Evidence map›Paper›PMID 29908781›Full record

Observational studyAtencion primaria2019

[Impact of cardiovascular risk factors on the consumption of resources in Primary Care according to Clinical Risk Groups].

Magdalena Millá Perseguer, Natividad Guadalajara Olmeda, David Vivas Consuelo

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Atencion primaria, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Magdalena Millá PerseguerDepartamento de salud Valencia-Hospital General, Conselleria de Sanitat, Generalitat Valenciana, Valencia, España. Electronic address: mmmilla979x@cv.gva.es.
Natividad Guadalajara OlmedaCentro de Investigación en Ingeniería Económica, Universitat Politècnica de València, Valencia, España.
David Vivas ConsueloCentro de Investigación en Ingeniería Económica, Universitat Politècnica de València, Valencia, España.
Universitat Politècnica de València · ESGeneralitat Valenciana · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the prevalence of Cardiovascular Risk Factors (CVRF) in the context of a Basic Health Area and the impact they generate on morbidity and consumption of healthcare resources in the stratified population according to the Clinical System Risk Groups (CRG) in Primary Care, with the purpose of identifying the population with multimorbidity to apply preventive measures, as well as the one that generates the highest care burden and social needs.

designObservational, cross-sectional and population-based study for a basic health area during 2013. LOCATION: Department of Health 2 (Castellón), Comunidad Valenciana (CV). Includes outpatient care in Primary Care and specialized.

participantsAll citizens registered in the Population Information System, N=32,667. MEASUREMENTS: From the computerized system Abucasis we obtained the demographic, clinical and consumption variables of health resources. We consider the prevalence of CVRF based on the presence or absence of the ICD.9.MC diagnostic codes. The relationship of the CVRF with the 9 CRG health states was analyzed and a predictive analysis was performed with the logistic regression model to evaluate the explanatory capacity of each variable. In addition, an explanatory model of ambulatory pharmaceutical expenditure was obtained through multivariate regression.

resultsThe population of health status CRG4 and above had multimorbidity. The CRG7 and 6 health states have a higher prevalence of CVRF; it was predictive that the higher the morbidity, the greater the consumption of resources through OR above the mean, p<0.05 and the 95% confidence intervals. It was observed that 59.8% of ambulatory pharmaceutical expenditure was explained by the CRG system and all the CVRF (p<0.05 and R

conclusionsThe study of CVRF in a stratified population using the CRG system identifies and predicts where the greatest impact on morbidity and consumption of healthcare resources is generated. It allows us to know the groups of patients where to develop prevention and chronicity strategies. At the level of clinical practice, a new concept of multimorbidity is provided, defined from the state of health CRG 4 and above.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionAlcoholismAmbulatory CareBlood GlucoseCardiovascular DiseasesChildChild, PreschoolCross-Sectional StudiesDyslipidemiasFemaleHealth Services Needs and DemandHospitalizationBlood GlucoseAtención PrimariaCardiovascular risk factorsClinical Risk GroupsConsumo de recursosFactores de riesgo cardiovascularGrupos de Riesgo ClínicoMultimorbidityMultimorbilidadPrimary CareResource consumptionRisk adjustment systemsSistemas de ajuste de riesgo

Identifiers

PMID29908781
PMCPMC6836884
OpenAlexW2808496993

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.