Pub Date : 2025-12-01Epub Date: 2025-11-06DOI: 10.1016/j.semerg.2025.102618
G.A. Rojas-Martelo , C.M. McKiernan , P. Jordan
{"title":"Chiari malformation: A differential diagnosis to keep in mind in primary care","authors":"G.A. Rojas-Martelo , C.M. McKiernan , P. Jordan","doi":"10.1016/j.semerg.2025.102618","DOIUrl":"10.1016/j.semerg.2025.102618","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 9","pages":"Article 102618"},"PeriodicalIF":0.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145467423","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 : 2025-12-01Epub Date: 2025-10-22DOI: 10.1016/j.semerg.2025.102578
M.M. Lanza Gándara , F. Gude Sampedro , Ó. Lado Baleato , F.J. de Toro Santos
Objective
Analyse the evolution of accesses to the electronic medical record of primary care physicians in the Ferrol health area.
Material and methods
.
Quantitative longitudinal study.
It was analyse using the interrupted time series model,
Milestones: data protection regulations. COVID-19 pandemic.
Results
.
Number of users: in January 2022, there is an inflection point of increase and a series of decrease in time, both with statistical significance.
Number of accesses: decrease after COVID-19. The increase in the time series up to August 2021 is statistically significant. From then on, it also decreases with statistical significance.
Number of different medical records accessed: decrease with COVID-19, and an upward trend until July 2022 with statistical significance. There is a turning point of decrease there, and a downward temporal trend, both with statistical significance.
Number of accesses with a supporting note: the time series after COVID-19 up to March 2021 increases with statistical significance.
Conclusions
.
Seasonality in accesses can be related to holiday periods, respiratory viruses, and chronicity.
The publication of the data protection regulation does not impact the variables analysed.
The COVID-19 pandemic affected the organization of healthcare provision in primary care and decreased scheduled activity.
Turning points coincided with the completion of vaccination, the recovery of scheduled ordinary activity, and the application of quality criteria in the agendas of primary care physicians.
{"title":"Impacto de los cambios legislativos y asistencial en la pandemia por COVID-19 en el acceso a las historias clínicas por parte de los médicos de familia. Análisis longitudinal 2018 a 2023 de series temporales interrumpidas, en un área sanitaria","authors":"M.M. Lanza Gándara , F. Gude Sampedro , Ó. Lado Baleato , F.J. de Toro Santos","doi":"10.1016/j.semerg.2025.102578","DOIUrl":"10.1016/j.semerg.2025.102578","url":null,"abstract":"<div><h3>Objective</h3><div>Analyse the evolution of accesses to the electronic medical record of primary care physicians in the Ferrol health area.</div></div><div><h3>Material and methods</h3><div>.</div><div>Quantitative longitudinal study.</div><div>It was analyse using the interrupted time series model,</div><div>Milestones: data protection regulations. COVID-19 pandemic.</div></div><div><h3>Results</h3><div>.</div><div>Number of users: in January 2022, there is an inflection point of increase and a series of decrease in time, both with statistical significance.</div><div>Number of accesses: decrease after COVID-19. The increase in the time series up to August 2021 is statistically significant. From then on, it also decreases with statistical significance.</div><div>Number of different medical records accessed: decrease with COVID-19, and an upward trend until July 2022 with statistical significance. There is a turning point of decrease there, and a downward temporal trend, both with statistical significance.</div><div>Number of accesses with a supporting note: the time series after COVID-19 up to March 2021 increases with statistical significance.</div></div><div><h3>Conclusions</h3><div>.</div><div>Seasonality in accesses can be related to holiday periods, respiratory viruses, and chronicity.</div><div>The publication of the data protection regulation does not impact the variables analysed.</div><div>The COVID-19 pandemic affected the organization of healthcare provision in primary care and decreased scheduled activity.</div><div>Turning points coincided with the completion of vaccination, the recovery of scheduled ordinary activity, and the application of quality criteria in the agendas of primary care physicians.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 9","pages":"Article 102578"},"PeriodicalIF":0.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145335167","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 : 2025-11-01Epub Date: 2025-06-03DOI: 10.1016/j.semerg.2025.102529
B. Sánchez Galindo
{"title":"Trombocitopenia inmune primaria asociada a infección por virus Epstein-Barr. A propósito de un caso","authors":"B. Sánchez Galindo","doi":"10.1016/j.semerg.2025.102529","DOIUrl":"10.1016/j.semerg.2025.102529","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102529"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195611","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 : 2025-11-01Epub Date: 2025-09-09DOI: 10.1016/j.semerg.2025.102574
M.T. Carande del Río , B. Sacristán Enciso , J. López Gómez
{"title":"¿Se debería hacer seguimiento a las gammapatías monoclonales de significado incierto de tamaño menor de 0,5 g/dl?","authors":"M.T. Carande del Río , B. Sacristán Enciso , J. López Gómez","doi":"10.1016/j.semerg.2025.102574","DOIUrl":"10.1016/j.semerg.2025.102574","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102574"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018697","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 : 2025-11-01Epub Date: 2025-08-12DOI: 10.1016/j.semerg.2025.102576
M. Rodriguez-Troncoso, I. Perez-Lopez, R. Ruiz-Villaverde
{"title":"Pitiriasis rosada atípica. Más allá del árbol de Navidad","authors":"M. Rodriguez-Troncoso, I. Perez-Lopez, R. Ruiz-Villaverde","doi":"10.1016/j.semerg.2025.102576","DOIUrl":"10.1016/j.semerg.2025.102576","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102576"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827613","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 : 2025-11-01Epub Date: 2025-10-18DOI: 10.1016/j.semerg.2025.102612
L. Araújo Márquez
{"title":"Cada consulta, una oportunidad: la Atención Primaria frente al suicidio","authors":"L. Araújo Márquez","doi":"10.1016/j.semerg.2025.102612","DOIUrl":"10.1016/j.semerg.2025.102612","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102612"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145324667","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 : 2025-11-01Epub Date: 2025-05-10DOI: 10.1016/j.semerg.2025.102518
F.J. Pérez Hernández , E.M. Morales Molina
{"title":"Osteomielitis en pie diabético tras paroniquia: un caso clínico en atención primaria","authors":"F.J. Pérez Hernández , E.M. Morales Molina","doi":"10.1016/j.semerg.2025.102518","DOIUrl":"10.1016/j.semerg.2025.102518","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102518"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932194","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 : 2025-11-01Epub Date: 2025-08-25DOI: 10.1016/j.semerg.2025.102577
P. Alguacil Martínez , P. Saavedra Santana
Objective
This study evaluated the use, problems, and satisfaction with teledermatology among Primary Care physicians in Spain, analyzing the delay in referrals to Dermatology and the differences between autonomous communities.
