Fidel Fernández Quesada

Hospital Universitario San Cecilio, Granata, Andalusia, Spain

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Publications (6)4.58 Total impact

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    ABSTRACT: The aim of this study was to evaluate the prevalence, clinical characteristics and management of chronic venous disease (CVD) in patients seen at primary care clinics PATIENTS AND METHODS: This cross-sectional study was carried-out in Spain by 999 primary care physicians. They recruited 20 consecutive patients who were attending their clinics for any reason except for a medical emergency. The following Information was collected: demographic data, CVD risk factors, physical examination, clinical characteristics of the CVD and how it was managed. 19,800 patients were included, predominantly women (63%), with a mean age of 53.7 ± 20 years. The prevalence of CVD (CEAP categories C1 to C6) was 48.5% (95% CI, 47.8 to 49.2), significantly higher in women (58.5%; 95% CI, 57.6 to 59.4) than in men (32.1%; 95% CI, 31.0 to 33.1). The greater the age the higher the prevalence and the more advanced the CVD. Ninety-nine percent of the patients required some form of treatment, with a greater proportion among women (72% vs. 39%, P<.0001). Sclerotherapy, endothermal ablation or surgery was required by 4% of the patients. Referral to the specialist was considered for 7% of the patients. Chronic venous disease is highly prevalent among patients seen at primary care clinics in Spain, especially in women and elderly patients. Referral to a specialist and/or the use of the more invasive treatment procedures is uncommon.
    Cirugía Española 12/2013; 92(8). DOI:10.1016/j.cireng.2013.09.028 · 0.89 Impact Factor
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    ABSTRACT: Introduction The aim of this study was to evaluate the prevalence, clinical characteristics and management of chronic venous disease (CVD) in patients seen at primary care clinics Patients and methods This cross-sectional study was carried-out in Spain by 999 primary care physicians. They recruited 20 consecutive patients who were attending their clinics for any reason except for a medical emergency. The following Information was collected: demographic data, CVD risk factors, physical examination, clinical characteristics of the CVD and how it was managed. Results 19,800 patients were included, predominantly women (63%), with a mean age of 53.7 ± 20 years. The prevalence of CVD (CEAP categories C1 to C6) was 48.5% (95% CI, 47.8 to 49.2), significantly higher in women (58.5%; 95% CI, 57.6 to 59.4) than in men (32.1%; 95% CI, 31.0 to 33.1). The greater the age the higher the prevalence and the more advanced the CVD. Ninety-nine percent of the patients required some form of treatment, with a greater proportion among women (72% vs. 39%, P<.0001). Sclerotherapy, endothermal ablation or surgery was required by 4% of the patients. Referral to the specialist was considered for 7% of the patients. Conclusion Chronic venous disease is highly prevalent among patients seen at primary care clinics in Spain, especially in women and elderly patients. Referral to a specialist and/or the use of the more invasive treatment procedures is uncommon.
    Cirugía Española 01/2013; 92(8). DOI:10.1016/j.ciresp.2013.09.013 · 0.89 Impact Factor
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    ABSTRACT: The Spanish Society of Family and Community Medicine (semFYC) and the Spanish Society of Angiology and Vascular Surgery (SEACV), through a Joint Working Group, have prepared a document on between care-level referrals of patients with the main vascular diseases; peripheral arterial disease, venous insufficiency, and diabetic foot. The responsibilities and skills required at each care level have been defined, as well as the criteria for mutual referral and how to prioritise them. The preparation of this consensus document attempt to provide an efficient tool that may ensure the continuity of health care, always respecting the specific characteristics and needs of each health care area.
    Angiología 09/2012; 64(3):135–145. DOI:10.1016/j.angio.2012.02.002
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    ABSTRACT: Coordination between care levels is essential to increase the efficiency of the Health System; vascular disease has an important role in this respects, as it includes frequent, serious and vulnerable conditions. Consensus documents are an essential tool to obtain these aims. This document is not expected to replace the Clinical Guidelines, but tries to establish the basis of the shared management of the patient with vascular disease (peripheral arterial disease, diabetic foot, and chronic venous insufficiency) in three ways: to determine the profile of the patient who should receive priority follow-up at every level; to establish the skills that every professional must have, and to set and to prioritise the referral criteria in both directions.
    Atención Primaria 07/2012; 44(9):556-61. DOI:10.1016/j.aprim.2012.05.002 · 0.89 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The Spanish Society of Family and Community Medicine (semFYC) and the Spanish Society of Angiology and Vascular Surgery (SEACV), through a Joint Working Group, have prepared a document on between care-level referrals of patients with the main vascular diseases; peripheral arterial disease, venous insufficiency, and diabetic foot. The responsibilities and skills required at each care level have been defined, as well as the criteria for mutual referral and how to prioritise them. The preparation of this consensus document attempt to provide an efficient tool that may ensure the continuity of health care, always respecting the specific characteristics and needs of each health care area.
    Atención Primaria 05/2012; 44(9):555.e1-555.e11. DOI:10.1016/j.aprim.2012.03.001 · 0.89 Impact Factor
  • E Rabe · J J Guex · A Puskas · A Scuderi · F Fernandez Quesada
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    ABSTRACT: The Vein Consult Program is an international, observational, prospective survey aiming to collect global epidemiological data on chronic venous disorders (CVD) based on the CEAP classification, and to identify CVD management worldwide. The survey was organized within the framework of ordinary consultations, with general practitioners (GPs) properly trained on the use of the CEAP classification. Screening for CVD was to be performed by enrolling in the survey all consecutive outpatients >18 years whatever the reason for consultation, to record patient's data and classify them according to the CEAP, from the stage C0s to C6. The program enrolled 6232 GPs 91545 subjects were analysed. Their mean age was 50.6±16.9 years, younger patients being in the Middle East and older ones in Europe, and the proportion of women was higher than that of men. The worldwide prevalence of CVD was 83.6%: 63.9% of the subjects ranging C1 to C6, and 19.7% being C0s subjects. C0s patients were more frequently men whatever the age and the geographical zone. C1-C3 appeared to be more frequent among women whatever the country but the rate of severe stages (C4-C6) did not differ between men and women. GPs consider CVD subjects as patients eligible to specialist referral beginning from C2 but some geographical disparities were observed. The VCP survey provides reliable results on CVD global epidemiology and shows that CVD affects a significant part of the populations worldwide, underlining the importance of adequate screening for CVD and training of both GPs and specialist physicians.
    International angiology: a journal of the International Union of Angiology 04/2012; 31(2):105-15. · 1.01 Impact Factor

Publication Stats

16 Citations
4.58 Total Impact Points

Institutions

  • 2012–2013
    • Hospital Universitario San Cecilio
      Granata, Andalusia, Spain
    • University of Bonn
      Bonn, North Rhine-Westphalia, Germany
    • Hospital de la Santa Creu i Sant Pau
      Barcino, Catalonia, Spain