7 results on '"Marta Sanz Sanz"'
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2. A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study-A pragmatic, cluster-randomized trial.
- Author
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Esperanza Escortell-Mayor, Isabel Del Cura-González, Elena Ojeda-Ruiz, Teresa Sanz-Cuesta, Isidro Rodríguez-Salceda, Jesús García-Soltero, María-José Rojas-Giraldo, Pedro Herrera-Municio, Alicia Jorge-Formariz, Ángela Lorenzo-Lobato, Luisa Cabello-Ballesteros, Rosario Riesgo-Fuertes, Sofía Garrido-Elustondo, Mariel Morey-Montalvo, Milagros Rico-Blázquez, Ricardo Rodríguez-Barrientos, María-Dolores Fuente-Arriaran, Gloria Sierra-Ocaña, Encarnación Serrano-Serrano, Carmelina Sanz-Velasco, Roberto Carrascoso-Calvo, Juan Carlos Recio-Velasco, Marta Sanz-Sanz, Mercedes Rumayor-Zarzuelo, Olga-Inés Bermejo-Mayoral, Josefina Galán-Esteban, Antonio Sarría-Santamera, and Educore Group
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Medicine ,Science - Abstract
PURPOSE:Uncertainty exists regarding the best way to communicate cardiovascular risk (CVR) to patients, and it is unclear whether the comprehension and perception of CVR varies according to the format used. The aim of the present work was to determine whether a strategy designed for communicating CVR information to patients with poorly controlled high blood pressure (HBP), but with no background of cardiovascular disease, was more effective than usual care in the control of blood pressure (BP) over the course of a year. METHODS:A pragmatic, two-arm, cluster-randomized controlled trial was performed. Consecutive patients aged 40-65 years, all diagnosed with HBP in the last 12 months, and all of whom showed poor control of their condition (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg), were recruited at 22 primary healthcare centres. Eleven centres were randomly assigned to the usual care arm, and 11 to the informative intervention arm (Educore arm). At the start of the study, the Educore arm subjects were shown the "low risk SCORE table", along with impacting images and information pamphlets encouraging the maintenance of good cardiovascular health. The main outcome variable measured was the control of HBP; the secondary outcome variables were SCORE table score, total plasma cholesterol concentration, use of tobacco, adherence to prescribed treatment, and quality of life. RESULTS:The study participants were 411 patients (185 in the Educore arm and 226 in the usual care arm). Multilevel logistic regression showed that, at 12 months, the Educore intervention achieved better control of HBP (OR = 1.57; 1.02 to 2.41). No statistically significant differences were seen between the two arms at 12 months with respect to the secondary outcomes. CONCLUSIONS:Compared to usual care, the Educore intervention was associated with better control of HBP after adjusting for age, baseline SBP and plasma cholesterol, at 12 months.
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- 2020
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3. A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study-A pragmatic, cluster-randomized trial
- Author
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Mariel Morey-Montalvo, Sofía Garrido-Elustondo, Isidro Rodríguez-Salceda, Alicia Jorge-Formariz, Mercedes Rumayor-Zarzuelo, Isabel del Cura-González, Carmelina Sanz-Velasco, Luisa Cabello-Ballesteros, Roberto Carrascoso-Calvo, Rosario Riesgo-Fuertes, Antonio Sarría-Santamera, Elena Ojeda-Ruiz, Ricardo Rodríguez-Barrientos, Esperanza Escortell-Mayor, Jesús García-Soltero, María-José Rojas-Giraldo, Juan Carlos Recio-Velasco, Marta Sanz-Sanz, Josefina Galán-Esteban, Ángela Lorenzo-Lobato, Milagros Rico-Blázquez, Olga-Inés Bermejo-Mayoral, Teresa Sanz-Cuesta, Encarnación Serrano-Serrano, Pedro Herrera-Municio, Gloria Sierra-Ocaña, María-Dolores Fuente-Arriaran, Instituto de Salud Carlos III, and Ministerio de Ciencia e Innovación (España)
