Atencion primaria
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Population aging is associated with a greater use of social and health resources, associated with greater morbidity, mortality and disability in the elderly. Frailty is a geriatric syndrome prior to the onset of functional decline, which allows the identification of individuals at higher risk of dependency, institutionalization, adverse effects of drugs, mortality and other negative health events. ⋯ Follow-up requires the multidimensional and coordinated intervention of different health and social professionals, with the involvement of the patient and their family. Research should be encouraged to determine the most effective interventions and the most common clinical courses.
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To know the influence of the companion in triadic clinical encounter on the quality of doctor-patient communication and the duration of the interview. ⋯ Triadic communications challenge the clinician's communication skills, improving their abilities to identify and understand patient problems, albeit at the cost of a greater investment of time.
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To evaluate, with real world data (SIDIAP and CMBD), the evolution of the prevalence of peripheral arterial disease (PAD) in the Catalan population and the cardiovascular risk factors present in people with this pathology. ⋯ This is a population study where it is observed that the evolution of the prevalence of peripheral artery disease has presented a constant increase during the years 2008-2018, being higher in men, especially from 55 years of age. Studies with large databases can facilitate the design and implementation of new policies in national health systems.
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Comment Letter
Deprescribing in old people: Only for chronic medication?