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1. Identifying COPD patients with poor health status and low exercise tolerance through the five-repetition sit-to-stand test and modified Medical Research Council Dyspnea Score

Author

Ortega, Francisco, Mendoza, Leovigildo Ginel, Navarrete, Bernardino Alcázar, Rodriguez, Miguel Román, Medina, Ana Martín, Gea, Quim, Pleguezuelos, Eulogio, Miranda, Juan Antonio Riesco, Villar, Alberto Fernández, Río, Francisco García, Puente, Luis, Ancochea, Julio, Romero, Germán Peces-Barba, campos, Sergio, Esteban, Cristobal, Soler, Juan José, Bernabéu-Mora, Roberto, Oliveira-Sousa, Silvana Loana, Medina-Mirapeix, Francesc, and Gacto-Sánchez, Mariano

Published
2024
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2. Identifying COPD patients with poor health status and low exercise tolerance through the five-repetition sit-to-stand test and modified Medical Research Council Dyspnea Score

Author

Bernabéu-Mora, Roberto, primary, Oliveira-Sousa, Silvana Loana, additional, Medina-Mirapeix, Francesc, additional, Gacto-Sánchez, Mariano, additional, Ortega, Francisco, additional, Mendoza, Leovigildo Ginel, additional, Navarrete, Bernardino Alcázar, additional, Rodriguez, Miguel Román, additional, Medina, Ana Martín, additional, Gea, Quim, additional, Pleguezuelos, Eulogio, additional, Miranda, Juan Antonio Riesco, additional, Villar, Alberto Fernández, additional, Río, Francisco García, additional, Puente, Luis, additional, Ancochea, Julio, additional, Romero, Germán Peces-Barba, additional, campos, Sergio, additional, Esteban, Cristobal, additional, and Soler, Juan José, additional

Published
2024
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4. Papel del farmacéutico comunitario en el reciclado de inhaladores: estudio AIRE.

Author

Cantalapiedra Fernández, Fernando, Rico Munilla, Dolores, de Simón Gutiérrez, Raúl, Mendoza, Leovigildo Ginel, and Hidalgo Requena, Antonio

Subjects
INHALERS, DRUGSTORES, PUBLIC service advertising, PHARMACISTS, WASTE recycling
Abstract

Copyright of Farmacéuticos Comunitarios is the property of Sociedad Espanola de Farmacia Familiar y Comunitaria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022
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5. Prevalencia de la enfermedad renal crónica y factores asociados en la población asistida en atención primaria de España: resultados del estudio IBERICAN

