Shared decision-making for supporting women's decisions about breast cancer screening.

Background: In breast cancer screening programmes, women may have discussions with a healthcare provider to help them decide whether or not they wish to join the breast cancer screening programme. This process is called shared decision-making (SDM) and involves discussions and decisions based on the evidence and the person's values and preferences. SDM is becoming a recommended approach in clinical guidelines, extending beyond decision aids.

Developing a breast cancer screening decision aid in Spanish for average-risk women: a mixed methods study.

Introduction: We aimed to develop a decision aid to support shared-decision making between physicians and women with average breast cancer risk when deciding whether to participate in breast cancer screening.

Methods: We included women at average risk of breast cancer and physicians involved in supporting the decision of breast cancer screening from an Academic Hospital in Buenos Aires, Argentina. We followed the International Patient Decision Aid Standards to develop our decision aid.

Quantitative and qualitative analysis of Argentine breast cancer prevention campaigns disseminated by still images on social networks during October 2019.

Objectives: To quantitatively document the degree of compliance of institutional messages broadcast on social networks with the recommendations of the National Cancer Institute (INC) in Argentina during October 2019, in the context of breast cancer prevention campaigns, and to qualitatively analyze the pictorial and textual elements that make up their dissemination pieces.

Materials And Methods: Quantitative and qualitative analysis of 171 dissemination pieces issued during October 2019 by 54 institutions, based on the evaluation of their compliance with INC recommendations, the description of the main discordant recommendations (quantitative analysis) and the qualitative analysis of 30 pieces.

Results: None of the issued messages mentioned potential screening harms.

Overdiagnosis and overuse of diagnostic and screening tests in low-income and middle-income countries: a scoping review.

Objective: Overdiagnosis and overuse of healthcare services harm individuals, take resources that could be used to address underuse, and threaten the sustainability of health systems. These problems are attracting increasing attention in low-income and middle-income countries (LMICs). Unaware of any review of relevant evidence, we conducted a scoping review of the evidence around overdiagnosis and overuse of diagnostic and screening tests in LMICs.

Shared decision-making in Argentina in 2022.

Argentina is an upper-middle income country located in South America with an estimated population of 46.2 million inhabitants. There is no unified research agenda or government initiatives encouraging the implementation and research of Shared Decision-Making (SDM).

[Food insecurity in the area of influence of the Center of Family and Community Medicine "San Pantaleón" (Province of Buenos Aires).].

Introduction: Last years, food insecurity is a raising problem in Argentina and is a key indicator of population health. The principal aim of this study was to determine food insecurity prevalence in a population of Buenos Aires suburbs, considering as secondary objectives: 1) to evaluate associated variables with food insecurity; 2) to perform provisional statistical validation of the Food Insecurity Experience Scale (FIES).

Methods: It was conducted a descriptive, cross-sectional research study was conducted.

Exploratory Analysis of HIV Status Knowledge and Associated Factors Using Data from Electronic Medical Records.

Despite recommendations for the routine HIV testing of all sexually active individuals, a significant percentage of HIV-positive adults are unaware of their HIV status. Therefore, a number of strategies have been implemented to expand HIV testing, which in turn makes it necessary to develop tools for identifying patients with unknown HIV status. This study presents the results of an external validation of an electronic phenotyping algorithm for identifying HIV status and its application on a retrospective cohort in order to explore temporal trends of HIV knowledge status and associated factors.

Clinical practice guidelines: Concepts, limitations and challenges.

Clinical practice guidelines are the most important documents for the incorporation of scientific evidence in health decision making through the formulation of recommendations. There is a variable terminology used to refer to the documents that guide health professionals in decision making. When clinical practice guidelines are of high quality, they appraise contextual aspects such as the use of resources, applicability, and patients values and preferences.

[Prostate specific antigen utilization trends in an academic hospital in Argentina.].

Background: Although prostate cancer (PC) screening with prostate-specific antigen (PSA) determination could decrease mortality, concerns about the potential risk of overdiagnosis led to recommendations against this preventive practice. The objective of this study was to describe the trend in PSA determinations in men between 40 and 79 years old, affiliated to a Health Maintenance Organization (HMO) of an academic hospital in the city of Buenos Aires, Argentina, and its association with the recommendations stated by the U.S.

Translation, transcultural adaptation, and validation of two questionnaires on shared decision making.

