Browsing by Author "Soto Subiabre, Mauricio Andrés"
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- ItemDevelopment of mobile technologies for the prevention of cervical cancer in Santiago, Chile study protocol : a randomized controlled trial(2017) Martínez Gutiérrez, Javiera; Soto Subiabre, Mauricio Andrés; Capurro, Daniel; Puschel Illanes, Klaus; Momany, McKenzie C.; Ciampi, Francis; Thompson, BetiAbstract Background In Chile, more than 500 women die every year from cervical cancer, and a majority of Chilean women are not up-to-date with their Papanicolau (Pap) test. Mobile health has great potential in many health areas, particularly in health promotion and prevention. There are no randomized controlled trials in Latin America assessing its use in cervical cancer screening. The ‘Development of Mobile Technologies for the Prevention of Cervical Cancer in Santiago, Chile’ study aims to determine the efficacy of a text-message intervention on Pap test adherence among Chilean women in the metropolitan region of Santiago. Methods/design This study is a parallel randomized-controlled trial of 400 Chilean women aged 25–64 who are non-adherent with current recommendations for Pap test screening. Participants will be randomly assigned to (1) a control arm (usual care) or (2) an intervention arm, where text and voice messages containing information and encouragement to undergo screening will be sent to the women. The primary endpoint is completion of a Pap test within 6 months of baseline assessment, as determined by medical record review at community-based clinics. Medical record reviewers will be blinded to randomization arms. The secondary endpoint is an evaluation of the implementation and usability of the text message intervention as a strategy to improve screening adherence. Discussion This intervention using mobile technology intends to raise cervical cancer screening adherence and compliance among a Chilean population of low and middle-low socioeconomic status. If successful, this strategy may reduce the incidence of cervical cancer. Trial registration Clinicaltrials.gov NCT02376023 Registered 2/17/2015. First participant enrolled Feb 22nd 2016.Abstract Background In Chile, more than 500 women die every year from cervical cancer, and a majority of Chilean women are not up-to-date with their Papanicolau (Pap) test. Mobile health has great potential in many health areas, particularly in health promotion and prevention. There are no randomized controlled trials in Latin America assessing its use in cervical cancer screening. The ‘Development of Mobile Technologies for the Prevention of Cervical Cancer in Santiago, Chile’ study aims to determine the efficacy of a text-message intervention on Pap test adherence among Chilean women in the metropolitan region of Santiago. Methods/design This study is a parallel randomized-controlled trial of 400 Chilean women aged 25–64 who are non-adherent with current recommendations for Pap test screening. Participants will be randomly assigned to (1) a control arm (usual care) or (2) an intervention arm, where text and voice messages containing information and encouragement to undergo screening will be sent to the women. The primary endpoint is completion of a Pap test within 6 months of baseline assessment, as determined by medical record review at community-based clinics. Medical record reviewers will be blinded to randomization arms. The secondary endpoint is an evaluation of the implementation and usability of the text message intervention as a strategy to improve screening adherence. Discussion This intervention using mobile technology intends to raise cervical cancer screening adherence and compliance among a Chilean population of low and middle-low socioeconomic status. If successful, this strategy may reduce the incidence of cervical cancer. Trial registration Clinicaltrials.gov NCT02376023 Registered 2/17/2015. First participant enrolled Feb 22nd 2016.Abstract Background In Chile, more than 500 women die every year from cervical cancer, and a majority of Chilean women are not up-to-date with their Papanicolau (Pap) test. Mobile health has great potential in many health areas, particularly in health promotion and prevention. There are no randomized controlled trials in Latin America assessing its use in cervical cancer screening. The ‘Development of Mobile Technologies for the Prevention of Cervical Cancer in Santiago, Chile’ study aims to determine the efficacy of a text-message intervention on Pap test adherence among Chilean women in the metropolitan region of Santiago. Methods/design This study is a parallel randomized-controlled trial of 400 Chilean women aged 25–64 who are non-adherent with current recommendations for Pap test screening. Participants will be randomly assigned to (1) a control arm (usual care) or (2) an intervention arm, where text and voice messages containing information and encouragement to undergo screening will be sent to the women. The primary endpoint is completion of a Pap test within 6 months of baseline assessment, as determined by medical record review at community-based clinics. Medical record reviewers will be blinded to randomization arms. The secondary endpoint is an evaluation of the implementation and usability of the text message intervention as a strategy to improve screening adherence. Discussion This intervention using mobile technology intends to raise cervical cancer screening adherence and compliance among a Chilean population of low and middle-low socioeconomic status. If successful, this strategy may reduce the incidence of cervical cancer. Trial registration Clinicaltrials.gov NCT02376023 Registered 2/17/2015. First participant enrolled Feb 22nd 2016.