Author

Llisterri, José Luis, primary, Micó-Pérez, Rafael Manuel, additional, Velilla-Zancada, Sonsoles, additional, Rodríguez-Roca, Gustavo Cristóbal, additional, Prieto-Díaz, Miguel Ángel, additional, Martín-Sánchez, Vicente, additional, Barquilla, Alfonso, additional, Polo-García, José, additional, Segura-Fragoso, Antonio, additional, Cinza-Sanjurjo, Sergio, additional, García, Alfonso Barquilla, additional, Rodríguez, Ángel Díaz, additional, Cervantes, Carlos Escobar, additional, Moreno, Francisco Javier Alonso, additional, Roca, Gustavo Cristóbal Rodríguez, additional, Martín, Jesús Vergara, additional, Caro, José Luis Llisterri, additional, Badimón, Juan José, additional, García, José Polo, additional, Padial, Luis Rodríguez, additional, Prieto, Miguel Ángel, additional, Pérez, Rafael Vidal, additional, Sanjurjo, Sergio Cinza, additional, Jiménez, Sonia Miravet, additional, Zancada, Sonsoles Velilla, additional, Téllez, Antonio López, additional, de Los Ángeles Ortega Osuna, Maria, additional, Cid, Cristóbal Prieto, additional, Fajardo, María José Hidalgo, additional, Serna, José Lorente, additional, Requena, Ángel Domínguez, additional, Cañizares, Ricardo Alberola, additional, Peña, Manuel Ruiz, additional, Collado, Filomena Herrero, additional, Vázquez, Marcela Montes, additional, Garrido, Rafael Ángel Carrascal, additional, Lozano, María Reyes Herrera, additional, Oliva, Beatriz Ortiz, additional, Anguita, Francisco José, additional, Ibáñez, Carmen Pérez, additional, Rodríguez, Carlos Alberto Cabrera, additional, Rodríguez, María José Cruz, additional, Ruiz, Sandra Bonilla, additional, González, Rocío Reina, additional, Sánchez, Salomé Abad, additional, Martínez, Inmaculada Santana, additional, Jordán, Rafael Sánchez, additional, Navas-Parejo, Juan María Ramos, additional, Torres, José Manuel Ramírez, additional, Poveda, José María Beltrán, additional, Benayas, María Adoración de Cruz, additional, Gil, Carmen Fernandez, additional, Alcaine, Jon Iñaki Esturo, additional, Quintero, Antonio Mora, additional, Cepas, Fernando Leiva, additional, Martín, José Luis Carrasco, additional, Criado, Emilio García, additional, Blanco, Mercedes Vázquez, additional, Ortiz, Isabel Mora, additional, Mendoza, Leovigildo Ginel, additional, Rodríguez, Juan Carlos Aguirre, additional, Rodríguez, Esperanza María Romero, additional, Vázquez, José Acevedo, additional, Ballesteros, Juan Gabriel García, additional, Lara, María de La Paz Fernández, additional, Moreno, Patricia Agüera, additional, Maturana, Eduardo Paños, additional, Expósito, Juan Manuel Ignacio, additional, Peñas, Noelia Carrillo, additional, Faya, Carmen María Abad, additional, Duque, Ana Marina Almagro, additional, Camisón, Rubén Torrescusa, additional, Polo, Paloma Menéndez, additional, García, Marina Peña, additional, Fernández, Cristina López, additional, Torres, Ascensión Estepa, additional, Jansen, Miguel Gutiérrez, additional, González, Esperanza Loizaga, additional, Matarin, Lisardo García, additional, Luna, Enrique José Gamero de, additional, Rivero, Javier Benítez, additional, Gómez González, María José, additional, Montes, Carmen Gómez, additional, Calvo, Eva Trillo, additional, Calvo, Concepción Bayod, additional, Natividad, Susana Larripa de La, additional, Lambea, Germán Grasa, additional, Marín, Emilio Jiménez, additional, Gonzalvo, Ana Cristina Navarro, additional, Martínez Barseló, Antonio Pablo, additional, León, Irene Peña, additional, Fernández, E. Lidia Gutiérrez, additional, Mantecón, Fernando Andrés, additional, Garrido, Ana Belén García, additional, Escalante, Asunción Velez, additional, Rentería, Luisa Alonso, additional, Jiménez, Jesús Sainz, additional, Alles, Guillermo Pombo, additional, Garrote, Juan Antonio Divison, additional, Sotodosos, Pedro Martínez, additional, Fuster, Juan Antonio Vivancos, additional, Palencia, María García, additional, Moraleda, José