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Ortiz A, Quiroga B, Díez J, Escalada San Martín FJ, Ramirez L, Pérez Maraver M, Martínez-Berganza Asensio ML, Arranz Arija JÁ, Alvarez-Ossorio Fernández JL, Córdoba R, Brotons Muntó F, Cancelo Hidalgo MJ, Carles Reverter J, Plasencia-Rodríguez C, Carretera Gómez J, Guijarro C, Freijo Guerrero MDM, de Sequera P. The Spanish Scientific Societies before the ESC 2021 guidelines on vascular disease prevention: Generalizing the measurement of albuminuria to identify vascular risk and prevent vascular disease. Nefrologia 2023; 43:245-250. [PMID: 37407308 DOI: 10.1016/j.nefroe.2023.06.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 02/15/2023] [Indexed: 07/07/2023] Open
Abstract
The 2021 guidelines on the prevention of vascular disease (VD) in clinical practice published by the European Society of Cardiology (ESC) and supported by 13 other European scientific societies recognize the key role of screening for chronic kidney disease (CKD) in the prevention of VD. Vascular risk in CKD is categorized based on measurements of estimated glomerular filtration rate (eGFR) and urine albumin to creatinine ratio (ACR). Thus, moderate CKD is associated with a high vascular risk and severe CKD with a very high vascular risk requiring therapeutic action, and there is no need to apply other vascular risk scores when vascular risk is already very high due to CKD. Moreover, the ESC indicates that vascular risk assessment and the subsequent decision algorithm should start with measurement of eGFR and ACR. To optimize the implementation of the ESC 2021 guidelines on the prevention of CVD in Spain, we consider that: 1) Urine testing for albuminuria using ACR should be part of the clinical routine at the same level as blood glucose, cholesterolemia, and GFR estimation when these are used to make decisions on CVD risk. 2) Spanish public and private health services should have the necessary means and resources to optimally implement the ESC 2021 guidelines for the prevention of CVD in Spain, including ACR testing.
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Affiliation(s)
- Alberto Ortiz
- Sociedad Española de Nefrología (S.E.N.); Servicio de Nefrología, IIS-Fundación Jiménez Díaz UAM, Madrid, Spain
| | - Borja Quiroga
- Sociedad Española de Nefrología (S.E.N.); Servicio de Nefrología, IIS-La Princesa, Hospital Universitario de la Princesa, Madrid, Spain.
| | - Javier Díez
- Sociedad Española de Nefrología (S.E.N.); Center of Applied Medical Research and School of Medicine, University of Navarra, Pamplona, Spain; Centro de Investigación Biomédica en Red de la Enfermedades Cardiovasculares (CIBERCV), Carlos III Institute of Health, Madrid, Spain
| | | | - Leblic Ramirez
- Servicio de Angiología y Cirugía Vascular, Hospital Universitario de la Paz, Madrid, Spain; Sociedad Española de Angióloga y Cirugía Vascular (SEACV)
| | - Manuel Pérez Maraver
- Servicio de Endocrinología, Hospital Universitari Bellvitge, Barcelona, Spain; Sociedad Española de Diabetes (SED)
| | | | - José Ángel Arranz Arija
- Servicio de Oncología, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Sociedad Española de Oncología Médica (SEOM)
| | | | - Raúl Córdoba
- Servicio de Hematología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain; Sociedad Española de Hematología y Hemoterapia (SEHH)
| | - Franscisco Brotons Muntó
- Centro de Salud Trinitat, Valencia, Spain; Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - María Jesús Cancelo Hidalgo
- Servicio de Ginecología y Obstetricia, Hospital Universitario de Guadalajara, Universidad de Alcalá, Guadalajara, Spain; Sociedad Española de Ginecología y Obstetricia (SEGO)
| | - Joan Carles Reverter
- Servicio de Hematología, Hospital Clínic, Barcelona, Spain; Sociedad Española de Trombosis y Hemostasia (SETH)
| | | | - Juana Carretera Gómez
- Servicio de Medicina Interna, Hospital Universitario de Badajoz, Badajoz, Spain; Sociedad Española de Medicina Interna (SEMI)
| | - Carlos Guijarro
- Servicio de Medicina Interna, Hospital Universitario Fundación Alcorcón - Universidad Rey Juan-Carlos, Madrid, Spain; Sociedad Española de Arterioesclerosis (SEA)
| | - M Del Mar Freijo Guerrero
- Sociedad Española de Nefrología (S.E.N.); Servicio de Neurología, Hospital de Cruces, Baracaldo, Spain; En representación del Grupo de Estudio de Enfermedades Cerebrovasculares de la Sociedad Española de Neurología
| | - Patricia de Sequera
- Sociedad Española de Nefrología (S.E.N.); Servicio de Nefrología, Hospital Universitario Infanta Leonor, Universidad Complutense De Madrid, Madrid, Spain
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Ortiz A, Quiroga B, Díez J, Martín FJES, Ramirez L, Maraver MP, Lourdes Martínez-Berganza Asensio M, Ángel Arranz Arija J, Luis Alvarez-Ossorio Fernández J, Córdoba R, Muntó FB, Hidalgo MJC, Reverter JC, Plasencia-Rodríguez C, Gómez JC, Guijarro C, del Mar Freijo Guerrero M, Sequera PD. Las Sociedades Científicas españolas ante la guía ESC 2021 de prevención de la enfermedad vascular: generalizar la medida de la albuminuria para identificar el riesgo cardiovascular y prevenir la enfermedad vascular. Nefrologia 2023. [DOI: 10.1016/j.nefro.2023.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
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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] [What about the content of this article? (0)] [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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Sandi JS, González EN, Ruiz AH, Nivela OB, Pomar MB, Martín FJES, Lesmes IB. Portfolio of services in Endocrinology and Nutrition. 2020 update. ENDOCRINOL DIAB NUTR 2021; 68:577-588. [PMID: 34872642 DOI: 10.1016/j.endien.2021.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Accepted: 01/09/2021] [Indexed: 06/13/2023]
Abstract
Endocrinology and Nutrition is a medical specialty covering the study and treatment of diseases of the endocrine system, metabolism and those derived from the nutritional process, including knowledge of diagnostic techniques and dietary and therapeutic measures. In order to develop these activities and plan the management of resources allocated for this purpose, the so-called Portfolio of Services of the specialty has to be defined. A Portfolio of Services is defined as the set of techniques, technologies or procedures through which care services are provided in a healthcare centre, department or institution. It is an essential tool for organization of a hospital Unit or Department by defining the roles and procedures of its healthcare professionals, and also for structuring the resources required to perform the activity. It also allows for defining how to use these resources and identifying the objectives to be achieved, improving the quality of clinical care. Finally, the definition and preparation of the portfolio of services makes it possible to have an inventory of the offer of healthcare services and to detect new healthcare needs.
