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Santamaria J, Bretón I, Fernández A, Hanzu F, Luque R, Pinés P, Tejera C, Zugasti A, Del Prado N, Elola J, Escalada J. RECALSEEN 2021. Resources and quality in the Endocrinology and Nutrition units of the National Health System of Spain. ENDOCRINOL DIAB NUTR 2023; 70:459-467. [PMID: 37516609 DOI: 10.1016/j.endien.2023.03.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 03/19/2023] [Indexed: 07/31/2023]
Abstract
OBJECTIVES RECALSEEN project aims to analyze the structure, activity, and outcomes of the departments of endocrinology and nutrition (S-U_EyN) of the Spanish National Health System (SNHS). Based on the results obtained, the challenges for the specialty are analyzed and proposals for improvement policies are made. In this paper 2021 survey data and activity data from the 2007-2019 from the Minimum Basic Data Set (MBDS) are presented. MATERIAL AND METHODS Cross-sectional descriptive study of the S-U_EyN of acute general hospitals of the NHS in 2020. Data were obtained through: 1. an "ad hoc" survey answered by the S-U_EyN' consultants; and 2. analysing the acute general hospital discharges from S-U_EyN and discharges with endocrine-metabolic comorbidities registered in the minimum basis data set (MBDS) of the SNHS. RESULTS 112 responses from S-U_EyN were obtained from a total of 154 general acute hospitals of the NHS (73%). The 2021 S-U_EyN sample includes 24 more centers than in 2017. 54% of the S-U_EyN were endocrinology departments. The median number of endocrinologists per S-U_EyN was 7. The estimated rate of endocrinologists was 2.5 per 100,000 inhabitants. S-U_EyN showed a high level of collaboration with primary care teams and other hospital units. Use of telemedicine by S-U_EyN experienced a high increase in 2020. Notable differences in resources and activity have been found between hospitals and Autonomous Communities. There was a wide margin for improvement in quality management. CONCLUSIONS RECALSEEN is a useful project for the analysis of S-U_EyN. The remarkable variability found in the indicators of structure, activity and management probably indicates a wide margin for improvement.
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Affiliation(s)
- Javier Santamaria
- Vocal de la Sociedad Española de Endocrinología y Nutrición, Hospital Universitario de Cruces, Barakaldo, Bizcaia, Spain
| | - Irene Bretón
- Presidenta de la Fundación de la Sociedad Española de Endocrinología y Nutrición, Hospital Universitario Gregorio Marañón, Madrid, Spain
| | - Alberto Fernández
- Secretario de la Sociedad Española de Endocrinología y Nutrición, Hospital Universitario de Móstoles, Madrid, Spain
| | - Felicia Hanzu
- Vocal de la Sociedad Española de Endocrinología y Nutrición, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Raúl Luque
- Vocal de la Sociedad Española de Endocrinología y Nutrición, Universidad de Córdoba/Instituto Maimónides de Investigación Biomédica de Córdoba, Córdoba, Spain
| | - Pedro Pinés
- Vocal de la Sociedad Española de Endocrinología y Nutrición, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
| | - Cristina Tejera
- Vocal de la Sociedad Española de Endocrinología y Nutrición, Complejo Hospitalario Universitario de Ferrol, El Ferrol, Spain
| | - Ana Zugasti
- Vocal de la Sociedad Española de Endocrinología y Nutrición, Complejo Hospitalario de Navarra, Pamplona, Spain
| | - Náyade Del Prado
- Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), Madrid, Spain
| | - Javier Elola
- Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), Madrid, Spain.
