi, additional, Diaz, Javier, additional, Matsuno, Alberto, additional, Felix, Efrain, additional, Guerreros, Alfredo, additional, Daly, Alejandro, additional, Rodriguez Chariarse, Fernando, additional, Salazar, Danilo, additional, Castro, Socorro, additional, Chavez, William, additional, Estrella, Rolando, additional, Aquino, Teresita, additional, Atienza, Tito, additional, Samoro, Ronnie, additional, Isidro, Marie Grace Dawn, additional, Kuna, Piotr, additional, Antczak, Adam, additional, Bednarek, Michał, additional, Mądra-Rogacka, Danuta, additional, Hofman, Teresa, additional, Jutel, Marek, additional, Pisarczyk-Bogacka, Ewa, additional, Kot, Agata, additional, Mróz, Robert, additional, Czupryńska-Borkowska, Małgorzata, additional, Żurowska-Gębala, Małgorzata, additional, Dyczek, Andrzej, additional, Jasieniak-Pinis, Grażyna, additional, Wojnowski, Piotr, additional, Trębas-Pietraś, Ewa, additional, Dobryniewska, Małgorzata, additional, Stobiecki, Marcin, additional, Tarnowska-Matusiak, Marzenna, additional, Magner, Alina, additional, Kolczyński, Andrzej, additional, Kachel, Tomasz, additional, Bartuzi, Zbigniew, additional, Majorek-Olechowska, Bernadetta, additional, Śliwiński, Paweł, additional, Balicka, Violetta, additional, Hajoł, Elżbieta, additional, Stachera, Jacek, additional, Rachel, Marta, additional, Michnar, Marek, additional, Tałałaj, Jarosław, additional, Springer, Ewa, additional, Napora, Piotr, additional, Grzelewski, Tomasz, additional, Bijata-Bronisz, Renata, additional, Świderska, Anna, additional, Mincewicz, Grzegorz, additional, Sankowski, Zbigniew, additional, Fijołek, Tomasz, additional, Kwaśniewski, Artur, additional, Jerzyńska, Joanna, additional, Cygler, Jerzy, additional, Olesiejuk, Ryszard, additional, Von Steiner, Iwona, additional, Machowiak, Wojciech, additional, Filipek, Krzysztof, additional, Piskorz, Piotr, additional, Uhryn, Ewa, additional, Nittner-Marszalska, Marita, additional, Rybicka-Liszewska, Elżbieta, additional, Bodzenta-Łukaszyk, Anna, additional, Chełmińska, Marta, additional, Krupa-Borek, Izabella, additional, Skucha, Wojciech, additional, Płoszczuk, Anna, additional, Mihaescu, Traian, additional, Petrui, Ioan Dorin, additional, Savu, Angelica, additional, Apti, Ghiulten, additional, Toma, Claudia, additional, Trailescu, Ana, additional, Sokurenko, Sergei, additional, Trofimov, Vasiliy, additional, Leshchenko, Igor, additional, Shaporova, Natalia, additional, Ilyashevich, Inna, additional, Stitsenko, Irina, additional, Vizel, Alexander, additional, Ilkovich, Yulia, additional, Tikhanov, Dmitrii, additional, Goncharova, Svetlana, additional, Ezhov, Andrey, additional, Ignatova, Galina, additional, Izmozherova, Nadezhda, additional, Berdnikova, Nadezhda, additional, Goryachkina, Ludmila, additional, Popova, Veronika, additional, Bolieva, Laura, additional, Rebrov, Andrey, additional, Nosov, Vladimir, additional, Magnitskaya, Olga, additional, Nedogoda, Sergey, additional, Abrosimov, Vladimir, additional, Molotkov, Artem, additional, Reshedko, Galina, additional, Smirnov, Mikhail, additional, Osipenko, Marina, additional, Pavlysh, Elena, additional, Myasoedova, Svetlana, additional, Lenskaya, Liudmila, additional, Chistyakov, Valery, additional, Vishneva, Elena, additional, Uon, Liliya, additional, Zateyschikova, Anna, additional, Laleko, Svetlana, additional, Pak, Tatiana, additional, Bruning, Axel, additional, Naidoo, Visvakuren, additional, Reddy, Jeevren, additional, Van Zyl Smit, Richard, additional, Park, Hae-Sim, additional, Cho, Young Joo, additional, Cho, Sang-Heon, additional, Lee, Sang Haak, additional, Lee, Byung Jae, additional, Kim, Ju Sang, additional, Cho, You Sook, additional, Park, Choon-Sik, additional, Kim, Mi-Kyeong, additional, Koh, Young-Il, additional, Kim, Joo-Hee, additional, Lee, Sook Young, additional, Lee, Sang Pyo, additional, Park, Jung Won, additional, Yoo, Kwang Ha, additional, Yoon, Hyoungkyu, additional, Lee, Jaechun, additional, Hur, Gyu-Young, additional, Lee, Soo Keol, additional, Kim, HeeKyoo, additional, Ramos Barbón, David, additional, Laffond Yges, Elena, additional, Martínez Moragón, Eva, additional, Arias Guillen, Miguel, additional, Saura Vinuesa, Alberto, additional, Sánchez-Toril López, Fernando, additional, Velasco Garrido, José Luis, additional, García-Cosio