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Male ,Social Sciences ,Blood Pressure ,Disease ,030204 cardiovascular system & hematology ,Cardiovascular Medicine ,Biochemistry ,Vascular Medicine ,law.invention ,0302 clinical medicine ,Randomized controlled trial ,Quality of life ,Sociology ,law ,Early Intervention, Educational ,Medicine and Health Sciences ,030212 general & internal medicine ,Cluster randomised controlled trial ,Multidisciplinary ,Framingham Risk Score ,Drugs ,Middle Aged ,Lipids ,Cholesterol ,Cardiovascular Diseases ,Hypertension ,Medicine ,Female ,Research Article ,Adult ,medicine.medical_specialty ,Patients ,Science ,Diastole ,MEDLINE ,Medication Adherence ,03 medical and health sciences ,Patient Education as Topic ,medicine ,Humans ,Antihypertensive Agents ,Aged ,Pharmacology ,Primary Health Care ,business.industry ,Biology and Life Sciences ,Communications ,Health Care ,Blood pressure ,Physical therapy ,Quality of Life ,business ,Antihypertensives - Abstract
PURPOSE: Uncertainty exists regarding the best way to communicate cardiovascular risk (CVR) to patients, and it is unclear whether the comprehension and perception of CVR varies according to the format used. The aim of the present work was to determine whether a strategy designed for communicating CVR information to patients with poorly controlled high blood pressure (HBP), but with no background of cardiovascular disease, was more effective than usual care in the control of blood pressure (BP) over the course of a year. METHODS: A pragmatic, two-arm, cluster-randomized controlled trial was performed. Consecutive patients aged 40-65 years, all diagnosed with HBP in the last 12 months, and all of whom showed poor control of their condition (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg), were recruited at 22 primary healthcare centres. Eleven centres were randomly assigned to the usual care arm, and 11 to the informative intervention arm (Educore arm). At the start of the study, the Educore arm subjects were shown the "low risk SCORE table", along with impacting images and information pamphlets encouraging the maintenance of good cardiovascular health. The main outcome variable measured was the control of HBP; the secondary outcome variables were SCORE table score, total plasma cholesterol concentration, use of tobacco, adherence to prescribed treatment, and quality of life. RESULTS: The study participants were 411 patients (185 in the Educore arm and 226 in the usual care arm). Multilevel logistic regression showed that, at 12 months, the Educore intervention achieved better control of HBP (OR = 1.57; 1.02 to 2.41). No statistically significant differences were seen between the two arms at 12 months with respect to the secondary outcomes. CONCLUSIONS: Compared to usual care, the Educore intervention was associated with better control of HBP after adjusting for age, baseline SBP and plasma cholesterol, at 12 months. This study was funded by the Spanish Ministry of Science and Innovation via the Instituto de Salud Carlos III, Subprograma de Proyectos de Investigación en Evaluación de Tecnologías Sanitarias y Servicios de Salud (PI 09/90354), and the Fundación de Investigación e Innovación Biomédica en Atención Primaria (FIIBAP). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript Sí
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- 2020
4. Seguimiento de las guías españolas para el manejo del asma por el médico de atención primaria: un estudio observacional ambispectivo
