Consultation constitutes the central activity of family medicine, which is essential for the acquisition of the competencies outlined in the profile of the family doctor during training so that these can be efficiently applied in daily practice. Chronic respiratory diseases, particularly asthma and COPD, benefit from a structured and schematized approach for better disease control. We present two checklists, ba...
Introdução: A pandemia COVID-19 trouxe desafios e dificuldades que impactaram o sistema de saúde, nomeadamente a gestão e o diagnóstico da doença pulmonar obstrutiva crónica (DPOC) nos cuidados de saúde primários (CSP). Objetivos: Refletir sobre o impacto da pandemia da COVID-19 na gestão da DPOC nos CSP. Métodos: Analisaram-se os indicadores de DPOC disponíveis publicamente entre Dez/2018 e Fev/2020 (pré-pande...
Background Previous studies have demonstrated the feasibility of using an asthma app to support medication management and adherence but failed to compare with other measures currently used in clinical practice. However, in a clinical setting, any additional adherence measurement must be evaluated in the context of both the patient and physician perspectives so that it can also help improve the process of shared...
Anxiety and depression are relevant comorbidities in asthma, but, in Portugal and Spain, data on this topic are scarce. We assessed, in patients with asthma, the frequency of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) and the European Quality of Life Five Dimension Questionnaire (EQ-5D); the level of agreement between these questionnaires, and the factors associated with thes...
Chronic obstructive pulmonary disease (COPD) is a significant cause of chronic morbidity and premature mortality and the 3rd leading cause of death worldwide. In Portugal, its prevalence, from the age of forty onwards, is estimated at 14.2%, with a high proportion of underdiagnosis. The National Plan for Respiratory Diseases recommends combating this disease and increasing its diagnosis in primary health care (...
We aimed to identify persistent asthma phenotypes among adolescents and to evaluate longitudinally asthma-related outcomes across phenotypes. Adolescents (13-17 years) from the prospective, observational, and multicenter INSPIRERS studies, conducted in Portugal and Spain, were included (n = 162). Latent class analysis was applied to demographic, environmental, and clinical variables, collected at a baseline med...
We aimed to identify persistent asthma phenotypes among adolescents and to evaluate longitudinally asthma-related outcomes across phenotypes. Adolescents (13-17 years) from the prospective, observational, and multicenter INSPIRERS studies, conducted in Portugal and Spain, were included (n = 162). Latent class analysis was applied to demographic, environmental, and clinical variables, collected at a baseline med...
We aimed to identify persistent asthma phenotypes among adolescents and to evaluate longitudinally asthma-related outcomes across phenotypes. Adolescents (13–17 years) from the prospective, observational, and multicenter INSPIRERS studies, conducted in Portugal and Spain, were included (n = 162). Latent class analysis was applied to demographic, environmental, and clinical variables, collected at a baseline med...
Em todo o mundo a prática de consulta telefónica encontra-se em forte expansão e existe boa evidência de que estas consultas, quando indicadas para a situação visada e adequadas aos objetivos pretendidos, proporcionam níveis elevados de satisfação dos utentes e de eficácia clínica. Entre outras vantagens, as consultas telefónicas permitem aumentar a acessibilidade dos utentes e reduzir custos e inconvenientes d...
Introdução: A dermatite atópica é uma dermatose inflamatória crónica e recorrente muito frequente nas crianças em que o prurido tem um papel muito importante na perpetuação das lesões cutâneas. Os anti-histamínicos são úteis no controlo das lesões agudas mas o seu uso profilático por via oral no controlo e redução das exacerbações não é consensual. O objectivo deste estudo foi rever sistematicamente a evidência...