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Affiliation(s)
- Javier Santamaría Sandi
- Servicio de Endocrinología y Nutrición, Hospital Universitario Cruces, Baracaldo, Vizcaya, Spain.
| | - Elena Navarro González
- Servicio de Endocrinología y Nutrición, Hospital Universitario Virgen del Rocío, Sevilla, Spain
| | - Ana Herrero Ruiz
- Servicio de Endocrinología y Nutrición, Hospital Clínico de Salamanca, Salamanca, Spain
| | | | - María Ballesteros Pomar
- Servicio de Endocrinología y Nutrición, Complejo Asistencial Universitario de León, León, Spain
| | | | - Irene Bretón Lesmes
- Servicio de Endocrinología y Nutrición, Hospital Universitario Gregorio Marañón, Madrid, 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] [What about the content of this article? (0)] [Affiliation(s)] [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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Santamaría Sandi J, Navarro González E, Herrero Ruiz A, Bandrés Nivela O, Ballesteros Pomar M, Escalada San Martín FJ, Bretón Lesmes I. Portfolio of services in Endocrinology and Nutrition. 2020 update. ENDOCRINOL DIAB NUTR 2021; 68:S2530-0164(21)00081-1. [PMID: 33941505 DOI: 10.1016/j.endinu.2021.01.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Accepted: 01/09/2021] [Indexed: 11/24/2022]
Abstract
Endocrinology and Nutrition is a medical specialty covering the study and treatment of diseases of the endocrine system, metabolism and those derived from the nutritional process, including knowledge of diagnostic techniques and dietary and therapeutic measures. In order to develop these activities and plan the management of resources allocated for this purpose, the so-called Portfolio of Services of the specialty has to be defined. A Portfolio of Services is defined as the set of techniques, technologies or procedures through which care services are provided in a healthcare centre, department or institution. It is an essential tool for organization of a hospital Unit or Department by defining the roles and procedures of its healthcare professionals, and also for structuring the resources required to perform the activity. It also allows for defining how to use these resources and identifying the objectives to be achieved, improving the quality of clinical care. Finally, the definition and preparation of the portfolio of services makes it possible to have an inventory of the offer of healthcare services and to detect new healthcare needs.
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Affiliation(s)
- Javier Santamaría Sandi
- Servicio de Endocrinología y Nutrición, Hospital Universitario Cruces, Baracaldo, Vizcaya, España.
| | - Elena Navarro González
- Servicio de Endocrinología y Nutrición, Hospital Universitario Virgen del Rocío, Sevilla, España
| | - Ana Herrero Ruiz
- Servicio de Endocrinología y Nutrición, Hospital Clínico de Salamanca, Salamanca, España
| | | | - María Ballesteros Pomar
- Servicio de Endocrinología y Nutrición, Complejo Asistencial Universitario de León, León, España
| | | | - Irene Bretón Lesmes
- Servicio de Endocrinología y Nutrición, Hospital Universitario Gregorio Marañón, Madrid, España
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Escalada San Martín FJ. What may GLP1 receptor agonists contribute to the treatment of patients with non-alcoholic fatty liver disease? Rev Esp Enferm Dig 2020; 112:587-589. [PMID: 32686456 DOI: 10.17235/reed.2020.7148/2020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Non-alcoholic fatty liver disease (NAFLD) poses a challenge to health services both in developed and developing countries, with a significant increase in incidence and prevalence that is related to the currently increased prevalence of obesity. Besides an acknowledged higher risk for advanced liver disease (cirrhosis, hepatocellular carcinoma), morbidity and mortality from cardiovascular disease both increase in people with NAFLD. As a matter of fact, NAFLD is a cardiovascular risk factor.
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Gomez-Peralta F, Escalada San Martín FJ, Menéndez Torre E, Mata Cases M, Ferrer García JC, Ezkurra Loiola P, Ávila Lachica L, Fornos Pérez JA, Artola Menéndez S, Álvarez-Guisasola F, Rica Echevarría I, Girbés Borrás J. Recomendaciones de la Sociedad Española de Diabetes (SED) para el tratamiento farmacológico de la hiperglucemia en la diabetes tipo 2: Actualización 2018. ENDOCRINOL DIAB NUTR 2018; 65:611-624. [DOI: 10.1016/j.endinu.2018.08.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Revised: 08/10/2018] [Accepted: 08/16/2018] [Indexed: 12/25/2022]
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