Gaceta Sanitaria最新文献

{"title":"El riesgo autopercibido de padecer cáncer en España: un estudio transversal","authors":"Antonio Yanes-Roldán,&nbsp;Mario López-Salas,&nbsp;Belén Fernández Sánchez","doi":"10.1016/j.gaceta.2025.102496","DOIUrl":"10.1016/j.gaceta.2025.102496","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the variables that influence the most the self-perceived risk of developing cancer and to explore the main reasons associated with the degree of self-perceived risk.</div></div><div><h3>Method</h3><div>A cross-sectional study was carried out using a questionnaire designed ad hoc, between February and September 2020. A total of 4769 responses were collected by telephone from men and women over 18 years of age residing in Spain, with a response rate of 29.6%. A descriptive analysis and a binary logistic regression model were performed using the self-perceived risk of developing cancer as the dependent variable.</div></div><div><h3>Results</h3><div>More than 60% of the participating population believe they have a very high or high risk of being diagnosed at some point in their lives. Having experienced cancer either firsthand or through close family members substantially increased the probability of having a very high or high risk of developing the disease (aOR: 3.243, 95% <span>C</span>I: 2.284-4.605, and aOR: 3.950, 95%CI: 3.316-4.706, respectively). In addition, other sociodemographic and attitudinal variables have been shown to influence the self-perceived risk of developing cancer.</div></div><div><h3>Conclusions</h3><div>Close experiences with cancer, either one's own or someone else's, have a significant impact on the higher perception of risk of suffering from the disease. Other variables related to lifestyle or sociodemographic profile that increase the probability that this perception is higher. Therefore, these findings highlight the importance of reinforcing public policies in the field of primary and secondary prevention in order to improve the perception of cancer risk in less aware people.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102496"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143921670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Escala K-10: importancia de poblaciones y contextos en su aplicación práctica","authors":"Esteban Sánchez-Moreno ,&nbsp;Lorena P. Gallardo-Peralta ,&nbsp;José Luis Gálvez-Nieto","doi":"10.1016/j.gaceta.2025.102511","DOIUrl":"10.1016/j.gaceta.2025.102511","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102511"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fallecimientos por COVID-19: comparación entre datos de vigilancia epidemiológica y del Instituto Nacional de Estadística","authors":"Sandra Campos ,&nbsp;Marcos Lozano Álvarez ,&nbsp;María Sastre ,&nbsp;Elena Vanessa Martínez ,&nbsp;María José Sierra ,&nbsp;Diana Gómez-Barroso ,&nbsp;Susana Monge","doi":"10.1016/j.gaceta.2025.102523","DOIUrl":"10.1016/j.gaceta.2025.102523","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the number of COVID-19 deaths reported daily by the autonomous communities to System for Surveillance in Spain (SiVIES) with the consolidated data from the National Statistics Institute (INE) between March 2020 and December 2022.</div></div><div><h3>Method</h3><div>The number of confirmed COVID-19 deaths recorded in SiVIES and the INE (ICD-10 code U07.1 as the underlying cause of death) was analysed by mortality period, sex, age, and autonomous community. In a second step, deaths with suspected COVID-19 (INE: ICD code U07.2; SiVIES: possible or probable cases, notified up to May 2020) were included.</div></div><div><h3>Results</h3><div>In SiVIES, 118,557 confirmed COVID-19 deaths were reported, 9.8% fewer than in the INE (131,408). The difference was smaller in the central periods (between –5.7% and –7.9%) and larger in women (–11%), those aged ≥80 (–12%), and in Catalonia and Galicia (–18%). When including suspected COVID-19, the difference increased from –13% to –36% in the first period (until June 2020), when both sources collected suspected cases. In later periods, the differences were smaller, despite SiVIES reporting only confirmed cases.</div></div><div><h3>Conclusions</h3><div>The difference in confirmed COVID-19 deaths reported in SiVIES vs. INE was &lt;<!--> <!-->10% overall, with differences by age, sex, and autonomous community. The smaller differences after the first period may be attributed to improvements in the surveillance system, and the widespread availability of diagnostic tests may explain the low impact of including suspected cases.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102523"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145154552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalencia de burnout en profesionales de atención primaria del Sistema Nacional de Salud: revisión sistemática y metaanálisis","authors":"Estefanía Beltrán-Gómez ,&nbsp;Antonio Pujol-de Castro ,&nbsp;Pablo Vaquero-Cepeda ,&nbsp;Ferrán Catalá-López","doi":"10.1016/j.gaceta.2025.102526","DOIUrl":"10.1016/j.gaceta.2025.102526","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the prevalence of burnout syndrome in primary care professionals working in the National Health System.</div></div><div><h3>Method</h3><div>We searched PubMed/MEDLINE, EMBASE, and PsycINFO (up to May 2025). Observational studies conducted in Spain reporting the prevalence of burnout in professionals working in primary care (e.g., physicians, nurses, administrative staff and others) were included. From each study, methodological characteristics and results were extracted and their quality was evaluated. We performed a narrative synthesis with random effects meta-analysis to calculate proportions. Protocol registration: Open Science Framework (<span><span>https://osf.io/b2h4m/</span><svg><path></path></svg></span>).</div></div><div><h3>Results</h3><div>Thirty-nine studies with 9204 participants were included. For the primary outcome measure, a burnout prevalence of 18% (95%<span>C</span>I: 13-24%; 25 studies; 6310 participants; I² <!-->=<!--> <!