Idoia Gaminde

Departamento de Salud, Gobierno de Navarra · Servicio de Investigación, Innovación y Formación Sanitaria

Background: This is the first update of a review originally published in 2017. Starting with one drug and starting with a combination of two drugs are strategies suggested in clinical guidelines as initial treatment of hypertension. The recommendations are not based on evidence about clinically relevant outcomes. Some antihypertensive combinations...

Background Our team has developed a biopsychosocial intervention called DEPENAS that has shown to be effective in primary health care in improving health and quality of life of patients with medically unexplained symptoms. We also found that general practitioners participating in the clinical trial do not use the intervention systematically because...

Background: Starting with one drug and starting with a combination of two drugs are strategies suggested in clinical guidelines as initial treatment of hypertension. The recommendations are not based on evidence about clinically relevant outcomes. Some antihypertensive combinations have been shown to be harmful. The actual harm-to-benefit balance o...

Unethical behaviours causing different types of bias have been extensively reported in biomedical literature. At the same time, quality of systematic reviews can be affected by misconduct in primary publications. Objective: To describe several cases of serious duplicate publication detected as a result of a Cochrane review, raising potential synerg...

To describe several cases of serious duplicate publication detected as a result of a Cochrane Review, raising potential synergies between publishers and Cochrane.

Introduction The objective of this study was to assess a model for improving healthcare integration for patients with multiple chronic diseases in an integrated healthcare organisation in the Basque Country and to propose areas for improvement. Methods We organised four nominal groups composed of representatives from different categories of clinic...

Objetivo: Explorar las necesidades expresadas por las mujeres a lo largo del proceso de convertirse en madre y sus demandas relacionadas con la educación maternal. Diseño: Estudio cualitativo con grupos focales. Emplazamiento: Área de salud de Bizkaia, Servicio Vasco de Salud/Osakidetza. Participantes: Treinta mujeres seleccionadas de forma consecu...

This is a cooperation project whereby the group of eHealth library members of Rebisalud (eHealth Libraries Network – http://www.rebisalud.org) have developed a core set of quality indicators to measure and evaluate the services provided by the newly implemented eHealth libraries in Spain. This core set will help us to understand objectively the fun...

Rationale, aims and objectiveThis study aims to assess the use of clinical practice guidelines (CPGs) among health professionals and factors related to their uptake in clinical practice. Methods Cross-sectional study based on an online survey conducted among primary care (PC) and hospital-based care (HC) doctors in Spain in 2011. Questionnaire deve...

Clinical guidelines (CGs) are popular for healthcare decision making but their acceptability and use by healthcare providers is influenced by numerous factors. Some of these factors are professional-related, such as knowledge and perceptions of and attitudes toward CGs in general. The aim of our study was to evaluate attitudes and perceptions of Sp...

Objective: To identify and quantify scientific information resources, and to describe the present situation of libraries in the Spanish public health system. Methods and Materials: A survey sent to the heads of the health science libraries in the public health system and the virtual libraries in each Health Council. Variables: number of centres, nu...

Background: We present the experience of a reflection group to evaluate whether the methodology carried out helps health professionals to understand difficult encounters and improve their professional satisfaction and communication with the patient. Method: We followed a cognitive restructuring methodology with a written record in order to analy...

Fundamento: Se presenta la experiencia de un grupo de reflexión para valorar si la metodología llevada a cabo, ayuda a los profesionales sanitarios a entender los encuentros difíciles (ED), a mejorar su satisfacción profesional y la comunicación con el paciente. Material y método: Se siguió una metodología de reestructuración cognitiva con registro...

This is the protocol for a review and there is no abstract. The objectives are as follows: To determine if there are differences in clinical outcomes between monotherapy and combination therapy when used as initial treatment for primary hypertension.

To ascertain in real practice the diagnosis rate of diabetic retinopathy (DR) in patients considered to have positive screening test by general practitioners (GPs) and what are the reasons for the false positive diagnosis. Four GPs previously instructed in the interpretation of retinal photographs evaluated the digital retinography images of patien...

This article was written to reflect the importance of a correct quantification of the complexity of the elderly patient and its potential possibilities in clinical practice. From the decision to perform a laboratory test to the decision of the benefits of a determinate surgery through adjusting pathologies in several studies, most of our decisions...

Clinical practice guidelines (CPGs) have become a very popular tool for decision making in healthcare. While there is some evidence that CPGs improve outcomes, there are numerous factors that influence their acceptability and use by healthcare providers. While evidence of clinicians' knowledge, perceptions and attitudes toward CPGs is extensive, re...