- ItemDiplomado de salud y humanización : el valor de la reflexión y el aprendizaje presencial(2015) Martínez Gutiérrez, Javiera; Magliozzi, Pietro; Torres, Patricio; Soto Subiabre, Mauricio Andrés; Walker C., Rosa
- ItemEpistemonikos: a comprehensive database of systematic reviews for health decision-making(2020) Rada G., Gabriel; Bravo Soto, Gonzalo A.; Bravo Jeria, Rocío; Capurro, Daniel; Morel Marambio, Macarena; Neumann Burotto, Gonzalo Ignacio; Ortiz Muñoz, Luis; Peña Durán, José Esteban; Rivera Mercado, Solange; Soto Subiabre, Mauricio AndrésAbstract Background Systematic reviews allow health decisions to be informed by the best available research evidence. However, their number is proliferating quickly, and many skills are required to identify all the relevant reviews for a specific question. Methods and findings We screen 10 bibliographic databases on a daily or weekly basis, to identify systematic reviews relevant for health decision-making. Using a machine-based approach developed for this project we select reviews, which are then validated by a network of more than 1000 collaborators. After screening over 1,400,000 records we have identified more than 300,000 systematic reviews, which are now stored in a single place and accessible through an easy-to-use search engine. This makes Epistemonikos the largest database of its kind. Conclusions Using a systematic approach, recruiting a broad network of collaborators and implementing automated methods, we developed a one-stop shop for systematic reviews relevant for health decision making.
- ItemFibromialgia en Chile: revisión de la literatura y propuesta para una futura política pública en atención primaria de salud(2022) Ramírez Robles, Vicente Javier; Alfaro Bugueño, Javiera Antonia; Torres Fernández, Ayleen Angelica; Martínez Villavicencio, Camila Paz; Bustamante Bustamante, Alejandra Abigail; Soto Subiabre, Mauricio Andrés; Pontificia Universidad Católica de Chile. Escuela de Medicina; Pontificia Universidad Católica de Chile. Facultad de Ingeniería; Pontifica Universidad Católica de Chile. Escuela de Química y Farmacia; Pontifica Universidad Católica de Chile. Escuela de FonoaudiologíaIntroducción: la fibromialgia (FM) es una enfermedad crónica caracterizada por dolor musculoesquelético y un espectro de síntomas somáticos. Se asocia a un alto costo y compromiso en la calidad de vida de los pacientes, razón por la que es necesaria una política pública en atención primaria de salud (APS) en Chile, que contribuya con el diagnóstico temprano, tratamiento y seguimiento. Métodos: revisión bibliográfica narrativa centrada en las características de la FM, tratamiento y políticas públicas vigentes (Chile, España y Uru-guay), utilizando PubMed, Cochrane, Epistemonikos, Google Scholar y GreyLit. La búsqueda se realizó desde el 3 de septiembre al 11 de diciembre de 2020. Resultados: la prevalencia global de la FM alcanza el 2,7%, con una proporción mujeres y hombres de 3:1. Se estima una prevalencia entre 1 a 2% y un alto impacto en la calidad de vida y un alto costo asociado a discapacidad. Uruguay y España han implementado políticas públicas para FM, con enfoque principal en atención de salud integral y plan de reinserción laboral. En Chile, no existe la incorporación de la FM en ningún programa de salud que garantice el acceso y tratamiento. Conclusión:la FM es una enfermedad polisintomática, que impacta en la calidad de vida de los pacientes. Dada su prevalencia a nivel nacional, retraso en el diagnóstico e inicio de un tratamiento, se ve justificada una política pública. En el presente artículo se propone la creación de Unidades de Fibromialgia en APS, cuyas características consideren aspectos de interdisciplinaridad y territorialidad que permitan un acceso rápido a diagnóstico, tratamiento, seguimiento, derivación oportuna a especialistas y educación a los pacientes y profesionales.
- ItemGuías de práctica clínica : una introducción a su elaboración e implementación(2014) Pantoja Calderón, Tomás; Soto Subiabre, Mauricio Andrés
- ItemMessages for your health : mobile use and cancer prevention for underserved Latinas in Santiago, Chile(2016) Martínez Gutiérrez, Javiera; Soto Subiabre, Mauricio Andrés; Momany, Mckenzie; Ciampi, Francis; Capurro, Daniel; Cea, Emilia; Puschel Illanes, Klaus
- ItemPreferences of Underserved Chilean Women on a Mobile Technology Intervention for Cervical Cancer Screening : Qualitative Study(2018) Soto Subiabre, Mauricio Andrés; Martínez Gutiérrez, Javiera; Momany, McKenzie; Capurro, Daniel; Ciampi Spode, Francis; Cea, Emilia; Mergudich, Tania; Puschel Illanes, Klaus
- ItemVertebral fracture: clinical presentation and severity are linked to fracture risk factors(2020) Soto Subiabre, Mauricio Andrés; Mayoral, V.; Fiter, J.; Valencia, L.; Subirana, I.; Gómez Vaquero, C.