Revista medica del Instituto Mexicano del Seguro Social最新文献

[Neutrophil-lymphocyte ratio as predictor of mortality in patients with necrotizing fasciitis]. [预测坏死性筋膜炎患者死亡率的中性粒细胞-淋巴细胞比率]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278123

Octavio Ávila-Mercado, Víctor Flores-Gamboa, José Manuel Reyes-Ruiz, Paola Campos-Hernández, Gustavo Martínez-Mier

{"title":"[Neutrophil-lymphocyte ratio as predictor of mortality in patients with necrotizing fasciitis].","authors":"Octavio Ávila-Mercado, Víctor Flores-Gamboa, José Manuel Reyes-Ruiz, Paola Campos-Hernández, Gustavo Martínez-Mier","doi":"10.5281/zenodo.10278123","DOIUrl":"https://doi.org/10.5281/zenodo.10278123","url":null,"abstract":"Background: Necrotizing fasciitis (NF) can affect any soft tissue and skin of the body. Its progression is rapid and it is associated with a high mortality rate. Therefore, the search for easily accessible and low-cost biomarkers that could predict the prognosis of patients with NF is necessary.Objective: To evaluate the role of neutrophil-lymphocyte ratio (NLR) as a predictor of mortality in patients with NF.Material and methods: Observational, cross-sectional, retrospective and analytical study of patients admitted between April and October 2020 in a tertiary-care hospital. The statistical tests used for the comparison of variables between the study groups were chi-square, Fisher's exact, Student's t and Mann-Whitney U. A receiver operating characteristic (ROC) curve was performed to determine the accuracy of NLR in predicting mortality in patients with NF.Results: A total of 25 patients were included and stratified into non-survivors and survivors. The non-survivor group had an elevated NLR value compared to survivors (15.57 [13.75] vs. 7.91 [4.13]; p = 0.065). The NLR had an area under the curve (AUC) of 0.729 (95% confidence interval [95% CI] 0.516-0.886; p = 0.044), sensitivity of 77.78% (40-97.2), and specificity of 75% (47.6-92.7). The optimal cut-off point obtained for NLR was > 9.21.Conclusions: An NLR value > 9.21 could be a predictor of mortality in patients with NF.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904090","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

[Predatory journals: What are they and how to avoid them?] [掠夺性期刊：什么是掠夺性期刊？］

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278149

Jorgelina Barrios-De Tomasi

引用次数: 0

[Cold agglutinin syndrome associated with infectious mononucleosis: A case report]. [与传染性单核细胞增多症相关的冷凝集素综合征：病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278179

Diego Alejandro Garzón-Recalde, Elizabeth Rentería-Castillo, Juan Carlos Anda-Garay

{"title":"[Cold agglutinin syndrome associated with infectious mononucleosis: A case report].","authors":"Diego Alejandro Garzón-Recalde, Elizabeth Rentería-Castillo, Juan Carlos Anda-Garay","doi":"10.5281/zenodo.10278179","DOIUrl":"https://doi.org/10.5281/zenodo.10278179","url":null,"abstract":"Background: Cold agglutinin syndrome (CAS) is a hemolytic anemia mediated by antibodies, mainly IgM, whose maximum activity occurs at 4 °C. It happens secondary to infectious, autoimmune or neoplastic diseases, due to the formation of antibodies that cross-react against erythrocyte antigens, particularly of the I system. Here, we describe a case of CAS associated to Epstein-Barr virus (EBV) reactivation in a patient with primary human immunodeficiency virus (HIV) infection.Clinical case: 22-year old man with no medical history, hospitalized due to mononucleosis and anemic syndrome. Hemoglobin of 3.7 g/dL and elevation of lactate dehydrogenase were documented. In the peripheral blood smear it was observed spherocytosis, polychromasia and nucleated erythrocytes. EBV infection was confirmed with serology and viral load, as well as seronegative HIV infection with positive viral load. The C3d monospecific direct antiglobulin test was positive and an irregular antibody screening revealed the presence of an anti-I antibody. The patient received transfusion support and conservative treatment, with remission of the symptoms 2 weeks after admission.Conclusions: Cold agglutinin syndrome is a rare, potentially fatal complication of infectious mononucleosis, which should be considered in the face of findings suggestive of hemolysis in order to initiate support measures in a timely manner.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908719","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

[Knowledge and quality of life in chronic kidney disease and peritoneal dialysis]. [慢性肾病和腹膜透析的知识与生活质量]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278107

Arturo García-Galicia, Esmeralda Gracián-Castro, Alía Hinostrosa-Méndez, Amanda Ivonne Benítez-Contreras, Karina Delfina Pérez-Ayala, Álvaro José Montiel-Jarquín, Nancy Rosalía Bertado-Ramírez, Jorge Loría-Castellanos

