Pub Date : 2026-04-01Epub Date: 2026-01-19DOI: 10.1016/j.semerg.2025.102676
C. Cascais, E. Martins, J. Ribeiro
{"title":"“Cayenne pepper” rash – A case of Schamberg disease","authors":"C. Cascais, E. Martins, J. Ribeiro","doi":"10.1016/j.semerg.2025.102676","DOIUrl":"10.1016/j.semerg.2025.102676","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 3","pages":"Article 102676"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-01-28DOI: 10.1016/j.semerg.2025.102682
R. Alfaro Greciano , R. Menéndez Villanueva , F.J. Ampudia-Blasco , I. Bustos Guadamillas , I. Montoro Montero , V. Barrios
Herpes zoster (HZ) is a common disease with a considerable burden on health care systems. Its prevalence is higher in people ≥ 50 years old, and even higher in people with chronic diseases such as diabetes mellitus, COPD, asthma or cardiovascular disease. The pain associated with HZ can be disabling and persistent and, as with other complications, can negatively affect patients’ quality of life. Vaccination is the only strategy capable of preventing the onset of HZ and the development of its complications. The adjuvanted recombinant zoster vaccine (RZV) has proved to be effective in several populations, particularly in patients with chronic diseases. Informing and protecting patients at risk from HZ with RZV requires good coordination between primary and hospital care specialists.
{"title":"Prevención del herpes zóster en el paciente con enfermedades crónicas: una necesidad por su impacto socio-sanitario","authors":"R. Alfaro Greciano , R. Menéndez Villanueva , F.J. Ampudia-Blasco , I. Bustos Guadamillas , I. Montoro Montero , V. Barrios","doi":"10.1016/j.semerg.2025.102682","DOIUrl":"10.1016/j.semerg.2025.102682","url":null,"abstract":"<div><div>Herpes zoster (HZ) is a common disease with a considerable burden on health care systems. Its prevalence is higher in people ≥ 50 years old, and even higher in people with chronic diseases such as diabetes mellitus, COPD, asthma or cardiovascular disease. The pain associated with HZ can be disabling and persistent and, as with other complications, can negatively affect patients’ quality of life. Vaccination is the only strategy capable of preventing the onset of HZ and the development of its complications. The adjuvanted recombinant zoster vaccine (RZV) has proved to be effective in several populations, particularly in patients with chronic diseases. Informing and protecting patients at risk from HZ with RZV requires good coordination between primary and hospital care specialists.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 2","pages":"Article 102682"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-02-17DOI: 10.1016/j.semerg.2026.102691
V. Alonso-Chornet , M. Armengot-Carbó
Introduction
To expedite the assessment of suspected melanoma, a Fast Track Referral Pathway (FTRP) was implemented in the Health Departments of the Valencian Community. However, no studies have been published in Spain evaluating fast-track pathways for melanoma.
Objective
To describe referral patterns and waiting times within the FTRP for melanoma in the Castellón Health Department during its first six years of operation.
Material and methods
Cross-sectional descriptive observational study of patients referred through the FTRP between November 2017 and November 2023. Referral characteristics and waiting times were analyzed, and diagnostic accuracy in Primary Care and the pathway's diagnostic yield were evaluated.
Results
A total of 418 patients were analyzed. Only 38.6% of referrals were prompted by suspicion of melanoma, while referrals for suspected non-melanoma skin cancer were more frequent. The diagnostic accuracy of Primary Care for melanoma was 15.6%, and 56% of lesions referred as suspected melanoma were non-melanocytic. The overall diagnostic yield for melanoma was 7.1%. However, 98.6% of patients were seen within the maximum recommended period of 15 days.
Conclusions
The FTRP showed a deviation from its intended purpose, and its low diagnostic yield for melanoma highlights both diagnostic challenges in Primary Care and limitations in the pathway's design. There is an urgent need to enhance dermoscopy training among Primary Care physicians and revise referral criteria to improve early melanoma detection and optimize healthcare resource allocation.