| | - Javier Escalada
- Presidente de la Sociedad Española de Endocrinología y Nutrición, Clínica Universidad de Navarra, Pamplona, Spain
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MIR training in Endocrinology and Nutrition: reflections on its critical points in the choice of the resident. ENDOCRINOL DIAB NUTR 2023; 70:77-79. [PMID: 36841631 DOI: 10.1016/j.endien.2022.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 12/26/2022] [Indexed: 02/26/2023]
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Zugasti-Murillo A, Tejera-Pérez C, Rubio-Herrera MÁ, Escalada San Martín FJ, Ballesteros-Pomar MD, Bretón-Lesmes I, Dios-Fuentes E, Pinés-Corrales PJ, Hanzu FA. How the COVID-19 pandemic has affected the training of Endocrinology and Nutrition Residents. Results of a survey by the Spanish Society of Endocrinology and Nutrition. ENDOCRINOLOGÍA, DIABETES Y NUTRICIÓN (ENGLISH ED.) 2022; 69:219-226. [PMID: 35353687 PMCID: PMC8841212 DOI: 10.1016/j.endien.2022.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 05/25/2021] [Indexed: 11/01/2022]
Abstract
Introduction Material and methods Results Conclusions
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Salvador J, Domingo MP. Training prospects in Spain for the endocrinology and nutrition specialty. ENDOCRINOL DIAB NUTR 2021; 68:447-449. [PMID: 34863408 DOI: 10.1016/j.endien.2021.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 06/29/2021] [Indexed: 06/13/2023]
Affiliation(s)
- Javier Salvador
- Profesor Emérito de Endocrinología y Nutrición, Universidad de Navarra, Pamplona, Ex-Presidente de la Comisión Nacional de Endocrinología y Nutrición, Spain.
| | - Manel Puig Domingo
- Profesor titular de Endocrinología y Nutrición, Universitat Autònoma de Barcelona, Presidente de la Comisión Nacional de Endocrinología y Nutrición, Spain
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Alfaro Martínez JJ, Peña-Cortés VM, Gómez-García IR, Platero-Rodrigo E, Moreno-Fernandez J, Calderón-Vicente DM, Martínez-García A, Barrera-Martín A, Sanz-Velasco A, Miralles-Moragrega R, Palma-Moya M, Gonzalvo-Díaz C. Health care activity at the endocrinology and nutrition outpatient clinics of Castilla-La Mancha (the AACENCAM study). ENDOCRINOL DIAB NUTR 2021; 68:251-259. [PMID: 34266637 DOI: 10.1016/j.endien.2021.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Accepted: 11/24/2019] [Indexed: 10/21/2022]
Abstract
INTRODUCTION This study was promoted by Sociedad Castellano Manchega de Endocrinología, Nutrición y Diabetes to ascertain the characteristics of patients seen at the outpatient clinics of endocrinology and nutrition of the Castilla-La Mancha Health Authority and the case mix of diagnoses. PATIENTS AND METHODS This was a retrospective, cross-sectional study of the activity of the endocrinology and nutrition outpatient clinics of public hospitals of Castile-La Mancha during 2018. All visits made on 10% of the working days were analyzed. Data collected comprised patient age and sex, whether a first or subsequent had been made, and whether this was face-to-face or not, and up to five diagnoses per visit. RESULTS A total of 10,709 visits with a subsequent/first visit ratio of 3.4 were analyzed. Patient age was 52.1?±?18.2 years, and 67.1% were women. Type 2 diabetes mellitus, primary hypothyroidism, thyroid nodular disease, and obesity/overweight were the most common conditions recorded as first diagnosis, accounting for more than half of the total number of visits. Type 1 diabetes mellitus and thyroid cancer were the diagnoses in which the subsequent/first visit ratio was greater. Type 2 diabetes mellitus, obesity, and primary hypothyroidism accounted for almost half of the first visits. CONCLUSIONS A wide variety of conditions were seen, some of which are among the most prevalent in the general population, while others are not so prevalent, but are complex and difficult to manage by other specialties. Improved knowledge and analysis of the data should allow for the identification of opportunities for improvement and for the implementation of specific actions.
