Análisis de un programa de derivación directa entre atención primaria y especializada en pacientes potencialmente quirúrgicos

Arroyo, Antonio; Andreu, Jordi; García, P.; Jover, Sonia Soto; Arroyo, Marco Antonio Valencia; Fernández, A.; Costa, David J.; Oliver, Israel; Hernández, Humberto Reyes; Schwartz, Hillel; Reillo, M.; Calpena, Rafael; Arenas, Claudio Godoy

doi:10.1016/s0212-6567(01)70399-x

Cited by 15 publications

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“…As a result, it is necessary to adequately train professionals in both acquisition of the technical abilities and diagnostic approximation, due to the increased responsibilities for the doctor involved. 5 , 9 , 10…”

Section: Introductionmentioning

confidence: 99%

Minor surgery activity in primary care

et al. 2010

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ObjectiveThe aim of this study was to describe the activity in our Outpatient Minor Surgery unit during its first five-year period.DesignRetrospective descriptive study.MethodsIt was carried out in two centres of a Basic Health Area with a catchment area of 73,000 inhabitants.ParticipantsPatients who underwent surgery from January 2002 to December 2007 were included in the research.Main outcome measuresInformation on the sociodemographic data of the patients, characteristics of the lesions, risk factors, treatment and its complications was gathered.ResultsA total of 2317 surgical procedures was performed on 1520 patients. The mean was 46 years old and 52% were men. The concordance between clinical and anatomopathological diagnosis was 81%. There were complications in 5% of them. The main pathologies were: epidermoid cysts (22%), nevus (20%) and fibromas (18%). They were mainly located in the back (24%), superior extremities (14%) and head (11%). In 73% mepivicaine was used as anaesthetic. The most current techniques used were: incision (36%), curettage (33%) and fusiform excision (28%). Less than 1% had malignant lesions, 50% of which were not diagnosed clinically. The mean waiting time was 30 days. Ninety-two percent had the informed consent.ConclusionsMinor surgery in primary care is feasible and has a good clinicopathological concordance and minimum complications, but some malignant lesions are overlooked in the diagnosis based exclusively on clinical criteria.

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Section: Introductionmentioning

confidence: 99%

Minor surgery activity in primary care

et al. 2010

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“…Un tipo de comunicación que ha sido analizado en España (Comunidad Valenciana) consiste en la derivación directa entre Atención Primaria y Especializada en patología quirúrgica no urgente, realizando el estudio preoperatorio en Atención Primaria con cita telefónica para los servicios de Cirugía, existiendo una coincidencia diagnóstica entre Atención Primaria y Cirugía en el 90% de los casos. Ello indica pertinencia de estas derivaciones, con disminución de la demora y aumento de la relación personal entre Atención Primaria y Especializada, que además es percibida de forma beneficiosa por el paciente (60). Además la mejora progresiva del funcionamiento de los centros de salud en España tiende a una mejor adecuación o pertinencia de las derivaciones y a una disminución de las hospitalizaciones evitables (llamadas también patologías susceptibles de atención ambulatoria) (61).…”

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