-->96.7%) was found. By professional category, the prevalence rates were: 24% (95%CI: 16-32%) in physicians, 17% (95%CI: 6-32%) in nurses, 11% (95%CI: 2-27%) in administrative staff, and 5% (95%CI: 0-16%) in other professionals. Differences were found according to the diagnostic criterion used: a prevalence of 52% (95%CI: 40-63%) in physicians and 44% (95%CI: 26-63%) in nurses using one dimension; 27% (95% CI: 20-34%) in physicians and 18% (95%CI: 5-36%) in nurses for two dimensions; and 21% (95%CI: 13-31%) in physicians and 12% (95%CI: 1-33%) in nurses for three dimensions of burnout.</div></div><div><h3>Conclusions</h3><div>High prevalence of burnout syndrome was observed among primary care professionals working in the National Health System, with variations depending on professional category and diagnostic criteria. It seems necessary to promote actions at the individual and organizational levels to reduce the burden associated with burnout among professionals.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102526"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145154501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estrategias para organizar la investigación y la atención en salud mental de poblaciones migrantes","authors":"Irene Falgas-Bague ,&nbsp;Helena Llonch Valsells ,&nbsp;Maria Juan Corbella ,&nbsp;Francisco Collazos ,&nbsp;Andrea Fernandez-Rodriguez","doi":"10.1016/j.gaceta.2025.102454","DOIUrl":"10.1016/j.gaceta.2025.102454","url":null,"abstract":"<div><div>The mental health challenges faced by the migrant population in Spain are analyzed, emphasizing the gaps of our healthcare system to addresses their specific needs. Among these challenges are a high prevalence of mental disorders, increased exposure to mental health determinants, differences in the expression of distress, and behaviors related to access and demand for services. Proposals are presented to improve healthcare at multiple levels: 1) fostering of high-impact research, 2) providing rigorous culturally humility training for healthcare professionals and for the integration of community mental health agents, and 3) establishing reference care units as an organizational shift to enhance care and promote public health policies. In conclusion, urgent action through public health policies is necessary to ensure the best care for all.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102454"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mutualismo administrativo: el debate que ya no puede seguir ignorándose","authors":"José Ramón Repullo Labrador","doi":"10.1016/j.gaceta.2025.102492","DOIUrl":"10.1016/j.gaceta.2025.102492","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102492"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rejections and retractions for ethical concerns in Gaceta Sanitaria, 2024","authors":"Cristina Candal-Pedreira,&nbsp;Alberto Lana,&nbsp;Ferrán Catalá-López,&nbsp;Salvador Peiró,&nbsp;on behalf of Gaceta Sanitaria Editorial Board","doi":"10.1016/j.gaceta.2024.102446","DOIUrl":"10.1016/j.gaceta.2024.102446","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102446"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143049222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)","authors":"Enrique Pérez-Miguel,&nbsp;Sergi Trias-Llimós","doi":"10.1016/j.gaceta.2025.102458","DOIUrl":"10.1016/j.gaceta.2025.102458","url":null,"abstract":"<div><h3>Objective</h3><div>Cardiovascular diseases (CVD) are the leading cause of death in low-mortality countries, but subpopulation level differences exist. This study assesses educational inequalities in CVD mortality by sex in Spanish regions (2016-2021).</div></div><div><h3>Method</h3><div>Age-standardised mortality rates by sex, region and education were estimated using individual-level mortality data from individuals aged ≥35 years residing in Spain provided by the Spanish National Statistics Institute. The Relative and the Slope Indexes of Inequality (RII and SII) were estimated to assess educational inequalities.</div></div><div><h3>Results</h3><div>For the whole Spain, RII was 1.79 (IC95%: 1.42-2.26) for women and 1.59 (IC95%: 1.33-1.91) for men, with differences across regions. The greatest inequalities were found in the Balearic and Canary Islands, and the lowest in La Rioja.</div></div><div><h3>Conclusions</h3><div>Continued efforts monitoring and tackling cardiovascular morbidity and its determinants are needed at the national and regional level to further contribute to reducing cardiovascular mortality levels and inequalities therein.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102458"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ensayos clínicos no comerciales con medicamentos en España: dos problemas por solucionar","authors":"Rafael Dal-Ré","doi":"10.1016/j.gaceta.2025.102470","DOIUrl":"10.1016/j.gaceta.2025.102470","url":null,"abstract":"","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102470"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enabling policy action using scenario simulation in procedures with guarantees of maximum time to surgery","authors":"Francisco Estupiñán-Romero ,&nbsp;Santiago Royo-Sierra ,&nbsp;Javier González-Galindo ,&nbsp;Manuel Ridao-López ,&nbsp;Jaime Pinilla-Domínguez ,&nbsp;Enrique Bernal-Delgado","doi":"10.1016/j.gaceta.2025.102521","DOIUrl":"10.1016/j.gaceta.2025.102521","url":null,"abstract":"<div><h3>Objective</h3><div>Facilitate policy action using scenario simulation of waiting list situations for each of the surgical procedures in order to establish guarantees of maximum waiting times for surgery.</div></div><div><h3>Method</h3><div>Using the conceptual framework of queuing theory, management indicators can be defined based on a finite set of parameters, among which are the maximum waiting time guarantee until surgery and the probability of non-fulfillment of the guarantee. These scenarios can be configured on the basis of information from the scientific literature or expert consensus.</div></div><div><h3>Results</h3><div>The tool developed allows the configuration of waiting list situation scenarios based on a proposed dashboard for monitoring and management.</div></div><div><h3>Conclusions</h3><div>This scenario-building tool facilitates informed discussions among health authorities and providers to set realistic goals, improve adequacy in surgery indication and decide on capacity adjustments.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"39 ","pages":"Article 102521"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}