Ambrosio Torres, additional, Ballesteros, Sara González, additional, Adrados, Ana Carmen Gil, additional, Cabrera, Antonio González, additional, Fernández, Miguel Ángel Babiano, additional, García, Guillermo Rico, additional, Criado-Álvarez, Juan José, additional, Moreno, Pilar Torres, additional, Aguirregaviria, Francisco Javier Arribas, additional, Martínez, Alicia Sahuquillo, additional, Béjar, Lourdes María Santos, additional, Peralta, Miguel Laborda, additional, Castro, Raúl Piedra, additional, Altozano, Carlos Santos, additional, Polo, Lucía González-Tarrio, additional, Maresca, Pedro Valiente, additional, Santana, Reinilda Mota, additional, Ledesma, Noemi Elizabeth Terrero, additional, Espada, Noelia Garrido, additional, Calvi, Gabriela Delia Rosa Zambrana, additional, Montero, Juan Lorenzo Gutiérrez, additional, Gil, Juan Ignacio López, additional, Ortega, María Dolores Fernández, additional, Roncal, Miren Elizari, additional, Serrano, María Ascensión López, additional, Fuente, Nuria Esther Adrián de La, additional, Larrea, Belén Angulo Fdez. de, additional, Fernández, Naiara Cubelos, additional, Gómez, Guiomar Luz Ferreiro, additional, Rodríguez, Diana Gómez, additional, Tuñón, Sonia María Andrés, additional, González, María Ajenjo, additional, Olea, Serafín de Abajo, additional, Regueras, Juan José León, additional, Nieto, César Manuel Gallego, additional, Mallada, Delio Vázquez, additional, García, Maria de La O Gutiérrez, additional, Rodríguez, Pablo Baz, additional, García, José Ignacio Ferradal, additional, Martínez, Blanca Delia de Román, additional, Pérez, Ana Arconada, additional, Atoui, Omar Mahmoud, additional, Bayón, Álvaro Morán, additional, Olmo, María Teresa Armenteros del, additional, Herreros, Fco. Javier García-Norro, additional, Rodríguez, Enrique Méndez, additional, Pineda, Diana María Narganes, additional, Ainaga, Verónica Ortiz, additional, Guevara, Milagros Sonlei Sánchez, additional, Ferreiro, Laura Villota, additional, Grande, M. Teresa Grande, additional, Gracía, Francisco Vicente Martínez, additional, García, María Dolores Moriano, additional, Muñoz, Beatriz Jiménez, additional, Marcelino, Gemma Rovira, additional, Valverde, Diana Elizabeth Fernández, additional, Bernadó, Roser Rodó, additional, Lupiáñez, María Teresa Ortiz, additional, Najih, Najlaa, additional, Parra, José María Diéguez, additional, Acebo, María Rosa Benedicto, additional, Vicien, Mari Luz Bravo, additional, Estella, Alberto Ramón León, additional, Gómez, Juan Antonio Muñoz, additional, Muntané, Alicia Mostazo, additional, Abarca, Isabel Ortega, additional, Fargas, Anna Gasol, additional, Escudero, Brenda Elizabeth Riesgo, additional, Riesgo, Susana Elizabeth, additional, Castellvi, Edgar Zaballos, additional, Sagarra, Celia Cols, additional, Fernández, Marta Herranz, additional, Presas, Josep Alins, additional, Pérez, Idaira Damas, additional, García, Rosa M. Alcolea, additional, Collado, Inés Monte, additional, Martínez, Roberto Genique, additional, Villanueva, María José Guasch, additional, Martínez, Teresa Rama, additional, Pena, Lucio Pinto, additional, Royo, Josefa María Panisello, additional, Gil, Inés Gil, additional, Montero, Alberto Calderón, additional, Gómez, María del Mar Zamora, additional, Cebrián, Elena Alarcón, additional, Acin, María José Piñero, additional, Sacristán, Celia Pecharromán, additional, Vicente, M. Soledad Mayayo, additional, Unanua, María Paz Pérez, additional, Henrich, Nuria Marañón, additional, Monreal, Saray Gómez, additional, Pedro, Sonia Redondo de, additional, Pozo, Blanca Sanz, additional, Martínez, Irene Moreno, additional, Uriarte, Beatriz López, additional, Velasco, Carmelina Sanz, additional, Aguirre, Amaya Gárriz, additional, Teijido, Montserrat Rivera, additional, Jaén, Germán Reviriego, additional, Pascual-Salcedo, José Ignacio Aza, additional, Gallego, Josefa Vázquez, additional, Rodilla, Julia