array:21 [
  "pii" => "X2013251407022083"
  "issn" => "20132514"
  "doi" => " "
  "estado" => "S300"
  "fechaPublicacion" => "2007-12-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2007;27:716-20"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3297
    "formatos" => array:3 [
      "EPUB" => 257
      "HTML" => 2441
      "PDF" => 599
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699507022086"
      "issn" => "02116995"
      "doi" => " "
      "estado" => "S300"
      "fechaPublicacion" => "2007-12-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2007;27:716-20"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 7368
        "formatos" => array:3 [
          "EPUB" => 295
          "HTML" => 5752
          "PDF" => 1321
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "titulo" => "Insuficiencia renal oculta en atención primaria. ¿Un problema exclusivo de mujeres?"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "716"
            "paginaFinal" => "720"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Occult renal failure in primary care. A women problem?"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor"
            "autores" => array:1 [
              0 => array:1 [
                "nombre" => "Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251407022083"
          "doi" => " "
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022083?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699507022086?idApp=UINPBA000064"
      "url" => "/02116995/0000002700000006/v0_201502091324/X0211699507022086/v0_201502091324/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251407022157"
    "issn" => "20132514"
    "doi" => " "
    "estado" => "S300"
    "fechaPublicacion" => "2007-12-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2007;27:721-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3001
      "formatos" => array:3 [
        "EPUB" => 240
        "HTML" => 2162
        "PDF" => 599
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Multidetector Row CT in assessment of coronary artery calcification on hemodialisis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "721"
          "paginaFinal" => "728"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Valoración de las calcificaciones coronarias"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pilar Caro Acevedo, Ramon Delgado Lillo, Fabiola Dapena Vielba, Almudena Njuñez Sanchez"
          "autores" => array:1 [
            0 => array:1 [
              "nombre" => "Pilar Caro Acevedo, Ramon Delgado Lillo, Fabiola Dapena Vielba, Almudena Njuñez Sanchez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X021169950702215X"
        "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/X021169950702215X?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022157?idApp=UINPBA000064"
    "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407022157/v0_201502091551/en/main.assets"
  ]
  "itemAnterior" => array:16 [
    "pii" => "X2013251407022008"
    "issn" => "20132514"
    "estado" => "S300"
    "fechaPublicacion" => "2007-12-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2007;27:710-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2666
      "formatos" => array:3 [
        "EPUB" => 240
        "HTML" => 2042
        "PDF" => 384
      ]
    ]
    "en" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "Synaptopodin immunoexpression in steroid-responsive and steroid-resistant minimal change disease and focal segmental glomerulosclerosis."
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "710"
          "paginaFinal" => "715"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M. Wagrowska-Danilewicz, M. Danilewicz"
          "autores" => array:1 [
            0 => array:1 [
              "nombre" => "M. Wagrowska-Danilewicz, M. Danilewicz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:8 [
        "pii" => "X0211699507022000"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699507022000?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022008?idApp=UINPBA000064"
    "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407022008/v0_201502091551/en/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "titulo" => "Occult renal failure in primary care. A women problem?"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "716"
        "paginaFinal" => "720"
      ]
    ]
    "autores" => array:1 [
      0 => array:2 [
        "autoresLista" => "Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor"
        "autores" => array:1 [
          0 => array:1 [
            "nombre" => "Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Insuficiencia renal oculta en atención primaria. ¿Un problema exclusivo de mujeres?"