Material and methods
A cross-sectional study was conducted through a pilot survey of 102 Primary Care physicians, members of Spanish Society of Rural and General Medicine (SEMERGEN), from different Autonomous Communities. The survey, agreed upon by SEMERGEN and the Spanish Association of Dermatology and Venereology (AEDV), included open-ended and closed-ended questions and was distributed via newsletter and WhatsApp. Statistical analysis was performed using R version 4.2.1, summarizing categorical variables as frequencies/percentages and numerical variables as medians/interquartile ranges.
Results
39,2% of professionals use teledermatology in their daily practice, with asynchronous (store-and-forward, 49%) being the most prevalent, especially in rural areas and nursing homes. 68.6% of professionals rated their satisfaction with teledermatology at 7 or more out of 10. The main problems identified were lack of training (44.1%), delays of more than 60 days in the in-person consultation (58.8%), and lack of coordination between Primary Care and Dermatology (41.8% in urban areas). Screening and prioritizing patients with suspected skin cancer (72.5%) and shared decision-making with the dermatologist (64.7%), as well as improved access in rural areas, which was significantly higher (48.6%; P < .001), were the most frequently cited objectives. The most common barriers were image quality, the use of personal devices, and legal concerns about data protection.
Conclusions
Teledermatology is a well-established and valued tool in Primary Care, especially useful in rural areas and for the management of skin cancer. However, challenges remain, such as the need for ongoing training, improved image quality, and greater coordination between levels of care. Professional satisfaction is high, but the delay in in-person referrals and regional variability require organizational and collaborative interventions with the AEDV and regional health services. SEMERGEN and the AEDV should promote training strategies and legal/technical advice to optimize teledermatology in Spain.
{"title":"Desarrollo y retos de la teledermatología en España: un estudio de la práctica en atención primaria","authors":"P. Alguacil Martínez , P. Saavedra Santana","doi":"10.1016/j.semerg.2025.102577","DOIUrl":"10.1016/j.semerg.2025.102577","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated the use, problems, and satisfaction with teledermatology among Primary Care physicians in Spain, analyzing the delay in referrals to Dermatology and the differences between autonomous communities.</div></div><div><h3>Material and methods</h3><div>A cross-sectional study was conducted through a pilot survey of 102 Primary Care physicians, members of Spanish Society of Rural and General Medicine (SEMERGEN), from different Autonomous Communities. The survey, agreed upon by SEMERGEN and the Spanish Association of Dermatology and Venereology (AEDV), included open-ended and closed-ended questions and was distributed via newsletter and WhatsApp. Statistical analysis was performed using R version 4.2.1, summarizing categorical variables as frequencies/percentages and numerical variables as medians/interquartile ranges.</div></div><div><h3>Results</h3><div>39,2% of professionals use teledermatology in their daily practice, with asynchronous (store-and-forward, 49%) being the most prevalent, especially in rural areas and nursing homes. 68.6% of professionals rated their satisfaction with teledermatology at 7 or more out of 10. The main problems identified were lack of training (44.1%), delays of more than 60<!--> <!-->days in the in-person consultation (58.8%), and lack of coordination between Primary Care and Dermatology (41.8% in urban areas). Screening and prioritizing patients with suspected skin cancer (72.5%) and shared decision-making with the dermatologist (64.7%), as well as improved access in rural areas, which was significantly higher (48.6%; <em>P</em> <!--><<!--> <!-->.001), were the most frequently cited objectives. The most common barriers were image quality, the use of personal devices, and legal concerns about data protection.</div></div><div><h3>Conclusions</h3><div>Teledermatology is a well-established and valued tool in Primary Care, especially useful in rural areas and for the management of skin cancer. However, challenges remain, such as the need for ongoing training, improved image quality, and greater coordination between levels of care. Professional satisfaction is high, but the delay in in-person referrals and regional variability require organizational and collaborative interventions with the AEDV and regional health services. SEMERGEN and the AEDV should promote training strategies and legal/technical advice to optimize teledermatology in Spain.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102577"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893547","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 : 2025-11-01Epub Date: 2025-05-22DOI: 10.1016/j.semerg.2025.102511
V. de la Cuesta Esteban , A. Medina Cobos , F.J. Resa López
{"title":"Dermatología en medicina paliativa: más allá de las úlceras","authors":"V. de la Cuesta Esteban , A. Medina Cobos , F.J. Resa López","doi":"10.1016/j.semerg.2025.102511","DOIUrl":"10.1016/j.semerg.2025.102511","url":null,"abstract":"","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 8","pages":"Article 102511"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115535","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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