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        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Antecedentes&#58;</span><span class="elsevierStyleBold"> </span>El estudio de Belgrado se realiz&#243; para detectar personas con marcadores de ERC en poblaciones de riesgo y formar a los especialistas de atenci&#243;n primaria sobre c&#243;mo realizar proyecciones de ERC&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span><span class="elsevierStyleBold"> </span>El estudio fue realizado por especialistas de atenci&#243;n primaria de trece centros de salud en colaboraci&#243;n con nefr&#243;logos de centros cl&#237;nicos&#46; Se incluy&#243; a personas sin enfermedad renal previa conocida&#58; 1316 pacientes con hipertensi&#243;n sin diabetes&#44; 208 pacientes con diabetes tipo 2 y 93 pacientes de m&#225;s de 60 a&#241;os sin hipertensi&#243;n ni diabetes&#46; El estudio consist&#237;a en una entrevista&#44; determinaci&#243;n de la tasa de filtraci&#243;n glomerular estimada &#40;TFGe-MDRD&#41; y detecci&#243;n de proteinuria&#44; hematuria&#44; glucosuria y microalbuminuria con una &#250;nica tira reactiva de orina&#46; <span class="elsevierStyleBold">Resultados&#58;</span><span class="elsevierStyleBold"> </span>Se detect&#243; microalbuminuria con o sin proteinuria en combinaci&#243;n con una TFGe&#160;&#62;60 ml&#47;min&#47;1&#44;73m<span class="elsevierStyleSup">2</span> en el 17&#37;&#44; el 41&#37; y el 24&#37; de los pacientes con hipertensi&#243;n&#44; diabetes y mayores de 60 a&#241;os&#44; respectivamente&#46; Se encontr&#243; una TFGe reducida &#40;&#60;60 ml&#47;min&#47;1&#44;73m<span class="elsevierStyleSup">2</span> &#41; en el 23&#37;&#44; el 12&#37; y el 22&#37; de estos mismos grupos de pacientes&#46; La prevalencia de los marcadores de ERC aumentaba cuanto mayor era el n&#250;mero de factores de riesgo&#46; <span class="elsevierStyleBold">Conclusi&#243;n&#58;</span><span class="elsevierStyleBold"> </span>La elevada prevalencia de marcadores de ERC en una poblaci&#243;n de riesgo detectada por los m&#233;dicos de atenci&#243;n primaria en este estudio de colaboraci&#243;n parece ser la mejor forma de motivar a estos especialistas para que realicen cribados de ERC con regularidad&#46;</p>"
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        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Background&#58;</span>&#160;Belgrade screening study was undertaken in order to detect persons with CKD markers in at risk populations and to educate primary care physicians how to carry out CKD screening&#46;&#160;<span class="elsevierStyleBold">Methods&#58;</span> The study was performed by primary care physicians from thirteen Belgrade health centers in collaboration with nephrologists from clinical centers&#46; Subjects without previously known kidney disease were enrolled&#58; 1316 patients with hypertension without diabetes&#44; 208 patients with type 2 diabetes and 93 subjects older than 60 years without hypertension or diabetes&#46; The survey consisted of an interview&#44; consisted of an interview&#44; estimation of glomerular filtration rate &#40;eGFR&#8211;MDRD&#41;&#44; single urine dipstick detection of proteinuria&#44; hematuria&#44; glucosuria&#44; microalbuminuria&#46;&#160;<span class="elsevierStyleBold">Results&#58;</span> Microalbuminuria with or without proteinuria in combination with eGFR&#62;60 ml&#47;min&#47;1&#46;73m<span class="elsevierStyleSup">2&#160;</span>was detected in 17&#37; &#44; 41&#37; and 24&#37; of patients with hypertension&#44; diabetes and those above 60 years&#44; respectively&#46; Reduced eGFR &#40;&#60;60 ml&#47;min&#47;1&#46;73m<span class="elsevierStyleSup">2 </span>&#41; was found in 23&#37;&#44; 12&#37; and 22&#37; of the same patient groups&#46; The prevalence of CKD markers increased with increasing number of risk factors&#46;&#160;<span class="elsevierStyleBold">Conclusion&#58;</span>&#160;High prevalence of CKD markers in at risk population detected by primary care physicians in this collaborative study seems to be the best way to encourage primary care physicians to carry out regular CKD screening&#46;</p>"
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Información de la revista
Vol. 32. Núm. 1.enero 2011
Páginas 1-132
Vol. 32. Núm. 1.enero 2011
Páginas 1-132
Acceso a texto completo
Detección precoz de la enfermedad renal crónica: colaboración entre nefrólogos y especialistas de atención primaria de Belgrado
Early detection of chronic kidney disease: Collaboration of Belgrade nephrologists and primary care physicians
Visitas
15402
Ljubica Djukanovića, Vi¿nja Lezaicb, Nada Dimkovićb, Gordana Peruničić Pekovićc, Danica Bukvićd, Sanja Bajčetiće, Jelena Pavlovićf, Ana Bontićf, Nade¿da Zecc, Danijela Momčilovićg, Marina Stojanovićh
a Academy of Medical Science, Serbian Medical Society, Belgrade, Serbia,
b Medical Faculty, Belgrade University, Belgrade, Serbia,
c Department of Nephrology, Clinical Centre Zemun, Belgrade, Serbia,
d Special Hospital for Endemic Nephropathy, Lazarevac, Serbia,
e Department of Nephrology, Clinical Centre Zvezdara, Belgrade, Serbia,
f Department of Nephrology, Clinical Centre of Serbia, Belgrade, Serbia,
g Hemodialysis Center of Health, Obrenovac, Serbia,
h Hemodialysis Center of General Hospital, Mladenovac, Serbia,
Este artículo ha recibido
Información del artículo

