Atencion primaria
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Multicenter Study
[Validity of new diagnostic criteria for type 2 diabetes mellitus. Impact of its application in a health care area].
To estimate how the number of diabetics known as type 2 is modified by applying the American Diabetes Association (ADA) new diagnostic criteria. To calculate the sensitivity, specificity and predictive values of the ADA diagnostic criteria. ⋯ The prevalence of diabetes when the WHO criteria are applied is significantly higher than when ADA criteria are applied (p = 0.000). The basal glycemia value of > or = 126 is less sensitive than the glucose tolerance test. No normoglycemic patient according to the ADA would be diabetic according to the WHO; however the ADA and the WHO classify the non-normoglycemics in different groups. The WHO criteria (scrupulously applied) are the better diagnostic method for diabetes in principle and the glucose tolerance test is a test not to be done away with.
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A reduction in the time used to be able to diagnose an illness influences not only the well being of the patient but also the quality of the medical care. In this work, we have studied the amount of time needed to diagnose cancer. ⋯ The performance of the primary care doctor is of great importance, as he is normally the one who is faced with the precocious symptoms, as well as with the risk factors that persist in the patients. This doctor is therefore the one who can initiate both the early diagnosis and the medical education of the patients.