Objective: To translate, transcultural adapt, and validate the "CollaboRATE" measure and the "Ask 3 Questions" intervention in Argentina, allowing us to quantify the degree of use and implementation of shared decision making (SDM).

Design: Cross-sectional study.

Setting And Participants: Data were collected in an academic hospital in Buenos Aires.

Development and Validation of Various Phenotyping Algorithms for Diabetes Mellitus Using Data from Electronic Health Records.

Precision medicine requires extremely large samples. Electronic health records (EHR) are thought to be a cost-effective source of data for that purpose. Phenotyping algorithms help reduce classification errors, making EHR a more reliable source of information for research.

Colonoscopy overuse in colorectal cancer screening and associated factors in Argentina: a retrospective cohort study.

Background: In recent years, there has been growing concern about the overuse of colonoscopy (CC). Our objective was to evaluate the incidence rate and cumulative probability of having a potentially inadequate CC (PI-CC, e.g.

Development and validation of various phenotyping algorithms for Diabetes Mellitus using data from electronic health records.

Background And Objective: Recent progression towards precision medicine has encouraged the use of electronic health records (EHRs) as a source for large amounts of data, which is required for studying the effect of treatments or risk factors in more specific subpopulations. Phenotyping algorithms allow to automatically classify patients according to their particular electronic phenotype thus facilitating the setup of retrospective cohorts. Our objective is to compare the performance of different classification strategies (only using standardized problems, rule-based algorithms, statistical learning algorithms (six learners) and stacked generalization (five versions)), for the categorization of patients according to their diabetic status (diabetics, not diabetics and inconclusive; Diabetes of any type) using information extracted from EHRs.

Medication discrepancies and potentially inadequate prescriptions in elderly adults with polypharmacy in ambulatory care.

Objectives: The objective of this study is to describe the frequency and type of medication discrepancies (MD) through medication reconciliation and to describe the frequency of potentially inadequate prescription (PIP) medications using screening tool of older persons' prescriptions criteria.

Design: Cross-sectional comparison of electronic medical record (EMR) medication lists and patient's self-report of their comprehensive medication histories obtained through telephone interviews.

Inclusion Criteria: Elderly individuals (>65 years old) with more than ten medications recorded in their EMR, who had not been hospitalized in the past year and were not under domiciliary care, affiliated to a private community hospital.

A rule-based electronic phenotyping algorithm for detecting clinically relevant cardiovascular disease cases.

Background: The implementation of electronic medical records (EMR) is becoming increasingly common. Error and data loss reduction, patient-care efficiency increase, decision-making assistance and facilitation of event surveillance, are some of the many processes that EMRs help improve. In addition, they show a lot of promise in terms of data collection to facilitate observational epidemiological studies and their use for this purpose has increased significantly over the recent years.

Shared decision making in Argentina in 2017.

Argentina is a high-middle income country located in Southern South America with an estimated population of 44 million inhabitants. The epidemiological profile of the population is characterised by an increase of non-communicable diseases. The health system is heterogeneous, fragmented and loosely integrated.

[Excessive osteoporosis screening in women under 65 years: a cross-sectional study].

Overuse of osteoporosis screening in women at low risk of fracture may lead to overdiagnosis, inappropriate treatment and medicalization. The objective of this work was to estimate the proportion of women aged 45 to 64 enrolled in a private health insurance plan in Buenos Aires undergoing hip dual-energy x-ray absorptiometry (DXA) in 2011 without meeting osteoporosis screening criteria. In this cross-sectional study, 4310 women of this age range that had undergone a hip DXA were identified.

[Medication adherence to secondary prevention for coronary artery disease].

We compared the use of evidence-based secondary prevention drugs for coronary artery disease at hospital discharge and 3 years of follow-up in a group of patients associated to an integrated network of health services. We conducted a retrospective group study that included 125 patients under 80 years of age who were hospitalized for acute coronary syndrome. McNemar's test was used to compare values at baseline and 3 years.

[Evidence Based Medicine: shadows and lights].

When taking decisions as regards patient care, based on the evidence (MBE) medicine is the conscious, wise and explicit utilization of the best available tests. The utilization of this strategy involves the recognition of the patches in the knowledge, the realization of a precise research in primary information sources, the analysis of the validity of the discoveries and their utilization in problem solving. The MBE has emerged in a frame of explosion regarding clinical research and access to the information.