      ]
    ]
    "pdfFichero" => "P-E-S-A4913-EN.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec436125"
          "palabras" => array:4 [
            0 => "Insuficiencia renal ¿oculta¿"
            1 => "Filtrado glomerular estimado"
            2 => "MDRD-4"
            3 => "Atención Primaria"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec436126"
          "palabras" => array:4 [
            0 => "¿Occult¿ renal failure"
            1 => "Glomerular filtration rate"
            2 => "MDRD-4"
            3 => "Primary care"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:1 [
        "resumen" => "Background. Chronic renal failure is becoming a public health problem. The estimation of glomerular filtration rate (GFR) using the MDRD-4 equation is important to find out patients with impaired renal function. The aim of this study was to determinate the rate of patients took care in Primary Care with ¿occult¿ renal failure, defined as a GFR less than 60 mL/min/1.73m2, and serum creatinine levels in the normal range of the laboratory ( < 1.3 mg/dL for men, and < 1.2 mg/dL for women). Methods. Patients over 18 years-old took cared in Primary Care of the health area of Plasencia (Caceres), who were measured serum creatinine level between March to July 2006. We estimated GFR using MDRD-4 formula and classified the level of kidney function according to the NKF-DOQI guidelines. Results. We estimated GFR in 13.784 analyses. In 1.042 the GFR was less than 60 mL/min/1.73m2, from 960 patients (6.96%). Mean age 76.8 years (range 40-98 years). 418 keep normal serum creatinine levels (43.5%). Conclusion. Renal impairment seems to be prevalent in the general population took care in Primary Care. An elevated rate of patients with renal failure present serum creatinine levels in the laboratory normal range, ¿occult¿ renal failure. The systematic estimation of GFR using MDRD formula is necessary to detect this patients with renal impairment. "
      ]
      "es" => array:1 [
        "resumen" => "Introducción: La insuficiencia renal crónica se está convirtiendo en un problema de salud pública. La estimación del filtrado glomerular (FG) mediante fórmulas permite detectar las personas con daño renal. Objetivo: Conocer el porcentaje de personas atendidas en atención primaria con insuficiencia renal (IR) oculta definida por presentar un FG estimado < 60 mL/min/1,73 m2, con niveles de creatinina sérica dentro de los límites de referencia del laboratorio ( < 1,3 mg/dL en hombres y < 1,2 mg/dL en mujeres), que hubiesen pasado desapercibidas. Método: Personas mayores de 18 años atendidas en Atención Primaria del Área de Salud de Plasencia (Cáceres) a las que su médico de atención primaria solicitó la medición de niveles de creatinina, entre el 1 de marzo y el 31 de julio de 2006 (5 meses). Se estimó el FG usando la fórmula MDRD-4 y se clasificó el grado de IR de acuerdo con las guías DOQI de la NKF. Resultados: Se realizaron 13.784 mediciones de creatinina sérica en mayores de 18 años. 1.042 presentaron FG < 60 mL/min/1,73 m2, correspondientes a 960 personas (6,96%). Edad media 76,8 años (rango 40-98). De ellas, 418 (43,5%) presentaban IR «oculta», todas mujeres, con edad media 76,5 años y Cr media 1 mg/dL. Conclusiones: Existe un elevado porcentaje de pacientes atendidos en atención primaria con FG < 60 mL/min/1,73 m2 que mantiene niveles de creatinina en los límites normales. La estimación del FG de forma sistemática permite detectar dichos pacientes, fundamentalmente mujeres mayores de 65 años, que pasarían desapercibidos, lo que se ha denominado IR «oculta»."
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407022083/v0_201502091551/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002700000006/v0_201502091551/X2013251407022083/v0_201502091551/en/P-E-S-A4913-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022083?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Occult renal failure in primary care. A women problem?
Insuficiencia renal oculta en atención primaria. ¿Un problema exclusivo de mujeres?
Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor
Read
6489
Times
was read the article
2564
Total PDF
3925
Total HTML
Share statistics
 array:21 [
  "pii" => "X2013251407022083"
  "issn" => "20132514"
  "doi" => " "
  "estado" => "S300"
  "fechaPublicacion" => "2007-12-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2007;27:716-20"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3297
    "formatos" => array:3 [
      "EPUB" => 257
      "HTML" => 2441
      "PDF" => 599
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699507022086"
      "issn" => "02116995"
      "doi" => " "
      "estado" => "S300"
      "fechaPublicacion" => "2007-12-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2007;27:716-20"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 7368
        "formatos" => array:3 [
          "EPUB" => 295
          "HTML" => 5752
          "PDF" => 1321
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "titulo" => "Insuficiencia renal oculta en atención primaria. ¿Un problema exclusivo de mujeres?"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "716"
            "paginaFinal" => "720"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Occult renal failure in primary care. A women problem?"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor"
            "autores" => array:1 [
              0 => array:1 [
                "nombre" => "Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251407022083"
          "doi" => " "
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022083?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699507022086?idApp=UINPBA000064"
      "url" => "/02116995/0000002700000006/v0_201502091324/X0211699507022086/v0_201502091324/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251407022157"
    "issn" => "20132514"
    "doi" => " "
    "estado" => "S300"
    "fechaPublicacion" => "2007-12-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2007;27:721-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3001
      "formatos" => array:3 [
        "EPUB" => 240
        "HTML" => 2162
        "PDF" => 599
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Multidetector Row CT in assessment of coronary artery calcification on hemodialisis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "721"
          "paginaFinal" => "728"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Valoración de las calcificaciones coronarias"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pilar Caro Acevedo, Ramon Delgado Lillo, Fabiola Dapena Vielba, Almudena Njuñez Sanchez"
          "autores" => array:1 [
            0 => array:1 [
              "nombre" => "Pilar Caro Acevedo, Ramon Delgado Lillo, Fabiola Dapena Vielba, Almudena Njuñez Sanchez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X021169950702215X"
        "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/X021169950702215X?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022157?idApp=UINPBA000064"
    "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407022157/v0_201502091551/en/main.assets"
  ]
  "itemAnterior" => array:16 [
    "pii" => "X2013251407022008"
    "issn" => "20132514"
    "estado" => "S300"
    "fechaPublicacion" => "2007-12-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2007;27:710-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2666
      "formatos" => array:3 [
        "EPUB" => 240
        "HTML" => 2042
        "PDF" => 384
      ]
    ]
    "en" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "Synaptopodin immunoexpression in steroid-responsive and steroid-resistant minimal change disease and focal segmental glomerulosclerosis."
