Atencion primaria
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Multicenter Study
[ADA criteria undervalues the impact of diabetes in a high-risk Spanish population].
The main aim was to investigate the prevalence of abnormal glucose homeostasis (impaired fasting glucose, impaired glucose tolerance and undiagnosed diabetes) on high-risk Spanish population. The second, to determine the prevalence and usefulness of classical risk factors for diabetes screening according WHO and ADA criteria and to evaluate the potential effect of different stepwise strategies. ⋯ The OGTT is still the cornerstone for diabetes screening thus the FPG predictive value greatly decreases the 2hPG predictive value. ADA criteria undervalues the diabetes impact mainly on high-risk population.
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Multicenter Study
[The quality of the drug treatment in hyperlipemia patients from 4 health areas. The VICAF Group].
To calculate how suitable the lipid-lowering treatment prescribed for pensioners in primary care clinics in four health areas is. ⋯ The quality of lipid-lowering drug prescription for pensioners in primary care clinics in four health districts, as a function of the criteria defined above, could be improved. LDL is the factor which most affects the procedure.
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To find the effectiveness of a programme of preventive activities for adults (hypertension, tobacco and alcohol) measured by the number of cases identified, the evaluation of the initial interventions and the degree of control over the identified factors. ⋯ The number of cases detected shows that the PAPPS programme performs acceptably. The tobacco and drink given up and the hypertension control attained due to the intervention are similar to the published trials. The PAPPS is an effective programme for controlling risk factors in primary care.
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Multicenter Study
[Diagnosis of dyslipidemia in primary care: a service to be improved. Results of a multicenter evaluation].
The variability of the quality of care in the primary care procedures to diagnose lipaemia was evaluated. ⋯ The quality of the procedures for diagnosing lipaemia can be considerably improved. It varies a lot from centre to centre.
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Editorial Multicenter Study Comparative Study Clinical Trial
[Blood sugar control and microvascular complications of diabetes].