Antecedentes: El estudio de Belgrado se realizó para detectar personas con marcadores de ERC en poblaciones de riesgo y formar a los especialistas de atención primaria sobre cómo realizar proyecciones de ERC. Métodos: El estudio fue realizado por especialistas de atención primaria de trece centros de salud en colaboración con nefrólogos de centros clínicos. Se incluyó a personas sin enfermedad renal previa conocida: 1316 pacientes con hipertensión sin diabetes, 208 pacientes con diabetes tipo 2 y 93 pacientes de más de 60 años sin hipertensión ni diabetes. El estudio consistía en una entrevista, determinación de la tasa de filtración glomerular estimada (TFGe-MDRD) y detección de proteinuria, hematuria, glucosuria y microalbuminuria con una única tira reactiva de orina. Resultados: Se detectó microalbuminuria con o sin proteinuria en combinación con una TFGe >60 ml/min/1,73m2 en el 17%, el 41% y el 24% de los pacientes con hipertensión, diabetes y mayores de 60 años, respectivamente. Se encontró una TFGe reducida (<60 ml/min/1,73m2 ) en el 23%, el 12% y el 22% de estos mismos grupos de pacientes. La prevalencia de los marcadores de ERC aumentaba cuanto mayor era el número de factores de riesgo. Conclusión: La elevada prevalencia de marcadores de ERC en una población de riesgo detectada por los médicos de atención primaria en este estudio de colaboración parece ser la mejor forma de motivar a estos especialistas para que realicen cribados de ERC con regularidad.

Palabras clave:
Atención Primaria
Palabras clave:
Proyección
Palabras clave:
Enfermedad renal crónica

Background: Belgrade screening study was undertaken in order to detect persons with CKD markers in at risk populations and to educate primary care physicians how to carry out CKD screening. Methods: The study was performed by primary care physicians from thirteen Belgrade health centers in collaboration with nephrologists from clinical centers. Subjects without previously known kidney disease were enrolled: 1316 patients with hypertension without diabetes, 208 patients with type 2 diabetes and 93 subjects older than 60 years without hypertension or diabetes. The survey consisted of an interview, consisted of an interview, estimation of glomerular filtration rate (eGFR–MDRD), single urine dipstick detection of proteinuria, hematuria, glucosuria, microalbuminuria. Results: Microalbuminuria with or without proteinuria in combination with eGFR>60 ml/min/1.73mwas detected in 17% , 41% and 24% of patients with hypertension, diabetes and those above 60 years, respectively. Reduced eGFR (<60 ml/min/1.73m2 ) was found in 23%, 12% and 22% of the same patient groups. The prevalence of CKD markers increased with increasing number of risk factors. Conclusion: High prevalence of CKD markers in at risk population detected by primary care physicians in this collaborative study seems to be the best way to encourage primary care physicians to carry out regular CKD screening.

Keywords:
Primary care
Keywords:
Screening
Keywords:
Chronic kidney disease
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