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R Gimbert Ràfols

Publications and source records attributed to R Gimbert Ràfols.

4 recordsLinked to original sources
PubMed2001

[Albumin-to-creatinine ratio as a diagnostic tool for type 2 diabetic nephropathy].

BACKGROUND: Given the low effectiveness of 24 hours determination of urinary albumin excretion (UAE) for the diagnosis of diabetic nephropathy in primary care, we aimed at evaluating the albumin: creatinine ratio (ACR) in the first voided morning urine sample as a diagnostic tool in this setting. PATIENTS AND METHOD: 214 patients with type 2 diabetes were studied. ACR and UAE were compared with correlation and lineal regression analyses. A receiver operating characteristic (ROC) curve analysis was performed to determine the discriminatory value for diagnosis of diabetic nephropathy. RESULTS: The correlation coefficient between ACR and UAE was 0.93 (p<0.01) and the ROC curve analysis showed a value of 2.4 g/mol for women and 1.4 g/mol for men. CONCLUSIONS: ROC curve analysis reveals that ACR is a useful method for diagnosing diabetic nephropathy, although the discriminatory value depends on sex.

Aged↗
PubMed1995

[Analysis of hypercholesterolemia care costs in primary health care].

OBJECTIVES: 1) To calculate the care costs of Hypercholesterolaemia in Primary Care in terms of the number of visits to the doctor, analyses and drugs. 2) To calculate the effectiveness of the intervention. DESIGN: A retrospective study. SETTING: Primary Care Centre. PATIENTS: 97 histories of patients diagnosed as having Hypercholesterolaemia, obtained by systematic sampling from the Centre's morbidity register, were analysed. A control with the same age, sex and risk factors was chosen for each one of them. MEASUREMENTS: The study period was 12 months. For those patients diagnosed as having Hypercholesterolaemia after the opening of the centre, the initial figures and those at the end of the study for total Cholesterol, LDL Cholesterol (cLDL) and HDL cholesterol (cHDL) were analysed. RESULTS: There were no differences between the demographic characteristics and the risk factors of the cases and controls. An excess of attendances (average of 9.0 against 6.0, p = 0.01), of hypolipaemic and non-hypolipaemic drugs (average of 4.0 against 3.0, p = 0.006) and of analyses (average of 2.0 against 0.0, p = 0.0001) were detected for the cases. The following variations were found between the initial and final figures: for total Cholesterol (-7.2%, p = 0.001), for cLDL (-11.6%, p = 0.006) and cHDL (+18.2%, p < 0.0001). CONCLUSIONS: 1) Hypercholesterolaemia care in a mainly selective manner for people at high risk was shown to be reasonably effective and affordable. 2) Before starting other strategies for detecting Hypercholesterolaemia, adequate prioritisation and evaluation of their impact on health-care delivery are required.

Cholesterol↗