Atencion primaria
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Randomized Controlled Trial Multicenter Study
[How does intensive therapy of cardiovascular risk factors affect health-related quality of life in diabetic patients?].
To assess the health-related quality of life (HRQoL) in diabetic patients who have followed a protocol of intensive treatment of cardiovascular risks (CVR). ⋯ The HRQoL in diabetic patients is not affected by intensive therapy of cardiovascular risk factors. Diabetes has a negative impact on HRQoL in the patients studied.
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Multicenter Study
[Initial treatment of patients with subjective memory complaints and/or cognitive impairment in primary care: ISSEA Study].
To describe the initial treatment of patients >60 years who had subjective memory complaints and/or cognitive impairment for at least 6 months. ⋯ The primary care doctor diagnoses the majority of patients with the means available, mainly based on anamnesis, examination, the screening test, and laboratory data. They prescribe drugs that lack efficacy for this disease and few of those that have been shown to be effective.
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Multicenter Study Comparative Study
[Detection of LADA-type diabetes in overweight diabetic patients. Is treatment with metformin suitable?].
To detect type-1 LADA (latent auto-immune diabetes in adults) in adults with overweight. To describe the metabolic variations in these patients after metformin treatment. ⋯ The percentage of type-1 LADA in our sample made us wonder whether we should search for pancreatic antibodies more often in primary care. More studies on the prevalence of type-1 LADA in our country are needed, especially in diabetic patients with overweight. Type-1 LADA patients improved their metabolic control after metformin treatment and showed a drastic decrease in insulin levels. Further studies are needed to evaluate whether metformin improves metabolic control, even though it may not protect insulin reserves, and to contrast metformin with other drugs.
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To describe the prevalence of use of the 3 analgesic steps of the WHO in patients with chronic osteomuscular pain at 2 primary care centres, by means of personal interviews during the second semester of 2003 and first of 2004. ⋯ There is a high percentage of the population without any treatment for chronic osteomuscular pain. Opioid analgesics are under-used to treat pain.