Multilevel Analysis of the Relationship between Ownership Structure and Technical Efficiency Frontier in the Spanish National Health System Hospitals

Objective: To evaluate the relationship between the ownership structure of hospitals and the possibility of their being positioned on the frontier of technical efficiency in the economic crisis period 2010–2012, adjusting for hospital variables and regional characteristics in the areas where the Spanish National Health System (SNHS) hospitals are located. Methods: 230 National Health System hospitals were…

Replacement of Red and Processed Meat With Other Food Sources of Protein and the Risk of Type 2 Diabetes in European Populations: The EPIC-InterAct Study

OBJECTIVE There is sparse evidence for the association of suitable food substitutions for red and processed meat on the risk of type 2 diabetes. We modeled the association between replacing red and processed meat with other protein sources and the risk of type 2 diabetes and estimated its population impact. RESEARCH DESIGN AND METHODS The European Prospective…

Circulating bilirubin levels and risk of colorectal cancer: serological and Mendelian randomization analyses

Background Bilirubin, a byproduct of hemoglobin breakdown and purported anti-oxidant, is thought to be cancer preventive. We conducted complementary serological and Mendelian randomization (MR) analyses to investigate whether alterations in circulating levels of bilirubin are associated with risk of colorectal cancer (CRC). We decided a priori to perform analyses separately in men and women based…

A Body Shape Index (ABSI) achieves better mortality risk stratification than alternative indices of abdominal obesity: results from a large European cohort

Abdominal and general adiposity are independently associated with mortality, but there is no consensus on how best to assess abdominal adiposity. We compared the ability of alternative waist indices to complement body mass index (BMI) when assessing all-cause mortality. We used data from 352,985 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC)…

La respuesta de Gaceta Sanitaria a la pandemia de D-19. Gestión rápida y transferencia

Vivimos tiempos insólitos, cada vez resulta más evidente que el efecto de la actividad de nuestra sociedad dominada por el neoliberalismo tecno-globalizado tiene efectos muy negativos sobre el bienestar social y del planeta, y abundan las iniciativas científicas para intentar caracterizar la situación actual. Desde la geología han propuesto llamar a nuestra era el Antropoceno,…

La perspectiva de despatologización trans: ¿una aportación para enfoques de salud pública y prácticas clínicas en salud mental? Informe SESPAS 2020

A lo largo de la última década, la perspectiva teórico-activista de despatologización trans ha contribuido a un cambio en la conceptualización de los procesos de tránsito por los géneros. Partiendo de la observación de una interrelación entre psiquiatrización y violencia transfóbica, grupos activistas por la despatologización trans y personas aliadas demandan la retirada de la…

Fried-Food Consumption Does Not Increase the Risk of Stroke in the Spanish Cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC) Study

Background The nutritional determinants of stroke and, more specifically, the association of frying with the risk of incident stroke have rarely been studied. Objectives Our aim was to evaluate prospectively the association between the consumption of fried food and the risk of incident stroke in the European Prospective Investigation into Cancer and Nutrition study using…

El bibliotecario como coautor de revisiones y síntesis de evidencia

Sr. Director: A raíz del debate generado en el grupo de trabajo de bibliotecarios/as de ciencias de la salud #Ayudabiblioteca (https://view.genial.ly/5e92f5a5fba9d40d9e580bcb), creado para hacer frente a las demandas de información por la pandemia de COVID-19, queremos exponer la posición de nuestro colectivo respecto a la coautoría en artículos científicos de revisión. Los trabajos de revisión…

Recognizing a Heart Attack: Patients’ Knowledge of Cardiovascular Risk Factors and Its Relation to Prehospital Decision Delay in Acute Coronary Syndrome

In acute coronary syndromes (ACSs), longer decision delay – the time patients wait before seeking medical attention after symptoms have started – increases the risk of complications and death. However, many patients wait much longer than recommended and research is needed investigating how patient decision delay can be reduced. In a cross-sectional study of 120…