Caballer, additional, Herrera, Aida, additional, Martínez, Ezequiel Arranz, additional, Calvo, Ana María Gómez, additional, Oliva, Paula Morán, additional, Béjar, María Milagros González, additional, Hitos, Julio Antonio Heras, additional, Vallejo, Olga García, additional, Vargas, Manuel de Jesús Frías, additional, Boguerin, María Jesús Castillejo, additional, Lerin, Aurora García, additional, Tablado, Miguel Ángel María, additional, García, Elena Concepción García, additional, Acero, Leticia de Miguel, additional, Oñate, Carmen Zárate, additional, Apoita, Aránzazu Barranco, additional, Belloso, María Ester Montes, additional, Velasco, Ana María Huertas, additional, Jiménez, Rafael Sáez, additional, Pascual, Julia Natividad García, additional, Zuluaga, María Clemencia Zuluaga, additional, Perez, María Cruz Díez, additional, García, Antonio Ruiz, additional, Jelsbak, Cristina Murillo, additional, Oria, Virginia Lasso, additional, Gamarra, Amelia González, additional, Fuster, Vicente Pascual, additional, Bort, María Dolores Aicart, additional, Gómez, Natividad Vázquez, additional, Gasco, Carlos Lluna, additional, Barber, Teresa Amoros, additional, Cano, Pedro Antonio Medina, additional, Moncho, Miguel Monteagudo, additional, Muñoz, María Jesús Larré, additional, Hernández, Raquel Navarro, additional, Egea, Francisco José Martínez, additional, Tramontano, Antonio, additional, Royo, Marta Ferrer, additional, Saura, Belén Persiva, additional, Torres, Juan A. Contreras, additional, Moliner, José María Tirado, additional, Penalba, Alejandro Salanova, additional, Alberola, Ariadna Cucó, additional, Ros, Fernando María Navarro I., additional, Llicer, Enrique Beltrán, additional, Novás, Ana Seoane, additional, Valls, Inmaculada Martín, additional, Mahiques, Gracia Verdú, additional, Forcada, Enrique Peña, additional, Gómez, Nieves Aguilar, additional, García, Francisco Javier Sanz, additional, Bueso, M. Dolores Paradís, additional, Romero, María Eugenia Alegre, additional, Camus, Antonio Francés, additional, Peinado, María Amparo Antón, additional, Santos, Rosa Latorre, additional, Marín, María Asunción Palomar, additional, García, María Carmen Botella, additional, Fresquet, Eva Sánchez, additional, Paños, Pedro Sala, additional, Ruiz, Tomás Sánchez, additional, Valero, Rosa Ana Valero, additional, Vicente, María Seoane, additional, Llinares, Magdalena Martín, additional, Alegre, Antonio Masiá, additional, Verdú, Irene Lluch, additional, Carratala, Vicente Pallares, additional, Roca, Francisco Valls, additional, Pérez, Rafael Manuel Micó, additional, García, Jacinto Espinosa, additional, Romo, José Ignacio Prieto, additional, Fernández, Leandro Fernández, additional, Sierratapia, Javier, additional, Regidor, Nieves Moreno, additional, Sánchez, Francisco Javier Zaballos, additional, Moreno, Ana Moreno, additional, Barrera, Francisco Carramiñana, additional, Vázquez, Juan José Torres, additional, Samino, María José Gamero, additional, Rodríguez, Miguel Ángel de Santiago, additional, Martínez, Pablo Rafael Gómez, additional, Becerra, Antonio Carlos Elías, additional, Olivera, Javier Soto, additional, Cambero, Víctor, additional, Ávila, Julián Domínguez, additional, Fuentes, Andrés Simón, additional, Jiménez, Jorge Manuel de Nicolás, additional, Fraile, Dimas Igual, additional, Barco, Guadalupe Nieto, additional, Ramos, Ignacio Araujo, additional, Berrocal, María Luz Serrano, additional, Ramírez, Francisco Buitrago, additional, Marcos, Minerva Gallego, additional, González, Félix Suárez, additional, Carrasco, Victoriano Chavero, additional, Peguero, Francisco Guerra, additional, Vega, Francisco Javier Sánchez, additional, Mas, Manuel Tejero, additional, Donoso, Alba Palmerín, additional, Yedro, Miguel Turégano, additional, Rojas, María Beatriz Esteban, additional, Moreno, Fátima Cabezudo, additional, Saldaña, Nawson Elver Quevedo, additional, Fenés, María