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "710"
          "paginaFinal" => "715"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M. Wagrowska-Danilewicz, M. Danilewicz"
          "autores" => array:1 [
            0 => array:1 [
              "nombre" => "M. Wagrowska-Danilewicz, M. Danilewicz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:8 [
        "pii" => "X0211699507022000"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699507022000?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022008?idApp=UINPBA000064"
    "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407022008/v0_201502091551/en/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "titulo" => "Occult renal failure in primary care. A women problem?"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "716"
        "paginaFinal" => "720"
      ]
    ]
    "autores" => array:1 [
      0 => array:2 [
        "autoresLista" => "Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor"
        "autores" => array:1 [
          0 => array:1 [
            "nombre" => "Pedro Jesús Labrador Gómez, Teresa Mengotti Fernández de los Ríos, Montaña Jiménez Álvaro, Milagrosa Macías Sánchez, Flor Vicente Ramos, Jor"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Insuficiencia renal oculta en atención primaria. ¿Un problema exclusivo de mujeres?"
      ]
    ]
    "pdfFichero" => "P-E-S-A4913-EN.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec436125"
          "palabras" => array:4 [
            0 => "Insuficiencia renal ¿oculta¿"
            1 => "Filtrado glomerular estimado"
            2 => "MDRD-4"
            3 => "Atención Primaria"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec436126"
          "palabras" => array:4 [
            0 => "¿Occult¿ renal failure"
            1 => "Glomerular filtration rate"
            2 => "MDRD-4"
            3 => "Primary care"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:1 [
        "resumen" => "Background. Chronic renal failure is becoming a public health problem. The estimation of glomerular filtration rate (GFR) using the MDRD-4 equation is important to find out patients with impaired renal function. The aim of this study was to determinate the rate of patients took care in Primary Care with ¿occult¿ renal failure, defined as a GFR less than 60 mL/min/1.73m2, and serum creatinine levels in the normal range of the laboratory ( < 1.3 mg/dL for men, and < 1.2 mg/dL for women). Methods. Patients over 18 years-old took cared in Primary Care of the health area of Plasencia (Caceres), who were measured serum creatinine level between March to July 2006. We estimated GFR using MDRD-4 formula and classified the level of kidney function according to the NKF-DOQI guidelines. Results. We estimated GFR in 13.784 analyses. In 1.042 the GFR was less than 60 mL/min/1.73m2, from 960 patients (6.96%). Mean age 76.8 years (range 40-98 years). 418 keep normal serum creatinine levels (43.5%). Conclusion. Renal impairment seems to be prevalent in the general population took care in Primary Care. An elevated rate of patients with renal failure present serum creatinine levels in the laboratory normal range, ¿occult¿ renal failure. The systematic estimation of GFR using MDRD formula is necessary to detect this patients with renal impairment. "
      ]
      "es" => array:1 [
        "resumen" => "Introducción: La insuficiencia renal crónica se está convirtiendo en un problema de salud pública. La estimación del filtrado glomerular (FG) mediante fórmulas permite detectar las personas con daño renal. Objetivo: Conocer el porcentaje de personas atendidas en atención primaria con insuficiencia renal (IR) oculta definida por presentar un FG estimado < 60 mL/min/1,73 m2, con niveles de creatinina sérica dentro de los límites de referencia del laboratorio ( < 1,3 mg/dL en hombres y < 1,2 mg/dL en mujeres), que hubiesen pasado desapercibidas. Método: Personas mayores de 18 años atendidas en Atención Primaria del Área de Salud de Plasencia (Cáceres) a las que su médico de atención primaria solicitó la medición de niveles de creatinina, entre el 1 de marzo y el 31 de julio de 2006 (5 meses). Se estimó el FG usando la fórmula MDRD-4 y se clasificó el grado de IR de acuerdo con las guías DOQI de la NKF. Resultados: Se realizaron 13.784 mediciones de creatinina sérica en mayores de 18 años. 1.042 presentaron FG < 60 mL/min/1,73 m2, correspondientes a 960 personas (6,96%). Edad media 76,8 años (rango 40-98). De ellas, 418 (43,5%) presentaban IR «oculta», todas mujeres, con edad media 76,5 años y Cr media 1 mg/dL. Conclusiones: Existe un elevado porcentaje de pacientes atendidos en atención primaria con FG < 60 mL/min/1,73 m2 que mantiene niveles de creatinina en los límites normales. La estimación del FG de forma sistemática permite detectar dichos pacientes, fundamentalmente mujeres mayores de 65 años, que pasarían desapercibidos, lo que se ha denominado IR «oculta»."
