Florentino Carral, María del Carmen Ayala, Ana Isabel Jiménez, Concepción García
{"title":"Care and economic impact of thyroid ultrasound examination at single visits to endocrinology clinics (the ETIEN 1 study)","authors":"Florentino Carral, María del Carmen Ayala, Ana Isabel Jiménez, Concepción García","doi":"10.1016/j.endoen.2016.02.006","DOIUrl":"https://doi.org/10.1016/j.endoen.2016.02.006","url":null,"abstract":"<div><h3>Objective</h3><p>Routine thyroid ultrasound examination in a single medical appointment is rarely performed in Spain. The objective of this study was to evaluate the care and economic impact of thyroid US examination in a single endocrine appointment.</p></div><div><h3>Methods</h3><p>A prospective, observational, descriptive study was conducted to analyze data from 2274 patients (mean age, 59<!--> <!-->±<!--> <!-->16 years; 83% females) performed at least one thyroid US in a single visit to an endocrinology clinic during 2013 and 2014. The number of endocrine acts with thyroid US, single endocrine and US acts without review, and the change in the number of thyroid US requested by endocrinologists to the radiology department and total thyroid US examinations performed at the radiology department during the study period were assessed.</p></div><div><h3>Results</h3><p>In 2013 and 2014, 2558 endocrine acts with thyroid US were performed, of which 42.2% were single endocrine and US appointments without a second endocrine act, with estimated savings of €58,946.40. As compared to 2012, the number of thyroid US requested by endocrinologists to the radiology department decreased by 43.3% and 86.0% in 2013 and 2014 respectively, and total thyroid US performed by the radiology department decreased by 28.1% and 68.3% respectively, with estimated savings of €94,441.36.</p></div><div><h3>Conclusions</h3><p>Thyroid US examination in a single endocrine appointment allows for decreasing the number of both second endocrine acts and thyroid US examinations performed at the radiology department, thus reducing the number of unnecessary clinic visits and promoting considerable economic savings.</p></div>","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":"63 2","pages":"Pages 64-69"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2016.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72057928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manuel José Fernández Anguita, Virgilio Martínez Mateo, Laura Cejudo del Campo Díaz, Miguel Ángel Villanueva Terrazas, Antonio Jesús Paule Sánchez
{"title":"Transient electrocardiographic abnormalities during hypoglycemia","authors":"Manuel José Fernández Anguita, Virgilio Martínez Mateo, Laura Cejudo del Campo Díaz, Miguel Ángel Villanueva Terrazas, Antonio Jesús Paule Sánchez","doi":"10.1016/j.endoen.2016.02.004","DOIUrl":"https://doi.org/10.1016/j.endoen.2016.02.004","url":null,"abstract":"","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":"63 2","pages":"Pages 96-97"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2016.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72059134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship between dietary calcium intake and adiposity in female adolescents","authors":"José Castro Burbano, Pamela Fajardo Vanegas, Julieta Robles Rodríguez, Karina Pazmiño Estévez","doi":"10.1016/j.endoen.2016.02.007","DOIUrl":"https://doi.org/10.1016/j.endoen.2016.02.007","url":null,"abstract":"<div><h3>Background and objective</h3><p>The prevalence and magnitude of obesity in children and adolescents increase rapidly. Besides genetic and environmental factors, calcium intake has recently been identified as a dietary factor that is inversely related with body mass index and development of overweight and obesity.</p><p>The purpose of this study was to assess the correlation between dietary calcium intake and body mass index and fat distribution in female adolescents.</p></div><div><h3>Materials and methods</h3><p>This was a cross-sectional study where anthropometric variables (weight, height, body mass index, waist and hip circumference) were collected in 244 female adolescents to establish total body adiposity and fat distribution. A 24-h recall and a food frequency questionnaire were used to assess total calorie, calcium, and dairy products intake.</p></div><div><h3>Results</h3><p>Calcium intake was inversely related to body mass index (<em>p</em> <!--><<!--> <!-->.05), waist circumference (<em>p</em> <!--> <!--><<!--> <!-->.05), hip circumference (<em>p</em> <!-->><!--> <!-->.05), and waist to hip ratio (<em>p</em> <!--><<!--> <!-->.05).Overweight (8.3%) and obese (0.7%) adolescents had a lower mean calcium intake than adolescents of normal weight (<em>p</em> <!-->=<!--> <!-->.06).</p></div><div><h3>Conclusions</h3><p>Dietary calcium intake and, to a lesser extent, consumption of dairy products are inversely related to total and abdominal adiposity, and also to the prevalence of overweight in this group of adolescents.</p></div>","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":"63 2","pages":"Pages 58-63"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2016.02.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72057925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Alicia Tejera Hernández, María Isabel Gutiérrez Giner, Víctor Vega Benítez, David Fernández San Millan, Juan Ramón Hernández Hernández
