Cirugía menor en atención primaria: la satisfacción de los usuarios

Santiago, A. López; Peñaranda, Raúl; Gómez, A. de Miguel; López, Patricia Pérez; Martínez, Espinosa

doi:10.1016/s0212-6567(00)78617-3

Cited by 15 publications

(7 citation statements)

References 7 publications

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“…Primary care (PC) dentists have gradually expanded their skills and abilities in oral surgery (OS) since demand and hospital´s waiting lists for oral and maxillofacial surgery have increased. In Spain, ambulatory oral surgery (AOS) procedures in PC have been developed in the context of minor surgery programs by general practitioners ( 1 ). AOS programs have been already imple-mented in some primary healthcare centers (PHC) of our country as an available option to the user within the health care portfolio, so that only the most complex cases of OS are sent to specialized hospital units.…”

Section: Introductionmentioning

confidence: 99%

Assessment of pre and postoperative anxiety in patients undergoing ambulatory oral surgery in primary care

Reyes-Gilabert

Romero²,

Bejarano-Avila³

et al. 2017

Med Oral

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BackgroundTo analyze the pre- and postoperative anxiety level in patients undergoing ambulatory oral surgery (AOS) in a primary healthcare center (PHC).Material and MethodsProspective and descriptive clinical study on 45 patients who underwent AOS procedures in the dental clinic of a public PHC of Spain between April and September 2015. Anxiety analysis was carried out with pre- and postoperative anxiety-state (STAI-S), anxiety-trait (STAI-T) and dental anxiety (MDAS) questionnaires. A descriptive, inferential and binary logistic regression analysis were performed for the variables age, sex, educational level, previous experience of oral treatment, type of oral surgery, degree of third molar impaction, surgical time, intraoperative complications, postoperative complications, and pain score with a visual analogue scale (VAS).ResultsThe majority were female (57.8%) with a mean age of 33.5+9.6 years. The most frequent procedure was the lower third molar removal (82.2%). The mean pain score on the VAS was 1.6+1.8. The incidence of complications was low (7.8%). There was a statistically significant association between post- and preoperative anxiety (r=0.56, p<0.001) and a correlation between pain score and postoperative anxiety (Rho= -0.35, p=0.02). The likelihood of postoperative anxiety was related to preoperative anxiety (OR=1.3, p=0.03).ConclusionsAOS in a HPC is safe and should be more encouraged in the public primary care. The emotional impact on users was relatively low, highlighting that the preoperative anxiety levels were higher than the postoperative ones. Psychological factors related to pre- and postoperative anxiety should be considered in the AOS carried out in PC. Key words:Anxiety, oral surgery, ambulatory surgery, primary care, STAI scale, postoperative pain.

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Section: Introductionmentioning

confidence: 99%

Assessment of pre and postoperative anxiety in patients undergoing ambulatory oral surgery in primary care

Reyes-Gilabert

Romero²,

Bejarano-Avila³

et al. 2017

Med Oral

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“…Con respecto a la edad media, esta fue algo superior en el presente trabajo que en la literatura revisada7, 10, 11, 17. Una posible explicación es que nuestra población cuenta con el predominio de ancianos, como lo es la población de referencia, lo cual también podría condicionar el tipo de lesiones más frecuentes y esto, a su vez, otros parámetros.…”

Section: Discussionunclassified

“…Como criterios de calidad se estiman el envío de muestras a anatomía patológica, la concordancia entre el diagnóstico de visu y el de anatomía patológica 9 , así como la satisfacción del usuario10, 11, 12, 13, 14. Según la literatura, el estándar óptimo de envío de muestras a anatomía patológica es del 60-80% de las lesiones.…”

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Descripción de la concordancia clinicopatológica y satisfacción del paciente en la cirugía menor en un centro de atención primaria

et al. 2017

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“…En el año 1997 se realizaron alrededor de 5.000 intervenciones en los CS del INSALUD, y en el 2000 la cifra ascendió aproximadamente a 70.000, con un 3% de complicaciones, frente al 6% de los procedimientos quirúrgicos llevados a cabo en el ámbito hospitalario, debido -claro está-a la mayor complejidad de la patología tratada 2 . Por otra parte, la realización de CM en AP tiene una aceptación favorable entre los usuarios 3 .…”

Section: P Retendemos Estudiar El Grado De Concord a N C I A E N T unclassified

Estudio de concordancia entre el diagnóstico clínico y el diagnóstico anatomopatológico de lesiones dermatológicas en Atención Primaria

Ruíz

Morate

Garcı́a

et al. 2003

Medifam

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Cirugía menor en atención primaria: la satisfacción de los usuarios

Abstract: Minor surgery in primary care was favourably received by users. Activity at our centre had good anatomical-pathological concordance.

Cited by 15 publications

References 7 publications

Assessment of pre and postoperative anxiety in patients undergoing ambulatory oral surgery in primary care

Assessment of pre and postoperative anxiety in patients undergoing ambulatory oral surgery in primary care

Descripción de la concordancia clinicopatológica y satisfacción del paciente en la cirugía menor en un centro de atención primaria

Estudio de concordancia entre el diagnóstico clínico y el diagnóstico anatomopatológico de lesiones dermatológicas en Atención Primaria

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