Mostrar el registro sencillo del ítem

dc.contributor.authorPalazón Bru, Antonio
dc.contributor.authorGil Guillén, Vicente F.
dc.contributor.authorOrozco Beltrán, Domingo
dc.contributor.authorPallarés Carratalá, Vicente
dc.contributor.authorValls Roca, Francisco
dc.contributor.authorSanchís Domenech, Carlos
dc.contributor.authorMartín Moreno, José M.
dc.contributor.authorRedón, Josep
dc.contributor.authorNavarro Pérez, Jorge
dc.contributor.authorFernández Giménez, Antonio
dc.contributor.authorPérez Navarro, Ana M.
dc.contributor.authorTrillo, José L.
dc.contributor.authorUsó, Ruth
dc.contributor.authorRuiz, Elías
dc.date.accessioned2015-06-12T11:51:24Z
dc.date.available2015-06-12T11:51:24Z
dc.date.issued2014
dc.identifier.citationPalazón-Bru A, Gil-Guillén VF, Orozco-Beltrán D, Pallarés-Carratalá V, Valls-Roca F, Sanchís-Domenech C, et al. (2014) Is the Physician’s Behavior in Dyslipidemia Diagnosis in Accordance with Guidelines? Cross-Sectional Escarval Study. PLoS ONE 9(3): e91567. doi:10.1371/journal.pone.0091567ca_CA
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/10234/123403
dc.description.abstractBackground: Clinical inertia has been defined as mistakes by the physician in starting or intensifying treatment when indicated. Inertia, therefore, can affect other stages in the healthcare process, like diagnosis. The diagnosis of dyslipidemia requires $ 2 high lipid values, but inappropriate behavior in the diagnosis of dyslipidemia has only previously been analyzed using just total cholesterol (TC). Objectives: To determine clinical inertia in the dyslipidemia diagnosis using both TC and high-density lipoprotein cholesterol (HDL-c) and its associated factors. Design: Cross-sectional. Setting: All health center visits in the second half of 2010 in the Valencian Community (Spain). Patients: 11,386 nondyslipidemic individuals aged $ 20 years with $ 2 lipid determinations. Measurement Variables: Gender, atrial fibrillation, hypertension, diabetes, cardiovascular disease, age, and ESCARVAL training course. Lipid groups: normal (TC , 5.17 mmol/L and normal HDL-c [ $ 1.03 mmol/L in men and $ 1.29 mmol/L in women], TC inertia (TC $ 5.17 mmol/L and normal HDL-c), HDL-c inertia (TC , 5.17 mmol/L and low HDL-c), and combined inertia (TC $ 5.17 mmol/L and low HDL-c). Results: TC inertia: 38.0% (95% CI: 37.2–38.9%); HDL-c inertia: 17.7% (95% CI: 17.0–18.4%); and combined inertia: 9.6% (95% CI: 9.1–10.2%). The profile associated with TC inertia was: female, no cardiovascular risk factors, no cardiovascular disease, middle or advanced age; for HDL-c inertia: female, cardiovascular risk factors and cardiovascular disease; and for combined inertia: female, hypertension and middle age. Limitations: Cross-sectional study, under-reporting, no analysis of some cardiovascular risk factors or other lipid parameters. Conclusions: A more proactive attitude should be adopted, focusing on the full diagnosis of dyslipidemia in clinical practice. Special emphasis should be placed on patients with low HDL-c levels and an increased cardiovascular risk.ca_CA
dc.format.extent8 p.ca_CA
dc.format.mimetypeapplication/pdfca_CA
dc.language.isoengca_CA
dc.publisherPublic Library of Scienceca_CA
dc.relation.isPartOfPLoS ONE, March 2014, Volume 9, Issue 3, e91567ca_CA
dc.rights© 2014 Palazón-Bru et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ca_CA
dc.rightsAttribution 3.0 Spain*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/es/*
dc.titleIs the Physician’s Behavior in Dyslipidemia Diagnosis in Accordance with Guidelines? Cross-Sectional Escarval Studyca_CA
dc.typeinfo:eu-repo/semantics/articleca_CA
dc.identifier.doihttp://dx.doi.org/ 10.1371/journal.pone.0091567
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessca_CA
dc.relation.publisherVersionhttp://www.plosone.org/article/fetchObject.action?uri=info:doi/10.1371/journal.pone.0091567&representation=PDFca_CA


Ficheros en el ítem

Thumbnail
Thumbnail

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem

© 2014 Palazón-Bru et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Excepto si se señala otra cosa, la licencia del ítem se describe como: © 2014 Palazón-Bru et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Ministerio Este proyecto ha recibido una ayuda de la Dirección General del Libro, Archivos y Bibliotecas del Ministerio de Cultura.
DSpace
Metadatos sujetos a :Public Domain | Información y consultas:biblioteca@uji.es | Centro de seguridad y privacidad | Nota legal
Universitat Jaume I - Av. de Vicent Sos Baynat, s/n 12071 Castelló de la Plana, España - Tel.: +34 964 72 87 61 Fax: +34 964 72 87 78