Piqueras, Borja, additional, Pérez de Llano, Luis, additional, Valero Santiago, Antonio Luis, additional, Rubio, Myriam Calle, additional, Bjermer, Leif, additional, Lundbäck, Bo, additional, Gemicioglu, Bilun, additional, Bavbek, Sevim, additional, Ediger, Dane, additional, Erdinc, Munevver, additional, Hanta, Ismail, additional, Nayci, Sibel, additional, Arinc, Sibel, additional, Iashyna, Liudmyla, additional, Mostovoy, Yuriy, additional, Ostrovskyy, Mykola, additional, Kuryk, Lesia, additional, Lemko, Ivan, additional, Ospanova, Tetyana, additional, Moskalenko, Liubov, additional, Korzh, Oleksii, additional, Blazhko, Viktor, additional, Krakhmalova, Olena, additional, Romaniuk, Liliia, additional, Dytyatkovs'ka, Yevgeniya, additional, Yakovenko, Oleh, additional, Gavrysyuk, Volodymyr, additional, Burhan, Hassan, additional, Saralaya, Dinesh, additional, Scott, Stephen, additional, Morice, Alyn, additional, Jackson-Voyzey, Ewart, additional, Win, Thida, additional, Nasser, Shuab, additional, Harrison, Richard, additional, Chaudhuri, Rekha, additional, Nordstrom, Monica, additional, De, Pradip, additional, Masoli, Matthew, additional, Mansur, Adel, additional, Gunstone, Anthony, additional, Niven, Robert, additional, Harrison, Timothy, additional, Babu, Suresh, additional, Bhuchar, Subodh, additional, Kureishy, Shahrukh, additional, Zwetchkenbaum, John, additional, Kaplan, Lawrence, additional, Bleecker, Eugene, additional, Reyes, Santiago, additional, Fakih, Faisal, additional, Heuer, Marvin, additional, Klein, Ryan, additional, Marcus, Michael, additional, Hussain, Iftikhar, additional, Tanus, Tonny, additional, Raissy, Hengameh, additional, Alpizar, Sady, additional, Rodriguez, Hector, additional, Gleich, Gerald, additional, Bridges, Tracy, additional, Pouzar, Joe, additional, Steven, Gary, additional, Matz, Jonathan, additional, Krstevska, Shana, additional, Ziworitin, Dama, additional, Kaplan, Adolfo, additional, Sublett, James, additional, DeAngelo, James, additional, Darter, Amy, additional, Agaiby, John, additional, Hagan, John, additional, Davis, Enrique, additional, Siri, Dareen, additional, Mcevoy, Charlene, additional, Dharma, Chrisette, additional, Karimjee, Najmuddin, additional, Kelsen, Steven, additional, Frade, Manuel, additional, Silverthorn, Amy, additional, Kline, Joel, additional, Averill, Francis, additional, Ruiz, Jose, additional, Robinette, Emory, additional, Shaikh, Zeeshan, additional, Aguilar, Carlos, additional, Nish, William, additional, Alvarez, German, additional, Ismail, Younus, additional, Parikh, Purvi, additional, Leong, Mila, additional, Murphy, Dennis, additional, Garcia, Francisco, additional, Goldsobel, Alan, additional, Blanco, Antonio, additional, Campbell, Edward, additional, Perez, Guido, additional, Chupp, Geoffrey, additional, Bates, Toby, additional, Perez, Vandely, additional, Wenzel, Sally, additional, Shenoy, Kartik, additional, Katial, Rohit, additional, Bernstein, David, additional, Parikh, Neil, additional, Sims, William, additional, Ferguson, Gary, additional, Pham, David, additional, George, Anu, additional, Beasley, Richard, additional, Perez, Gilberto, additional, Garver, Robert, additional, Garcia-Portela, Miriam, additional, Wong, Stephen, additional, Soong, Weily, additional, Guillot, Richard, additional, Hudes, Golda, additional, Arif, Ahmed, additional, Binker, Josefa, additional, Villareal, Manuel, additional, Ziegner, Ulrike, additional, Ojile, Joseph, additional, Goswami, Sanjeev, additional, Piniella, Carlos, additional, Segal, Ilia, additional, Zafra, Heidi, additional, Lee, Mitchell, additional, Tarpay, Martha, additional, Panuto, John, additional, Merchant, Rajan, additional, Springsteen, Peter, additional, Scialla, Timothy, additional, Shapero, Paul, additional, Allen, Karen, additional, Moss, Mark, additional, Cruz, Humberto, additional, Rumbyrt, Jeffrey, additional, Boyd, Amy, additional, Nathan, Robert, additional, Bernstein, Jonathan, additional, Jacobs, Joshua, additional, Ginchansky, Elliot, additional, Johnston, Janice, additional, Baxter, Barbara, additional, Johnson II, Thomas, additional, Apaliski, Stephen, additional, Corder, Clinton, additional, Fuentes, David, additional, Diaz, Joseph, additional, Ngo, Chau, additional, and Le, Lan, additional

Published
2019
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8. El papel de la neumología ante la Estrategia de cronicidad del Sistema Nacional de Salud

Author

M. Carmen Aguar Benito, Juan José Soler-Cataluña, and Fernando Sánchez Toril

Subjects
Pulmonary and Respiratory Medicine, business.industry, Medicine, business, Humanities
Abstract

Resumen La mayor expectativa de vida y el progresivo envejecimiento de nuestra poblacion estan produciendo un cambio en el patron epidemiologico asistencial, con una disminucion de las enfermedades agudas y un pronunciado aumento de las cronicas. Este importante cambio conlleva notables consecuencias sociales, sanitarias y economicas, lo que plantea la necesidad de una reordenacion en la forma de atender a nuestros pacientes. En este contexto, la Estrategia para el abordaje de la cronicidad del Sistema Nacional de Salud propone un cambio de enfoque sustancial para pasar de una medicina de rescate tradicional a una medicina centrada en el paciente y su entorno, una medicina planificada, proactiva, participativa y multidisciplinar. Algunas de las enfermedades cronicas mas prevalentes son de origen respiratorio. En la EPOC, esta aproximacion integral ha demostrado reducir las exacerbaciones, mejorar la calidad de vida e incluso disminuir el coste. Sin embargo, la heterogeneidad de las intervenciones dificulta las conclusiones definitivas. Algo parecido sucede en asma y en otras enfermedades respiratorias. La neumologia puede y debe participar de los nuevos paradigmas de la cronicidad, aportando conocimiento, experiencia, innovacion, investigacion y valor anadido.

