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Health care activity at the endocrinology and nutrition outpatient clinics of Castile-La Mancha (the AACENCAM study).

Authors
  • Alfaro Martínez, José-Joaquín1
  • Peña-Cortés, Virginia-María2
  • Gómez-García, Inés-Rosa3
  • Platero-Rodrigo, Eduardo4
  • Moreno-Fernández, Jesús5
  • Calderón-Vicente, Dulce-María6
  • Martínez-García, Ana7
  • Barrera-Martín, Ana8
  • Sanz-Velasco, Alberto9
  • Miralles-Moragrega, Raquel10
  • Palma-Moya, Mercedes11
  • Gonzalvo-Díaz, César12
  • 1 Servicio de Endocrinología y Nutrición, Complejo Hospitalario Universitario de Albacete. Electronic address: [email protected]
  • 2 Servicio de Endocrinología y Nutrición, Complejo Hospitalario de Toledo.
  • 3 Servicio de Endocrinología y Nutrición, Hospital La Mancha-Centro, Alcázar de San Juan y Hospital de Tomelloso.
  • 4 Servicio de Endocrinología y Nutrición, Hospital Universitario de Guadalajara.
  • 5 Servicio de Endocrinología y Nutrición, Hospital General Universitario de Ciudad Real.
  • 6 Servicio de Endocrinología y Nutrición, Hospital Virgen de la Luz, Cuenca.
  • 7 Servicio de Endocrinología y Nutrición, Hospital Nuestra Señora del Prado, Talavera de la Reina.
  • 8 Unidad de Endocrinología y Nutrición, Hospital Santa Bárbara, Puertollano.
  • 9 Unidad de Endocrinología y Nutrición, Hospital General de Villarrobledo.
  • 10 Unidad de Endocrinología y Nutrición, Hospital General de Almansa.
  • 11 Unidad de Endocrinología y Nutrición, Hospital General de Valdepeñas.
  • 12 Unidad de Endocrinología y Nutrición, Hospital Comarcal de Hellín.
Type
Published Article
Journal
Endocrinologia, diabetes y nutricion
Publication Date
Apr 01, 2021
Volume
68
Issue
4
Pages
251–259
Identifiers
DOI: 10.1016/j.endinu.2019.11.005
PMID: 32107190
Source
Medline
Keywords
Language
Spanish
License
Unknown

Abstract

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. 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. 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. 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. Copyright © 2020 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

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