Atencion primaria
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Randomized Controlled Trial Comparative Study
[The PROPRESE trial: results of a new health care organizational model in primary care for patients with chronic coronary heart disease based on a multifactorial intervention].
Comparison of the results from the EUROASPIRE I to the EUROASPIRE III, in patients with coronary heart disease, shows that the prevalence of uncontrolled risk factors remains high. The aim of the study was to evaluate the effectiveness of a new multifactorial intervention in order to improve health care for chronic coronary heart disease patients in primary care. ⋯ An intervention based on models for chronic patients focused in primary care and involving patients in medical decision making improves cardiovascular risk factors control (smoking, LDL-C and SBP). Chronic care strategies may be an efficacy tool to help clinicians to involve the patients with a diagnosis of CHD to reach better outcomes.
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Randomized Controlled Trial
[A randomised clinical trial to evaluate the effectiveness of an educational intervention developed for adult asthmatics in a primary care centre].
To assess the effect of an educational intervention on asthma control and quality of life. ⋯ These interventions are effective in improving the control and quality of life in short-term, which can guide us in choosing the best time to do it.
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Randomized Controlled Trial Multicenter Study
[Comparison between aquatic-biodanza and stretching for improving quality of life and pain in patients with fibromyalgia].
To determine the level of improvement, as regards pain, impact on fibromyalgia and depression, achieved by patients with fibromyalgia by comparing aquatic biodanza and stretching exercises. ⋯ The biodanza aquatic exercises improve pain and quality of life in fibromyalgia patients.
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Randomized Controlled Trial Multicenter Study
[A review of the medication in polymedicated elderly with vascular risk: a randomised controlled trial].
To analyse the effectiveness of a medication review based on intervention directed at improving the appropriateness of drug treatments according to the established guidelines, as well as blood pressure, serum lipid and blood glucose control in elderly patients on multiple medication, and cardiovascular disease or high risk of cardiovascular disease. ⋯ Clinical medication review improves the appropriateness of antiplatelet treatment in the elderly on polypharmacy and with high risk of cardiovascular disease. No improvement in biochemistry measurements was found.
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Randomized Controlled Trial
[Suitability of the use of benzodiazepines prescribed by the pharmacist in the elderly. A doctor-pharmacist collaboration study].
To improve the use of benzodiazepines (BZD) in the elderly by a pharmacist-physician collaboration, and to insure that BZD are effective, safe, and used as long as necessary. ⋯ The use of benzodiazepines in the Community of Valencia exceeds the recommendations of the Spanish Medicines Agency.