We evaluated tele-ophthalmology for diabetic retinopathy screening in a primary care setting. Four general practitioners (GPs) were taught to assess non-mydriatic retinography images of patients with diabetes. After training, a total of 1223 patients were screened using this method: 926 (76%) did not have diabetic retinopathy and 297 (24%) were ref...

This article was written to reflect the importance of a correct quantification of the complexity of the elderly patient and its potential possibilities in clinical practice. From the decision to perform a laboratory test to the decision of the benefits of a determinate surgery through adjusting pathologies in several studies, most of our decisions...

El presente Manual pretende presentar de forma rigurosa y sistemática una aproximación a la situación teórica sobre las Herramientas de Ayuda a la Toma de Decisiones para Pacientes (HATD-P). Este Manual puede ser útil a todos aquellos profesionales sanitarios que estén interesados en las HATD-P, así como a otros colectivos -no necesariamente del ám...

A new intervention aimed at managing patients with medically unexplained symptoms (MUS) based on a specific set of communication techniques was developed, and tested in a cluster randomised clinical trial. Due to the modest results obtained and in order to improve our intervention we need to know the GPs' attitudes towards patients with MUS, their...

To assess the extent of agreement in the evaluation of non-mydriatic retinographies of diabetic patients among ophthalmologists and a group of primary care physicians with previous training. The study was divided in two phases. In the first phase, the four participants were instructed in the interpretation of retinographies. The second phase involv...

Purpose: To assess the extent of agreement in the evaluation of non-mydriatic retinographies of diabetic patients among ophthalmologists and a group of primary care physicians with previous training. Methods: The study was divided in two phases. In the first phase, the four participants were instructed in the interpretation of retinographies. The s...

To describe the complexity of somatizing patients' symptomatology and the difficulties involved in the diagnostic process. DESIGN. Cross-sectional study of patients with medically unexplained symptoms. Basque Health Service primary care centres in Bizkaia, Spain. The study comprised 156 patients selected at random from a list of 468 patients who ha...

Somatizing patients are a challenge to general practitioners (GPs). A cluster randomized controlled trial was conducted to asses the effect of specific communication techniques delivered by GPs on somatizing patients' self-perceived health. Thirty-nine GPs were assigned randomly to two parallel groups. GPs in the intervention group treated somatic...

Introduction Taxanes have demonstrated high activity in the treatment of metastatic breast cancer. Based on these promising results, clinical trials were initiated to assess their efficacy in nonmetastatic breast cancer both in the adjuvant and neoadjuvant setting. Objective To collect scientific evidence as needed for future decision making on th...

The standard treatment of the obstructive sleep apnea syndrome (OSAS) is the nCPAP. There is evidence that its use improves the quality of life of patients. The objective of the study is to measure the effect of nCPAP on the quality of life of patients in a Spanish cohort. We have used 3 quality of life questionnaires: SF-36, EuroQol 5D and FOSQ. O...

Background and objective The standard treatment of the obstructive sleep apnea syndrome (OSAS) is the nCPAP. There is evidence that its use improves the quality of life of patients. The objective of the study is to measure the effect of nCPAP on the quality of life of patients in a Spanish cohort. Patients and method We have used 3 quality of life...

Objectives To adapt into Spanish the Texas Revised Inventory of Grief (TRIG) of Faschinbaguer et al (1977, 1981) and to examine its reliability and validity Design Two stages: a) cross-culture adaptation of a questionnaire, and b) crosssectional study of reliability and validity. Setting Primary care teams in Vizcaya, north of Spain. Participant...

Taxanes have demonstrated high activity in the treatment of metastatic breast cancer. Based on these promising results, clinical trials were initiated to assess their efficacy in non-metastatic breast cancer both in the adjuvant and neoadjuvant setting. To collect scientific evidence as needed for future decision making on the use of taxanes in the...

To adapt into Spanish the Texas Revised Inventory of Grief (TRIG) of Faschinbaguer et al (1977, 1981) and to examine its reliability and validity. Two stages: a) cross-culture adaptation of a questionnaire, and b) cross-sectional study of reliability and validity. Primary care teams in Vizcaya, north of Spain. 118 people who had been widowed betwee...

Colorectal cancer survival rates are different by geographical area, site, sex and ethnicity. Thus, in 1990- 1994, relative survival rates for colon cancer for males was 51.0% in Navarre, 53.3% in Spain, 52.2% in Europe and 63.0% in the USA (1992-98). This variability could be due to differences in clinical effectiveness in different geographical a...