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M. Roman-Rodriguez, J. Molina-Paris, A. Fernandez-Sanchez, Mohsen Abedianzadeh Timar, Jesús Acha Domínguez, Jesus Aguaviva Bascuñana, Ignacio Aguilar Martín, Francisco Ignacio Ales Conejo, Juan Vicente Alfaro González, Patricia Alfonso Landa, Andrés Altés Boronat, Jesús Joaquín Álvarez Arriero, Juan Ángel Álvarez Rojo, Allut Vidal German, Jesús Amaro Cendón, María Teresa Amiano Arregui, Esther Angulo Vallejo, Juan José Anton Álvarez, Javier Anton Ortega, Ana Arconada Perez, Lidia Ardiaca Burgués, Juan Manuel Armario Vázquez, Amador Arroyo Cubeiro, Koldo Aso Mendialdea, Francesca Attardo, José Francisco Ávila de Tomás, M. Jesús Avinent Arnal, Francisco Aznar Aguilar, Pilar Aznar Tejero, Emilio Baena Montilla, José María Baeza López, Juan José Barón Carrillo, Rafael Bartolomé Resano, Francisco Becoña de la Torre, Isabel Benavent Martín, María Teresa Benedí Sánchez, José Berrocal del Brío, Antonio Blanco Delgado, Jesús Bleda Cano, Josep Boladeras Sabater, Zenaida Bolívar Mantilla, Elisenda Brito Brito, M. Rosario Burgos Parra, Isaac Buxadé Martí, Juan Carlos Caballero Garcia, Luis Fernando Cabañas Enríquez, Marcelino Calviño Cerqueiro, Juan Calvo Fernández, Felipe Calle Velles, Beatriz Camaro Zafra, Jaume Campomar Quetlas, Mónica Capitán Jurado, Dolores Cárdenas Joyanes, Gonzalo Carles Bueso, Cristina Carvajal Puente, Cristina Casado Rodriguez, Carlos Casanova García, Santiago Castellà Cahiz, Cristina Castellà Cuesta, Manuel Antonio Castellano Martínez, Rafael Catalán Félez, Miguel Ángel Cavada García, Antonio Cavada Velasco, Jose Luis Cidra Gordillo, Julia Clemente Garcia, José Luis Collada Jiménez, Andrés Cornejo Figueroa, Roberto Cornejo Rodríguez, Julio Cuevas Morales, María Jesús Curado-Moliní Álvarez, Susana Daviña Romero, Leonor de Arriba Muñoz, Manuel de la Flor Benítez, Mariam de la Poza Abad, Gustavo de los Bueis Martinez, María Pía de Miguel Márquez, Jesús de Pablo Martín, Manuel Delgado Mora, Joaquín Díaz Mateo, Almudena Díaz Saborido, María Díez-Caballero Murua, Constantino Doganis Peppas, Gonzalo Domínguez Alonso, Julián Domínguez Ávila, María Nieves Domínguez González, María Isabel Domínguez Hernández, Javier Oscar Dosantos Hernández, Aurelio Dueñas Buey, M. Jesús Eiris Cambre, Yussef Abu El Wafa Vaca, Antonio Alberto Enseñat Sanchez, Eulalia Esquerra Tuñí, José María Esteve Ribelles, José Antonio Estevez Barrondo, M. Dolores Estraviz Vidal, Rosa María Fajardo Salguero, José Francisco Felipe Olivero, María Luisa Fernández Bujía, Patricia Fernández Cano, M. Isabel Fernández Cañaveras, Carmen Fernández Fernández, José Manuel Fernández García, Patricia Fernández Gómez, José María Fernández González, Irene Fernández Gutiérrez Denia, M. Esther Fernández Huelga, Yolanda Fernández Martin, Francisco Fernández Navarro, Araceli Fernández Revuelta, José María Fernández Toro, Luis María Fernández-Pacheco Corchado, Joaquín Ferrándiz Miquel, Carmen Ferrari Piquero, José María Ferrer García-Borrás, Carlos Gago Fernandez, Fernando Gago Gómez, Luz Inmaculada Galera de Ulierte, Ingrid Gallegos Juárez, José Enrique Garceran Azorín-Gómez, Carmen Garcés Romero, Francisco Javier García Alonso, Andres A. García Cabana, Josefa García Cano, Victoria Gema García Ceballos, Sara García de Francisco, Francisco García Fuentes, Yolanda García Vázquez, Sergio García Collado, Luis García-Giralda Ruiz, Beatriz García-Serrano Jiménez, Montse Garrido Pérez, Jon Kepa Garro Mendiolagaray, Jorge Gea Villar, Teresa Genover Llimona, Felipe Gil Moreno, Javier Julián Gil Pastor, Adrià Gispert Servitje, Isidro Domingo Godoy García, Gabriel Gómez Martínez, Francisco Javier Gómez Sanmiguel, Jose Gómez Yelo, Pedro Alejandro Gonzales Flores, Luis González Hernández, Jaime Gonzálvez Rey, Roberto Gorgues Comas, María Victoria Guillen Anton, Miguel Ángel Gutiérrez Almarza, Jose Luis Gutiérrez Esteban, Marta Guzón Centeno, Antonio Hermoso Sabio, Manuel Hernández Castellanos, Ana Hernández Pérez, Alfredo Herranz Alfaro, José Francisco Hinojosa Díaz, José Iglesias Fernández, Iñaki Intxausti Erdoiza, Miriam Izarra Páramo, Ana Isabel Jiménez Marcen, Rosa María Jimeno Bernad, María José Jover Andreu, Francisco Emilio Juan Alcaraz, Esther Labrador Arranz, Salvador Laencina López, Elena Lapuente Troncoso, Montserrat Latorre Cásedas, Mariano Leal Hernández, Lourdes Ledesma Santiago, Francisco Javier Lillo Bravo, Marta Lizarribar Sans, Rocío Lobato Martínez, Emilia Begoña López Alonso, Urbano López Cruz, Silvia López Chamon, Ana Isabel López