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<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.
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<h5 class="title" id="d836363e142">Diseño</h5>
<p id="d836363e144">Ensayo clínico aleatorio, simple ciego.</p>
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<h5 class="title" id="d836363e147">Ámbito del estudio</h5>
<p id="d836363e149">Atención primaria Área 10 INSALUD Madrid.</p>
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<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>
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<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.
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<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.
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<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>
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<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.
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<h5 class="title" id="d836363e178">Design</h5>
<p id="d836363e180">Simple-blind random clinical trial.</p>
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<h5 class="title" id="d836363e183">Setting</h5>
<p id="d836363e185">Area 10 primary care (National Institute of Health of Spain).</p>
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<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.
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<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.
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<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.
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<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>
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