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Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salud

20% of people in our environment report episodes of insomnia and, in people over 65 years of age, this percentage is around 40-50%. In Catalonia, it is estimated that, in 2022, 17.5% of the adult population had been prescribed a benzodiazepine or Z drug. Even so, the routine prescription of benzodiazepines or Z drugs for the treatment of insomnia is not recommended, since their risk/benefit ratio is unfavorable (European clinical practice guidelines for the diagnosis and treatment of insomnia). ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Generalitat de Catalunya

Evidence on the effectiveness of long-term treatment of chronic non-cancer pain with opioids is very limited. On the contrary, the risks are well known, for this reason, it is important to re-evaluate every 3 months whether opioid treatment is being effective, or if the person is experiencing adverse events or showing a pattern of possible misuse. In addition to the adverse events that opioids present, regardless of the duration of treatment, there are others that are related to long-term use. ...

NICE

NICE

Duchenne muscular dystrophy, with a nonsense mutation in the dystrophic gene, is a rare and progressive condition. Over time it causes muscle weakness resulting in the loss of the ability to walk and reductions in respiratory ability, and it significantly reduces life expectancy. Current treatment options are limited. This evaluation reviews existing trial data (including 2 randomised controlled trials), additional evidence collected as part of the managed access agreement, and new real-world ...

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Generalitat de Catalunya

In pregnant women without epidural anesthesia, only the lithotomy position is not recommended during the second phase of labor, since vertical positions also show benefits; However, the pregnant woman must be able to choose the position that is most comfortable for her. Upright positions decrease the probability of instrumental delivery, duration of labor, rate of episiotomies, unfavorable heart rate patterns, and pain reported by women; On the other hand, horizontal positions reduce the risk ...

NICE

NICE

Gastro-oesophageal reflux disease is a condition usually caused by the sphincter at the lower end of the oesophagus becoming weakened. Symptoms include heartburn, regurgitation, chest pain, nausea, dysphagia and respiratory difficulties. Repeated episodes can lead to oesophageal ulceration, oesophageal stricture and Barrett's oesophagus. The standard treatments are lifestyle modification and drug therapy. People may be offered anti-reflux surgery if their symptoms do not improve, develop ...