de Viñaspre Muguerza, Ana Belén López Herranz, Víctor López Marina, Francisco López Ortiz, M.a Carmen López Silva, José María Lucas Boronat, Héctor Leonardo Lugo Ramos, Erika Lutz Garcia, Juan Luis Llosa Ventura, Antonio Macías Corbacho, Juan Magem Niubo, Diego Mancilla las Heras, Alfonso Maneu Juan, José Manzano Jiménez, Pascual Mañes Vicente, María Isabel Maranges Comella, Emilio Marco Segarra, Miguel Ángel María Tablado, Juan Carlos Marlasca Garcia, Juan Carlos Martí Canales, José Martín Clos, Saúl Martín de la Vega, Francisco Martín Ruiz Lavela, M. Desamparada Martinez Aparicio, Rafael Martínez de Carnero Calzada, Agustín Martinez González, Juan Manuel Martínez Jiménez, Daniel Martínez Laguna, María Teresa Martínez Mayora, Pilar Martinez Merodio, Luis Martínez Novoa, Mireia Martínez Ortega, Francisco Martínez Rojas, Antonio Martínez Rossello, María del Carmen Meijome Sánchez, Jesús Méndez-Cabeza Velázquez, Jose María Méndez Maiques, Santiago Misericordia Garcia, José Molina Cabildo, Luis Javier Molina Martínez, José Manuel Monge García, María Ester Montes Belloso, Susana Moreno Molina, Patrocinio Motos Díaz, Marta Mourelo Cereijo, Ana Moyá Amengual, Pedro José Muñoz Ruiz, José María Narváez Martín, Juan Luis Navarro Luna, Fernando Navarro Tarin, Jorge Nicolau Grego, Cristina Niño Azcarate, José Nova Alvarez, Juan Carlos Núñez Cordón, Asunción Olagorta de Prado, Vicente Oros Espinosa, M. Concepción Ortega Pinilla, María Paz Ortega Ruiz, David Osca Pellicer, Ana Otamendi Murillo, Manuel Otero Mata, Myriam Ouzzine Marín, Eduardo Paja Fano, Domingo Palacio Gonzalez, Rosario Palau Oñate, Néstor Pazos Garrido, Virginia Pecharroman Fuente, Jose Manuel Peña Rosa, Francisco Javier Peral Cabot, Iván Yamir Pérez Barreto, Isabel Pérez Caballero, Maria del Carmen Pérez Fernández, Antonio Luis Pérez Fernández, Esteban Pérez Gutiérrez, Manuel Pérez Rios, José Manuel Petit Sánchez, Maria José Piñero Acin, Jerónimo Pozuelos Estrada, Manuel Prieto Cid, Joaquín Prieto Gutiérrez, José Vicente Raga Casasus, Manuel Francisco Ramírez Espinosa, Eduardo Rebollo Hernamperez, Alejandra Rey Rañal, Ricardo Sagunto Ribelles Villalba, José Antonio Rodas Peral, Aurora Rodil Martinez, null Rodríguez, José Manuel, Enrique Emperador Rodríguez Calcaño, Concepción Rodríguez Fernandez, José Miguel Rodríguez Galipienzo, Miguel Ángel Rodriguez Lois, José Antonio Rodríguez Partida, Jaime Roel Conde, Miguel Roman Rodriguez, Gregorio Romero Caballero, Pedro Romero Hernández, Luis Miguel Rosales García, Manuel Royo del Río, María Ruiz Gomes, Francisco Javier Ruiz Moruno, Jaime Ruiz Perez, José Ramón Salinero Acevedo, Manuel Sánchez Apresa, María Antonia Sanchez Calavera, Fernando Sánchez Garcia, Miguel Ángel Sánchez Gutiérrez, Antonio Sánchez Ibáñez, Eugenio Sánchez López, Manuel Sánchez Loureiro, Ana Sanchez Lozano, Gregorio Sánchez Romero, Fernando Sánchez Ruano, Gabriela Sánchez Ruiz, Froilán Sánchez Sanchez, Asier Santiago Ayarza, Juan Antonio Santos Bermejo, Elena Sanz de Miguel, Marta Sanz Sanz, Carmelina Sanz Velasco, Inmaculada Sauco Colón, José Ignacio Sedano García, Luis Segovia Castro, María Rosa Senan Sanz, Pere Serra Cabot, Marta Serra Gallego, Daniel Serrano Tomás, Francisco Tomás Sesma Aisa, Jordi Seuba Garcés, Vicente Soler David, Jose Antonio Soria Mesa, César Sosa Álvarez, María Suárez Pérez, Antonio Tafalla Martín, Thaimi Tamayo Ferriol, José Luis Tamayo Marín, Juan Aitor Thalamas Atienza, Ana María Toledo Muñoz, Lluis Miquel Tomás-Rodo Massaneda, Milko Torres de Castro, Francisco Javier Torres Martínez, Enrique Tovar Álvarez, Ainhoa Ugarte Goñi, Irene Valle González, Sonia Vasco Mahillo, Vázquez Seijas Enrique José, Antonio Vericat Roure, Arelis Villalba Parrado, Jose María Villanueva Rebollo, Ricardo Villar Valgañon, Vicente Villena Masegosa, Montserrat Viñals Gigena, Lydia Viñas Cabrera, and David Zarco Pinteño
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03 medical and health sciences ,0302 clinical medicine ,business.industry ,Medicine ,030212 general & internal medicine ,General Medicine ,business ,Humanities - Abstract