{"title":"[Knowledge and quality of life in chronic kidney disease and peritoneal dialysis].","authors":"Arturo García-Galicia, Esmeralda Gracián-Castro, Alía Hinostrosa-Méndez, Amanda Ivonne Benítez-Contreras, Karina Delfina Pérez-Ayala, Álvaro José Montiel-Jarquín, Nancy Rosalía Bertado-Ramírez, Jorge Loría-Castellanos","doi":"10.5281/zenodo.10278107","DOIUrl":"https://doi.org/10.5281/zenodo.10278107","url":null,"abstract":"Background: Knowledge of one's own chronic kidney disease (CKD) can improve long-term quality of life (QoL). Peritoneal dialysis presents with residual symptoms that reduce the QoL.Objective: To correlate knowledge of the disease and QoL in patients with CKD and on continuous ambulatory peritoneal dialysis (CAPD).Material and methods: A descriptive, cross-sectional, and prospective study was carried out in patients with CKD treated at a second-level hospital of the Mexican Institute for Social Security (Instituto Mexicano del Seguro Social) in Puebla. SF-36 and KiKS questionnaires were applied. Age, sex, education, marital status, perception of QoL, and level of knowledge were recorded. Descriptive statistics and Spearman's coefficient were used.Results: 199 patients with CKD in CAPD were included, 62.8% women, minimum age range was 18 to 20 years with 4% and maximum of 61 years or more with 49.2%, 35.6% of patients completed primary school, and 65.3% were married. The most frequent comorbidity was diabetes (57.2%). The least affected QoL domain was pain. KiKS recorded a mean of 0.54 (regular knowledge about the disease). It was recorded a weak and significant correlation in the QoL domains: physical health, physical role, pain, general health, mental health (p ≤ 0.05).Conclusions: There is a significant but weak correlation between the perception of QoL and the level of knowledge of the disease in CKD patients with CAPD.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899269","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

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278099

Elizabeth Patricia Montero-Peregrina, Viridiana Soto-Ávila, Alejandra García-Rezéndiz, Shuemy González-López, Miguel Ángel Hernández-Gómez, Rafael Ignacio Juárez-Mendoza, Roberto Macario Meza-Hernández

{"title":"[Health-related quality of life in Mexican women with obesity].","authors":"Elizabeth Patricia Montero-Peregrina, Viridiana Soto-Ávila, Alejandra García-Rezéndiz, Shuemy González-López, Miguel Ángel Hernández-Gómez, Rafael Ignacio Juárez-Mendoza, Roberto Macario Meza-Hernández","doi":"10.5281/zenodo.10278099","DOIUrl":"https://doi.org/10.5281/zenodo.10278099","url":null,"abstract":"Background: Obesity creates a burden of disease that affects the health-related quality of life (HRQoL) of women and in those between 20 to 59 years of age it implies greater morbidity and mortality compared to men or other age groups.Objective: To evaluate the HRQoL of Mexican women aged 20 to 59 years with obesity.Material and methods: Observational, cross-sectional, prospective, and retrospective study. It was obtained a sample of 104 women from 20 to 59 years of age diagnosed with obesity according to the NOM-008-SSA3-2017 Standard. The participants' main clinical and sociodemographic characteristics were collected, and their HRQoL was evaluated with the SF-36 questionnaire. For the analysis of the collected variables, descriptive statistics were used. To identify the association of these variables with HRQoL, the Kruskal-Wallis test was used.Results: 104 women with a median age of 40.0 years participated. Of these, 66.3% had grade I obesity, 21.2% grade II, and 12.5% grade III. In the overall sample, general health and vitality were the lowest dimensions. In the comparison by groups, the physical role and the emotional role had statistically significant differences (p = 0.007 and p = 0.009, respectively), with the most affected group being obesity grade II.Conclusions: Obesity mainly affected the perception of general health and vitality; likewise, those with grade II had a greater impact on the physical role and the emotional role.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899268","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

[20q11.2 microdeletion syndrome: a phenotypic spectrum expansion. Case report]. [20q11.2微缺失综合征：表型谱扩展。病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278185

Israel Enrique Crisanto-López, Renato García-González, María Patricia Saldaña-Guerrero, Rosa María Hernández-Camacho, Dulce María Castro-Coyotl

