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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer la viabilidad de la recogida y transmisi&#243;n de datos cl&#237;nicos por Internet en un estudio multic&#233;n-trico en atenci&#243;n primaria</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional&#44; multic&#233;ntrico sobre una poblaci&#243;n de pacientes con enfermedad pul-monar obstructiva cr&#243;nica agudizada&#46; Todos los datos se recogieron en un formulario electr&#243;nico dise&#241;ado espec&#237;ficamente&#44; que se encontraba incorporado en un ordenador port&#225;til de bolsillo&#46; La transmisi&#243;n de los datos se efectu&#243; on line a una base de datos unificada mediante conexi&#243;n telef&#243;nica por m&#243;dem</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Participaron en esta fase piloto 39 investigadores&#44; que incluyeron a 324 pacientes durante 3 meses&#46; Se generaron 37 consultas telef&#243;nicas&#44; la mayor&#237;a &#40;54&#37;&#41; referida al funcionamiento del cuestionario electr&#243;nico&#44; que se solucion&#243; en un promedio de 5&#44;44 min&#46; La metodolog&#237;a utilizada no present&#243; ning&#250;n problema t&#233;cnico de importancia ni se detect&#243; ninguna p&#233;rdida de informaci&#243;n</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La utilizaci&#243;n de Internet en estudios multic&#233;ntricos en atenci&#243;n primaria es posible&#46; Este sistema debe extenderse en un futuro&#44; pues permite una rapidez superior en la entrada de datos y elimina la necesidad de gra-baci&#243;n de los mismos tras finalizar el estudio</p>"
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Journal Information
Vol. 38. Issue 9.
Pages 427-430 (September 2002)
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Vol. 38. Issue 9.
Pages 427-430 (September 2002)
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Utilización de Internet en un estudio multicéntrico sobre EPOC en atención primaria. Fase piloto del estudio EFEMAP
Use of the Internet in a multicenter study of chronic obstructive pulmonary disease in primary care.Pilot phase of the EFEMAP study
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8291
M. Miravitllesa,
Corresponding author
marcm@separ.es

Correspondencia: Servicio de Neumología. Institut Clínic de Pneumologia i Cirurgia Toràcica.Hospital Clínic i Provincial.Villarroel, 170, UVIR, esc. 2, planta 3. 08036 Barcelona
, C. Llorb, K. Naberanc, J.M. Cotsb, en representación del estudio Efemap *
a Servicio de Neumología. Institut Clínic de Pneumologia i Cirurgia Toràcica (Idibaps). Hospital Clínic i Provincial. Barcelona
b Médicos de familia. Grupo de Enfermedades Infecciosas de la Sociedad Catalana de Medicina Familiar
c Médico de familia. Grupo de Neumología de la Sociedad Catalana de Medicina Familiar
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Article information
Objetivos

Conocer la viabilidad de la recogida y transmisión de datos clínicos por Internet en un estudio multicén-trico en atención primaria

Pacientes Y Métodos

Estudio observacional, multicéntrico sobre una población de pacientes con enfermedad pul-monar obstructiva crónica agudizada. Todos los datos se recogieron en un formulario electrónico diseñado específicamente, que se encontraba incorporado en un ordenador portátil de bolsillo. La transmisión de los datos se efectuó on line a una base de datos unificada mediante conexión telefónica por módem

Resultados

Participaron en esta fase piloto 39 investigadores, que incluyeron a 324 pacientes durante 3 meses. Se generaron 37 consultas telefónicas, la mayoría (54%) referida al funcionamiento del cuestionario electrónico, que se solucionó en un promedio de 5,44 min. La metodología utilizada no presentó ningún problema técnico de importancia ni se detectó ninguna pérdida de información

Conclusiones

La utilización de Internet en estudios multicéntricos en atención primaria es posible. Este sistema debe extenderse en un futuro, pues permite una rapidez superior en la entrada de datos y elimina la necesidad de gra-bación de los mismos tras finalizar el estudio

Palabras clave:
Internet
EPOC
Atención primaria
Agudizacio-nes
Tratamiento
Objective

To determine the reliability of clinical data collection and transmission by Internet in a multicenter pri-mary care study

Patients And Methods

Multicenter, observational study of a population of patients with exacerbated chronic obstructive pulmonary disease (COPD). All data were gathered in a specifically designed digital program on a palmheld pocket computer. Information was transmitted on-line by modem to a central database

