7,452 results match your criteria Atencion Primaria[Journal]


[Optimizing blood pressure control through telemedicine in Primary Care in Spain (Iniciativa Óptima): Results from a Delphi study].

Aten Primaria 2022 May 16;54(7):102353. Epub 2022 May 16.

Grupo de Trabajo de HTA y ECV de SEMERGEN, España; Unidad de Vigilancia de la Salud, Unión de Mutuas, Castellón, España; Departamento de Medicina, Universitat Jaume I, Castellón, España.

Aim: Members of the working groups on hypertension or cardiovascular disease of the Spanish Societies of Primary Care Physicians (PCPs) [SEMERGEN], Family and Community Medicine [semFYC] and General and Family Physicians [SEMG], conducted a Delphi study to validate with a panel of PCPs with expertise in hypertension several recommendations to optimize teleconsultation in hypertensive patients.

Materials And Methods: Delphi study based on an online questionnaire with 59 recommendations based on the available evidence and the clinical experience of the authors.

Results: 118 PCPs participated in two rounds of the questionnaire (98. Read More

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[Clinical and prognostic profile evolution of patients discharged from hospital due to heart failure in the first two decades of the 21st century. The INCA-Ex Registry].

Aten Primaria 2022 May 13;54(7):102357. Epub 2022 May 13.

Unidad de Investigación, Área de Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Villanueva de la Serena, Badajoz, España; Centro de Salud Mérida Urbano I, Mérida, Badajoz, España.

Aim: To study the evolution of the clinical profile of a population discharged with a main diagnosis of heart failure (HF) in the first two decades of the century and the predictive variables of mortality and readmission in the first year of discharge.

Design: Observational, retrospective, longitudinal study. SITE: Don Benito Villanueva de la Serena Badajoz health area. Read More

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Evolution of the stage of chronic kidney disease from the diagnosis of hypertension in primary care.

Aten Primaria 2022 May 13;54(7):102364. Epub 2022 May 13.

Unidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, Mexico.

Objective: To analyze the evolution of the stages of CKD and the progression of the estimation of glomerular filtration rate (eGFR) in patients with newly diagnosed hypertension.

Design: Retrospective cohort. SITE: Family Medicine Unit No. Read More

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[Effectiveness of the vagino-rectal exudate self-sampling for prenatal screening of Streptococcus agalactiae infection. GALL study].

Aten Primaria 2022 May 12;54(6):102366. Epub 2022 May 12.

OSI Ezkerraldea-Enkarterri-Cruces, Osakidetza, Bizkaia, España Centro de Salud Markonzaga, OSI Barakaldo-Sestao, Bizkaia, Osakidetza, Unidad Docente de Matronas del País Vasco, Área de Enfermería Clínica y Salud Comunitaria, Instituto de Investigación Sanitaria Biocruces Bizkaia, España.

Objetive: To evaluate the effectiveness of vagino-rectal swab autotomy for prenatal screening for GBS infection and to identify the barriers and facilitators encountered by the pregnant woman for this intervention.

Design: Cross-sectional study of diagnostic tests.

Participants And Site: A total of 213 pregnant women who attended the primary care midwife's office in 6 health centers of the Basque Health Service/Osakidetza in Bizkaia, who met the inclusion criteria and agreed to participate in the study, participated in the study. Read More

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[The role of metformin in the treatment of dermatological diseases: A narrative review].

Aten Primaria 2022 May 12;54(6):102354. Epub 2022 May 12.

Health Research Group GIIS100 of Health Research Institute IIS Aragón, Zaragoza, España; Servicio de Dermatología y Venereología, Hospital Clínico Universitario Miguel Servet, Zaragoza, España.

Objetive: To review and discuss the current evidence of the use of metformin as a therapeutic tool in frequent skin diseases.

Design: Original article. Qualitative research. Read More

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[Screening and brief intervention on alcohol consumption].

Aten Primaria 2022 May 9;54(7):102349. Epub 2022 May 9.

Centro de Salud Universitario Infanta Mercedes, Madrid, España.

Morbidity associated with alcohol consumption includes digestive, psychiatric, neurological, infectious disease, cancers of various types, cardiovascular disease, intentional injuries, unintentional injuries, social pathology, and family problems. The most recent evidence does not indicate that "moderate" consumption is beneficial to health. The most recent evidence indicates that "moderate" consumption is not beneficial to health. Read More

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[Conceptual model of biopsychosocial considerations in the management of chronic pain].

Aten Primaria 2022 May 9;54(7):102350. Epub 2022 May 9.

Centro de Salud Manuel Encinas, Consultorio de Malpartida de Cáceres, Cáceres, España.

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[Epiglottitis: An emergency. Thumb sign].

Aten Primaria 2022 May 9;54(7):102360. Epub 2022 May 9.

