Endocrinologia Y Nutricion最新文献_第2页

Statement on the current treatment of severe obesity in Spain 关于西班牙目前严重肥胖治疗的声明

Endocrinologia Y Nutricion Pub Date : 2016-12-01 DOI: 10.1016/j.endoen.2016.08.011

Felipe Casanueva , Felipe de la Cruz Vigo , Albert Goday , Juan Carlos Ruiz de Adana , Susana Monereo , Ramón Vilallonga , Purificación Martínez de Icaya , Raquel Sánchez-Santos , José Manuel García Almeida , Ismael Díez del Val

引用次数: 0

Is diabetes mellitus correctly registered and classified in primary care? A population-based study in Catalonia, Spain 糖尿病在初级保健中的登记和分类是否正确？西班牙加泰罗尼亚的一项基于人群的研究

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.005

Manel Mata-Cases , Dídac Mauricio , Jordi Real , Bonaventura Bolíbar , Josep Franch-Nadal

{"title":"Is diabetes mellitus correctly registered and classified in primary care? A population-based study in Catalonia, Spain","authors":"Manel Mata-Cases , Dídac Mauricio , Jordi Real , Bonaventura Bolíbar , Josep Franch-Nadal","doi":"10.1016/j.endoen.2016.10.005","DOIUrl":"https://doi.org/10.1016/j.endoen.2016.10.005","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the prevalence of miscoding, misclassification, misdiagnosis and under-registration of diabetes mellitus (DM) in primary health care in Catalonia (Spain), and to explore use of automated algorithms to identify them.</p></div><div><h3>Methods</h3><p>In this cross-sectional, retrospective study using an anonymized electronic general practice database, data were collected from patients or users with a diabetes-related code or from patients with no DM or prediabetes code but treated with antidiabetic drugs (unregistered DM). Decision algorithms were designed to classify the true diagnosis of type 1 DM (T1DM), type 2 DM (T2DM), and undetermined DM (UDM), and to classify unregistered DM patients treated with antidiabetic drugs.</p></div><div><h3>Results</h3><p>Data were collected from a total of 376,278 subjects with a DM ICD-10 code, and from 8707 patients with no DM or prediabetes code but treated with antidiabetic drugs. After application of the algorithms, 13.9% of patients with T1DM were identified as misclassified, and were probably T2DM; 80.9% of patients with UDM were reclassified as T2DM, and 19.1% of them were misdiagnosed as DM when they probably had prediabetes. The overall prevalence of miscoding (multiple codes or UDM) was 2.2%. Finally, 55.2% of subjects with unregistered DM were classified as prediabetes, 35.7% as T2DM, 8.5% as UDM treated with insulin, and 0.6% as T1DM.</p></div><div><h3>Conclusions</h3><p>The prevalence of inappropriate codification or classification and under-registration of DM is relevant in primary care. Implementation of algorithms could automatically flag cases that need review and would substantially decrease the risk of inappropriate registration or coding.</p></div>","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2016.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72027622","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}

引用次数: 0

Autosomal dominant hypocalcaemia: A novel mutation 常染色体显性低钙血症：一种新的突变

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.013

Lidia Urbón López de Linares , Cristina Crespo Soto , Luis Cuellar Olmedo , Maria Piedra León

引用次数: 0

An update on probiotics, prebiotics and symbiotics in clinical nutrition 益生菌、益生元和共生素在临床营养学中的最新进展

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.011

Gabriel Olveira , Inmaculada González-Molero

引用次数: 0

Pituitary adenoma associated with pheochromocytoma/paraganglioma: A new form of multiple endocrine neoplasia 垂体腺瘤伴嗜铬细胞瘤/副神经节瘤：一种新型的多发性内分泌肿瘤

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.012

Fernando Guerrero Pérez , Arturo Lisbona Gil , Mercedes Robledo , Pedro Iglesias , Carles Villabona Artero

引用次数: 0

The specific immunotherapy of autoimmune diseases through the nanomedicine 纳米药物对自身免疫性疾病的特异性免疫治疗

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.007

Joan Verdaguer

引用次数: 1

Incidental versus non-incidental thyroid carcinoma: Clinical presentation, surgical management and prognosis 偶发与非偶发甲状腺癌的临床表现、手术治疗和预后

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.008

Elena González-Sánchez-Migallón , Benito Flores-Pastor , Carmen Victoria Pérez-Guarinos , Joana Miguel-Perelló , Asunción Chaves-Benito , Fátima Illán-Gómez , Andrés Carrillo-Alcaraz , José Luis Aguayo-Albasini