{"title":"Utilización y rentabilidad del Circuito Rápido Oncológico para sospecha de melanoma: análisis de seis años","authors":"V. Alonso-Chornet , M. Armengot-Carbó","doi":"10.1016/j.semerg.2026.102691","DOIUrl":"10.1016/j.semerg.2026.102691","url":null,"abstract":"<div><h3>Introduction</h3><div>To expedite the assessment of suspected melanoma, a Fast Track Referral Pathway (FTRP) was implemented in the Health Departments of the Valencian Community. However, no studies have been published in Spain evaluating fast-track pathways for melanoma.</div></div><div><h3>Objective</h3><div>To describe referral patterns and waiting times within the FTRP for melanoma in the Castellón Health Department during its first six years of operation.</div></div><div><h3>Material and methods</h3><div>Cross-sectional descriptive observational study of patients referred through the FTRP between November 2017 and November 2023. Referral characteristics and waiting times were analyzed, and diagnostic accuracy in Primary Care and the pathway's diagnostic yield were evaluated.</div></div><div><h3>Results</h3><div>A total of 418 patients were analyzed. Only 38.6% of referrals were prompted by suspicion of melanoma, while referrals for suspected non-melanoma skin cancer were more frequent. The diagnostic accuracy of Primary Care for melanoma was 15.6%, and 56% of lesions referred as suspected melanoma were non-melanocytic. The overall diagnostic yield for melanoma was 7.1%. However, 98.6% of patients were seen within the maximum recommended period of 15<!--> <!-->days.</div></div><div><h3>Conclusions</h3><div>The FTRP showed a deviation from its intended purpose, and its low diagnostic yield for melanoma highlights both diagnostic challenges in Primary Care and limitations in the pathway's design. There is an urgent need to enhance dermoscopy training among Primary Care physicians and revise referral criteria to improve early melanoma detection and optimize healthcare resource allocation.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 2","pages":"Article 102691"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-01-19DOI: 10.1016/j.semerg.2025.102659
J. de Quadros Malagón, M. Gutiérrez-Pascual, F.J. Vicente Martín
{"title":"Morfea tras vacunación frente al herpes zóster: ¿causalidad o casualidad?","authors":"J. de Quadros Malagón, M. Gutiérrez-Pascual, F.J. Vicente Martín","doi":"10.1016/j.semerg.2025.102659","DOIUrl":"10.1016/j.semerg.2025.102659","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 2","pages":"Article 102659"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-01-19DOI: 10.1016/j.semerg.2025.102665
R. Montaña , S.V. Flores , A. Nieves-Mariñez , Monserrat Jara
This article presents a practical application of the Cochran-Mantel-Haenszel (CMH) chi-square test in clinical settings to assess the association between an exposure and an outcome, adjusting for confounding variables through stratification. A case involving 785 schoolchildren was analyzed to determine whether the increase in symptoms among children with Attention Deficit Disorder (ADD) was related to the presence of electronic devices in their bedrooms, considering gender as a potential confounding factor. The CMH test allowed for the control of this effect and improved the precision of the results. Its application not only enables the detection of adjusted associations effectively, but also strengthens methodological rigor and provides a robust statistical tool for research in public health and epidemiology.
{"title":"Prueba Cochran-Mantel-Haenszel: herramienta clave en la investigación médica para el control de variables confusoras","authors":"R. Montaña , S.V. Flores , A. Nieves-Mariñez , Monserrat Jara","doi":"10.1016/j.semerg.2025.102665","DOIUrl":"10.1016/j.semerg.2025.102665","url":null,"abstract":"<div><div>This article presents a practical application of the Cochran-Mantel-Haenszel (CMH) chi-square test in clinical settings to assess the association between an exposure and an outcome, adjusting for confounding variables through stratification. A case involving 785 schoolchildren was analyzed to determine whether the increase in symptoms among children with Attention Deficit Disorder (ADD) was related to the presence of electronic devices in their bedrooms, considering gender as a potential confounding factor. The CMH test allowed for the control of this effect and improved the precision of the results. Its application not only enables the detection of adjusted associations effectively, but also strengthens methodological rigor and provides a robust statistical tool for research in public health and epidemiology.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 2","pages":"Article 102665"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-01-28DOI: 10.1016/j.semerg.2025.102681
N. Cano-Ibáñez , A. Bueno-Cavanillas , K.S. Khan
{"title":"Building trust in science: International Research Integrity Index","authors":"N. Cano-Ibáñez , A. Bueno-Cavanillas , K.S. Khan","doi":"10.1016/j.semerg.2025.102681","DOIUrl":"10.1016/j.semerg.2025.102681","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 2","pages":"Article 102681"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-01-19DOI: 10.1016/j.semerg.2025.102677
C. López López , M. Calvo Calvo , I.M. Sánchez Martínez , D. Morena López
