Elaboration, implementation and follow-up of a postmenopausal osteoporosis protocol: Collaboration between the Primary care and Rheumatology departments
Elaboración, implantación y seguimiento de un protocolo de osteoporosis posmenopáusica: colaboración entre Atención Primaria y el Servicio de Reumatología
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The intervention consisted of the elaboration of a consensus guideline that was presented in all centers. Results were assessed from bone densitometry studies requested by family physicians over 1 year.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">One thousand one hundred sixty-five densitometric studies were requested, of which 689 were for the diagnosis of new patients. For the evaluation of the guidelines, details were obtained from 560. Five hundred two studies (89.6% 95%CI 87.1–92.2) complied with indication criteria established in the guideline. Of the total of patients who received bisphosphonates and other drugs affecting bone metabolism (43 osteopenic and 167 osteoporotic), 83.7% (95%CI 69.3–93.2) and 89,8% (95%CI 85.2–94.4) respectively complied with drug recommendations. Drug consumption during the year 2007 was reduced by 152,745 euros (–6.3%) although the number of patients increased in 565 (+4.9%) with respect to the previous year. 442 (78.9% 95%CI 75.6–82.3) densitometries presented a result in the osteopenia or osteroporosis category. There were statistically significant differences of the results according to the patients’ age and the motive for the bone densitometry request.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Implementation of the guideline allowed for the effective management of the clinical process of osteroporosis in our field.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Con el objetivo de mejorar la gestión clínica de la osteoporosis posmenopáusica, se ha realizado una intervención basada en la implantación y seguimiento de un protocolo consensuado entre la Atención Primaria y la Especializada de la Mútua de Terrassa.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo y de intervención. La intervención consistió en la elaboración de un protocolo consensuado, que fue presentado en todos los centros. Los datos se han evaluado a partir de densitometrías óseas solicitadas por los médicos de familia durante 1 año.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se han solicitado un total de 1.165 densitometrías, de las cuales 689 son para diagnóstico de nuevas pacientes. Para la evaluación del protocolo se han obtenido datos de 560. Quinientas dos densitometrías realizadas (89,6%, IC 95%: 87,1–92,2) cumplían con los criterios de indicación marcados por el protocolo. Del total de pacientes que recibieron tratamiento con fármacos antirresortivos (43 osteopénicas y 167 osteoporóticas), el 83,7% (IC 95%: 69,3–93,2) y el 89,8% (IC 95%: 85,2–94,4), respectivamente, cumplían con las recomendaciones de primera elección. El consumo de fármacos durante el año 2007 se ha reducido en 152.745 euros (–6,3%), aunque el número de pacientes tratadas ha aumentado en 565 (+4,9%) respecto al año anterior. Cuatrocientos cuarenta y dos (78,9%, IC 95%: 75,6–82,3) densitometrías presentaron un resultado de osteopenia u osteoporosis. Se observan diferencias estadísticamente significativas de los resultados según la edad de las pacientes y el motivo de solicitud.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La puesta en marcha del protocolo ha permitido gestionar de forma eficiente el proceso clínico de la osteoporosis en nuestro ámbito.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| 2023 April | 16 | 16 | 32 |
| 2023 March | 26 | 36 | 62 |
| 2023 February | 27 | 35 | 62 |
| 2023 January | 14 | 21 | 35 |
| 2022 December | 32 | 46 | 78 |
