Impacto de una intervención de Atención Primaria en el programa de detección precoz de cáncer colorrectal / Impact of a Primary Care intervention on the colorectal cancer early detection programme

Objetivo: Evaluar la efectividad de una entrevista telefónica realizada por profesionales de Atención Primaria en personas no participantes en la primera ronda del Programa de detección precoz de cáncer colorrectal (PDPCCR), en el área básica de salud (ABS) urbana Guineueta de Barcelona (España). Pacientes y métodos: Un grupo de profesionales de Atención Primaria del ABS Guineueta contactó, mediante un protocolo de llamadas telefónicas estandarizadas, con personas que no atendieron la invitación a participar en la primera ronda del PDPCCR. Se analiza el impacto de esta intervención en la tasa de participación y las enfermedades detectadas. Resultados: Se realizaron 3.327 llamadas telefónicas a 2.343 personas. Tras la intervención, la tasa de participación fue del 54,9%, lo que supone un incremento del 5,7% con respecto a la participación del protocolo habitual del programa (49,2%). Se han diagnosticado 5 cánceres, 2 neoplasias de riesgo alto y 8 lesiones de riesgo bajo e intermedio. En promedio, han sido necesarias 9 llamadas para conseguir la aceptación de una persona adicional. Discusión: La intervención telefónica de los profesionales de Atención Primaria ha aumentado de forma significativa la tasa de participación de la población y la detección de neoplasias con respecto al protocolo habitual del PDPCCR

Aim: To assess the effectiveness of a telephonic interview performed by primary care professionals among non-participants in the first round of the colorectal cancer early detection programme in the basic urban health area Guineueta in Barcelona, Spain. Patients and methods: The Primary Healthcare Team of La Guineueta contacted people who did not respond to the invitation to the first round of the colorectal cancer early detection programme using a standardised telephone call protocol. We analysed the impact of the intervention based on participation and diagnosed disease. Results: We made 3,327 phone calls to 2,343 people. After the intervention the participation rate was 54.9%, which meant an increase of 5.7% with respect to the participation in the usual protocol for the programme (49.2%). The intervention allowed 5cancers, 2high-risk neoplasms and 8low- and intermediate-risk lesions to be diagnosed. An average of 9phone calls was necessary to achieve the participation of one additional person. Discussion: The telephonic intervention performed by primary care professionals has significantly increased the population participation rate and the detection of neoplasms with respect to the usual colorectal cancer early detection programme protocol

Impact of a Primary Care intervention on the colorectal cancer early detection programme. / Impacto de una intervención de Atención Primaria en el programa de detección precoz de cáncer colorrectal.

AIM: To assess the effectiveness of a telephonic interview performed by primary care professionals among non-participants in the first round of the colorectal cancer early detection programme in the basic urban health area Guineueta in Barcelona, Spain. PATIENTS AND METHODS: The Primary Healthcare Team of La Guineueta contacted people who did not respond to the invitation to the first round of the colorectal cancer early detection programme using a standardised telephone call protocol. We analysed the impact of the intervention based on participation and diagnosed disease. RESULTS: We made 3,327 phone calls to 2,343 people. After the intervention the participation rate was 54.9%, which meant an increase of 5.7% with respect to the participation in the usual protocol for the programme (49.2%). The intervention allowed 5cancers, 2high-risk neoplasms and 8low- and intermediate-risk lesions to be diagnosed. An average of 9phone calls was necessary to achieve the participation of one additional person. DISCUSSION: The telephonic intervention performed by primary care professionals has significantly increased the population participation rate and the detection of neoplasms with respect to the usual colorectal cancer early detection programme protocol.

Mayores que viven solos y malnutrición. Estudio SOLGER / The elderly living alone and malnutrition. SOLGER Study

Objetivo: Determinar si existe una relación entre vivir solo y padecer malnutrición o estar en riesgo de padecerla, en individuos mayores de 79 años de una población mediterránea. Diseño: Estudio transversal, multicéntrico en 3 centros de atención primaria (CAP), método encuesta, entre junio y diciembre de 2014. Participantes: Se incluyó a todos los pacientes de más de 79 años, asignados a un cupo de cada centro, con un total de 167 personas. Análisis estadístico: Mediante el paquete SPSS. Se ha realizado una primera parte descriptiva mediante la aplicación de chi cuadrado y varias t de Student, y una segunda fase donde se ha realizado una regresión logística para determinar si vivir solo estaba relacionado con el Mini Nutritional Assessment (MNA) ajustado a la edad. Resultados: Las puntuaciones del estudio nutricional mediante MNA no han mostrado diferencias entre los grupos atendiendo a la unidad familiar como factor diferencial. Por otro lado, la edad sí parece ser un factor determinante. Conclusión: Los pacientes mayores de 79 años que viven solos son en su mayoría independientes para las actividades de la vida diaria, suelen presentar un mejor estado de salud física y mental y, por tanto, esto puede explicar que presenten un mejor estado nutricional, no asociándose el vivir solo con estados de malnutrición o riesgo de padecerla (AU)

Objective: This study aims to determine if there are any connections between living alone and suffering from malnutrition or having a risk of being malnourished, in people over 79 years old in a Mediterranean population. Design: A questionnaire was used in a cross-sectional and multicentre study conducted between June and December 2014 in three Primary Care Centres (PCC). Participants: A quota was chosen for each centre, including all patients over 79 years, with a total of 167 people. Statistical analysis: Was performed using SPSS. A first descriptive part was performed by calculating Chi squared and Student-t tests, and a second part in which logistic regression was used to determine if living was only related to the Mini Nutritional Assessment (MNA) adjusted to age. Results: The scores of the nutritional study by MNA showed no differences between the groups according to the family unit as a differentiating factor. On the other hand, age does seem to be a determining factor. Conclusion: Patients over 79 years old and who live alone are nearly always independent for daily life activities, and often have a better state of physical and mental health. These factors could explain their better nutritional status, as living alone is not associated with states of malnutrition or having the risk of suffer from it (AU)

[The elderly living alone and malnutrition. SOLGER Study]. / Mayores que viven solos y malnutrición. Estudio SOLGER.

OBJECTIVE: This study aims to determine if there are any connections between living alone and suffering from malnutrition or having a risk of being malnourished, in people over 79years old in a Mediterranean population. DESIGN: A questionnaire was used in a cross-sectional and multicentre study conducted between June and December 2014 in three Primary Care Centres (PCC). PARTICIPANTS: A quota was chosen for each centre, including all patients over 79years, with a total of 167 people. STATISTICAL ANALYSIS: Was performed using SPSS. A first descriptive part was performed by calculating Chi squared and Student-t tests, and a second part in which logistic regression was used to determine if living was only related to the Mini Nutritional Assessment (MNA) adjusted to age. RESULTS: The scores of the nutritional study by MNA showed no differences between the groups according to the family unit as a differentiating factor. On the other hand, age does seem to be a determining factor. CONCLUSION: Patients over 79years old and who live alone are nearly always independent for daily life activities, and often have a better state of physical and mental health. These factors could explain their better nutritional status, as living alone is not associated with states of malnutrition or having the risk of suffer from it.