{"title":"Incidental versus non-incidental thyroid carcinoma: Clinical presentation, surgical management and prognosis","authors":"Elena González-Sánchez-Migallón , Benito Flores-Pastor , Carmen Victoria Pérez-Guarinos , Joana Miguel-Perelló , Asunción Chaves-Benito , Fátima Illán-Gómez , Andrés Carrillo-Alcaraz , José Luis Aguayo-Albasini","doi":"10.1016/j.endoen.2016.10.008","DOIUrl":"https://doi.org/10.1016/j.endoen.2016.10.008","url":null,"abstract":"<div><h3>Background and objective</h3><p>Thyroid cancer may be clinically evident as a tumor mass in the neck or as a histopathological incidental finding after thyroid surgery for an apparent benign condition. Our objective was to assess the differences in clinical signs, surgical management, and course between incidental and clinically diagnosed thyroid tumors.</p></div><div><h3>Methods</h3><p>A retrospective study was conducted on patients operated on for benign or malignant thyroid disease from January 2000 to March 2014. Among the 1415 patients who underwent any thyroid surgery, 264 neoplasms were found, of which 170 were incidental. A comparison was made of incidental versus non-incidental carcinomas. Among incidental carcinomas, cases whose indication for surgery was Graves’ disease were compared to those with multinodular goiter.</p></div><div><h3>Results</h3><p>Incidental carcinomas were in earlier stages and required less aggressive surgery. There were no differences in surgical complications between incidental and clinical tumors, but mortality and relapses were markedly higher in non-incidental cancers (4.4% vs 0% and 13.2% vs 4.8% respectively). Carcinomas developing on Graves’ disease showed no differences from all other incidental tumors in terms of complications, mortality, or relapse after surgery.</p></div><div><h3>Conclusions</h3><p>Early stage thyroid cancer has better survival and prognosis after surgical treatment.</p></div>","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2016.10.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72027624","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}

引用次数: 6

The diabetic paradox: Bone mineral density and fracture in type 2 diabetes 糖尿病悖论：2型糖尿病患者的骨密度与骨折

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.010

Sonsoles Botella Martínez , Nerea Varo Cenarruzabeitia , Javier Escalada San Martin , Amparo Calleja Canelas

引用次数: 18

Severe systemic type 1 pseudohypoaldosteronism: 5 years of evolution 严重系统性1型假性醛固酮减少症：5年的演变

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.006

Maria Miguel Gomes , Sofia Martins , Olinda Marques , Nicole da Silva , Ana Antunes

引用次数: 0

Bone mineral density in anorexia nervosa: Only weight and menses recovery? 神经性厌食症的骨密度：只有体重和月经恢复？

Endocrinologia Y Nutricion Pub Date : 2016-11-01 DOI: 10.1016/j.endoen.2016.10.003

Ignacio Jáuregui-Lobera , Patricia Bolaños-Ríos , Juan Sabaté

{"title":"Bone mineral density in anorexia nervosa: Only weight and menses recovery?","authors":"Ignacio Jáuregui-Lobera , Patricia Bolaños-Ríos , Juan Sabaté","doi":"10.1016/j.endoen.2016.10.003","DOIUrl":"https://doi.org/10.1016/j.endoen.2016.10.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The study objectives were to analyze the presence of reduced bone mass in a sample of patients with anorexia nervosa (AN) and amenorrhea, to assess Bone Mineral Density (BMD) recovery after having a normal weight is reached and regular menses are resumed, and to predict BMD after a treatment period considering different variables (baseline BMD, baseline and final body mass index (BMI), treatment duration).</p></div><div><h3>Material & Methods</h3><p>35 patients with AN (mean age 20.57±5.77) were studied at treatment start (T<sub>0</sub>) and after they had recovered their normal weight and regular menses (T<sub>1</sub>) in order to measure their BMD using quantitative computed tomography (QCT) of the lumbar spine (L2–L4).</p></div><div><h3>Results</h3><p>At T<sub>0</sub>, 2.86% of patients had normal BMD, while a reduced bone mass consistent with osteopenia or with osteoporosis was found in 22.86% and 74.28% of patients respectively. At T<sub>1</sub>, the percentages were 20%, 20%, and 60% respectively. No significant differences were seen in L2–L3 and mean BMD (L2–L4). A significant difference was however found for L4 (<em>p</em>  >11 months, but not when the time period was ≤11 months.</p></div><div><h3>Conclusions</h3><p>This follow-up study of changes not only in BMD but also in BMI and recovery of menses has clinical relevance from the viewpoint of the day-by-day treatment process. Use of QCT makes the study more relevant because this is a more advanced technique that allows for differentiating trabecular and cortical bone.</p></div>","PeriodicalId":48670,"journal":{"name":"Endocrinologia Y Nutricion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.endoen.2016.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72038277","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}

引用次数: 0