Actividades preventivas en la mujer. Actualización PAPPS 2018

García-Franco, Alberto López; Fernández, José Antonio Baeyens; Muñoz, Emilia Bailón; Piñeiro, M. José Iglesias; González, Isabel del Cura; Moral, Amparo Ortega del; Goñi, Jacinta Landa; Alonso‐Coello, Pablo; Mir, Lorenzo Arribas

doi:10.1016/s0212-6567(18)30366-4

Cited by 5 publications

(6 citation statements)

References 205 publications

(152 reference statements)

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“…In the domains of AGREE II evaluated (Figure 2A, Table S2), the mean score was 59.4% (SD 18.3%) for “scope and purpose”, 39.4% (SD 21.1%) for “stakeholder involvement”, 32.3% (SD 20.2%) for “rigour of development”, 59.3% (SD 18.2%) for “clarity and presentation”, 27.4% (SD 18.7%) for “applicability”, 42.5% (SD 23.5%) for “editorial independence” and 44.5% (SD 17.5%) for the “overall rating”. As part of the AGREE II appraisal, the reviewers recommended four of the guidelines analysed (11.8%), 57,63,66,80 12 (35.3%) 47‐51,55,59‐61,71,75,76 were recommended with modifications, and 18 (52.9%) 46,52‐54,56,58,62,64,67‐70,72‐74,77‐79 were not recommended for use. Only three guidelines (8.8%) scored over 60% in “Rigour of development domain” and are considered high quality.…”

Section: Resultsmentioning

confidence: 99%

“…Also, she received a travel payment to attend a day long course by Nutricia on 2019. ALG and PAC are authors of one of the guidelines analysed in this review 62 . To maintain objectivity in the data extraction and quality appraisal process, they did not participate on this part of the study or in any other that implied analysing the guideline they authored.…”

Section: Conflict Of Interestsmentioning

confidence: 99%

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Vitamin D recommendations in clinical guidelines: A systematic review, quality evaluation and analysis of potential predictors

et al. 2021

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Background: Vitamin D has been widely promoted for bone health through supplementation and fortification of the general adult population. However, there is growing evidence that does not support these strategies. Our aim is to review the quality and recommendations on vitamin D nutritional and clinical practice guidelines and to explore predictive factors for their direction and strength. Methods:We searched three databases and two guideline repositories from 2010 onwards. We performed a descriptive analysis, a quality appraisal using AGREE II scores (Appraisal of Guidelines Research and Evaluation) and a bivariate analysis evaluating the association between direction and strength of recommendations, AGREE II domains' scores and pre-specified characteristics. Results:We included 34 guidelines, 44.1% recommended, 26.5% suggested and 29.4% did not recommend vitamin D supplementation. Guidelines that scored higher for "editorial independence" and "overall quality score" were less likely to recommend or suggest vitamin D supplementation (median 68.8 vs 35.4; P = .001 and 58.3

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Section: Resultsmentioning

confidence: 99%

Section: Conflict Of Interestsmentioning

confidence: 99%

Vitamin D recommendations in clinical guidelines: A systematic review, quality evaluation and analysis of potential predictors

et al. 2021

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“…The clinical practice guidelines now recommend abstaining from alcohol during pregnancy (Beltrán‐Calvo et al., ; García‐Franco et al., ). In Spain, this behavior, especially regular consumption while pregnant, has evolved very similar to alcohol intake among women in the general population.…”