del Mar García, additional, Florencio, Timotea Garrote, additional, Toro, José María Fernández, additional, Rañal, Alejandra Rey, additional, Río, Elena García del, additional, Pol, Enrique Nieto, additional, Fernández, Julio Álvarez, additional, Álvarez, Pilar Alonso, additional, Gómez, María Luisa Jorge, additional, Guerrero, Antonio Calvo, additional, Colomina, Isabel Celemín, additional, Casal, Lucía Barreiro, additional, Moreno, Juana Fernández, additional, Martínez, María Angelines Carballal, additional, Rodríguez, Nabor Díaz, additional, Paredes, Carlos Moral, additional, García, Dolores Recarey, additional, Mato, Fco. Javier Iglesias, additional, Ulloa, Antonio Fouz, additional, González, Amparo Fidalgo, additional, Parada, Noelia Dios, additional, Sabarís, Patricia Conde, additional, Pérez, Ana Isabel Rodríguez, additional, Palacio, Ana Inés García, additional, Varela, Víctor Julio Quesada, additional, Iglesias, Lidia Romero, additional, Llerena, Ángel Lado, additional, Rodríguez, Carmen Lires, additional, Diaz, María Luisa Carretero, additional, Arias, José Carreira, additional, Camino, Jose Luis Vázquez, additional, Penas, María del Carmen Torreiro, additional, Freire, Sandra Yáñez, additional, Aldana, Daniel Rey, additional, Díaz, Carlos Piñeiro, additional, Romanos, Fernando García, additional, González, Antonia Moreno, additional, Sastre, María Lara Amengual, additional, Palli, Susana Martínez, additional, Bauza, José Alfonso Ramón, additional, Bolinches, José Ortiz, additional, Fernández, Carmen Fernández, additional, Vázquez, María Isabel Orlandis, additional, Mezquita, Ana Sanchís, additional, Aramburu, Fernando Unceta, additional, Morant, Juan Fernando Peiró, additional, Amengual, Ana Moyá, additional, García, Isidro Godoy, additional, Sevillano, Fernando Rubio, additional, González, María Isabel González, additional, Souto, Marta Pérez, additional, Contreras, Raquel de León, additional, González, Sara Isabel Almeida, additional, Diez, Irene Almería, additional, Sánchez, Virginia María Mirabal, additional, Lavado, Francisco José Escobar, additional, Pérez, Yoel Anta, additional, Hernández, Nayra Sánchez, additional, Jerez, Juan Luis Alonso, additional, Koch, Ricardo, additional, Mendoza, Nayra Ramírez, additional, Hernández, Héctor Suárez, additional, Escobar, Francisco Jesús Morales, additional, Zancada, Sonsoles María Velilla, additional, Sabarís, Rafael Crespo, additional, Jiménez, Óscar Fernando Isaula, additional, Puga, Jesús Manuel González, additional, Ávila, Jorge Antonio Benaín, additional, González, Óscar del Toro, additional, Íñigo, Laura Sánchez, additional, Pérez, Inés Sanz, additional, Nubla, José Félix Zuazagoitia, additional, Ituiño, Ana Echebarría, additional, Tris, Gregorio Mediavilla, additional, Bosch, María Carmen Noriega, additional, González, Esther, additional, Macho, María Luisa Ruiz, additional, Olmo, Ruth Sendino del, additional, Prado, Asunción Olagorta de, additional, Muguerza, Ana López de Viñaspre, additional, Iriso, Jesús Iturralde, additional, Martínez, María José Pérez, additional, Carbonell, Ana Piera, additional, Fernández, Margarita Alonso, additional, Cuadrado, María Montserrat Rueda, additional, Rodríguez, Rodrigo Abad, additional, Cabo, José Miguel Álvarez, additional, Rodríguez, Rubén Sánchez, additional, Cabo, Eva María Cano, additional, Secin, Anny Romero, additional, Díaz, Miguel Ángel Prieto, additional, Fernández, Juan Jesús García, additional, Bueno, Vicente Llorca, additional, Pérez, Ana María Ballesteros, additional, López, Domingo J. Rubira, additional, Franco, María Dolores Esteve, additional, Pablo, Elena Sánchez, additional, López, María Teresa Palacios, additional, Meroño, Juan Castillo, additional, Martínez, José María Lobo, additional, Martínez, Isabel María Peral, additional, Carrasco, J. Eduardo Carrasco, additional, and González, Armando Santo, additional