Objetivo Evaluar el grado de seguimiento de las recomendaciones de las versiones de la Guía española para el manejo del asma (GEMA 2009 y 2015) y su repercusión en el control de la enfermedad. Material y métodos Estudio observacional y ambispectivo realizado entre septiembre del 2015 y abril del 2016, en el que participaron 314 médicos de atención primaria y 2.864 pacientes. Resultados Utilizando datos retrospectivos, 81 de los 314 médicos (25, 8% [IC del 95%, 21, 3 a 30, 9]) comunicaron seguir las recomendaciones de la GEMA 2009. Al inicio del estudio, 88 de los 314 médicos (28, 0% [IC del 95%, 23, 4 a 33, 2]) seguían las recomendaciones de la GEMA 2015. El tener un asma mal controlada (OR 0, 19, IC del 95%, 0, 13 a 0, 28) y presentar un asma persistente grave al inicio del estudio (OR 0, 20, IC del 95%, 0, 12 a 0, 34) se asociaron negativamente con tener un asma bien controlada al final del seguimiento. Por el contrario, el seguimiento de las recomendaciones de la GEMA 2015 se asoció de manera positiva con una mayor posibilidad de que el paciente tuviera un asma bien controlada al final del periodo de seguimiento (OR 1, 70, IC del 95%, 1, 40 a 2, 06). Conclusiones El escaso seguimiento de las guías clínicas para el manejo del asma constituye un problema común entre los médicos de atención primaria. Un seguimiento de estas guías se asocia con un control mejor del asma. Existe la necesidad de actuaciones que puedan mejorar el seguimiento por parte de los médicos de atención primaria de las guías para el manejo del asma. Objective: To assess the degree of compliance with the recommendations of the 2009 and 2015 versions of the Spanish guidelines for managing asthma (Guía Española para el Manejo del Asma [GEMA]) and the effect of this compliance on controlling the disease. Material and methods: We conducted an observational ambispective study between September 2015 and April 2016 in which 314 primary care physicians and 2864 patients participated. Results: Using retrospective data, we found that 81 of the 314 physicians (25.8%; 95% CI 21.3–30.9) stated that they complied with the GEMA2009 recommendations. At the start of the study, 88 of the 314 physicians (28.0%; 95% CI 23.4–33.2) complied with the GEMA2015 recommendations. Poorly controlled asthma (OR, 0.19; 95% CI 0.13–0.28) and persistent severe asthma at the start of the study (OR, 0.20; 95% CI 0.12–0.34) were negatively associated with having well-controlled asthma by the end of the follow-up. In contrast, compliance with the GEMA2015 recommendations was positively associated with a greater likelihood that the patient would have well-controlled asthma by the end of the follow-up (OR, 1.70; 95% CI 1.40–2.06). Conclusions: Low compliance with the clinical guidelines for managing asthma is a common problem among primary care physicians. Compliance with these guidelines is associated with better asthma control. Actions need to be taken to improve primary care physician compliance with the asthma management guidelines.
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- 2020
5. Compliance with the clinical guidelines for managing asthma by primary care physicians: An ambispective observational study
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M. Roman-Rodriguez, J. Molina-Paris, A. Fernandez Sanchez, Mohsen Abedianzadeh Timar, Jesús Acha Domínguez, Jesus Aguaviva Bascuñana, Ignacio Aguilar Martín, Francisco Ignacio Ales Conejo, Juan Vicente Alfaro González, Patricia Alfonso Landa, Andrés Altés Boronat, Jesús Joaquín Álvarez Arriero, Juan Ángel Álvarez Rojo, Allut Vidal German, Jesús Amaro Cendón, María Teresa Amiano Arregui, Esther Angulo Vallejo, Juan José Anton Álvarez, Javier Anton Ortega, Ana Arconada Perez, Lidia Ardiaca Burgués, Juan Manuel Armario Vázquez, Amador Arroyo Cubeiro, Koldo Aso Mendialdea, Francesca Attardo, José Francisco Ávila de Tomás, M. Jesús Avinent Arnal, Francisco Aznar Aguilar, Pilar Aznar