Published
2015

9. The Role of Pulmonology in the National Health System Chronicity Strategy

Author

Juan José Soler-Cataluña, M. Carmen Aguar Benito, and Fernando Sánchez Toril

Subjects
medicine.medical_specialty, National Health Programs, Population, World Health Organization, Pulmonary Disease, Chronic Obstructive, Quality of life (healthcare), Patient Education as Topic, Cost Savings, Multidisciplinary approach, Internal medicine, Health care, Epidemiology, Pulmonary Medicine, Humans, Medicine, Intensive care medicine, education, Pulmonologists, Patient Care Team, education.field_of_study, Delivery of Health Care, Integrated, business.industry, Disease Management, Professional-Patient Relations, General Medicine, Models, Theoretical, Respiration Disorders, Asthma, Pulmonology, Spain, Chronic Disease, Quality of Life, Physical therapy, Life expectancy, Interdisciplinary Communication, business
Abstract

Longer life expectancy and the progressive aging of the population are changing the epidemiological pattern of healthcare, with a reduction in the incidence of acute diseases and a marked increase in chronic diseases. This change brings important social, healthcare and economic consequences that call for a reorganization of patient care. In this respect, the Spanish National Health System has developed a Chronicity strategy that proposes a substantial change in focus from traditional rescue medicine to patient- and environment-centered care, with a planned, proactive, participative and multidisciplinary approach. Some of the more common chronic diseases are respiratory. In COPD, this integrated approach has been effective in reducing exacerbations, improving quality of life, and even reducing costs. However, the wide variety of management strategies, not only in COPD but also in asthma and other respiratory diseases, makes it difficult to draw definitive conclusions. Pulmonologists can and must participate in the new chronicity models and contribute their knowledge, experience, innovation, research, and special expertise to the development of these new paradigms.

