Medicina-buenos Aires最新文献_第10页

[Excessive use of vitamin D testing in the private health system]. [在私人卫生系统中过度使用维生素D检测]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Malena Chiaborelli, Camila Volij, Karin S Kopitowski, Sergio A Terrasa

{"title":"[Excessive use of vitamin D testing in the private health system].","authors":"Malena Chiaborelli, Camila Volij, Karin S Kopitowski, Sergio A Terrasa","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Given the importance of reducing lowvalue care practices and acknowledging that vitamin D testing in the general population is rising despite the absence of evidence to support such conduct, we decided to investigate its overuse.Materials and methods: Design: cross-sectional study.Data source: electronic medical records.Population: patients aged between 18 and 64 on the Hospital Italiano de Buenos Aires Health Maintenance Organization membership list, to whom at least one test of vitamin D had been performed between July 1st and December 31st 2022. A sample of electronic medical records was manually analyzed. In the presence/suspicion of a clinical condition that counts with recommendation for Vitamin D testing, its indication was considered appropriate; however, in its absence, it was considered inappropriate.Results: A total of 10 095 vitamin D tests were performed on 9623 patients (mean age 47, 78.1% female). These patients were 10% of the 97 584 HMO members aged between 18 and 64 in 2022. A hundred and sixty of the 242 patients whose electronic medical records were analyzed (66%, CI 95% 60 - 72), did not have a clinical condition that justified vitamin D testing. The most frequent clinical conditions found for testing were osteopenia in 37/242 patients (15%); osteoporosis, 13/242 (5%) and chronic kidney disease 11/242 (5%).Discussion: Two-thirds of the vitamin D tests performed did not have a clinical condition that justified the practice. These findings represent an opportunity to design strategies to institutionally reduce this low-value care practice.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"56-63"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123219","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}

引用次数: 0

[From persistent "hypoxemia" to the diagnosis of an hemoglobinopathy]. [从持续的“低氧血症”到血红蛋白病的诊断]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Nerina García Rosolen, Silvana P Fili, Mario A Aranda, Diego Fernández, Vanesa Ávalos Gómez, Estefania Rossetti, Carolina Pepe, Silvia Eandi Eberle, Carolina Zuanich

引用次数: 0

[Clinical approach to the patient with obesity document by the Argentine Society of Medicine, the Uruguayan Society of Internal Medicine, and the International Forum of Internal Medicine]. 【阿根廷医学会、乌拉圭内科医学会、国际内科论坛对肥胖患者的临床方法文献】。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-12-01

María Natalia Nachón, Gustavo Bruno, Pascual Valdez, Matías Mirofsky, Andrea Vaucher, Sofía Carozzi, Monserrat Chimeno Viñas, Emilio Casariego, Luis Cámera, Natasha Smiliansky, María Cristina Jimenez, Ricardo Hidalgo, María Florencia Arcondo, Lucio Criado, Robert Díaz, Alejandro Cárdenas, Miguel Blanco, Emilio Buchaca, Helga Codina, Mariflor Vera, Diego Brosio, Ricardo Gómez Huelgas, Luis Rojas, Omar Castillo, Alejandra Gaydou, Alberto Ruiz Cantero, Carlos Nitsch, Alfredo Cabrera Rayo, Marina Curria, Cristhian Armenteros, Agustina Dutto, Hugo Zelechower, Jorge Soto, Yazmin Abuabara, Andrea Odzak, Coral Cristaldo, Sonia Indacochea Cáceda, Bismarck Pérez, Juliana Gomez, Fernando Lipovestky, Karen Cárcamo

{"title":"[Clinical approach to the patient with obesity document by the Argentine Society of Medicine, the Uruguayan Society of Internal Medicine, and the International Forum of Internal Medicine].","authors":"María Natalia Nachón, Gustavo Bruno, Pascual Valdez, Matías Mirofsky, Andrea Vaucher, Sofía Carozzi, Monserrat Chimeno Viñas, Emilio Casariego, Luis Cámera, Natasha Smiliansky, María Cristina Jimenez, Ricardo Hidalgo, María Florencia Arcondo, Lucio Criado, Robert Díaz, Alejandro Cárdenas, Miguel Blanco, Emilio Buchaca, Helga Codina, Mariflor Vera, Diego Brosio, Ricardo Gómez Huelgas, Luis Rojas, Omar Castillo, Alejandra Gaydou, Alberto Ruiz Cantero, Carlos Nitsch, Alfredo Cabrera Rayo, Marina Curria, Cristhian Armenteros, Agustina Dutto, Hugo Zelechower, Jorge Soto, Yazmin Abuabara, Andrea Odzak, Coral Cristaldo, Sonia Indacochea Cáceda, Bismarck Pérez, Juliana Gomez, Fernando Lipovestky, Karen Cárcamo","doi":"","DOIUrl":"","url":null,"abstract":"Obesity is one of the non-communicable chronic diseases with the highest increase in recent decades in Latin America, affecting children, adolescents, and especially young adults. Forty percent of adults have a body mass index greater than 25 kg/m2. Numerous studies have demonstrated a relationship between obesity and cardiovascular diseases such as hypertension, coronary artery disease, heart failure, cardiac arrhythmias, diabetes, sleep apnea, and oncological diseases, among others. Weight loss in individuals with overweight and obesity has been shown to reduce the risk of developing comorbidities or improve their progression. Healthcare professionals must initiate patient care by considering their values and treatment goals, facilitating reflection, and fostering responsibility to promote long-term improvements. The initial approach, communication, and physician's attitude during the evaluation of a patient with obesity are significant determinants for successful treatment and patient health. The objective of this document is to compile the available information on the disease and present practical and summarized clinical management recommendations based on scientific evidence.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 Suppl 4 ","pages":"1-38"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813620","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}

引用次数: 0

JOINT MEETING SAIC SAFIS ALACF 2024. 联席会议将于2024年召开。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-11-01

Rodolfo Rey, Graciela Cremaschi, Ernesto Alejandro Aiello

引用次数: 0

Joint Meeting SAIC SAFIS ALACF 2024. 上汽SAFIS alacf2024联席会议。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-11-01

Rodolfo Rey, Graciela Cremaschi, Ernesto Alejandro Aiello

引用次数: 0

[Neonatal epileptics syndromes]. [新生儿癫痫综合征]。