Julian Librero
Biographic Data
| ID | 5535554 |
|---|---|
| NAME | Julian Librero |
| GIVEN NAMES | Julian |
| FAMILY NAME | Librero |
| SIGNATURE | LIBRERO J |
| AFFILIATIONS | Universidad Pública de Navarra (UPNA) |
| ORCID | 0000-0002-4859-9054 |
| VERIFIED | Yes |
| TOTAL WORKS | 11 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 11 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Estrategia de cronicidad de Navarra, demostrando mejoras en resultados en salud
Bajo la premisa de que no todos los pacientes necesitan lo mismo, se estratificó a toda la población navarra con la herramienta GMA para identificar grupos de pacientes con necesidades homogéneas y se definieron planes operativos con patrones de atención integrada en cada perfil de pacientes priorizados. Un patrón de atención que pivota en AP y en la continuidad asistencial para lo que es imprescindible la integración con el resto de recursos imp…
Minería De Procesos Para Evaluar La Adherencia a Las Guías De Tratamiento en Pacientes Con Diabetes
Intersectional analysis of social determinants of health and their association with mortality in patients with multimorbidity
The progressive increase in the number of patients with multimorbidity (i.e. with two or more chronic diseases) represents a major global challenge for health systems and daily clinical practice, as well as for epidemiological research [1,2]. Recent evidence has highlighted the limitations of current health care systems for addressing the complex needs of patients with [...]
Incidence of Attention Deficit Hyperactivity Disorder (ADHD) Diagnoses in Navarre (Spain) from 2003 to 2019
(1) Background: Attention deficit hyperactivity disorder (ADHD) constitutes one of the leading mental health and behavioral disorders in childhood and adolescence. The main objective of this study was to analyze the time trend in the incidence of ADHD diagnoses in Navarre (Spain) from 2003 to 2019 in children and adolescents from 5 to 19 years old. Additionally, the seasonal trends of ADHD incidence and ADHD prevalence were determined. (2) Method…
Effect of Physical Activity on Cardiovascular Event Risk in a Population-Based Cohort of Patients with Type 2 Diabetes
Cardiovascular disease (CVD) is the most common cause of morbidity and mortality among patients with type 2 diabetes (T2D). Physical activity (PA) is one of the few modifiable factors that can reduce this risk. The aim of this study was to estimate to what extent PA can contribute to reducing CVD risk and all-cause mortality in patients with T2D. Information from a population-based cohort including 26,587 patients with T2D from the Navarre Health…
Initial Therapy, Regimen Change, and Persistence in a Spanish Cohort of Newly Treated Type 2 Diabetes Patients
The World Health Organization considers the non-adherence to medication a significant issue with global impact, especially in chronic conditions such as type 2 diabetes. We aim to study antidiabetic treatment initiation, add-on, treatment switching, and medication persistence. We conducted an observational study on 4247 individuals initiating antidiabetic treatment between 2013 and 2014 in the EpiChron Cohort (Spain). We used Cox regression model…
Adherence to the treatment of first choice after hospital discharge by congestive heart failure (CHF), risk factors and socio-economic determinants
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Socioeconomic inequalities in cardiometabolic control in patients with type 2 diabetes
Our results suggest the presence of socioeconomic inequalities in the achievement of cardiovascular and metabolic control that differed in direction and magnitude depending on the measured outcome and sex of the patient. These findings may help health professionals focus on high-risk individuals to decrease health inequalities
Evaluation of the Navarra Strategy for Integrated Care for Chronic and Pluripathologic Patients
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Performance Evaluations and League Tables
BACKGROUND: The use of league tables during the last decade has frequently been employed to assess quality in health care. However, few studies have attempted to assess quality by quantifying the variability across the organizational units or attempted to investigate whether the units are the correct context that really influences the outcome under study. OBJECTIVES: To quantify the variation between different organizational units regarding 5 dif…
Inter-hospital variations in caesarean sections. A risk adjusted comparison in the Valencia public hospitals
METHODS Analysis of data contained in the Minimum Basic Data Set (MBDS) compiled for all births in 11 public hospitals in Valencia during 1994–1995 (n=36 819). Bivariate and multivariate analyses were used to evaluate the association between caesarean section rates and specific risk factors. The multivariate model was used to construct predictions about caesarean rates for each hospital, for comparison with rates observed
No prominent works on this page.