El número de casos nuevos estimados al año de cáncer colorrectal en España (19.166) es superior al del resto de localizaciones tumorales. Se registran 1,56 veces más de cáncer de colon que de recto y 1,44 veces más en hombres que en mujeres. La incidencia y la mortalidad son inferiores al promedio de los países europeos; en series históricas (1973-...

The estimated number of new cases of colorectal cancer per year in Spain (no. 19,166) is higher than other tumour locations. 1.56 times more cases of colon cancer are registered than of the rectum, and there are 1.44 times more cases in men than in women. Incidence and mortality are lower than the average for European countries; in historical serie...

Chapter 1 briefly described the conceptual underpinning and the development of EQ5D so that the reader will be aware that in developing EQ-5D, the EuroQol Group had a number of specific goals. EQ-5D was originally designed to be a self-administered questionnaire, to be used in postal surveys. There are many instances, however, when self-reported co...

Los años que precedieron y los que prosiguieron a la Revolución vieron el nacimiento de dos grandes mitos con temas y polaridades opuestas: el mito de una profesión médica nacionalizada, organizada como la iglesia e investida, sobre los cuerpos humanos, con poderes similares a aquellos ejercidos por la iglesia sobre las almas; y el mito de la desap...

Adaptar al castellano el Inventario de Experiencias de Duelo (IED) de Catherine Sanders et al (1977) y estudiar su fiabilidad y validez. Diseño: En dos fases: a) adaptación transcultural de un cuestionario, y b) estudio transversal con grupo control. Emplazamiento: Equipos de atención primaria de Vizcaya. Participantes: Un total de 147 personas que...

To analyze the early discriminative predictive information regarding the immunophenotype components of patients with sepsis, and its potential use as a prognosis tool. Observational prospective clinical study. Intensive care unit (ICU) in a University Hospital. Thirty-five patients admitted with severe sepsis. Analysis of peripheral blood on admiss...

To adapt to Castilian the Inventory of Experiences of Grief (IEG) of Catherine Sanders et al. (1977) and study its reliability and validity. In two stages: cross-cultural adaptation of a questionnaire and cross-sectional study with control group. Primary care teams in Vizcaya. 147 people bereaved in the period between 3 months and 3 years before th...

With the concept of Òsocietal perspectiveÓ in mind, a study using the PTO and 8 EQ-5D defined health states, (using two selection criteria: states self assessed by people in a real context -women with breast cancer-, and similar distance in the TTO-York tariff), with a sample of 51 individuals selected from the general population of Navarra (Spain)...

Background. Several different proposals have been made recently to reform the organisation, financing and management of the health care system in Spain. The aim is to obtain improved efficiency, without prejudicing the equity level already achieved, by creating a more competitive framework. However, current health strategies seem not to be in accor...

The aim of this paper is to describe the process of transformation over the past two decades in the Spanish healthcare system. The main emphasis is on priority setting and rationing at different levels. On the supply side, the policies have focused on limiting the scope of pharmaceutical benefits in the system, and establishing a guaranteed healthc...

An evaluation is made of the effect of smoking during the period of life between 20 and 50 years of age and idiopathic Parkinson's disease in a case-control study carried out in Navarra. An inverse association is observed: for the number of smokers (OR = 0.66, CI 90% 0.41-1.05); for the number of years smoking (OR =0.22, CI 90% 0.05-0.97); and for...

To determine the incidence of Parkinson's disease in Navarra, province of Spain. All patients diagnosed as suffering from Parkinson's disease or related disorders for the neurologists of the region during the period 1994-1995 inclusive were referred to the study. EUROPARKINSON protocol and an epidemiological questionnaire were employed for the asse...

To understand the grieving process after the loss of a spouse and to find the opinion of the person grieving about the best intervention under the circumstances. Qualitative, with discussion groups. Primary care. Widowers/widows between 30 and 70, who suffered their loss between 3 months and 2 years before the study. MEASUREMENTS AND MAIN RESULTS....

To identify family doctors' (FD) perceptions of the doctor-patient relationship and the factors conditioning those perceptions. A descriptive crossover study. Using the technique of the discussion group, the contributions of FD from both the rural and urban areas were collected. The discussion was taped, transcribed (language and paralanguage) and...

A psychiatric survey in three regions of the Basque Autonomous Community aimed to replicate two British surveys, in London and a rural area of Scotland, investigating both prevalence of psychiatric disorder and its relationship with certain key psychosocial factors. The Spanish rural-urban differences in rates of depression and anxiety closely para...