Results

Thirty-nine researchers participated in this pilot phase. Over three months 324 patients were treated. Thirty-seven telephone consultations were generated, most (54%) in reference to how the digitized questionnaire worked. Questions were solved in a mean 5.44 minutes. No important technical problems occurred and no information was lost

Conclusions

The use of the Internet to transfer data for multicentric studies in primary care is possible. This system should be more widely used in the future, as it allows faster data collection and eliminates the need to input data at the end of the study

Keywords:
Internet
COPD
Primary care
Exacerbations
Tre-atment
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Bibliografía
[1.]
V. Sobradillo, M. Miravitlles, R. Gabriel, C.A. Jiménez-ruiz, C. Villasante, J.F. Masa, et al.
Geographical variations in prevalence and underdiagnosis of COPD. Results of the IBERPOC multicentre epidemiological study.
Chest, 118 (2000), pp. 981-989
[2.]
M. Miravitlles, C. Mayordomo, M. Artés, L. Sánchez-Agudo, F. Nicolau, J.L. Segú, Group on behalf of the EOLO.
Treatment of chronic obstructive pulmonary disease and its exacerbations in general practice.
Respir Med, 93 (1999), pp. 173-179
[3.]
M. Miravitlles, J.l. Segú, T. Guerrero, R. Gisbert.
Murio C (Grupo DAFNE). Estudio farmacoeconómico del tratamiento antibiótico de las agudizaciones de la bronquitis crónica en atención primaria.
Aten Primaria, 25 (2000), pp. 153-159
[4.]
M. Miravitlles, C. Murio, T. Guerrero, R. Gisbert, group on behalf of the DAFNE study.
Pharmacoeconomic evaluation of acute exacerbations of chronic bronchitis and COPD.
Chest, 121 (2002), pp. 1449-1455
[5.]
J.A. Barberà, G. Peces-Barba, A.G.N. Agustí, J.L. Izquierdo, E. Monsó, T. Montemayor, et al.
Guía clínica para el diagnóstico y el tratamiento de la enfermedad pulmonar obstructiva crónica.
Arch Bronconeumol, 37 (2001), pp. 297-316
[6.]
N.R. Anthonisen, J. Manfreda, P.W. Warren, E.S. Hershfield, G.K. Harding, N.A. Nelson.
Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease.
Ann Intern Med, 106 (1987), pp. 196-204
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J.L. Álvarez-Sala, E. Cimas, J.F. Masa, M. Miravitlles, J. Molina, K. Naberan, et al.
Recomendaciones para la atención al paciente con enfermedad pulmonar obstructiva crónica.
Arch Bronconeumol, 37 (2001), pp. 269-278
[8.]
F. Álvarez, E. Bouza, J.A. García-rodríguez, M.A. Mayer, J. Mensa, E. Monsó, et al.
Uso de antimicrobianos en la exacerbación de la enfermedad pulmonar obstructiva crónica.
Rev Esp Quimioterap, 14 (2001), pp. 87-96
[9.]
M. Miravitlles, C. Murio, T. Guerrero, J.L. Segú.
Tratamiento de la bronquitis crónica y la EPOC en atención primaria.
Arch Bronconeumol, 35 (1999), pp. 173-178
[10.]
M. Miravitlles, F. Ros, A. Cobos, R. Kubin, G. Tillotson.
The efficacy of moxifloxacin in acute exacerbations of chronic bronchitis; a Spanish physician and patient experience.
Int J Clin Pract, 55 (2001), pp. 437-441
[11.]
M. Miravitlles, C. Murio, T. Guerrero, Group on behalf of the DAFNE Study.
Factors associated with relapse after ambulatory treatment of acute exacerbations of chronic bronchitis. A prospective multicenter study in the community.
Eur Respir J, 17 (2001), pp. 928-933
[12.]
J.T. MacFarlane, A. Colville, A. Guion, R.M. MacFarlane, D.H. Rose.
Prospective study of aetiology and outcome of adult lower respiratory tract infections in the community.
Lancet, 341 (1993), pp. 511-514
[13.]
S.G. Adams, J. Melo, M. Luther, A. Anzueto.
Antibiotics are associated with lower relapse rates in outpatients with acute exacerbations of COPD.
Chest, 117 (2000), pp. 1345-1352

El estudio EFEMAP ha sido financiado por Química Farmacéutica Bayer, S.A. La lista de investigadores participantes se presenta en el anexo

Copyright © 2002. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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