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407022083/v0_201502091551/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002700000006/v0_201502091551/X2013251407022083/v0_201502091551/en/P-E-S-A4913-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022083?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
DOI:
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 8 11 19
2024 October 37 53 90
2024 September 41 50 91
2024 August 56 59 115
2024 July 28 39 67
2024 June 41 52 93
2024 May 51 57 108
2024 April 42 38 80
2024 March 29 24 53
2024 February 26 32 58
2024 January 21 31 52
2023 December 24 21 45
2023 November 35 34 69
2023 October 24 36 60
2023 September 26 39 65
2023 August 22 35 57
2023 July 22 45 67
2023 June 29 78 107
2023 May 31 40 71
2023 April 20 25 45
2023 March 18 26 44
2023 February 18 24 42
2023 January 21 27 48
2022 December 25 36 61
2022 November 30 30 60
2022 October 23 95 118
2022 September 26 31 57
2022 August 35 42 77
2022 July 20 47 67
2022 June 18 33 51
2022 May 29 32 61
2022 April 21 35 56
2022 March 29 37 66
2022 February 24 41 65
2022 January 25 31 56
2021 December 20 45 65
2021 November 22 41 63
2021 October 24 43 67
2021 September 23 36 59
2021 August 21 45 66
2021 July 26 31 57
2021 June 17 24 41
2021 May 23 32 55
2021 April 35 38 73
2021 March 31 35 66
2021 February 24 23 47
2021 January 19 24 43
2020 December 14 19 33
2020 November 22 5 27
2020 October 9 16 25
2020 September 15 4 19
2020 August 27 9 36
2020 July 23 8 31
2020 June 26 71 97
2020 May 26 15 41
2020 April 25 18 43
2020 March 26 8 34
2020 February 25 21 46
2020 January 26 20 46
2019 December 22 20 42
2019 November 22 13 35
2019 October 6 10 16
2019 September 15 13 28
2019 August 7 9 16
2019 July 15 22 37
2019 June 8 9 17
2019 May 13 15 28
2019 April 36 33 69
2019 March 14 18 32
2019 February 11 19 30
2019 January 7 12 19
2018 December 34 44 78
2018 November 29 10 39
2018 October 26 11 37
2018 September 31 28 59
2018 August 18 16 34
2018 July 20 12 32
2018 June 25 23 48
2018 May 19 16 35
2018 April 16 10 26
2018 March 26 7 33
2018 February 19 8 27
2018 January 27 9 36
2017 December 27 12 39
2017 November 14 12 26
2017 October 13 8 21
2017 September 15 8 23
2017 August 10 8 18
2017 July 24 10 34
2017 June 14 14 28
2017 May 25 23 48
2017 April 26 15 41
2017 March 11 7 18
2017 February 17 6 23
2017 January 8 8 16
2016 December 46 11 57
2016 November 47 11 58
2016 October 68 8 76
2016 September 96 8 104
2016 August 116 4 120
2016 July 131 7 138
2016 June 109 0 109
2016 May 138 0 138
2016 April 82 0 82
2016 March 81 0 81
2016 February 103 0 103
2016 January 110 0 110
2015 December 122 0 122
2015 November 96 0 96
2015 October 97 0 97
2015 September 73 0 73
2015 August 78 0 78
2015 July 62 0 62
2015 June 31 0 31
2015 May 40 0 40
2015 April 5 0 5
Show all

Follow this link to access the full text of the article

Idiomas
Nefrología (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?