{"title":"Penfigoide ampolloso asociado al tratamiento con inhibidores de la dipeptidil peptidasa 4: a propósito de un caso","authors":"C. López López , M. Calvo Calvo , I.M. Sánchez Martínez , D. Morena López","doi":"10.1016/j.semerg.2025.102677","DOIUrl":"10.1016/j.semerg.2025.102677","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 2","pages":"Article 102677"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-01-20DOI: 10.1016/j.semerg.2025.102648
J. Polo , P. Rodríguez-Ledo , I. Mediavilla , A. Pérez , L. Regadera , E. Fitas , C. Moreno , A. Prado , A. Izarra , R.M. Micó-Pérez , el Comité Científico de CARABELA-AP
{"title":"Integrando la voz del paciente en la Atención Primaria de enfermedades crónicas en CARABELA-AP","authors":"J. Polo , P. Rodríguez-Ledo , I. Mediavilla , A. Pérez , L. Regadera , E. Fitas , C. Moreno , A. Prado , A. Izarra , R.M. Micó-Pérez , el Comité Científico de CARABELA-AP","doi":"10.1016/j.semerg.2025.102648","DOIUrl":"10.1016/j.semerg.2025.102648","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 2","pages":"Article 102648"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-02-17DOI: 10.1016/j.semerg.2026.102694
M. Calzada García , A. Ayala , M.V. Navarta Sánchez , A.M. Palmar Santos , M.C. Portillo , B. González García , E. Carabajal Pendón , L. López Manzanares , A. Pedraz Marcos
Objective
To evaluate the impact of a community-based multisectoral intervention aimed at optimizing the use of local resources on the quality of life (QoL), perceived social support, and health status of individuals with Parkinson's disease (PD) and their family caregivers.
Methods
A randomized pre-post intervention study was conducted across six primary healthcare centers. The intervention comprised three monthly informational sessions over a three-month period, targeting both patients and caregivers, focused on raising awareness of available community resources and services. Outcome measures included QoL in individuals with PD (PDQ-39) and caregivers (PDQ-Carer), perceived social support (DUFSS), health status (EQ-5D-5L), and caregiver burden (BSFC-s).
Results
A total of 67 individuals with PD (mean age: 80.56 years in the intervention group [IG], 79.48 in the control group [CG]) and 56 family caregivers participated. The CG demonstrated statistically significant improvements in QoL in individuals with PD across the domains of emotional well-being (P=.011), cognitive functioning (P=.024), and communication (P=.041). Among caregivers, the CG also reported better scores in the self-care domain (P=.045). Attrition rates were 28.4% among individuals with PD and 25% among caregivers.
Conclusions
This feasibility study facilitated the identification of community resources relevant to the target population. Expanding the resource mapping to additional districts and disseminating the information through public repositories could enhance the clinical applicability of the intervention. These findings support the potential for scaling up to a larger randomized controlled trial with an extended intervention period.
{"title":"Impacto de una intervención multisectorial comunitaria en la salud de las personas con enfermedad de Parkinson y sus familiares cuidadores","authors":"M. Calzada García , A. Ayala , M.V. Navarta Sánchez , A.M. Palmar Santos , M.C. Portillo , B. González García , E. Carabajal Pendón , L. López Manzanares , A. Pedraz Marcos","doi":"10.1016/j.semerg.2026.102694","DOIUrl":"10.1016/j.semerg.2026.102694","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of a community-based multisectoral intervention aimed at optimizing the use of local resources on the quality of life (QoL), perceived social support, and health status of individuals with Parkinson's disease (PD) and their family caregivers.</div></div><div><h3>Methods</h3><div>A randomized pre-post intervention study was conducted across six primary healthcare centers. The intervention comprised three monthly informational sessions over a three-month period, targeting both patients and caregivers, focused on raising awareness of available community resources and services. Outcome measures included QoL in individuals with PD (PDQ-39) and caregivers (PDQ-Carer), perceived social support (DUFSS), health status (EQ-5D-5L), and caregiver burden (BSFC-s).</div></div><div><h3>Results</h3><div>A total of 67 individuals with PD (mean age: 80.56 years in the intervention group [IG], 79.48 in the control group [CG]) and 56 family caregivers participated. The CG demonstrated statistically significant improvements in QoL in individuals with PD across the domains of emotional well-being (<em>P</em>=.011), cognitive functioning (<em>P</em>=.024), and communication (<em>P</em>=.041). Among caregivers, the CG also reported better scores in the self-care domain (<em>P</em>=.045). Attrition rates were 28.4% among individuals with PD and 25% among caregivers.</div></div><div><h3>Conclusions</h3><div>This feasibility study facilitated the identification of community resources relevant to the target population. Expanding the resource mapping to additional districts and disseminating the information through public repositories could enhance the clinical applicability of the intervention. These findings support the potential for scaling up to a larger randomized controlled trial with an extended intervention period.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"52 2","pages":"Article 102694"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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