Screening for advanced liver disease incorporating the use of transitional elastography in primary care.

Objectives: To describe the proportion of patients with liver fibrosis in at-risk populations in primary care (PC). To know the agreement between FIB-4 and transitional elastography (TE), interobserver agreement between PC and hospital care (HC) in TE, and associated risk Factors (RF).

Methods: Observational, descriptive, cross-sectional study in ≥16 years of age with RF for chronic liver disease.

Effectiveness of an implementation strategy for a breastfeeding guideline in Primary Care: cluster randomised trial.

Background: The protection and promotion of breastfeeding is considered a priority in Europe where only 22% of infants less than 6 months old are exclusively breastfed. In Spain this percentage reaches 24.8% but in our city it falls to 18.

Effectiveness of a clinical practice guideline implementation strategy for patients with anxiety disorders in primary care: cluster randomized trial.

Background: Anxiety is a common mental health problem seen in primary care. However, its management in clinical practice varies greatly. Clinical practice guidelines (CPGs) have the potential to reduce variations and improve the care received by patients by promoting interventions of proven benefit.

[Cardiovascular risk stratification using the score scale on the European cardiovascular prevention risk day in health centres in the Madrid region].

Objective: To quantify the cardiovascular risk in a Primary Health Care population using the SCORE chart.

Method: Multicenter, observational, descriptive study including 1324 health professionals (nurses, physicians, students, etc) employees of any of the eleven Madrid Region Health Areas in order to determinate the cardiovascular risk by the SCORE chart in subjects between 40 and 65 years that attended to their health centre in a voluntary way because of the European Day of Prevention of Cardiovascular Risk.

Results: A total of 5025 questionnaires were collected from 142 health centres, with 69.