{"title":"[20q11.2 microdeletion syndrome: a phenotypic spectrum expansion. Case report].","authors":"Israel Enrique Crisanto-López, Renato García-González, María Patricia Saldaña-Guerrero, Rosa María Hernández-Camacho, Dulce María Castro-Coyotl","doi":"10.5281/zenodo.10278185","DOIUrl":"https://doi.org/10.5281/zenodo.10278185","url":null,"abstract":"Background: 20q11.2 microdeletion syndrome [ORPHA: 444051] is a rare disease, since 16 patients have been reported in literature worldwide. Prevalence ratio is < 1:1,000,000 individuals. Haploinsufficiency on GDF5, SAMHD1 and EPB41L1 genes is important due to phenotypic manifestations in patients. Clinical features can be grouped into craniofacial abnormalities, limb abnormalities, neurological and perinatal disorders. The aim of this report is to present a clinical case of 20q11.21-q11.23 microdeletion, to describe clinical manifestations found, to compare them with features reported in literature, and to contribute to the phenotypic spectrum expansion.Clinical case: 5-year-old female patient who presented hypotonia, psychomotor retardation, microcephaly, facial dysmorphia, pectus excavatum, thoracolumbar scoliosis, right hip subluxation, camptodactyly and clinodactyly. Karyotype test was normal and SNP microarray test reported deletion of chromosomal region 20q11.21-q11.23.Conclusions: It was presented a 20q11.2 microdeletion syndrome confirmed case that shares the features reported in literature, in addition to previously unreported features, such as blepharoptosis, pectus excavatum, scoliosis and hip dysplasia. Interdisciplinary management is important to improve the patient's condition (in her 3 spheres), in order to achieve her best possible health status.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908717","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

[Pseudocyst of adrenal gland. Case report]. [肾上腺假性囊肿：病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278191

Carlos Ignacio Rafael-Pérez, Alexis Jared Paz-López, Neri Ruvalcaba-Contreras

{"title":"[Pseudocyst of adrenal gland. Case report].","authors":"Carlos Ignacio Rafael-Pérez, Alexis Jared Paz-López, Neri Ruvalcaba-Contreras","doi":"10.5281/zenodo.10278191","DOIUrl":"https://doi.org/10.5281/zenodo.10278191","url":null,"abstract":"Background: Adrenal gland cysts are a rare entity, with a reported incidence in post-mortem series of 0.06-0.18%. However, the incidence seems to be increasing in recent years. The presentation of adrenal gland cysts is usually asymptomatic, but those cases in which symptoms are present are usually non-specific, which makes adrenal cysts generally recognized as incidentalomas. The finding is mainly made by computed tomography. The main objective of this article was to describe the clinical course of a patient with an adrenal gland pseudocyst, which is accompanied by symptoms of compression and persistent pain of long evolution in the left flank.Clinical case: A 65-year-old female patient attended the emergency room of a second-level hospital due to an increase in volume of the abdominal region with a sensation of fullness, heartburn, vomiting and pain. Computed tomography was performed, which reported a cystic mass and, later, exploratory laparotomy plus adrenalectomy were carried out. The pathology analysis reported a diagnosis of a 10 x 15 x 14 cm solid, cystic, and adherent tumor, coinciding with a pseudocyst of the adrenal gland.Conclusions: Adrenal gland cysts are rare. Computed tomography is recommended for its diagnosis and the standard of treatment is surgical intervention in the presence of symptoms.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908722","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

[Dietary inflammatory index related to knee osteoarthritis symptomatology]. [与膝关节骨关节炎症状有关的膳食炎症指数]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278136

Ana Karen Iturbe-Betancourt, Gabriel Gerardo Huitrón-Bravo, Rodolfo Rivas-Ruiz, Gerson Valencia-Martínez, Oscar Gabriel Vivanco-Dávila, Eneida Camarillo-Romero

{"title":"[Dietary inflammatory index related to knee osteoarthritis symptomatology].","authors":"Ana Karen Iturbe-Betancourt, Gabriel Gerardo Huitrón-Bravo, Rodolfo Rivas-Ruiz, Gerson Valencia-Martínez, Oscar Gabriel Vivanco-Dávila, Eneida Camarillo-Romero","doi":"10.5281/zenodo.10278136","DOIUrl":"10.5281/zenodo.10278136","url":null,"abstract":"Background: Proinflammatory diet contributes to greater symptomatology in patients with knee osteoarthritis (KOA); however, in Mexico there seems to be no evidence of the dietary inflammatory role, being a country with high prevalence of overweight and obesity with an inclination towards a Western diet.Objective: To analyze the relationship between dietary inflammatory index (DII) and KOA symptomatology in Mexican patients.Material and methods: Analytical cross-sectional study in 100 patients aged 40 to 70 years. Pain, stiffness, and functionality were evaluated with the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the DII was calculated from the semi-quantitative food consumption frequency questionnaire (QFCFQ). For its analysis, linear regression was calculated.Results: DII was significantly associated with pain (p = 0.001, R² = 0.118), functionality (p = 0.003, R² = 0.087) and WOMAC score (p = 0.001, R² = 0.099). In the second linear regression model with the dependent variable functionality, waist circumference (WC) was adjusted obtaining an R² = 0.144 and higher significance p = 0.001.Conclusions: Proinflammatory DII was related to greater pain, lower functionality and a high WOMAC score, which is why the anti-inflammatory diet could be considered as a support for the treatment of the patient with KOA.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904087","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