Section: Discussionmentioning

confidence: 99%

Changes in Alcohol Intake During Pregnancy in Spain, 1980 to 2014

Romero‐Rodríguez

Cuevas

Simón

et al. 2019

Alcoholism Clin & Exp Res

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Background Even small amounts of alcohol consumed during pregnancy can have adverse effects on the embryo and the fetus. We estimated how alcohol intake among pregnant women in Spain changed between 1980 and 2014, and identified factors associated with alcohol use. Methods Data came from the Spanish Collaborative Study of Congenital Malformations (ECEMC). The sample includes ECEMC′s control mothers, 40,268 pregnant women from all regions of Spain. We classified alcohol consumption during pregnancy into 3 categories: no consumption; sporadic consumption of small amounts of alcohol; and regular consumption, or sporadic but in large quantities including drunkenness. Independent variables included sociodemographic factors, planned/unplanned pregnancy, maternal chronic diseases, gestational diabetes, and tobacco and illegal drug use during pregnancy. Trend analyses were performed using data from 1980 to 2014. The multinomial logistic regression models designed to identify associated factors differentiated between 2 periods: 1994 to 2004 and 2005 to 2014. Results Prevalence of alcohol consumption declined from 29.6% (95% CI: 27.1 to 32.2) in 1980 to 5.4% (95% CI: 3.7 to 7.6) in 2014, mostly due to the reduction in regular intake. This decline was especially acute between 1980 and 1994. Sporadic and regular consumption increased among women working outside the home, born outside Spain, those whose pregnancy was unplanned, and those reporting using tobacco or other drugs. Comparing 1994 to 2004 versus 2005 to 2014, a stronger association was observed between regular alcohol consumption and tobacco consumption in the latter period (interaction p = 0.003). Conclusions Alcohol consumption among expectant mothers has declined substantially in the last 35 years. However, it is worth highlighting the significant and substantial associations between alcohol use and consumption of tobacco, which have become stronger in the most recent years.

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“…Se debe resaltar que para conseguir en población española un riesgo de fracturas en torno al 10%, en mujeres sin otros factores de riesgo, habría que ir a edades en torno a los 72 años).La guía NICE 10 recomienda, sin concretar sobre umbrales de tratamiento o de indicación de densitometría, evaluación sistemática del riesgo de fractura con la herramienta FRAX (véase más adelante) o con el Q-Fracture , a partir de los 65 años; entre 51 y 65 años se aconseja revisar a mujeres con una serie de factores de riesgo (fracturas previas, tratamiento con corticoides, caídas, fractura de cadera en la familia, IMC menor de 18,5, tabaquismo y consumo de alcohol superior a 14 unidades por semana 11 ). El programa de actividades preventivas y de promoción de la salud (PAPPS) 12 de la Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC) plantea la indicación de cribado en función del riesgo absoluto de fractura en los siguientes 10 años. En 2016, el PAPPS actualizó sus recomendaciones y se considera Z-score como criterio de intervención (véase más adelante), tal y como corresponde al modelo elaborado por la Dirección General de Farmacia de la Comunidad de Madrid 6 .…”

Section: Criterios De Cribado Y Escalas De Riesgounclassified

“…El programa de actividades preventivas y de promoción de la salud (PAPPS) 12 de la Sociedad Española de Medicina Familiar y Comunitaria (SEMFYC) plantea la indicación de cribado en función del riesgo absoluto de fractura en los siguientes 10 años. En 2016, el PAPPS actualizó sus recomendaciones y se considera Z-score como criterio de intervención (véase más adelante), tal y como corresponde al modelo elaborado por la Dirección General de Farmacia de la Comunidad de Madrid 6 .…”

Section: Criterios De Cribado Y Escalas De Riesgounclassified

Sobrediagnóstico en la salud de la mujer: el caso de la osteoporosis

Corrochano¹,

Iglesias²,

Navarro³

et al. 2018

Atención Primaria

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ResumenEn 1994, la Organización Mundial de la Salud estableció criterios de osteoporosis en función de la densidad mineral ósea (en términos de T score) otorgando a un factor de riesgo la categoría de enfermedad. Dado que tiene un escaso valor predictivo positivo de fracturas cuando se aplica a poblaciones de bajo riesgo, su uso como prueba de cribado es controvertido al favorecer el sobrediagnóstico por el falso etiquetado de enfermedad que produce. La indicación de densitometría se hará en función del riesgo absoluto de fractura en los próximos años. Este es el criterio adoptado por el Programa de Actividades Preventivas y de Promoción de la Salud que en sus últimas recomendaciones propone la utilización de la Z-score en lugar de T-score, como criterio de valoración densitométrico, en un claro esfuerzo por luchar contra el sobrediagnóstico.

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Actividades preventivas en la mujer. Actualización PAPPS 2018

Cited by 5 publications

References 205 publications

Vitamin D recommendations in clinical guidelines: A systematic review, quality evaluation and analysis of potential predictors

Vitamin D recommendations in clinical guidelines: A systematic review, quality evaluation and analysis of potential predictors

Changes in Alcohol Intake During Pregnancy in Spain, 1980 to 2014

Sobrediagnóstico en la salud de la mujer: el caso de la osteoporosis

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