Published
2015

10. Anxiety, Depression, and Asthma Control: Changes After Standardized Treatment

Author

Sastre, Joaquín, primary, Crespo, Astrid, additional, Fernandez-Sanchez, Antonio, additional, Rial, Manuel, additional, Plaza, Vicente, additional, González, F. Callejas, additional, López, J. Jiménez, additional, Riaza, M. Martínez, additional, Orenes, M. Moscardó, additional, Montaño, P. Prieto, additional, Toro, M. Torrecillas, additional, Balaguer, C. Andreu, additional, Girones, M. Antón, additional, Martinez, C. Baeza, additional, Martín, I. Flores, additional, Delgado, P. Gonzalez, additional, Calahorro, M. Martos, additional, Carrasco, G. Mediero, additional, Pacheco, R. Rodríguez, additional, Tomás, V. Vilella, additional, Godoy, M. Mota, additional, Yébenes, J. Zapata, additional, Balza De Vallejo, O. Villarreal, additional, Fernandez, J. Alvarez, additional, Gonzalez, T. Bazus, additional, De Las Pozas, G. Castaño, additional, Donado, C. Diaz, additional, Angulo, S. Díaz, additional, Ortiz, G. Gala, additional, Mañana, B. Requejo, additional, Gonzalez, R. Blanco, additional, Nieves, E. Gómez, additional, Torrado, J. Marin, additional, Culla, M. Dordal, additional, Pla, J. Juanola, additional, Bellfill, R. Lleonart, additional, Velasco, J. Martos, additional, Nogues, E. Pinto, additional, Ortun, M. Rivera, additional, Aguñin, P. Rubinstein, additional, Farre, N. Subira, additional, Combas, J. Valldeperas, additional, Zubeldia, I. Ansotegui, additional, Hortigüela, G. Bernaola, additional, Ayuso, J. Ciruelos, additional, Álvarez, G. González, additional, Peña, M. Herrerias, additional, Castro, A. Lahuerta, additional, Llorente, P. Losada, additional, Martinez, P. Marin, additional, Malanda, N. Marina, additional, Gonzalez, F. Garcia, additional, Miguel, T. Peña, additional, Hernandez, M., additional, Timon, S. Jimenez, additional, Carreño, S. Porcel, additional, Olbah, M. Alwakil, additional, Muñoz, A. Arnedillo, additional, Mohedad, J. Chamorro, additional, Fernandez, D. Gutierrez, additional, Camacho, A. Letran, additional, Lopez, C. Merinas, additional, Gonzalez, M. Millan, additional, Bernal, S. Niño, additional, Pellon, L. Fernandez, additional, Miguel, E. Morchon, additional, Portal, F. Ortiz, additional, Rodríguez, A. Suárez, additional, Alapont, M. Modesto, additional, Raducan, I., additional, Segarra, M. Salvador, additional, Bonilla, P. Galindo, additional, Calderon, P. Mata, additional, Rodriguez, M. Mena, additional, Martinez, R. Lama, additional, Pérez, M. Martín, additional, Villarejo, M. Morales, additional, Aparicio, M. Blanco, additional, Muíño Joga, M. Do, additional, Garcia-Boente, L. Fontan, additional, Paz, V. García, additional, Barcala, F. Gonzalez, additional, Orjales, R. Nuñez, additional, Castedo, C. Rabade, additional, Diaz, M. Rico, additional, Fernandez, A. Moreno, additional, Español, S. Aparicio, additional, San Francisco, A. Ruiz, additional, Navarrete, B. Alcázar, additional, Gomez De Cadiz, L. Cassini, additional, Rodriguez, M. Escribano, additional, Lopez, J. Florido, additional, Jiménez, M. Lara, additional, Caballero, J. Lopez, additional, Ceres, M. Martínez, additional, Costoya, R. Mayorgas, additional, García, C. Morales, additional, Vilchez, M. Rojas, additional, Ortiz, A. Romero, additional, Mazuecos, J. Beitia, additional, Castro, A. Vega, additional, Arenaza, B. Labeguerie, additional, Mendizabal, S. Lizarza, additional, Sampedro, I. Perez, additional, Vazquez, L. Valverde, additional, De Sus, J. Cegoñino, additional, Villa, J. Compaired, additional, Pargada, D. Ferrer, additional, Jarque, J. Herrero, additional, Patiño, M. Chacon, additional, Gomila, A. Fuster, additional, Pastrie, F. Nicolau, additional, Lopez, J. Almagro, additional, Martinez, P. Benito, additional, Ruiz De Lobera, A. Velez, additional, Gonzalez, F. Carballada, additional, Carral, C. Perez, additional, Racamonde, A. Veres, additional, Del Pino, M. Cervera, additional, Sacanell, J. Rozadilla, additional, García, I. Ali, additional, Mejias, Y. Anta, additional, Bausela, B. Añíbarro, additional, Cozar, M. Arroyo, additional, Sanz, P. Barranco, additional, Bobolea, I., additional, Fernandez, A. Bueso, additional, De Santiago Delgado, E., additional, Campos, R. Diaz, additional, Uña, J. Donado, additional, Vila, A. Feliu, additional, Cano, M. Gandolfo, additional, De Pedro, J. Garcia, additional, Galicia, M. Garcimartin, additional, De Olano, D. González, additional, Barbudo, B. Huertas, additional, Viña, A. López, additional, Peña, A. Losada, additional, Martin, G. Minguez, additional, De Francisco, A. Montoro, additional, Borque, R. Moreno, additional, Moro, M., additional, Prieto, M. Ramirez, additional, Frutos, M. Reche, additional, Jimenez, B. Rodriguez, additional, Rodríguez, M., additional, Ribate, D. Romero, additional, Perez, F. Ruano, additional, Hornillos, J. Ruiz, additional, López, P. Sánchez, additional, Martinez, F. Sola, additional, Garrido-Lestache, J. Subiza, additional, Gambasica, Z. Vasquez, additional, Albelda, C. Vila, additional, Ramirez, J. Alcazar, additional, De Luiz Martínez, G., additional, Núñez, I. García, additional, De Luna, F. Linde, additional, Sáenz De Tejada, E. Ortega, additional, Galo, A. Padilla, additional, Martinez, R. Rodriguez, additional, Esojo, M. Soria, additional, Espinosa, R. Andujar, additional, Inglés, M. Avilés, additional, Mora, R. Bernabeu, additional, Campos, M. Franco, additional, Arellano, M. Peña, additional, Puebla, M. Alvarez, additional, Figueroa, B. García, additional, Fernández, S. Garrido, additional, Rivera, J. Olaguibel, additional, Purroy, A. Tabar, additional, Garazo, B. Presedo, additional, Losada, S. Varela, additional, Villamuza, Y. García, additional, Bonny, J. Cumplido, additional, Sintes, R. Alvarez, additional, Landin, J. Castro, additional, Paz, A. Cobas, additional, Abelaira, M. Corbacho, additional, Rio, F. Iglesias, additional, Sanmartín, A. Pallarés, additional, Picans, I., additional, Moreira, A. Regueiro, additional, Romera, R. Tejedor, additional, Aznar, J. Igea, additional, Bellido, F. Muñoz, additional, Hernandez, M. Rodriguez, additional, Perez, R. González, additional, Flores, H. Izaguirre, additional, Gutierrez, F. Alvarez, additional, Cimbollek, S., additional, De Luque Piñana, V., additional, Gallardo, J. Medina, additional, Garcia, V. Moreno, additional, Cuevas, J. Orta, additional, Crespo, Y. Puente, additional, Enriquez, J. Quiralte, additional, Dominguez, P. Serrano, additional, Elias, Ò. Sotorra, additional, Pamplona, M. Muñoz, additional, Lara, M. Jimenez, additional, De Gregorio, A. Moral, additional, Martin, M. Alvariño, additional, Canelles, M. Ballester, additional, Baixauli, E. Burches, additional, Serra, P. Catalán, additional, Gregori, M. Climent, additional, Rodriguez, P. Cordero, additional, De Las Marinas Alvarez, M., additional, Palacios, M. Díaz, additional, El-Qutob López, D., additional, Giner, J. Greses, additional, Lara, S. Herrera, additional, Martínez, G. Jorro, additional, Santafé, J. Liñana, additional, Bayo, A. Lloris, additional, Moragon, E. Martinez, additional, Sancho, I. Molero, additional, Lacomba, J. Montoro, additional, Sendra, E. Naval, additional, Seisdedos, L. Navarro, additional, Bertol, B. Orosa, additional, Iniesta, A. Robles, additional, Cubillan, J. Ruiz, additional, Sánchez-Toril López, F., additional, Vinuesa, A. Saura, additional, Gomez, A. Alonso, additional, De Frutos Arribas, J., additional, Fernandez, E. Macias, additional, Alonso, A. Sanchez, additional, Sanz, C. Colás, additional, Fuentes, M. Domínguez, additional, Sotillos, M. Garcés, additional, and Arazuri, N. Segura, additional