Tejero, Emilio Baena Montilla, José María Baeza López, Juan José Barón Carrillo, Rafael Bartolomé Resano, Francisco Becoña de la Torre, Isabel Benavent Martín, María Teresa Benedí Sánchez, José Berrocal del Brío, Antonio Blanco Delgado, Jesús Bleda Cano, Josep Boladeras Sabater, Zenaida Bolívar Mantilla, Elisenda Brito Brito, M. Rosario Burgos Parra, Isaac Buxadé Martí, Juan Carlos Caballero Garcia, Luis Fernando Cabañas Enríquez, Marcelino Calviño Cerqueiro, Juan Calvo Fernández, Felipe Calle Velles, Beatriz Camaro Zafra, Jaume Campomar Quetlas, Mónica Capitán Jurado, Dolores Cárdenas Joyanes, Gonzalo Carles Bueso, Cristina Carvajal Puente, Cristina Casado Rodriguez, Carlos Casanova García, Santiago Castellà Cahiz, Cristina Castellà Cuesta, Manuel Antonio Castellano Martínez, Rafael Catalán Félez, Miguel Ángel Cavada García, Antonio Cavada Velasco, Jose Luis Cidra Gordillo, Julia Clemente Garcia, José Luis Collada Jiménez, Andrés Cornejo Figueroa, Roberto Cornejo Rodríguez, Julio Cuevas Morales, María Jesús Curado-Moliní Álvarez, Susana Daviña Romero, Leonor de Arriba Muñoz, Manuel de la Flor Benítez, Mariam de la Poza Abad, Gustavo de los Bueis Martinez, María Pía de Miguel Márquez, Jesús de Pablo Martín, Manuel Delgado Mora, Joaquín Díaz Mateo, Almudena Díaz Saborido, María Díez-Caballero Murua, Constantino Doganis Peppas, Gonzalo Domínguez Alonso, Julián Domínguez Ávila, María Nieves Domínguez González, María Isabel Domínguez Hernández, Javier Oscar Dosantos Hernández, Aurelio Dueñas Buey, M. Jesús Eiris Cambre, Yussef Abu El Wafa Vaca, Antonio Alberto Enseñat Sanchez, Eulalia Esquerra Tuñí, José María Esteve Ribelles, José Antonio Estevez Barrondo, M. Dolores Estraviz Vidal, Rosa María Fajardo Salguero, José Francisco Felipe Olivero, María Luisa Fernández Bujía, Patricia Fernández Cano, M. Isabel Fernández Cañaveras, Carmen Fernández Fernández, José Manuel Fernández García, Patricia Fernández Gómez, José María Fernández González, Irene Fernández Gutiérrez Denia, M. Esther Fernández Huelga, Yolanda Fernández Martin, Francisco Fernández Navarro, Araceli Fernández Revuelta, José María Fernández Toro, Luis María Fernández-Pacheco Corchado, Joaquín Ferrándiz Miquel, Carmen Ferrari Piquero, José María Ferrer García-Borrás, Carlos Gago Fernandez, Fernando Gago Gómez, Luz Inmaculada Galera de Ulierte, Ingrid Gallegos Juárez, José Enrique Garceran Azorín-Gómez, Carmen Garcés Romero, Francisco Javier García Alonso, Andres A. García Cabana, Josefa García Cano, Victoria Gema García Ceballos, Sara García de Francisco, Francisco García Fuentes, Yolanda García Vázquez, Sergio García Collado, Luis García-Giralda Ruiz, Beatriz García-Serrano Jiménez, Montse Garrido Pérez, Jon Kepa Garro Mendiolagaray, Jorge Gea Villar, Teresa Genover Llimona, Felipe Gil Moreno, Javier Julián Gil Pastor, Adrià Gispert Servitje, Isidro Domingo Godoy García, Gabriel Gómez Martínez, Francisco Javier Gómez Sanmiguel, Jose Gómez Yelo, Pedro Alejandro Gonzales Flores, Luis González Hernández, Jaime Gonzálvez Rey, Roberto Gorgues Comas, María Victoria Guillen Anton, Miguel Ángel Gutiérrez Almarza, Jose Luis Gutiérrez Esteban, Marta Guzón Centeno, Antonio Hermoso Sabio, Manuel Hernández Castellanos, Ana Hernández Pérez, Alfredo Herranz Alfaro, José Francisco Hinojosa Díaz, José Iglesias Fernández, Iñaki Intxausti Erdoiza, Miriam Izarra Páramo, Ana Isabel Jiménez Marcen, Rosa María Jimeno Bernad, María José Jover Andreu, Francisco Emilio Juan Alcaraz, Esther Labrador Arranz, Salvador Laencina López, Elena Lapuente Troncoso, Montserrat Latorre Cásedas, Mariano Leal Hernández, Lourdes Ledesma Santiago, Francisco Javier Lillo Bravo, Marta Lizarribar Sans, Rocío Lobato Martínez, Emilia Begoña López Alonso, Urbano López Cruz, Silvia López Chamon, Ana Isabel López de Viñaspre Muguerza, Ana Belén López Herranz, Víctor López Marina, Francisco López Ortiz, Mª Carmen López Silva, José María Lucas Boronat, Héctor Leonardo Lugo Ramos, Erika Lutz Garcia, Juan Luis Llosa Ventura, Antonio Macías