Inter-hospital variations in caesarean sections. A risk adjusted comparison in the Valencia public hospitals
METHODS Analysis of data contained in the Minimum Basic Data Set (MBDS) compiled for all births in 11 public hospitals in Valencia during 1994–1995 (n=36 819). Bivariate and multivariate analyses were used to evaluate the association between caesarean section rates and specific risk factors. The multivariate model was used to construct predictions about caesarean rates for each hospital, for comparison with rates observed
Performance Evaluations and League Tables
BACKGROUND: The use of league tables during the last decade has frequently been employed to assess quality in health care. However, few studies have attempted to assess quality by quantifying the variability across the organizational units or attempted to investigate whether the units are the correct context that really influences the outcome under study. OBJECTIVES: To quantify the variation between different organizational units regarding 5 dif…
Socioeconomic inequalities in cardiometabolic control in patients with type 2 diabetes
Our results suggest the presence of socioeconomic inequalities in the achievement of cardiovascular and metabolic control that differed in direction and magnitude depending on the measured outcome and sex of the patient. These findings may help health professionals focus on high-risk individuals to decrease health inequalities
Evaluation of the Navarra Strategy for Integrated Care for Chronic and Pluripathologic Patients
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Adherence to the treatment of first choice after hospital discharge by congestive heart failure (CHF), risk factors and socio-economic determinants
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Initial Therapy, Regimen Change, and Persistence in a Spanish Cohort of Newly Treated Type 2 Diabetes Patients
The World Health Organization considers the non-adherence to medication a significant issue with global impact, especially in chronic conditions such as type 2 diabetes. We aim to study antidiabetic treatment initiation, add-on, treatment switching, and medication persistence. We conducted an observational study on 4247 individuals initiating antidiabetic treatment between 2013 and 2014 in the EpiChron Cohort (Spain). We used Cox regression model…
Incidence of Attention Deficit Hyperactivity Disorder (ADHD) Diagnoses in Navarre (Spain) from 2003 to 2019
(1) Background: Attention deficit hyperactivity disorder (ADHD) constitutes one of the leading mental health and behavioral disorders in childhood and adolescence. The main objective of this study was to analyze the time trend in the incidence of ADHD diagnoses in Navarre (Spain) from 2003 to 2019 in children and adolescents from 5 to 19 years old. Additionally, the seasonal trends of ADHD incidence and ADHD prevalence were determined. (2) Method…
Effect of Physical Activity on Cardiovascular Event Risk in a Population-Based Cohort of Patients with Type 2 Diabetes
Cardiovascular disease (CVD) is the most common cause of morbidity and mortality among patients with type 2 diabetes (T2D). Physical activity (PA) is one of the few modifiable factors that can reduce this risk. The aim of this study was to estimate to what extent PA can contribute to reducing CVD risk and all-cause mortality in patients with T2D. Information from a population-based cohort including 26,587 patients with T2D from the Navarre Health…
Intersectional analysis of social determinants of health and their association with mortality in patients with multimorbidity
The progressive increase in the number of patients with multimorbidity (i.e. with two or more chronic diseases) represents a major global challenge for health systems and daily clinical practice, as well as for epidemiological research [1,2]. Recent evidence has highlighted the limitations of current health care systems for addressing the complex needs of patients with [...]
Minería De Procesos Para Evaluar La Adherencia a Las Guías De Tratamiento en Pacientes Con Diabetes
Estrategia de cronicidad de Navarra, demostrando mejoras en resultados en salud
Bajo la premisa de que no todos los pacientes necesitan lo mismo, se estratificó a toda la población navarra con la herramienta GMA para identificar grupos de pacientes con necesidades homogéneas y se definieron planes operativos con patrones de atención integrada en cada perfil de pacientes priorizados. Un patrón de atención que pivota en AP y en la continuidad asistencial para lo que es imprescindible la integración con el resto de recursos imp…
Medicine (7 works) · Internal Medicine (6 works) · Chronic Disease Management Strategies (5 works) · Demography (5 works) · Diabetes mellitus (4 works) · Environmental health (4 works) · Population (4 works) · Type 2 diabetes (4 works) · Cohort (3 works) · Cohort study (3 works)