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Preliminary results." "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "162" "paginaFinal" => "167" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resultados preliminares de la implantación de un protocolo conjunto de manejo de la enfermedad renal crónica entre Atención Primaria y Nefrología." ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Isidro Torregrosa Maicas Nefrología Hospital Clínico Universitario de Valencia, M. Solís, B. Pascual, B. Ramos, M. González, C. Ramos, M. J." "autores" => array:1 [ 0 => array:1 [ "nombre" => "Isidro Torregrosa Maicas Nefrología Hospital Clínico Universitario de Valencia, M. Solís, B. Pascual, B. Ramos, M. González, C. Ramos, M. J." ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699507021096" "doi" => " " "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699507021096?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021093?idApp=UINPBA000064" "url" => "/20132514/0000002700000002/v0_201502091552/X2013251407021093/v0_201502091552/en/main.assets" ] "itemAnterior" => array:16 [ "pii" => "X2013251407020913" "issn" => "20132514" "estado" => "S300" "fechaPublicacion" => "2007-04-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2007;27:134-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2415 "formatos" => array:3 [ "EPUB" => 221 "HTML" => 1887 "PDF" => 307 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "The left arm of the renin angiotensin system (RAS). An ancient system with a new vision" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "134" "paginaFinal" => "138" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El brazo izquierdo del sistema renina angiotensina (RAS). Un viejo sistema con una visión nueva" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Henríquez Palop, José Carlos Rodríguez Pérez, Octavio Hernández Perera" "autores" => array:1 [ 0 => array:1 [ "nombre" => "Fernando Henríquez Palop, José Carlos Rodríguez Pérez, Octavio Hernández Perera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:8 [ "pii" => "X0211699507020916" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699507020916?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407020913?idApp=UINPBA000064" "url" => "/20132514/0000002700000002/v0_201502091552/X2013251407020913/v0_201502091552/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "titulo" => "CHARACTERISTICS OF THE DIABETIC PATIENTS REFERRED FOR THE FIRST TIME TO THE NEPHROLOGIST" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "154" "paginaFinal" => "161" ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carmen Mora-Fernández Unidad de Investigación, CIB Hospital Nuestra Señora de Candelaria, Mercedes Muros Bioquímica Clínica, CIB Hospital Nuestra Seño" "autores" => array:1 [ 0 => array:1 [ "nombre" => "Carmen Mora-Fernández Unidad de Investigación, CIB Hospital Nuestra Señora de Candelaria, Mercedes Muros Bioquímica Clínica, CIB Hospital Nuestra Seño" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "CARACTERÍSTICAS DE LOS PACIENTES DIABÉTICOS REFERIDOS POR PRIMERA VEZ A LAS CONSULTAS DE ATENCIÓN ESPECIALIZADA DE NEFROLOGÍA" ] ] "pdfFichero" => "P-E-S-A4447-EN.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec436353" "palabras" => array:4 [ 0 => "Enfermedad renal crónica" 1 => "Nefropatía diabética" 2 => "Nihilismo" 3 => "Referencia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec436354" "palabras" => array:4 [ 0 => "Chronic kidney disease" 1 => "Diabetic nephropathy" 2 => "Nihilism" 3 => "Referral" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "SUMMARY Background: Diabetic nephropathy (DN) has become the main cause of end-stage renal disease. In our country, this problem is specially relevant in Canary Islands, where DN is the cause of renal failure in 39% of patients included in dialysis programs. The importance of this situation and the relevance of an adequate referral to the nephrologist, prompt us to study the characteristics of diabetic patients referrred to our outpatient clinic. Subjects and Methods: One-hundred and fifty patients with diabetes consecutively referred to the outpatient nephrology clinic at the Hospital Universitario Nuestra Señora de Candelaria were included in the study. We analysed demographic and epidemiologic characteristics, therapeutic strategies, as well as serum and urine biochemical parameters. Results: Ninety-eight percent of patients suffered from type 2 diabetes, and 90% were referred by the primary physician. Renal insufficiency and proteinuria were the main causes of referral (48% and 30.6%, respectively). Overweight or obesity were present in 82.6% of patients, 97% were hypertensive and 92.6% presented dyslipidemia. Medical history of cardiovascular disease was present 16% of patients. Two-thirds of patients had a creatinine clearance below 60 ml/min. One-third of patients did not receive therapy with blockers of the renin-angiotensin system, and only 37% were treated with statins. Conclusions: An elevated percentage of diabetic patients referred to nephrologist did not reach the recommended therapeutic goals. These findings prompt us to reflect on the therapeutic approach in these patients and the referral to the nephrologist. " ] "es" => array:1 [ "resumen" => "RESUMEN Introducción: La nefropatía diabética (ND) se ha convertido en la primera causa de insuficiencia renal crónica en nuestro país. Esta patología es especialmente relevante en las Islas Canarias, donde el porcentaje de pacientes en programas de diálisis con ND como enfermedad de base era a 31 de diciembre de 2005 del 39%. Dada la importancia de esta situación, y la trascendencia que en los últimos años ha cobrado la problemática relacionada con la remisión de los pacientes con enfermedad renal a los servicios de Nefrología, el objetivo del presente estudio ha sido analizar las características de la población diabética que es derivada a las unidades de atención especializada de Nefrología. Pacientes y Métodos: Estudio de los 150 primeros pacientes diabéticos que, a partir de octubre de 2001, fueron remitidos de forma consecutiva a las consultas de Nefrología del Hospital Universitario Nuestra Señora de Candelaria de Santa Cruz de Tenerife. Se realizó una historia clínica y exploración física completas, se recogieron datos relativos a las pautas terapéuticas, se realizó una analítica de sangre y orina de 24 horas. Resultados: El 98% de los pacientes eran diabéticos tipo 2, y en el 90% de los casos fueron remitidos por su médico de Atención Primaria. La presencia de insuficiencia renal y de proteinuria fueron los dos motivos más frecuentes de derivación (48% y 30.6%, respectivamente). El 82.6% de los pacientes presentaba sobrepeso u obesidad, el 88% hipertensión arterial y el 92.6% dislipemia. Un 16% de los pacientes 6% presentaba algún antecedente de enfermedad cardiovascular. Dos tercios de los pacientes presentaban un aclaramiento de creatinina inferior a 60 ml/min. Un tercio de los pacientes no recibían tratamiento con bloqueadores del sistema renina-angiotensina, y sólo un 37% estaban tratados con estatinas. Conclusiones: Un elevado porcentaje de los pacientes diabéticos remitidos a los Servicios de Nefrología no presenta un cumplimiento adecuado de los objetivos terapéuticos. Es preciso reflexionar sobre la actitud terapéutica en estos pacientes y su remisión al nefrólogo. " ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002700000002/v0_201502091552/X2013251407021026/v0_201502091552/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002700000002/v0_201502091552/X2013251407021026/v0_201502091552/en/P-E-S-A4447-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021026?idApp=UINPBA000064" ]
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