{"title":"Intrathyroidal parathyroid carcinoma. A case report and review of the literature","authors":"Ana Alicia Tejera Hernández, María Isabel Gutiérrez Giner, Víctor Vega Benítez, David Fernández San Millan, Juan Ramón Hernández Hernández","doi":"10.1016/j.endoen.2016.01.003","DOIUrl":"https://doi.org/10.1016/j.endoen.2016.01.003","url":null,"abstract":"","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":"63 1","pages":"Pages 46-48"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2016.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72056401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisco Javier Alonso-Moreno , Nieves Martell-Claros , Mariano de la Figuera , Javier Escalada , Marta Rodríguez , Luisa Orera
{"title":"Professionals’ perception of circuits of care for hypertensive or diabetic patients between primary and secondary care","authors":"Francisco Javier Alonso-Moreno , Nieves Martell-Claros , Mariano de la Figuera , Javier Escalada , Marta Rodríguez , Luisa Orera","doi":"10.1016/j.endoen.2015.09.003","DOIUrl":"https://doi.org/10.1016/j.endoen.2015.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the flow of care for patients with type 2 diabetes mellitus (T2DM) and hypertension between primary care (PC) and specialized care (SC) in clinical practice, and the criteria used for referral and follow-up within the Spanish National Health System (NHS).</p></div><div><h3>Design</h3><p>A descriptive, cross-sectional, multicenter study.</p></div><div><h3>Placement</h3><p>A probability convenience sampling stratified by number of physicians participating in each Spanish autonomous community was performed. Nine hundred and ninety-nine physicians were surveyed, of whom 78.1% (n<!--> <!-->=<!--> <!-->780) were primary care physicians (PCPs), while 11.9% (n<!--> <!-->=<!--> <!-->119) and 10.0% (n<!--> <!-->=<!--> <!-->100) respectively were specialists in hypertension and diabetes.</p></div><div><h3>Key measurements</h3><p>Were conducted using two self administered online surveys.</p></div><div><h3>Results</h3><p>A majority of PCPs (63.7% and 55.5%) and specialists (79.8% and 45.0%) reported the lack of a protocol to coordinate the primary and specialized settings for both hypertension and T2DM respectively. The most widely used method for communication between specialists was the referral sheet (94.6% in PC and 92.4% in SC).</p><p>The main reasons for referral to a specialist were refractory hypertension (80.9%) and suspected secondary hypertension (75.6%) in hypertensive patients, and suspicion of a specific diabetes (71.9%) and pregnancy (71.7%) in T2DM patients.</p></div><div><h3>Conclusions</h3><p>Although results showed some common characteristics between PCPs and specialists in disease management procedures, the main finding was a poor coordination between PC and SC.</p></div>","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":"63 1","pages":"Pages 4-12"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2015.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72089488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Georgios Kyriakos , Alfonso Vidal-Casariego , María Nélida Fernández-Martínez , Isidoro Cano-Rodríguez
{"title":"Is vitamin D deficiency being considered in the differential diagnosis of osteoporosis in routine practice?","authors":"Georgios Kyriakos , Alfonso Vidal-Casariego , María Nélida Fernández-Martínez , Isidoro Cano-Rodríguez","doi":"10.1016/j.endoen.2015.09.004","DOIUrl":"https://doi.org/10.1016/j.endoen.2015.09.004","url":null,"abstract":"","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":"63 1","pages":"Pages 49-50"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2015.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72056402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Statin-centered treatment of dyslipidemia. New evidence-based paradigm, or only part of the evidence?","authors":"Antonio Pérez","doi":"10.1016/j.endoen.2015.08.010","DOIUrl":"https://doi.org/10.1016/j.endoen.2015.08.010","url":null,"abstract":"","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":"63 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2015.08.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72055544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}