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espanolPara contribuir a mejorar al abordaje del anciano diabetico disenamos el Estudio MADICA© , cuyo objetivo es conocer el grado de Inercia Terapeutica (IT) en los mayores de 65 anos con Diabetes Mellitus tipo 2, tras intervencion a profesionales sanitarios y pacientes. Estudio descriptivo transversal retrospectivo MADICA I© , y de cohortes MADICA II© . Corresponden a la Zona Basica de Salud de Cadiz “La Laguna”, el grupo intervencion, y “Loreto-Puntales”, el grupo control, N=570. Se revisan las historias de los pacientes analizando variables socio-demograficas, clinicas, analitica-bioquimicas, farmacologicas, valoracion geriatrica e IT. En el estudio MADICA I© , la IT global es 81.58%, correspondiendo el 60.86% a la "La Laguna”, siendo via MIR 58.79% y no via MIR 72.81%, y ascendiendo al 91.23% en “Loreto-Puntales”, en el que via MIR es de 92.25% y no MIR 90.38%. Post-intervencion, MADICA II© , la IT global resultante es 72.98%. En “La Laguna” hay inercia en el 58.39% de los casos, en MIR 51.69% y no MIR 70.83%. En “Loreto-Puntales” se presenta en el 88.17% del total, siendo entre los MIR el 89.92% y no MIR del 86.67%. El grado de IT en los mayores diabeticos de Cadiz es elevado. La formacion academica previa y continuada en diabetes y geriatria es una medida indispensable para reducir la IT. EnglishMadica II © study. To contribute to improve the management of the elderly diabetic patients MADICA © Study was designed, which aim is to determine the degree of therapeutic inertia (IT) in those over 65 Type 2 Diabetes Mellitus patients, after an intervention done to healthcare professionals and patients. A cross-sectional retrospective study in MADICA I © , and a cohort design, MADICA II © .The intervention group belongs to “La Laguna”, and the control one to “Loreto-Puntales”, N=570. Patients’clinical histories were reviewed, analizyng social-demographic, clinical, biochemical, pharmacological, geriatric evaluation and IT variables. In MADICA I © Study, the whole IT is 81.58%, 60.86% belongs to “La Laguna”, being MIR 58.79% and no MIR 72.81%; the IT in “Loreto-Puntales” is 91.23%, being MIR 92.25%, and no MIR 90.83%. After the intervention, MADICA II © , the whole IT is 72.98%, the IT in “La Laguna” is 58.39%, being MIR 51.69% and no MIR 70.83%; the IT in “Loreto Puntales” is 88.17%, being MIR 89.92%, and no MIR 86.67%. The degree of IT in the elderly diabetics of Cadiz is high. Previous training academic level, joint to a continuous training in diabetes and Geriatrics is an essential step to reduce IT.

Influencia del nivel de formación académica en estudio de intervención de mayores diabéticos de Cádiz. Estudio MADICA II©