Corbacho, Juan Magem Niubo, Diego Mancilla las Heras, Alfonso Maneu Juan, José Manzano Jiménez, Pascual Mañes Vicente, María Isabel Maranges Comella, Emilio Marco Segarra, Miguel Ángel María Tablado, Juan Carlos Marlasca Garcia, Juan Carlos Martí Canales, José Martín Clos, Saúl Martín de la Vega, Francisco Martín Ruiz Lavela, M. Desamparada Martinez Aparicio, Rafael Martínez de Carnero Calzada, Agustín Martinez González, Juan Manuel Martínez Jiménez, Daniel Martínez Laguna, María Teresa Martínez Mayora, Pilar Martinez Merodio, Luis Martínez Novoa, Mireia Martínez Ortega, Francisco Martínez Rojas, Antonio Martínez Rossello, María del Carmen Meijome Sánchez, Jesús Méndez-Cabeza Velázquez, Jose María Méndez Maiques, Santiago Misericordia Garcia, José Molina Cabildo, Luis Javier Molina Martínez, José Manuel Monge García, María Ester Montes Belloso, Susana Moreno Molina, Patrocinio Motos Díaz, Marta Mourelo Cereijo, Ana Moyá Amengual, Pedro José Muñoz Ruiz, José María Narváez Martín, Juan Luis Navarro Luna, Fernando Navarro Tarin, Jorge Nicolau Grego, Cristina Niño Azcarate, José Nova Alvarez, Juan Carlos Núñez Cordón, Asunción Olagorta de Prado, Vicente Oros Espinosa, M. Concepción Ortega Pinilla, María Paz Ortega Ruiz, David Osca Pellicer, Ana Otamendi Murillo, Manuel Otero Mata, Myriam Ouzzine Marín, Eduardo Paja Fano, Domingo Palacio Gonzalez, Rosario Palau Oñate, Néstor Pazos Garrido, Virginia Pecharroman Fuente, Jose Manuel Peña Rosa, Francisco Javier Peral Cabot, Iván Yamir Pérez Barreto, Isabel Pérez Caballero, Maria del Carmen Pérez Fernández, Antonio Luis Pérez Fernández, Esteban Pérez Gutiérrez, Manuel Pérez Rios, José Manuel Petit Sánchez, Maria José Piñero Acin, Jerónimo Pozuelos Estrada, Manuel Prieto Cid, Joaquín Prieto Gutiérrez, José Vicente Raga Casasus, Manuel Francisco Ramírez Espinosa, Eduardo Rebollo Hernamperez, Alejandra Rey Rañal, Ricardo Sagunto Ribelles Villalba, José Antonio Rodas Peral, Aurora Rodil Martinez, null Rodríguez, José Manuel, Enrique Emperador Rodríguez Calcaño, Concepción Rodríguez Fernandez, José Miguel Rodríguez Galipienzo, Miguel Ángel Rodriguez Lois, José Antonio Rodríguez Partida, Jaime Roel Conde, Miguel Roman Rodriguez, Gregorio Romero Caballero, Pedro Romero Hernández, Luis Miguel Rosales García, Manuel Royo del Río, María Ruiz Gomes, Francisco Javier Ruiz Moruno, Jaime Ruiz Perez, José Ramón Salinero Acevedo, Manuel Sánchez Apresa, María Antonia Sanchez Calavera, Fernando Sánchez Garcia, Miguel Ángel Sánchez Gutiérrez, Antonio Sánchez Ibáñez, Eugenio Sánchez López, Manuel Sánchez Loureiro, Ana Sanchez Lozano, Gregorio Sánchez Romero, Fernando Sánchez Ruano, Gabriela Sánchez Ruiz, Froilán Sánchez Sanchez, Asier Santiago Ayarza, Juan Antonio Santos Bermejo, Elena Sanz de Miguel, Marta Sanz Sanz, Carmelina Sanz Velasco, Inmaculada Sauco Colón, José Ignacio Sedano García, Luis Segovia Castro, María Rosa Senan Sanz, Pere Serra Cabot, Marta Serra Gallego, Daniel Serrano Tomás, Francisco Tomás Sesma Aisa, Jordi Seuba Garcés, Vicente Soler David, Jose Antonio Soria Mesa, César Sosa Álvarez, María Suárez Pérez, Antonio Tafalla Martín, Thaimi Tamayo Ferriol, José Luis Tamayo Marín, Juan Aitor Thalamas Atienza, Ana María Toledo Muñoz, Lluis Miquel Tomás-Rodo Massaneda, Milko Torres de Castro, Francisco Javier Torres Martínez, Enrique Tovar Álvarez, Ainhoa Ugarte Goñi, Irene Valle González, Sonia Vasco Mahillo, Vázquez Seijas Enrique José, Antonio Vericat Roure, Arelis Villalba Parrado, Jose María Villanueva Rebollo, Ricardo Villar Valgañon, Vicente Villena Masegosa, Montserrat Viñals Gigena, Lydia Viñas Cabrera, and David Zarco Pinteño
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medicine.medical_specialty ,business.industry ,Health Personnel ,Primary care physician ,General Medicine ,Primary care ,Disease ,medicine.disease ,Asthma ,Physicians, Primary Care ,Compliance (psychology) ,Retrospective data ,03 medical and health sciences ,0302 clinical medicine ,Asthma control ,Emergency medicine ,medicine ,Humans ,Patient Compliance ,Observational study ,030212 general & internal medicine ,business ,Retrospective Studies - Abstract
