AIM: To reach a multidisciplinary consensus on managing patients with type 2 diabetes among specialists in family medicine, cardiology, endocrinology, internal medicine, and nephrology. METHODS: A two-round Delphi study was conducted using a questionnaire with 68 positive/negative statements distributed in four thematic blocks on diabetes management: early diagnosis and prediabetes, referral criteria, treatment and comorbidities, and clinical management. The expert panel was composed of 105 physicians from different specialties (family medicine, cardiology, endocrinology, internal medicine, and nephrology) with experience in managing patients with diabetes and who were members of a diabetes-related society. RESULTS: Response rates for the first and second rounds were 86.7 and 75.2%, respectively. After both rounds, a consensus was reached on 52 (76.5%) items. The recommendations with the highest degree of consensus (median = 10, IQR = 0.00) were related to anti-smoking education, cardiovascular risk factor target control, and diabetic kidney disease. There were significant differences between family physicians and other specialties for some items. CONCLUSIONS: This study provides a set of recommendations for diabetes management agreed upon by specialists from different healthcare settings.
Diabetes Mellitus, Type 2 , Humans , Diabetes Mellitus, Type 2/therapy , Consensus , Delphi Technique , Comorbidity , Surveys and Questionnaires
Canagliflozin/therapeutic use , Diabetes Mellitus, Type 2/drug therapy , HIV Infections/complications , CD4 Lymphocyte Count , Female , Follow-Up Studies , Glycated Hemoglobin/analysis , Humans , Hypoglycemic Agents/therapeutic use , Male , Middle Aged , Prospective Studies , Spain , Treatment Outcome , Viral Load
Hemochromatosis/genetics , Adult , Aged , Europe , Female , Genetic Heterogeneity , Humans , Male , Middle Aged
No disponible
Adult , Female , Humans , Diverticulum , Diverticulum , Manometry/methods , Esophageal Motility Disorders/complications , Esophageal Motility Disorders/diagnosis , Esophageal Motility Disorders , Esophageal Motility Disorders , Diagnostic Imaging/methods , Diagnostic Imaging/trends , Diagnostic Imaging
No disponible
Middle Aged , Male , Female , Humans , Status Asthmaticus , Valine , Time Factors , Tetrazoles , Urticaria , Churg-Strauss Syndrome , Anti-Asthmatic Agents , Loratadine , Anti-Allergic Agents , Quinolines , Leukotriene Antagonists , Antihypertensive Agents , Angioedema , Antipruritics , Drug Eruptions , Acetates , Histamine H1 Antagonists , Follow-Up Studies
No disponible
Middle Aged , Adult , Aged , Male , Female , Humans , Streptokinase , Rib Fractures , Radiography, Thoracic , Thorax , Disease Progression , Myocardial Ischemia , Cost-Benefit Analysis , Hemothorax , Hypertension , Injections, Intravenous , Exostoses, Multiple Hereditary , Eye Hemorrhage , Health Services , Bone Neoplasms
Fundamento: El diagnóstico de la trombosis venosa profunda (TVP) de miembros inferiores ha variado en los últimos años. El objetivo del estudio fue analizar la capacidad diagnóstica de la combinación de datos clínicos y epidemiológicos y valores plasmáticos de dímero-D en dicha entidad. Pacientes y métodos: Se revisaron los datos epidemiológicos y clínicos (síntomas y signos), antecedentes personales y familiares y valores plasmáticos o positividad del dímero-D correspondientes al momento del ingreso, en las historias clínicas de 108 pacientes a los que se realizó una flebografía ante la sospecha de TVP de miembros inferiores. Resultados: La flebografía intravenosa fue positiva en 76 casos (70,37 por ciento). Mediante regresión logística se obtuvo un modelo predictivo del diagnóstico de TVP que combina datos clinicoepidemiológicos y el valor del dímero-D. Conclusiones: La combinación de la concentración plasmática del dímero-D y el dolor en el territorio del sistema venoso profundo es útil como aproximación diagnóstica inicial de la TVP de miembros inferiores. (AU)
Middle Aged , Aged , Male , Female , Humans , Phlebography , Thrombophlebitis , Vitamin D , Logistic Models , Osteoporosis , Calcium Channel Agonists , Calcium , Calcitriol , Data Interpretation, Statistical , Fibrin Fibrinogen Degradation Products