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Affiliation(s)
| | | | - Inés-Rosa Gómez-García
- Servicio de Endocrinología y Nutrición, Hospital La Mancha-Centro, Alcázar de San Juan y Hospital de Tomelloso, Spain
| | | | - Jesús Moreno-Fernandez
- Servicio de Endocrinología y Nutrición, Hospital General Universitario de Ciudad Real, Spain
| | | | - Ana Martínez-García
- Servicio de Endocrinología y Nutrición, Hospital Nuestra Señora del Prado, Talavera de la Reina, Spain
| | - Ana Barrera-Martín
- Unidad de Endocrinología y Nutrición, Hospital Santa Bárbara, Puertollano, Spain
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Zugasti-Murillo A, Tejera-Pérez C, Rubio-Herrera MÁ, Martín FJES, Ballesteros-Pomar MD, Bretón-Lesmes I, Dios-Fuentes E, Pinés-Corrales PJ, Hanzu FA. [How the COVID-19 pandemic has affected the training of endocrinology and nutrition residents. Results of a survey by the spanish society of endocrinology and nutrition]. ACTA ACUST UNITED AC 2021; 69:219-226. [PMID: 34151193 PMCID: PMC8205253 DOI: 10.1016/j.endinu.2021.05.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 05/25/2021] [Indexed: 12/01/2022]
Abstract
INTRODUCTION COVID-19 disease has become a priority for our healthcare system. The resident physicians training in endocrinology and nutrition (E&N residents) have been integrated into the COVID-19 teams. This study has been designed with the aim of analysing the educational, occupational and health impact on E&N residents. MATERIAL AND METHODS Cross-sectional observational study via a web survey, aimed at E&N residents who are members of the SEEN, carried out in November 2020. The following data were analysed: demographic variables, number of beds in the training hospital, alteration of rotations, integration in COVID-19 teams, participation in telemedicine, scientific activity and impact on physical and emotional health. RESULTS 87 responses were obtained (27% of all E&N residents), 67.8% women, 28.1 ± 1.8 years, 60% 4th year E&N residents. 84% participated in COVID-19 teams and 93% in the telemedicine consultations of their service. Most have had their rotations interrupted. 97.7% have participated in scientific meetings or virtual congresses and a third of them have collaborated in scientific work on COVID-19 in relation to endocrinology and nutrition. Overall, 75.8% think the pandemic has affected their mood a lot or quite a lot, and 73.8% think that the pandemic has negatively impacted their training. CONCLUSIONS The SARS-CoV-2 pandemic has compromised the training, work activity and health of E&N residents. They have been integrated both in COVID-19 teams and in the restructured activity of their departments. However, they have managed to continue their training in virtual format and have participated in scientific work.
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Affiliation(s)
- Ana Zugasti-Murillo
- Sección Nutrición Clínica. Complejo Hospitalario de Navarra, Pamplona, España
| | - Cristina Tejera-Pérez
- Sección Endocrinología y Nutrición. Complejo Hospitalario Universitario de Ferrol, CHUF, Ferrol, España.,Epigenomics in Endocrinology and Nutrition Group, Epigenomics Unit, Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Complejo Hospitalario Universitario de Santiago de Compostela (CHUS/SERGAS), Santiago de Compostela, España
| | - Miguel Ángel Rubio-Herrera
- Servicio de Endocrinología y Nutrición, Hospital Clínico San Carlos, España.,Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), España.,Facultad de Medicina, Universidad Complutense, Madrid, España
| | - Francisco Javier Escalada San Martín
- Departamento de Endocrinología y Nutrición. Clínica Universidad de Navarra, España.,Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBEROBN), ISCIII, España.,Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, España
| | - María D Ballesteros-Pomar
- Unidad de Nutrición Clínica y Dietética, Sección de Endocrinología y Nutrición, Complejo Asistencial Universitario de León, España
| | - Irene Bretón-Lesmes
- Facultad de Medicina, Universidad Complutense, Madrid, España.,Unidad de Nutrición Clínica y Dietética, Servicio de Endocrinología y Nutrición, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - Elena Dios-Fuentes
- Servicio Endocrinología y Nutrición. Hospital Virgen del Rocío, Sevilla, España
| | - Pedro J Pinés-Corrales
- Servicio de Endocrinología y Nutrición, Complejo Hospitalario Universitario de Albacete, España.,Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Albacete, España
| | - Felicia A Hanzu
- Servicio de Endocrinología y Nutrición, Hospital Clinic, Barcelona, España
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Alfaro Martínez JJ, Peña-Cortés VM, Gómez-García IR, Platero-Rodrigo E, Moreno-Fernández J, Calderón-Vicente DM, Martínez-García A, Barrera-Martín A, Sanz-Velasco A, Miralles-Moragrega R, Palma-Moya M, Gonzalvo-Díaz C. Actividad asistencial en las consultas de Endocrinología y Nutrición de Castilla-La Mancha (estudio AACENCAM). ENDOCRINOL DIAB NUTR 2021; 68:251-259. [DOI: 10.1016/j.endinu.2019.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Revised: 11/22/2019] [Accepted: 11/24/2019] [Indexed: 10/24/2022]
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