Published
2018
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11. Prevalencia de la enfermedad pulmonar obstructiva crónica y del asma. Estudio transversal

Author

S. Soriano, J.L. Belenguer, J.A. Pérez, B. Brotons, J. Hernández, and F. Sánchez-Toril

Subjects
Pulmonary and Respiratory Medicine, business.industry, Medicine, business, Humanities
Abstract

Se estudian 467 sujetos comprendidos entre los 35 y 65 anos de edad, extraidos de una muestra seleccionada aleatoriamente de la poblacion del Area Sanitaria 5 de la Comunidad Valenciana. A traves de un cuestionario y de una espirografia se obtienen tasas para sintomas respiratorios, tabaquismo, antecedentes pulmonares, profesionales y funcion pulmonar. Se observa una prevalencia para el asma del 2,78% (IC: 2,76-2,79), para la bronquitis cronica del 4,0% (IC del 2,375,77) y para la limitacion al flujo aereo del 6,4% (IC: 4,5-8,3). El habito tabaquico estaba presente en el 33,2%. Se detecta una relacion significativa entre el grado de intensidad de los sintomas y funcion pulmonar. No hay diferencias entre fumadores y no fumadores con respecto al FEV1, % y la relacion entre exposicion laboral y espirografia solo se observa para el FEV1/FVC %.

Published
1994

16. Asma y analgésicos

Author

Prieto, L., primary, Sánchez-Toril, F., additional, Morales, M.C., additional, Palop, J., additional, and Castro, J., additional

Published
1985
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