Servicio de Otorrinolaringología, OSI-Hospital Comarcal del Bidasoa, Hondarribia, Guipúzcoa, España.

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[A vision on the early and home-based prescription of physical exercise in menopausal women from Primary Care].

Aten Primaria 2022 May 9;54(6):102351. Epub 2022 May 9.

Facultad de Medicina. Universidad de Barcelona, España, Barcelona, España. Electronic address:

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Intra-rater reliability and feasibility of the HexCom advanced disease complexity assessment model.

Aten Primaria 2022 May 9;54(6):102343. Epub 2022 May 9.

Multidisciplinary Research Group on Health and Society (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain; Metropolitan Nord Unit of Research Support, Jordi Gol University Institute of Research in Primary Care (IDIAP), Mataró, Barcelona, Gran Via de les Corts Catalanes, 587, 08007 àtic, Catalonia, Spain.

Aim: To study the intra-rater reliability and feasibility of the HexCom complexity assessment model by analyzing internal consistency, intra-rater reliability and response time.

Design: Test-retest study with a selection of 11 clinical situations that cover the full scope of situations assessed by the HexCom model and which are responded to individually.

Location: Home care, primary care, hospital and sociosanitary care. Read More

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[Acute vulvar lesions in a young cis-heterosexual female: Differential diagnosis and practical considerations].

Aten Primaria 2022 May 9;54(6):102356. Epub 2022 May 9.

Sección de Especialidades Médicas, Servicio de ITS/Dermatología, Ayuntamiento de Madrid, Madrid, España. Electronic address:

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Estamos formando especialistas de atención familiar y comunitaria.

Aten Primaria 2022 May 4;54(5):102361. Epub 2022 May 4.

Medicina de Familia y Comunitaria, CS Parque Goya Zaragoza. Técnico de Salud UD de AFyC sector Zaragoza 1. Responsable de la sección de Desarrollo Profesional de semFYC, Zaragoza, España. Electronic address:

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General Practice/Family Medicine Portuguese doctors: "technicists" or "systemics"?

Aten Primaria 2022 May 4;54(6):102315. Epub 2022 May 4.

Faculty of Medicine, University of Açores, Portugal.

To study if the consultation's problems classification of a fictitious case by General and Family Medicine doctors, showed the characteristics of being a mechanistic or a systemic approach. Exploratory cross-sectional observational study in a convenience sample of the General Practice/Family Medicine population, internees included, in April 2020, applying a modified real world clinical case. Central Portugal and the Autonomous Region of Azores. Read More

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[Medication safety during the COVID-19 pandemic in primary care nurses].

Aten Primaria 2022 Mar 22;54(6):102352. Epub 2022 Mar 22.

Centro de Salud Almoradí, Departamento de Salud 21, Orihuela, Alicante, España.

Objective: To know the perception of nurses about the factors that influence the safe administration of medications during the COVID-19 period, in the work context in a primary care health department of the Spanish national health system.

Design: This is a qualitative phenomenological study. SITE: Carried out in the Department of Health 21 (Alicante, Spain) between the months of September 2021 and November 2021. Read More

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[Nurse resolution of self-limiting mild processes in health care. Descriptive study].

Aten Primaria 2022 Apr;54(4):102219

Centro de Salud Elorrio-Berriz, OSI Barrualde-Galdakao, Osakidetza, Elorrio, España.

Background: To describe the capacity of the primary health care's nurse in the resolution of the self-limiting mild processes after the implementation of the healthcare demand's process in Basque Country.

Setting: 25 primary health care centers of the OSI Bilbao-Basurto.

Type Of Study: An observational, descriptive, transversal study. Read More

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[Assessment of basic training needs in palliative care in primary healthcare nurses in Spain].

Aten Primaria 2022 Apr 27;54(5):102344. Epub 2022 Apr 27.

Enfermería, Grupo de Investigación del Cuidado en el proceso de final de vida, Instituto para la Investigación en Salud de Aragón, Zaragoza, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España.

Aim: Asses training, perception of readiness and training needs in palliative care (PC) theoretical and practical of primary care nurses in Spain, through descriptive cross-sectional study.

Design: Descriptive cross-sectional study.

Setting: Primary care nurses in Spain with online access. Read More

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[Moving toward personalized breast cancer screening: The role of Primary Care].

Aten Primaria 2022 Apr 24;54(5):102288. Epub 2022 Apr 24.

Grup de Recerca en Anàlisi Estadística i Econòmica en Salut (GRAEES), Lleida y Reus, España; Departament de Ciències Mèdiques Bàsiques, Universitat de Lleida - Institut de Recerca Biomèdica de Lleida (IRB Lleida), Lleida, España. Electronic address:

Breast cancer is the leading cause of death in the world among women. The Spanish National Health System (SNHS) introduced population-based breast cancer screening in 2006. As in most European programs, risk is identified on the basis of age and a mammogram is offered every two years to women aged 50-69 years. Read More

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[Perception of the safe administration of medications in primary care].