| 2022 November | 24 | 38 | 62 |
| 2022 October | 28 | 53 | 81 |
| 2022 September | 20 | 40 | 60 |
| 2022 August | 24 | 41 | 65 |
| 2022 July | 20 | 96 | 116 |
| 2022 June | 19 | 39 | 58 |
| 2022 May | 23 | 48 | 71 |
| 2022 April | 24 | 54 | 78 |
| 2022 March | 23 | 44 | 67 |
| 2022 February | 22 | 45 | 67 |
| 2022 January | 20 | 47 | 67 |
| 2021 December | 20 | 50 | 70 |
| 2021 November | 20 | 49 | 69 |
| 2021 October | 34 | 58 | 92 |
| 2021 September | 18 | 43 | 61 |
| 2021 August | 20 | 33 | 53 |
| 2021 July | 15 | 27 | 42 |
| 2021 June | 16 | 40 | 56 |
| 2021 May | 22 | 33 | 55 |
| 2021 April | 40 | 77 | 117 |
| 2021 March | 23 | 32 | 55 |
| 2021 February | 19 | 16 | 35 |
| 2021 January | 16 | 20 | 36 |
| 2020 December | 18 | 28 | 46 |
| 2020 November | 28 | 15 | 43 |
| 2020 October | 11 | 10 | 21 |
| 2020 September | 18 | 22 | 40 |
| 2020 August | 21 | 13 | 34 |
| 2020 July | 12 | 8 | 20 |
| 2020 June | 16 | 16 | 32 |
| 2020 May | 22 | 12 | 34 |
| 2020 April | 15 | 20 | 35 |
| 2020 March | 11 | 6 | 17 |
| 2020 February | 1 | 0 | 1 |
| 2020 January | 10 | 0 | 10 |
| 2019 September | 4 | 0 | 4 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 1 | 0 | 1 |
| 2018 May | 4 | 3 | 7 |
| 2018 April | 19 | 6 | 25 |
| 2018 March | 16 | 13 | 29 |
| 2018 February | 8 | 4 | 12 |
| 2018 January | 10 | 4 | 14 |
| 2017 December | 8 | 5 | 13 |
| 2017 November | 10 | 4 | 14 |
| 2017 October | 9 | 5 | 14 |
| 2017 September | 8 | 5 | 13 |
| 2017 August | 8 | 3 | 11 |
| 2017 July | 9 | 11 | 20 |
| 2017 June | 19 | 4 | 23 |
| 2017 May | 21 | 7 | 28 |
| 2017 April | 16 | 8 | 24 |
| 2017 March | 25 | 0 | 25 |
| 2017 February | 7 | 1 | 8 |
| 2017 January | 12 | 3 | 15 |
| 2016 December | 31 | 12 | 43 |
| 2016 November | 24 | 5 | 29 |
| 2016 October | 29 | 5 | 34 |
| 2016 September | 36 | 9 | 45 |
| 2016 August | 19 | 5 | 24 |
| 2016 July | 12 | 6 | 18 |
| 2016 June | 0 | 7 | 7 |
| 2016 May | 0 | 12 | 12 |
| 2016 April | 1 | 9 | 10 |
| 2016 January | 3 | 8 | 11 |
| 2015 December | 2 | 0 | 2 |
| 2015 November | 0 | 13 | 13 |
| 2015 October | 2 | 11 | 13 |
| 2015 September | 3 | 14 | 17 |
| 2015 August | 1 | 0 | 1 |
| 2015 July | 19 | 3 | 22 |
| 2015 June | 25 | 3 | 28 |
| 2015 May | 31 | 8 | 39 |
| 2015 April | 20 | 7 | 27 |
| 2015 March | 16 | 3 | 19 |
| 2015 February | 20 | 6 | 26 |
| 2015 January | 11 | 6 | 17 |
| 2014 December | 31 | 11 | 42 |
| 2014 November | 14 | 7 | 21 |
| 2014 October | 20 | 8 | 28 |
| 2014 September | 18 | 6 | 24 |
| 2014 August | 23 | 11 | 34 |
| 2014 July | 25 | 12 | 37 |
| 2014 June | 36 | 5 | 41 |
| 2014 May | 46 | 13 | 59 |
| 2014 April | 36 | 10 | 46 |
| 2014 March | 51 | 15 | 66 |
| 2014 February | 32 | 9 | 41 |
| 2014 January | 32 | 10 | 42 |
| 2013 December | 23 | 3 | 26 |
| 2013 November | 17 | 6 | 23 |
| 2013 October | 42 | 12 | 54 |
| 2013 September | 29 | 8 | 37 |
| 2013 August | 26 | 5 | 31 |
| 2013 July | 22 | 6 | 28 |
| 2013 June | 32 | 6 | 38 |
| 2013 May | 18 | 2 | 20 |
| 2013 April | 26 | 5 | 31 |
| 2013 March | 20 | 10 | 30 |
| 2013 February | 26 | 2 | 28 |
| 2013 January | 17 | 4 | 21 |
| 2012 December | 17 | 4 | 21 |
| 2012 November | 11 | 6 | 17 |
| 2012 October | 3 | 2 | 5 |
| 2012 September | 8 | 3 | 11 |
| 2012 July | 1 | 0 | 1 |
| 2012 June | 1 | 0 | 1 |
| 2012 May | 1 | 0 | 1 |
| 2012 April | 5 | 0 | 5 |
| 2012 March | 1 | 0 | 1 |
| 2012 February | 4 | 0 | 4 |
| 2012 January | 4 | 0 | 4 |
| 2011 December | 3 | 0 | 3 |
| 2011 November | 2 | 0 | 2 |
| 2011 October | 4 | 0 | 4 |
| 2011 September | 3 | 0 | 3 |
| 2011 August | 2 | 0 | 2 |
| 2011 June | 2 | 0 | 2 |
| 2011 May | 2 | 0 | 2 |
| 2011 April | 1 | 0 | 1 |
| 2011 March | 4 | 0 | 4 |
| 2011 February | 3 | 0 | 3 |
| 2011 January | 8 | 0 | 8 |
| 2010 December | 9 | 0 | 9 |
| 2010 November | 12 | 0 | 12 |
| 2010 October | 13 | 0 | 13 |
| 2010 September | 4 | 0 | 4 |
Show all
