Urolitiasis en Atención Primariacomparación de un seguimiento sistemático frente a la práctica habitual

  1. G. Rodríguez Maruri 1
  2. J. Merayo Cano 2
  3. L. Gálvez García 3
  4. B. Álvarez García-Rovés 4
  5. E. Martínez Estrada 2
  6. P. Beldarrain Belderrain 1
  1. 1 Centro de Salud El Coto, Gijón, Asturias, España
  2. 2 Centro de Salud de la Calzada II, Gijón, Asturias, España
  3. 3 Centro de Salud del Natahoyo, Gijón, Asturias, España
  4. 4 Medicina Física y Rehabilitación, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España
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Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Año de publicación: 2022

Número: 3

Páginas: 174-180

Tipo: Artículo

DOI: 10.1016/J.SEMERG.2022.01.010 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Semergen: revista española de medicina de familia

Resumen

Objetivo La implantación de acciones clínicas preventivas en Atención Primaria permitiría actuar sobre la alta incidencia de urolitiasis y sus factores de riesgo corregibles. Este estudio piloto comparó un seguimiento sistemático (SS) frente al seguimiento habitual (SH) en términos de viabilidad, seguridad y eficacia clínica. Materiales y métodos Realizamos un estudio piloto multicéntrico y controlado en 30 pacientes, comparando el SS y el SH. Los pacientes fueron aleatorizados según una lista generada por ordenador. Se definió el «éxito del estudio» como la consecución de los objetivos de viabilidad: tasa de reclutamiento, adherencia, finalización del seguimiento y recursos humanos necesarios. Se recogieron variables clínicas (dolor y fiebre), analíticas (sangre y orina) y de imagen (ecografía y radiografía) a los 10, 45 y 90 días en el grupo de SS y a los 3 meses en el de SH. En el grupo de SS se entregaron recomendaciones dietéticas y analgésicas. Se hizo una comparación clínica preliminar y se registraron las complicaciones en cada grupo. Resultados Los objetivos de viabilidad se consiguieron como sigue: 94,1% de tasa de reclutamiento, 5,9% de rechazo a la aleatorización, 10 pacientes reclutados al mes, adherencia del 93,1% y 90% de asistencia a la revisión final. Los resultados clínicos no favorecieron significativamente a ninguno de los dos grupos. En el grupo de SH hubo una recidiva. Conclusiones Se cumplieron los objetivos de viabilidad estudiados excepto los relacionados con los recursos humanos. Los resultados clínicos no favorecieron a ningún grupo ni contraindicaron el desarrollo de un futuro ensayo clínico.

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Fuente de los datos: Dialnet