12
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: not found
      • Article: not found

      Formación médica continuada sobre el uso de hipolipemiantes en ancianos de 65-75 años

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          <div class="section"> <a class="named-anchor" id="d836363e136"> <!-- named anchor --> </a> <h5 class="title" id="d836363e137">Objetivo</h5> <p id="d836363e139">Evaluar la eficacia de la intervención educativa en médicos de atención primaria (MAP) sobre el manejo de la dislipemia en pacientes de 65-75 años con hipercolesterolemia. </p> </div><div class="section"> <a class="named-anchor" id="d836363e141"> <!-- named anchor --> </a> <h5 class="title" id="d836363e142">Diseño</h5> <p id="d836363e144">Ensayo clínico aleatorio, simple ciego.</p> </div><div class="section"> <a class="named-anchor" id="d836363e146"> <!-- named anchor --> </a> <h5 class="title" id="d836363e147">Ámbito del estudio</h5> <p id="d836363e149">Atención primaria Área 10 INSALUD Madrid.</p> </div><div class="section"> <a class="named-anchor" id="d836363e151"> <!-- named anchor --> </a> <h5 class="title" id="d836363e152">Sujetos de estudio</h5> <p id="d836363e154">MAP (38) del Área 10. Pacientes de 65-75 años con hipercolesterolemia (705).</p> </div><div class="section"> <a class="named-anchor" id="d836363e156"> <!-- named anchor --> </a> <h5 class="title" id="d836363e157">Intervención</h5> <p id="d836363e159">Sesión clínica a médicos de atención primaria sobre el adecuado manejo de las dislipemias de una hora de duración, reforzado con el envío personalizado de los criterios de uso de hipolipemiantes con referencias bibliográficas. El seguimiento de los médicos se realizó durante un año. </p> </div><div class="section"> <a class="named-anchor" id="d836363e161"> <!-- named anchor --> </a> <h5 class="title" id="d836363e162">Resultados</h5> <p id="d836363e164">El manejo hipolipemiante varió (p = 0,03) tras la intervención educativa. En el grupo experimental, el tratamiento dietético aumentó un 6,56% (p = 0,21), las estatinas se incrementaron un 4,16% (p = 0,36) y los fibratos disminuyeron un 4,22% (p = 0,24). El cumplimiento de los criterios de adecuado manejo de las dislipemias no varió (p = 1,0) en el grupo control (44,3%), ni tampoco (p = 0,96) en el grupo experimental (49,4% frente a 49,1%). El cumplimiento en el grupo de intervención disminuyó un 7,56% (p = 0,25) cuando las dislipemias se trataban sólo con dieta, mejoró un 17,17% (p = 0,14) si se usaban fibratos y un 17,58% (p = 0,06) si se utilizaban estatinas. </p> </div><div class="section"> <a class="named-anchor" id="d836363e166"> <!-- named anchor --> </a> <h5 class="title" id="d836363e167">Conclusión</h5> <p id="d836363e169">No parece probable que la sesión didáctica a MAP, reforzada con el envío posterior de la información ofrecida, mejore el cumplimiento de los criterios de adecuado manejo de la dislipemia sobre la población de 65-75 años con hipercolesterolemia. </p> </div><div class="section"> <a class="named-anchor" id="d836363e172"> <!-- named anchor --> </a> <h5 class="title" id="d836363e173">Objetive</h5> <p id="d836363e175">The objetive is evaluating the efficacy of the educative intervention to primary care physicians, about the accurate dyslipidaemia management in population between 65 and 75 years old with hypercholesterolemia. </p> </div><div class="section"> <a class="named-anchor" id="d836363e177"> <!-- named anchor --> </a> <h5 class="title" id="d836363e178">Design</h5> <p id="d836363e180">Simple-blind random clinical trial.</p> </div><div class="section"> <a class="named-anchor" id="d836363e182"> <!-- named anchor --> </a> <h5 class="title" id="d836363e183">Setting</h5> <p id="d836363e185">Area 10 primary care (National Institute of Health of Spain).</p> </div><div class="section"> <a class="named-anchor" id="d836363e187"> <!-- named anchor --> </a> <h5 class="title" id="d836363e188">Study subjects</h5> <p id="d836363e190">Thirty eight primary care physicians of Area 10. Seven hundred and five patients between 65 and 75 years old with dyslipidaemia. </p> </div><div class="section"> <a class="named-anchor" id="d836363e192"> <!-- named anchor --> </a> <h5 class="title" id="d836363e193">Interventions</h5> <p id="d836363e195">Clinical session to physicians about the dyslipidaemia management, reinforced with the shipment of the accurate management criteria and bibliographic information. Physicians were followed up for one year. </p> </div><div class="section"> <a class="named-anchor" id="d836363e197"> <!-- named anchor --> </a> <h5 class="title" id="d836363e198">Results</h5> <p id="d836363e200">The therapeutic manegement varied (p = 0.03) in the experimental group after educative intervention. The dietetic therapeutic increased 6.56 percent (p = 0.21), the therapeutic with HMG-CoAreductase inhibitors increased 4.16 percent (p = 0.36), and the therapeutic with fibric-acid derivates decreased 4.22 percent (p = 0.24). The criteria fulfillment rate of accurate dyslipidaemia management did not vary (p = 1.0) in the control group (44.3 percent) and there was hardly any variation (from 49.4 percent to 49.1) in the experimental group (p = 0.96). The fulfillment rate decreased 7,56 percent (p = 0.25) when dyslipidaemia managed with only diet. The fulfillment improved 17,17 percent (p = 0.14) if dyslipidaemia managed with fibric-acid derivates, and it improved 17,58 percent (p = 0.06) if was managed with HMG-CoA-reductase inhibitors. </p> </div><div class="section"> <a class="named-anchor" id="d836363e202"> <!-- named anchor --> </a> <h5 class="title" id="d836363e203">Conclusions</h5> <p id="d836363e205">The educative session to primary care physicians reinforced with the shipment of the received information, is not likely to relieve the criteria fulfillment rate of accurate management of population between 65 and 75 years old with hypercholesterolemia. </p> </div>

          Related collections

          Author and article information

          Journal
          Atención Primaria
          Atención Primaria
          Elsevier BV
          02126567
          2001
          2001
          : 27
          : 4
          : 250-257
          Article
          10.1016/S0212-6567(01)78804-X
          7684076
          11262334
          519196e2-eebe-4c52-929e-6388364935a8
          © 2001

          https://www.elsevier.com/tdm/userlicense/1.0/

          https://www.elsevier.com/open-access/userlicense/1.0/

          History

          Comments

          Comment on this article

          scite_

          Similar content2,090