Aten Primaria 2022 Apr 22;54(5):102348. Epub 2022 Apr 22.

Coordinación en enfermería, Centro de Salud Almoradí, Departamento de Salud, Alicante, España.

The purpose of this study was to know the perception of nurses about safety in the preparation and administration of medications in a primary care health department of the Spanish national health system. Cross-sectional descriptive study. Carried out in the Health Department 21 (Alicante, Spain) in the months of September to November 2021. Read More

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[Physiotherapy and health education protocol in chronic musculoskeletal shoulder pain. Experience in Primary Care].

Aten Primaria 2022 Apr 20;54(5):102284. Epub 2022 Apr 20.

Unidad de Fisioterapia, Gerencia de Atención Primaria de la Comunidad de Madrid, Madrid, España; Escuela Internacional de Doctorado, Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Alcorcón, Madrid, España; Departamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo CEU, Campus de Montepríncipe, Madrid, España. Electronic address:

Objective: To evaluate the experiencie with a health education program in Primary Care in patients with chronic shoulder pain of musculoskeletal origin, on pain and disability and establish the protocol in primary care.

Design: Quasi-experimental longitudinal descriptive observational study.

Location: Arroyo de la Vega Health Center, Alcobendas, Madrid. Read More

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[Vaccination against COVID-19 and its coping from the perspective of three native peoples from the northeastern highlands of Puebla, Mexico].

Aten Primaria 2022 Feb 17;54(6):102316. Epub 2022 Feb 17.

División de Ciencias de la Salud, Universidad Intercultural del Estado de Puebla, México. Electronic address:

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February 2022

Psychosocial factors in adherence to pharmacological treatment and diabetes mellitus control in patients over 65.

Aten Primaria 2022 Apr 14;54(5):102302. Epub 2022 Apr 14.

Nursing Department, School of Medicine, Autonomous University of Madrid, IDIPHISA, INAECU, Madrid, Spain. Electronic address:

Aim: To explore the influence of anxiety/depression symptoms and social risk in patients older than 65 years with type 2 diabetes mellitus (T2DM) both in non-adherence to pharmacological treatment (Non-AdhT) and in poor control of T2DM.

Design: Cross-sectional study.

Setting And Participants: Adults over 65 years of age with T2DM treated at the Madrid Primary Care Service. Read More

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[Results of a telephone consultation between cardiology and primary care prior to the referral of doubtful cases to hospital emergencies].

Aten Primaria 2022 Apr 12;54(6):102303. Epub 2022 Apr 12.

Servicio de Cardiología, Hospital Clínico Universitario Virgen de la Arrixaca, Instituto Murciano de Investigación Biosanitaria, El Palmar, Murcia, España; Departamento de Medicina Interna. Facultad de Medicina. Universidad de Murcia, Murcia, España.

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[Assisted dying and bad conscience, or why I can't be against euthanasia].

Aten Primaria 2022 Apr 12;54(6):102304. Epub 2022 Apr 12.

Unitat de Suport a la Recerca Metropolitana Nord, Institut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol), Mataró, Barcelona, Catalunya, España; Multidisciplinary Research Group on Health and Society (GREMSAS) (2017 SGR 917), Barcelona, España.

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[Lichen planus: A case report, literature review and its influence on quality of life].

Aten Primaria 2022 Mar 21;54(5):102317. Epub 2022 Mar 21.

Centro de Salud Federica Montseny, Madrid, España.

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[Percutaneous gastrostomy as a procedure to improve the survival of patients with amyotrophic lateral sclerosis].

Aten Primaria 2022 Mar 21;54(5):102322. Epub 2022 Mar 21.

Unidad de Neuromuscular, Servicio de Neurología, Hospital Universitario de Bellvitge-IDIBELL, L' Hospitalet de Llobregat, Barcelona, España.

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[Genetic protocol in primary care for rare diseases: Wolfram syndrome as a prototype].

Aten Primaria 2022 Mar 16;54(5):102285. Epub 2022 Mar 16.

Investigación biológica, Asociación Española para la Investigación y Ayuda al Síndrome de Wolfram, Departamento de Genética Clínica-Biogenox, Grupo Biomédico y Genética Clínica en Almería, Almería, España.

Rare diseases, despite their individual low frequency, affect 7% of the population all combined. Consequently, every primary care practitioner (PCP) will have several of these patients under his care. 80% of rare diseases are genetically determined, which makes genetic counseling fundamental in these cases. Read More

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[COVID-19 prognostic indicators in Primary Care].

Aten Primaria 2022 Feb 10;54(7):102308. Epub 2022 Feb 10.

Fundación Instituto Universitario para la Investigación en Atención Primaria de Salud Jordi Gol i Gurina (IDIAPJGol), Barcelona, España.

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February 2022