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| Name | Class |
|---|---|
| Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana | OTHER |
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The purpose of this study is to analyze whether the differences between men and women in the frequency of adverse events due to ignoring "Do not do" recommendations in primary care setting are due to biological causes or gender bias.
First, using the Delphi technique, a consensus will be reached on those "Do Not Do" recommendations that should be included in the retrospective analysis study. The selection criteria for these recommendations will be if they are considered to persist in clinical practice in primary care, their relationship with factors associated with sex and gender, and if ignoring the "Do not do" recommendation could cause a serious adverse event. Second, a retrospective cohort study will be carried out in which a random selection of medical records will be reviewed to identify the frequency of adverse events due to ignoring the "Do not do" recommendations previously selected by consensus. Investigators will review a total of 1538 medical records of patients (50% of women) who attended primary care consultation from 1st January 2022 to 31st December 2022. Data source will be the electronic record management system of the autonomous community of Valencia, named ABUCASIS. Adverse events will be identified by using an activation tool used in a previous study (SOBRINA study).
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| "Do not do" recommendation | Other | A drug prescription or procedure included in 'do not do' recommendations |
| Measure | Description | Time Frame |
|---|---|---|
| Number of severe adverse events | Number of severe adverse events due to ignore "do not do" recommendations | From date of prescription until the date of first documented severe adverse event or date of death from any cause, whichever came first, assessed up to 12 months |
| Number of female patients who were recommended "do not do" | Number of female patients who were recommended "do not do" | From 1st January 2022 to 31 December 2022 |
| Number of male patients who were recommended "do not do" | Number of male patients who were recommended "do not do" | From 1st January 2022 to 31 December 2022 |
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Inclusion Criteria:
Exclusion Criteria:
- None
50% women
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Adults attending primary care consultation from 1 January 2017 to 31 December 2019.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Miguel Hernández University | Elche | Alicante | 03202 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39581714 | Derived | Mira JJ, Carratala-Munuera C, Garcia-Torres D, Soriano C, Sanchez-Garcia A, Gil-Guillen VF, Vicente MA, Perez-Jover MV, Lopez-Pineda A. Low-value practices in primary care: a cross-sectional study comparing data between males and females in Spain. BMJ Open. 2024 Nov 24;14(11):e089006. doi: 10.1136/bmjopen-2024-089006. | |
| 38851666 |
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| ID | Term |
|---|---|
| D008224 | Lymphoma, Follicular |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| Perez-Jover V, Sanchez-Garcia A, Lopez-Pineda A, Carrillo I, Mira JJ, Carratala-Munuera C. Identification of low-value practices susceptible to gender bias in primary care setting. BMC Prim Care. 2024 Jun 8;25(1):205. doi: 10.1186/s12875-024-02456-8. |
| 37160394 | Derived | Carrillo I, Lopez-Pineda A, Perez-Jover V, Guilabert M, Vicente MA, Fernandez C, Gil-Guillen VF, Orozco-Bletran D, Chilet-Rosell E, Luzon Oliver L, Astier-Pena MP, Tella S, Carratala-Munuera C, Mira JJ. Epidemiological study on gender bias and low-value practices in primary care: a study protocol. BMJ Open. 2023 May 9;13(5):e070311. doi: 10.1136/bmjopen-2022-070311. |
| D008232 |
| Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |