Correspondencia: J. Ballesteros. Departamento de Neurociencias. Universidad del País Vasco. Barrio Sarriena s/n. 48940 Leioa (Vizcaya). España.
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España" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: J. Ballesteros. Departamento de Neurociencias. Universidad del País Vasco. Barrio Sarriena s/n. 48940 Leioa (Vizcaya). España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Effectiveness of medical advice for reducing excessive alcohol conssumption. Meta-analysis of Spanish studies in primary care" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-05-13" "fechaAceptado" => "2002-10-21" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268771" "palabras" => array:6 [ 0 => "Consejo médico" 1 => "Intervención breve" 2 => "Atención primaria de salud" 3 => "Consumo de bebidas alcohólicas" 4 => "Resultado del tratamiento" 5 => "Eficacia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268772" "palabras" => array:6 [ 0 => "Counseling" 1 => "Brief intervention" 2 => "Primary health care" 3 => "Alcohol drinking" 4 => "Treatment outcome" 5 => "Treatment efficacy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Revisiones sistemáticas previas han apoyado la eficacia del consejo médico, como intervención breve, en el abordaje de bebedores excesivos detectados en la asistencia primaria. Sin embargo, estos resultados no pueden extrapolarse directamente a poblaciones que, como las mediterráneas, no están representadas en dichas revisiones. El objetivo de este estudio fue actualizar la evidencia sobre la eficacia de la intervención breve en consumidores excesivos de alcohol según estudios españoles.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Búsqueda de estudios en bases bibliográficas y consultas a expertos para localizar estudios no publicados. Se calcularon las estimaciones combinadas para dos variables de resultado, la reducción del consumo de alcohol y la disminución de la frecuencia de bebedores excesivos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Dos de los 5 estudios localizados no estaban incluidos en una revisión previa. La eficacia de la intervención breve fue moderada para la disminución del consumo de alcohol (d = –0,46; intervalo de confianza (IC) del 95%, –0,29 a –0,63; p < 0,0005; el grupo tratado mejoró un 22% más que el control) y pequeña para la disminución de la frecuencia de bebedores excesivos (OR = 1,55; IC del 95%, 1,06 a 2,26; p = 0,02; el grupo tratado mejoró un 11% más que el control). El análisis basado en el cumplimiento del protocolo sobrestimó 1,5 veces el tamaño del efecto respecto del análisis basado en la intención de tratamiento.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados del estudio señalan que, en nuestro país, la intervención breve en atención primaria sobre bebedores a riesgo es eficaz, aunque su efecto sea sólo moderado.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Former systematic reviews have backed the efficacy of medical counselling, a form of brief intervention, on the treatment of excessive drinkers detected in primary care settings. Nevertheless, these results cannot be applied without criticism to Mediterranean populations which, so far, have not been represented in the aforementioned studies. The aim of the present study was to update the results on the efficacy of brief interventions in primary care by pooling Spanish studies.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Studies were searched for by using appropriate databases and also by consulting to experts in the field to retrieve grey literature. Pooled estimations of effect sizes were calculated for two outcomes, the reduction in the amount of alcohol consumption and the decrease in the number of excessive drinkers.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Two over the 5 retrieved studies were not included in a former review. The effect size regarding the decrease of alcohol consumption was medium (d = –0.46; 95% CI, –0.29 to –0.63; p < 0.0005; the intervention group outperformed the control by a 22%) and small for the decrease in the frequency of excessive drinkers (OR = 1.55; 95% CI, 1.06 to 2.26; p = 0.02; the intervention group outperformed the control by a 11%). The analysis by complimented protocols at the end of the study showed an effect size 1.5 times larger than the analysis performed on intention-to-treat basis.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The results of this meta-analysis support the efficacy of brief intervention for excessive drinkers in primary care settings in Spain.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Biblografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estudio multicéntrico sobre la eficacia del consejo para la prevención del alcoholismo en atención primaria (EMPA)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Altisent" 1 => "R. Córdoba" 2 => "M.T. 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año/Mes | Html | Total | |
---|---|---|---|
2024 Noviembre | 6 | 5 | 11 |
2024 Octubre | 61 | 36 | 97 |
2024 Septiembre | 45 | 23 | 68 |
2024 Agosto | 59 | 27 | 86 |
2024 Julio | 40 | 19 | 59 |
2024 Junio | 40 | 16 | 56 |
2024 Mayo | 37 | 21 | 58 |
2024 Abril | 36 | 19 | 55 |
2024 Marzo | 42 | 25 | 67 |
2024 Febrero | 36 | 51 | 87 |
2024 Enero | 27 | 18 | 45 |
2023 Diciembre | 35 | 16 | 51 |
2023 Noviembre | 26 | 14 | 40 |
2023 Octubre | 27 | 11 | 38 |
2023 Septiembre | 36 | 24 | 60 |
2023 Agosto | 45 | 13 | 58 |
2023 Julio | 53 | 22 | 75 |
2023 Junio | 66 | 16 | 82 |
2023 Mayo | 54 | 14 | 68 |
2023 Abril | 39 | 20 | 59 |
2023 Marzo | 38 | 36 | 74 |
2023 Febrero | 28 | 14 | 42 |
2023 Enero | 31 | 17 | 48 |
2022 Diciembre | 47 | 26 | 73 |
2022 Noviembre | 46 | 46 | 92 |
2022 Octubre | 32 | 23 | 55 |
2022 Septiembre | 21 | 26 | 47 |
2022 Agosto | 36 | 60 | 96 |
2022 Julio | 31 | 41 | 72 |
2022 Junio | 21 | 31 | 52 |
2022 Mayo | 34 | 36 | 70 |
2022 Abril | 26 | 31 | 57 |
2022 Marzo | 28 | 44 | 72 |
2022 Febrero | 30 | 28 | 58 |
2022 Enero | 29 | 29 | 58 |
2021 Diciembre | 23 | 37 | 60 |
2021 Noviembre | 25 | 37 | 62 |
2021 Octubre | 23 | 32 | 55 |
2021 Septiembre | 24 | 41 | 65 |
2021 Agosto | 8 | 18 | 26 |
2021 Julio | 19 | 23 | 42 |
2021 Junio | 16 | 28 | 44 |
2021 Mayo | 21 | 29 | 50 |
2021 Abril | 43 | 40 | 83 |
2021 Marzo | 31 | 15 | 46 |
2021 Febrero | 26 | 15 | 41 |
2021 Enero | 13 | 14 | 27 |
2020 Diciembre | 14 | 14 | 28 |
2020 Noviembre | 14 | 11 | 25 |
2020 Octubre | 12 | 10 | 22 |
2020 Septiembre | 16 | 4 | 20 |
2020 Agosto | 13 | 15 | 28 |
2020 Julio | 19 | 15 | 34 |
2020 Junio | 18 | 2 | 20 |
2020 Mayo | 7 | 8 | 15 |
2020 Abril | 14 | 13 | 27 |
2020 Marzo | 14 | 6 | 20 |
2020 Febrero | 9 | 45 | 54 |
2020 Enero | 22 | 12 | 34 |
2019 Diciembre | 16 | 8 | 24 |
2019 Noviembre | 8 | 4 | 12 |
2019 Octubre | 13 | 11 | 24 |
2019 Septiembre | 7 | 4 | 11 |
2019 Agosto | 11 | 8 | 19 |
2019 Julio | 15 | 2 | 17 |
2019 Junio | 7 | 8 | 15 |
2019 Mayo | 16 | 14 | 30 |
2019 Abril | 9 | 7 | 16 |
2019 Marzo | 6 | 7 | 13 |
2019 Febrero | 11 | 9 | 20 |
2019 Enero | 5 | 8 | 13 |
2018 Diciembre | 5 | 12 | 17 |
2018 Noviembre | 41 | 12 | 53 |
2018 Octubre | 42 | 26 | 68 |
2018 Septiembre | 21 | 11 | 32 |
2018 Agosto | 18 | 11 | 29 |
2018 Julio | 24 | 7 | 31 |
2018 Junio | 18 | 8 | 26 |
2018 Mayo | 22 | 15 | 37 |
2018 Abril | 31 | 7 | 38 |
2018 Marzo | 19 | 7 | 26 |
2018 Febrero | 14 | 7 | 21 |
2018 Enero | 9 | 5 | 14 |
2017 Diciembre | 17 | 5 | 22 |
2017 Noviembre | 22 | 13 | 35 |
2017 Octubre | 8 | 8 | 16 |
2017 Septiembre | 11 | 8 | 19 |
2017 Agosto | 16 | 11 | 27 |
2017 Julio | 16 | 10 | 26 |
2017 Junio | 23 | 13 | 36 |
2017 Mayo | 18 | 11 | 29 |
2017 Abril | 19 | 9 | 28 |
2017 Marzo | 17 | 8 | 25 |
2017 Febrero | 11 | 9 | 20 |
2017 Enero | 8 | 11 | 19 |
2016 Diciembre | 27 | 7 | 34 |
2016 Noviembre | 31 | 7 | 38 |
2016 Octubre | 21 | 10 | 31 |
2016 Septiembre | 23 | 14 | 37 |
2016 Agosto | 25 | 13 | 38 |
2016 Julio | 5 | 6 | 11 |
2016 Febrero | 1 | 0 | 1 |
2015 Diciembre | 1 | 0 | 1 |
2015 Octubre | 2 | 0 | 2 |
2015 Abril | 1 | 0 | 1 |
2014 Diciembre | 4 | 0 | 4 |
2014 Noviembre | 6 | 0 | 6 |
2014 Octubre | 2 | 0 | 2 |
2014 Septiembre | 2 | 1 | 3 |
2014 Agosto | 13 | 1 | 14 |
2014 Julio | 11 | 1 | 12 |
2014 Junio | 16 | 1 | 17 |
2014 Mayo | 8 | 2 | 10 |
2014 Abril | 9 | 0 | 9 |
2014 Marzo | 5 | 2 | 7 |
2014 Febrero | 9 | 1 | 10 |
2014 Enero | 10 | 2 | 12 |
2013 Diciembre | 14 | 4 | 18 |
2013 Noviembre | 21 | 1 | 22 |
2013 Octubre | 19 | 3 | 22 |
2013 Septiembre | 23 | 3 | 26 |
2013 Agosto | 25 | 3 | 28 |
2013 Julio | 22 | 1 | 23 |
2003 Marzo | 831 | 0 | 831 |