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"tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "313" "paginaFinal" => "319" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La ecuación de Cockcroft-Gault es preferible a la ecuación MDRD para medir el filtrado glomerular en la insuficiencia renal crónica avanzada." ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Luis Teruel Briones, Josefa Sabater, Cristina Galeano, Maite Rivera, José Luis Merino, Milagros Fernández Lucas, Roberto Marcén, J" "autores" => array:1 [ 0 => array:1 [ "nombre" => "José Luis Teruel Briones, Josefa Sabater, Cristina Galeano, Maite Rivera, José Luis Merino, Milagros Fernández Lucas, Roberto Marcén, J" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699507021374" "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/X0211699507021374?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021371?idApp=UINPBA000064" "url" => "/20132514/0000002700000003/v0_201502091552/X2013251407021371/v0_201502091552/en/main.assets" ] "itemAnterior" => array:16 [ "pii" => "X2013251407021140" "issn" => "20132514" "estado" => "S300" "fechaPublicacion" => "2007-06-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2007;27:279-99" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2641 "formatos" => array:3 [ "EPUB" => 240 "HTML" => 1991 "PDF" => 410 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "DIALYSIS AND TRANSPLANT SITUATION, SPAIN 2004" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "279" "paginaFinal" => "299" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "INFORME DE SITUACIÓN DE DIÁLISIS Y TRASPLANTE EN ESPAÑA , 2004" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Javier Arrieta, Pablo Castro de la Nuez, Gonzalo Gutiérrez Ávila, Inmaculada Moreno Alía, Tomás Sierra Yébenes, Carmen Estébanez, Ana Marí" "autores" => array:1 [ 0 => array:1 [ "nombre" => "Javier Arrieta, Pablo Castro de la Nuez, Gonzalo Gutiérrez Ávila, Inmaculada Moreno Alía, Tomás Sierra Yébenes, Carmen Estébanez, Ana Marí" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:8 [ "pii" => "X0211699507021143" "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/X0211699507021143?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021140?idApp=UINPBA000064" "url" => "/20132514/0000002700000003/v0_201502091552/X2013251407021140/v0_201502091552/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "titulo" => "CKD stages 3-5 in Primary Care population in Spain: EROCAP study" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "300" "paginaFinal" => "312" ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "ALM de Francisco Servicio de Nefrología Hospital Universitario Valdecilla Santander, J J de la Cruz Departamento de Medicina Preventiva y Salud P" "autores" => array:1 [ 0 => array:1 [ "nombre" => "ALM de Francisco Servicio de Nefrología Hospital Universitario Valdecilla Santander, J J de la Cruz Departamento de Medicina Preventiva y Salud P" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Prevalencia de insuficiencia renal en Centros de Atención Primaria en España: Estudio EROCAP" ] ] "pdfFichero" => "P-E-S-A4548-EN.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec436303" "palabras" => array:1 [ 0 => "Epidemiología; Enfermedad Renal Crónica; Atención Primaria: Factores de riesgo cardiovascular" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec436304" "palabras" => array:1 [ 0 => "Epidemiology; Chronic Kidney Disease; Primary Care; Cardiovascular Risk factors" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "This cross-sectional, multicenter study investigated the prevalence of chronic kidney disease and associated disorders, in an adult population sample (> 18 years old) attending Primary Care services in Spain. Estimated glomerular filtration rate (Modification Diet in Renal Disease equation) was used for analysis of kidney disease prevalence according to NFK-KDOQI (The National Kidney Foundation-Kidney Disease Outcomes Quality Initiative) stages. Data were collected on serum creatinine, other laboratory parameters blood pressure, and medical history of cardiovascular risk factors or disease (hypertension, dislypidemia, diabetes, congestive heart failure, coronary artery disesase, stroke or peripheral arteriopathy) in 7,202 patients attending Primary Care Centers. 47.3% were males, mean age 60,6 ± 14,3 years, BMI 28.2 ± 5.3, with 27,6% overweight (27-30 kg/m2) and 32,1% obese (BMI>=30 kg/m2), The prevalence of cardiovascular risks factors were: absence in 17.3%, one factor 26.9% two 31.2%, and 23.6% presented three or more The frequency of CV risk factors was: hypertension (66.7%), dyslipidemia (48%) and diabetes (31.5%). Congestive heart failure, coronary artery disease, stroke or peripheral vascular disease frequency was lower than 10% The prevalence of eGFR < 60 ml/min x 1.73 m2 was: stage 3 (30-59 ml/min/1.73 m2) 19.7%; stage 4 (15-29 ml/min/1.73 m2) 1.2%; stage 5 no dialysis (GFR < 15 ml/min) 0.4%. This prevalence increased with age in both sexes and 33,7% of patients attending Primary Care services over 70 years presented a eGFR < 60 ml/min. Of the total patients with eGFR < 60 ml/min 37.3% had normal serum creatinine levels. This study documents the substantial prevalence of significantly abnormal renal function among patients at Primary Care level. Early identification and appropriate nephrological management of these patients with renal disease is an important opportunity for an adequate prescription of drugs that interfere with renal function, to delay the progression of renal disease and modify CV risk factors." ] "es" => array:1 [ "resumen" => "La prevalencia de la insuficiencia renal en pacientes que acuden a los Centros de Atención Primaria (CAPs) es desconocida en España. Presentamos un estudio epidemiológico transversal y multicéntrico en una población adulta (mayor de 18 años) que acude a los CAPs en España. Para clasificar a los pacientes según los estadios NFK-KDOQI (The National Kidney Foundation-Kidney Disease Outcomes Quality Initiative) se estimó el filtrado glomerular mediante la ecuación de MDRD. Se recogieron los datos de creatinina sérica, otros índices de laboratorio, presión arterial e historia médica de factores de riesgo cardiovascular (HTA, dislipemia, diabetes, insuficiencia cardíaca congestiva, enfermedad coronaria, ACVA o arteriopatía periférica) en 7.202 pacientes. El 47,3% fueron varones, edad media de 60,6 ± 14,3 años; IMC 28,2 ± 5,3; con un 27,6% de sobrepeso (27-30 kg/m2) y un 32,1% de obesidad (IMC mayor o igual a 30 kg/m2). La prevalencia de factores de riesgo cardiovascular fue: ausencia en el 17,3%, un factor en el 26,9%, dos en 31,2% y tres o más en el 23,6%. La frecuencia se distribuyó en: hipertensión en el 66,7%, dislipemia 48%, diabetes 31,5%. La presencia de trastornos clínicos asociados (Insuficiencia cardíaca congestiva, enfermedad coronaria, ACVA o arteriopatía periférica) fue inferior al 10%. La prevalencia de un filtrado glomerular estimado (eFG) inferior a 60 ml/min/1,73 m2 fue: estadio 3 (FGe 30-59 ml/min/1,73 m2) 19,7%; estadio 4 (15-29 ml/min/1,73 m2) 1,2%; estadio 5 no en diálisis (eFG < 15 ml/min) 0,4%. Esta prevalencia aumentó con la edad en ambos sexos y el 33,7% de los pacientes que acudieron a los CAPs mayores de 70 años presentaron un eFG < 60 ml/min/1,73 m2. Del total de pacientes con eFG inferior a 60 ml/min 37,3% tuvieron unos niveles normales de creatinina sérica. Este estudio documenta la prevalencia importante de alteraciones significativas de la función renal en pacientes que acuden a las consultas de atención primaria. Es importante una identificación temprana y un cuidado nefrológico apropiado en estos pacientes con la finalidad de evitar la prescripción de drogas que interfieren con la función renal, retrasar la progresión de la enfermedad renal y especialmente modificar los factores de riesgo cardiovasculares asociados." ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002700000003/v0_201502091552/X2013251407021304/v0_201502091552/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002700000003/v0_201502091552/X2013251407021304/v0_201502091552/en/P-E-S-A4548-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021304?idApp=UINPBA000064" ]
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