Published
2021
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6. Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy: study protocol of a cluster randomized clinical trial (Multi-PAP project)

Author

Prados Torres, Alexandra, del Cura González, Isabel, Prados Torres, Daniel, López Rodríguez, Juan A., Leiva Fernández, Francisca, Calderón Larrañaga, Amaia, López Verde, Fernando, Gimeno Feliu, Luis A., Escortell Mayor, Esperanza, Pico Soler, Victoria, Sanz Cuesta, Teresa, Bujalance Zafra, M. Josefa, Morey Montalvo, Mariel, Boxó Cifuentes, José Ramón, Poblador Plou, Beatriz, Fernández Arquero, José Manuel, González Rubio, Francisca, Ramiro González, María D., Coscollar Santaliestra, Carlos, Martín Fernández, Jesús, Barnestein Fonseca, M. Pilar, Valderas Martínez, José María, Marengoni, Alessandra, Muth, Christiane, Aza Pascual Salcedo, Mercedes, Poncel Falcó, Antonio, Bandrés Liso, Ana Cristina, Alcaraz Borrajo, Marta, Ruiz San Basilio, José Ma, Mataix San Juan, Ángel, López León, Ana Ma, Mateos Sancho, Carmina, Gimeno Miguel, Antonio, Hernández Santiago, Virginia, García de Blas, Francisca, García Agua, Nuria, Rodríguez Barrientos, Ricardo, Vázquez Alarcón, Rubén, Laguna Berna, Clara, Márquez Chamizo, Maria Isabel, Marta Moreno, Javier, Azcoaga Lorenzo, Amaya, Abad Díez, José María, Sánchez Perruca, Luis, Polentinos Castro, Elena, Clerencia Sierra, Mercedes, Ariza Cardiel, Gloria, González González, Ana Isabel, Rico Blázquez, Milagros, Rogero Blanco, Marisa, Tello Bernabé, Ma Eugenia, álvarez Villalba, Mar, Rumayor Zarzuelo, Mercedes, del Pozo, Carmen Sánchez Celaya, Garrido, José Ignacio Torrente, Aranda, Concepción García, Lafuente, Marina Pinilla, Ma Teresa Delgado Marroquín, Null, Molina, Ma José Gracia, Bernal, Javier Cuartero, Martín, Ma Victoria Asín, Domínguez, Susana García, Gorbea, Carlos Bolea, Negre, Antonio Luis Oto, Royo, Eugenio Galve, Taira, Ma Begoña Abadía, Gutiérrez, José Fernando Tomás, Quintana, José Porta, Miguel, Valentina Martín, de las Heras, Esther Mateo, Algora, Carmen Esteban, de Letosa, Ma Teresa Martín Nasarre, Elena Gascón del Prim, Null, Delgado, Noelia Sorinas, Ma Rosario Sanjuan Cortés, Null, Sánchez, Teodoro Corrales, Lucas, Eustaquio Dendarieta, Mínguez Sorio, Ma del Pilar, Marzal, Adolfo Cajal, García, Eduardo Díaz, Álvarez, Juan Carlos García, De Blas González, Francisca García, Pérez, Cristina Guisado, Franco, Alberto López García, Beneitez, Ma Elisa Viñuela, Ana Ballarín González, Null, Zapata, Ma Isabel Ferrer, Suarez, Esther Gómez, Ortiz, Fernanda Morales, Laguno, Lourdes Carolina Peláez, Gómez, José Luis Quintana, Pascual, Enrique Revilla, López, Francisco Ramón Abellán, Álvaro, Carlos Casado, González, Paulino Cubero, Hamalainen, Santiago Manuel Machín, Fernández, Raquel Mateo, Blanco, Ma Eloisa Rogero, Arce, Cesar Sánchez, Wiesman, Elisa Ceresuela, Galindo, Jorge Olmedo, Marcos, Claudia López, Borda, Soledad Lorenzo, Fernández, Juan Carlos Moreno, Gómez, Belén Muñoz, De Mingo, Enrique Rodríguez, Pascual, Juan Pedro Calvo, Barroso, Margarita Gómez, Serrano, Beatriz López, Peláez, Ma Paloma Morso, González, Fernando Perales, Salvador, Julio Sánchez, Yépez, Jeannet Dolores Sánchez, Alonso, Ana Sosa, Villalba, Ma del Mar Álvarez, Tapia, Purificación Magán, Alcántara, Ma Angelica Fajardo, Alonso, Ma Canto De Hoyos, González, Rosario Iglesias, Antón, Ma Aránzazu Murciano, Pérez, Manuel Antonio Alonso, Lorenzo, Amaya Azcoaga, Medina, Ricardo De Felipe, Laguna, Amaya Nuria López, De Rivera, Eva Martínez Cid, Flores, Iliana Serrano, Rodríguez, Ma Jesús Sousa, Isabel, Ma Soledad Núñez, Sánchez, Jesús Ma Redondo, Llanos, Pedro Sánchez, Campillo, Lourdes Visedo, Izquierdo, Javier Martín, Sainz, Macarena Toro, Jiménez, Ma José Fernández, García, Esperanza Mora, Navarro Jiménez, José Manuel, Gómez, Deborah Gil, Mendoza, Leovigildo Ginel, Luz Pilar de la Mota Ybancos, Null, Genafo, Jaime Sasporte, Rodríguez, Ma José Alcaide, Garach, Elena Barceló, Arteaga, Beatriz Caffarena de, Parrilla, Ma Dolores Gallego, Catalina Sánchez Morales, Null, Chasco, Ma del Mar Loubet, Ríos, Irene Martínez, Delgado, Elena Mateo, Aurioles, Esther Martín, Ruiz, Sylvia Hazañas, Escalante, Nieves Muñoz, Salido, Enrique Leonés, Torres, Ma Antonia Máximo, Rodríguez, Ma Luisa Moya, Gálvez, Encarnación Peláez, Torres, José Manuel Ramírez, Fernández, Cristóbal Trillo, Cañavate, Ma Dolores García Martínez, Mellado, Ma del Mar Gil, Pradilla, Ma Victoria Muñoz, Peña, Ma José Clavijo, Fernández, José Leiva, Romero, Virginia Castillo, Maqueda, Rafael Ángel, Valdés, Gloria Aycart, Santaella, Miguel Domínguez, Vargas, Ana Ma Fernández, García, Irene García, Rodríguez, Antonia González, Mendaño, Ma Carmen Molina, Naranjo, Juana Morales, Torres, Catalina Moreno, Guerra, Francisco Serrano, University of St Andrews. School of Medicine, and Multi-PAP Group