[Hailey-Hailey disease: A case report]. [海利-海利病：病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278169

Jesús Sebastián Rodríguez-Gutiérrez, Antonio Tirado-Motel, Jesús Leonel Sarabia-Esquerra, Atziry Sarahi Urtuzuástegui-Gastelum, Ángel Alfonso Germán-Rentería

{"title":"[Hailey-Hailey disease: A case report].","authors":"Jesús Sebastián Rodríguez-Gutiérrez, Antonio Tirado-Motel, Jesús Leonel Sarabia-Esquerra, Atziry Sarahi Urtuzuástegui-Gastelum, Ángel Alfonso Germán-Rentería","doi":"10.5281/zenodo.10278169","DOIUrl":"https://doi.org/10.5281/zenodo.10278169","url":null,"abstract":"Background: Hailey-Hailey disease is a rare autosomal dominant genodermatosis whose cause is the ATP2C1 gene mutation. A prevalence of 1 in 50,000 cases is estimated and it manifests as grouped flaccid vesicles that break easily. The diagnosis is confirmed with the histopathological study creating an appearance called \"dilapidated brick wall\", identifying dyskeratosis in the form of round bodies and pimples. Treatment ranges from general measures to multiple pharmacological options, with topical corticosteroids being the most commonly used.Clinical case: Male patient diagnosed with Hailey-Hailey disease. On physical examination we observed a dermatosis disseminated to the neck, trunk, axillary and inguinal folds, and intergluteal region, unilateral, asymmetric with a polymorphous appearance, constitution due to exulceration, erythema, some pustules and flaccid vesicles that coalesced to form eczematous and hypertrophic plaques with the presence of fine scales on their surface, with a chronic evolution accompanied by pruritus. We also took the opportunity to review the most relevant information in the literature regarding Hailey-Hailey disease, especially focused on the therapeutic aspect.Conclusions: It is important to take into account that Hailey-Hailey disease is a rare pathology, in order to make a differential diagnosis in daily clinical practice.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908721","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

[Cost-effectiveness of digital care and face-to-face care in the first-level of care]. [一级护理中数字护理和面对面护理的成本效益]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278140

César Silva-Luna, Enrique Villarreal-Ríos, Liliana Galicia-Rodríguez, Laura Estefanía Rosas-Marín, Mireya Franco-Saldaña, Mariana Del Rayo Guerrero-Mancer, Juana Liliana Sandoval-Barajas, Arturo Silva-Nuñez

{"title":"[Cost-effectiveness of digital care and face-to-face care in the first-level of care].","authors":"César Silva-Luna, Enrique Villarreal-Ríos, Liliana Galicia-Rodríguez, Laura Estefanía Rosas-Marín, Mireya Franco-Saldaña, Mariana Del Rayo Guerrero-Mancer, Juana Liliana Sandoval-Barajas, Arturo Silva-Nuñez","doi":"10.5281/zenodo.10278140","DOIUrl":"https://doi.org/10.5281/zenodo.10278140","url":null,"abstract":"Background: The medical care paradigm is face-to-face; however, technological development has led to the digital modality.Objective: To determine cost-effectiveness of digital care and face-to-face care at the first level of care.Material and methods: Cost-effectiveness study. 2 groups were integrated: the digital service and the face-to-face service. The sample size was calculated with the percentage formula for 2 groups, and the result was 217 per group. The effectiveness was evaluated in 3 dimensions: the satisfaction of the patient, of the doctor and of the medical assistant. In all 3 cases the Visual analogue scale was used. The cost corresponded to the fixed unit cost estimated with the technique of times and movements adjusted for the duration of care. The statistical analysis included averages, percentages and cost-effectiveness ratio.Results: The cost of digital attention is $343.83 and face-to-face attention is $171.91 (all estimated in Mexican pesos). From the patient's perspective, the effectiveness in digital care is $9.47 and in face-to-face is $9.25. The cost to reach effectiveness of 10 in face-to-face care is $185.85 and in digital care $363.20. From the physician's perspective, the cost to achieve effectiveness of 10 is $419.13 in digital care and $184.52 in face-to-face care. From the perspective of the medical assistant, to achieve effectiveness of 10, the cost in digital care is $468.43 and in face-to-face $179.83.Conclusions: Currently, the best cost-effectiveness ratio corresponds to face-to-face care; however, digital care is an option that will have to evolve.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904086","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