Relación de la artrosis con el índice de masa corporal y la clase social / Relationship of Arthrosis with Body Mass Index and Social Class

Objetivo. Determinar la relación entre la artrosis, el índice de masa corporal (IMC)y la clase social.Diseño. Estudio observacional transversal y retrospectivo.Emplazamiento. Centro de Salud.Población y muestra. Quinientos cincuenta y siete pacientes mayores de 40 años.Intervenciones. Se realizó una encuesta social. Se calculó el IMC. Se revisaronlas historias de todos los pacientes para establecer los diagnósticos de artrosis existentes.Se determinó la clase social de los pacientes.Mediciones principales. Para el análisis estadístico se ha utilizado la odds ratio(OR) mediante el análisis de la regresión logística.Resultados. La artrosis se asocia de forma directa con el IMC y la edad, asícomo con el género femenino, y de forma inversa con la clase social (a medidaque se desciende en la clase social, aumenta la probabilidad de padecer artrosis).La espondiloartrosis (EA) se asocia de forma directa con la edad y con el génerofemenino, y de forma inversa con la clase social. La gonartrosis se asocia deforma directa con la edad y el IMC.Conclusiones. El aumento del IMC parece ser un factor de riesgo en las articulacionesde carga. Las clases sociales más desfavorecidas tienen mayor prevalenciade artrosis

Objective. To determine the relationship among the osteoarthritis and the age,gender, Body Mass Index (BMI) and social class.Design. Cross-sectional study and retrospective.Court summons. Primary care.Population and sample. 557 patients over forty years.Interventions. A social survey was carried out and the BMI was calculated.The medical records were evaluated to establish the diagnosis of existing osteoarthritis.The social class of the patients was assessed.Main measurements. For the statistical analysis, the odd ratio (OR) by meansof the logistic regression were carried out.Results. The osteoarthritis was positively related to the BMI, age, and femalegender and was negatively related to the social class.The spondylarthritis (EA) correlated positively with the age, and the femalegender and negatively with the social class.The gonarthritis was positively related to the age and the BMI.Conclusions. The increase of BMI seems to be a risk factor in weight-bearingjoints. The lower social class showed a greater prevalence of osteoarthritis

Propuestas de adaptación de la cartera de servicios a la realidad actual / Proposals for adjusting the portfolio of services to today reality

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[Predictive factors of drug prescription: profile of the overprescribing physician]. / Factores predictivos de la prescripción farmacéutica: perfil del médico hiperprescriptor.

Because of increasing pharmaceutical costs, several programs aimed at optimizing physician's prescription have been set up in the last years. However, factors determining prescription volume are not well known yet. The aim of study is to determine which the characteristics of the practitioner (GP) or the working place are related with a higher amount of drug prescription. With data obtained from PE-29, PE-20, and the managing center Human Resources Department databases, concerning the whole GP staff (N = 293), via a multiple regression model, we were able to determine the following factors predicting higher prescription:rural work place, longer distance to reference specialty center, care to children, lack of postgraduate education, short term work contract, and part time staff.