Subjects
Male, law.invention, Health administration, Study Protocol, 0302 clinical medicine, Medication appropriateness index, Randomized controlled trial, law, Patient-Centered Care, Health care, Outcome Assessment, Health Care, Medicine, 030212 general & internal medicine, Medicine(all), Aged, 80 and over, lcsh:R5-920, education.field_of_study, Massive Online Open Course, Medicine (all), Health Policy, Health services research, General Medicine, T-DAS, Female, Public Health, lcsh:Medicine (General), Medication Appropriateness Index, medicine.medical_specialty, RM, Population, Primary Care Health Centre, Health Informatics, Drug Prescriptions, 03 medical and health sciences, Outcome Assessment (Health Care), Quality of life (healthcare), SDG 3 - Good Health and Well-being, Family Physician, Humans, ddc:610, Medical prescription, education, Aged, Polypharmacy, Primary care health centre, Primary Health Care, business.industry, Family physician, Environmental and Occupational Health, Public Health, Environmental and Occupational Health, Multimorbidity, Spanish National Health System, RM Therapeutics. Pharmacology, Massive online open course, Spain, Family medicine, Chronic Disease, business, 030217 neurology & neurosurgery
Abstract

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe"). Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799 Publisher PDF

Published
2017

8. Protocolo de manejo de pacientes con enfermedad pulmonar obstructiva crónica (EPOC) tras agudización en Urgencias

Author

Rey, Jaime Gonzálvez, Trigueros Carrero, Juan Antonio, Salmerón, Pascual Piñera, and Mendoza, Leovigildo Ginel

Abstract

En la enfermedad pulmonar obstructiva crónica (EPOC) el síndrome de agudización (SAE) es un episodio de inestabilidad clínica por agravamiento de la limitación espiratoria al flujo aéreo o del proceso inflamatorio subyacente. La gravedad del SAE depende de la estratificación del riesgo basal y la intensidad del episodio agudo. La Atención Primaria (AP) es el epicentro del circuito asistencial del SAE, pero puede extenderse al Servicio de Urgencias Extrahospitalarias y al propio hospital dependiendo de la situación clínica, del nivel de gravedad, de la disponibilidad de pruebas complementarias y de los recursos terapéuticos necesarios para cada paciente. El registro de los datos clínicos, antecedentes, factores desencadenantes, tratamiento y evolución de los episodios previos de SAE en la historia clínica electrónica son un aspecto esencial para ajustar el tratamiento actual y prevenir la aparición de futuros episodios.

Published
2023
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10. Qué no se debe hacer en el manejo terapéutico del asma bronquial. Recomendaciones por consenso Delphi para los médicos que tratan el asma

Author

Rodríguez, Miguel Román, Mendoza, Leovigildo Ginel, Aparicio, Marina Blanco, Rodríguez, Mercedes Rodríguez, and Caamaño, Mario Bárcena

Abstract

El asma es una de las enfermedades más prevalentes en España y, a pesar de los grandes avances diagnósticos y terapéuticos, los resultados en salud indican que hasta el 80% de los pacientes no tendrían su asma bien controlada. Aunque las causas de esta situación son diversas, existen algunas prácticas entre los profesionales que atienden el asma que no contribuyen a la mejora de los resultados en salud de esta enfermedad. Nuestro grupo de trabajo ha elaborado este documento para recordar una serie de pautas básicas, alineadas con las guías actuales y la literatura reciente, y consensuadas mediante metodología Delphi por un panel experto multidisciplinar. Estas recomendaciones sobre qué no se debe haceren el manejo del asma en el adulto quedan articuladas en cuatro ámbitos: el diagnóstico, el seguimiento, el tratamiento y la prevención de exacerbaciones.

Published
2021
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