Objective To assess the degree of compliance with the recommendations of the 2009 and 2015 versions of the Spanish guidelines for managing asthma (Guia Espanola para el Manejo del Asma [GEMA]) and the effect of this compliance on controlling the disease. Material and methods We conducted an observational ambispective study between September 2015 and April 2016 in which 314 primary care physicians and 2864 patients participated. Results Using retrospective data, we found that 81 of the 314 physicians (25.8%; 95% CI 21.3–30.9) stated that they complied with the GEMA2009 recommendations. At the start of the study, 88 of the 314 physicians (28.0%; 95% CI 23.4–33.2) complied with the GEMA2015 recommendations. Poorly controlled asthma (OR, 0.19; 95% CI 0.13–0.28) and persistent severe asthma at the start of the study (OR, 0.20; 95% CI 0.12–0.34) were negatively associated with having well-controlled asthma by the end of the follow-up. In contrast, compliance with the GEMA2015 recommendations was positively associated with a greater likelihood that the patient would have well-controlled asthma by the end of the follow-up (OR, 1.70; 95% CI 1.40–2.06). Conclusions Low compliance with the clinical guidelines for managing asthma is a common problem among primary care physicians. Compliance with these guidelines is associated with a better asthma control. Actions need to be taken to improve primary care physician compliance with the asthma management guidelines.
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- 2019
6. Sesiones docentes en Atención Primaria. Experiencia en los centros de un Área de Madrid
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Emilio Juan Cervera Barba, Isabel Miguel Calvo, Esther Arrojo Arias, Marta Sanz Sanz, Roberto Cabrera Vélez, and Sofía Garrido Elustondo
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Medicine(all) ,Internship and residency ,Urban Health ,Atención Primaria ,Community Health Centers ,General Medicine ,Commission ,Primary care ,Formación continuada ,Artículo especial ,Teaching sessions ,Nursing ,Spain ,Formación postgrado ,Education, Medical, Continuing ,Psychology ,Family Practice ,Sesiones docentes ,Education medical continuing ,Primary health care - Abstract
ResumenExiste la percepción por parte de los responsables de docencia de los diferentes equipos de Atención Primaria del Área 7 de Madrid de una importante disparidad en la organización de las sesiones docentes. Por esta razón, la Comisión de Docencia e Investigación del Área 7 de Madrid organizó una jornada de puesta en común. Este artículo pretende mostrar las diferentes formas organizativas, modelos de sesiones, ventajas de las sesiones docentes, problemas percibidos y propuestas de mejora. Finalmente, se plantea un decálogo que pueda servir como guía para la organización de las sesiones docentes en los centros de Atención Primaria.AbstractThose responsible for teaching of primary care teams of Area 7 of Madrid have noted a significant disparity in the organisation of teaching sessions. Therefore, the Madrid Area 7 Commission for Teaching and Research organised an idea-sharing day. This article aims to show the different organisational forms, model sessions, the benefits of education sessions, perceived problems and suggestions for improvement. Finally there is a decalogue, which can serve as a guide for organising teaching sessions in primary care.
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- 2011
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7. Dermatitis alérgica de contacto de distribución atípica
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Margarita Sellers Carrera, Marta Sanz Sanz, and Jesús Vicente Redondo Sedano
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Community and Home Care ,Gastroenterology - Published
- 2013
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