Osteoporosis and Musculoskeletal Diseases in Primary Care Research Group

The GROIMAP research group is integrated into the Research Support Unit of the Metropolitan North of the IDIAP Jordi Gol. The research group has been recognized as an emergent research group by the IDIAP Jordi Gol and as a pre-consolidated group by the AGAUR of the Generalitat de Catalunya. This is a multidisciplinary research group formed by doctors of different medicine specialties (Family Medicine, Rheumatology, Nuclear Medicine, Rehabilitation and Physical Therapy), and by Physiotherapists and Nurses. The purpose of the group is the clinical and epidemiological investigation of the prevalent diseases of the locomotor system in primary care and its determinants. With special interest in two aspects: the epidemiology of osteoporotic fractures, also called fragility fractures, and its primary and secondary prevention. In the prevention chapter, the research group has stood out in the determination of the absolute risk (individual) of fragility fracture in the next 10 years and in the development of useful tools for primary care level to detect the population with greater risk for new fractures to apply preventive measures, both pharmacological and others factors as prevention of falls. Since its creation, the group has published numerous works in scientific journals indexed and with an impact factor. Its members have obtained funding in several competitive research calls. The group is coordinated by Dr. Rafael Azagra Ledesma who is a specialist in Family Medicine and in Clinical Pharmacology. He works as a Medical Doctor at the Badia del Valles Center and his teaching as a Senior Professor of Family Medicine at the Autonomous University of Barcelona. From the academic point of view, the group has completed 10 doctoral theses with the highest qualification of excellence and one of them has obtained the Extraordinary Doctorate Award from the Autonomous University of Barcelona (Dr. Marta Zwart Salmerón). Two of the main current projects are: the "PRECIOSA" project, with funding from the Carlos III Health Institute (FIS scholarship), is focused on the prevention of falls in people over 75 years old living in the community. The fieldwork is developed in the Nord Metropolitan Management of the Institut Català de la Salut. The second project "EPIFROS", with funding from the AGAUR of the Generalitat de Catalunya, is focused on the determination of fracture risk factors and on the epidemiology of fragility fracture.

Group projects

PI: Llor Vilà, Carles. Efectividad del tratamiento antitusígeno, anticolinérgico y miel versus práctica habitual en adultos con bronquitis aguda no complicada. Funding: Instituto de Salud Carlos III. Duration: 2018 - 2022

PI: Díaz Herrera, Miguel Ángel. Análisis epidemiológico de heridas crónicas (lesiones por presión, úlceras de etiología venosa, úlceras de etiología arterial y pie diabético) en atención primaria en la zona metropolitana sur de Barcelona. Funding: ICS - Institut Català de la Salut. Duration: 2019 - 2021

PI: Azagra Ledesma, Rafael. Incidencia de fractura por fragilidad en los últimos 10 años y el grado de exactitud diagnóstica de FRAX en población real española. Estudi EPIFROS. Funding: FEIOMM. Duration: 2019 - 2020

PI: Solanes Cabús, Mònica. Concordance of ultrasound diagnosis between general practitioners and radiologists and patients' satisfaction with the ultrasound examination in primary care. Funding: ICS - Institut Català de la Salut. Duration: 2018 - 2020

Group publications

Gené E, Olmedo L, Pascual M, Azagra R, Elorduy M, Virumbrales M. Evaluation of clinical communication skills in medical students with simulated patients. Revista medica de Chile. 2018 Feb; 146(2):160-167. doi:10.4067/s0034-98872018000200160. Spanish. PMID:29999151. IF: 0,519.

Montserrat-Capdevila J, Godoy P, Marsal JR, Ortega M, Barbé F, Castañ MT, Seminario MA, Pujol J, Alsedà M. Prevalence and characteristics of chronic obstructive pulmonary disease in non-smokers. Atencion primaria. 2018 Nov; doi:10.1016/j.aprim.2017.10.012. Epub 2018 Nov 16. Spanish. PMID:30454958. IF: 1,042.

The group participates in the following projects

PI: Zwart Salmerón, Marta. Estudi sobre el maneig terapèutic de la infecció del tracte urinari en l'àmbit de l'atenció primària. Estudi observacional descriptiu. Funding: ICS - Institut Català de la Salut. Duration: 2019 - 2021

PI: Martínez Redondo, Javier. Evaluación del rendimiento de la ecografía pulmonar en el diagnóstico precoz de la neumonía por COVID-19 en Atención Primaria. Funding: ICS - Institut Català de la Salut. Duration: 2020

PI: Torres López, Raquel. Risc de caigudes per malnutrició en població major de 75 anys en la cohort PRECIOSA. Funding: ICS - Institut Català de la Salut. Duration: 2020

Group publications

Azagra R, Gabriel P, Aguyé A, Moriña D; en representación de GROIMAP. The application of the FRIDEX calibration of the FRAX tool to determine the absolute risk of osteoporotic fracture among Spanish women. Reumatol Clin. 2019 Sep; 15(5):e68-e69. doi:10.1016/j.reuma.2017.10.014. Epub 2017 Dec 06. PMID:29221875.

Esteller E, Carrasco M, Díaz-Herrera MÁ, Vila J, Sampol G, Juvanteny J, Sieira R, Farré A, Vilaseca I. Clinical Practice Guideline recommendations on examination of the upper airway for adults with suspected obstructive sleep apnoea-hypopnoea syndrome. Acta Otorrinolaringol Esp. 2019 Jan; doi:10.1016/j.otorri.2018.06.008. Epub 2019 Jan 04. PMID:30616837.

Esteller E, Villatoro JC, Agüero A, Matiñó E, Lopez R, Aristimuño A, Nuñez V, Díaz-Herrera MA. Outcome of drug-induced sleep endoscopy-directed surgery for persistent obstructive sleep apnea after adenotonsillar surgery. Int. J. Pediatr. Otorhinolaryngol. 2019 Feb; 120:118-122. doi:10.1016/j.ijporl.2019.02.004. Epub 2019 Feb 06. PMID:30776569. IF: 1,225.

Gea-Caballero V, Castro-Sánchez E, Díaz-Herrera MÁ, Sarabia-Cobo C, Juárez-Vela R, Zabaleta-Del Olmo E. Motivations, Beliefs, and Expectations of Spanish Nurses Planning Migration for Economic Reasons: A Cross-Sectional, Web-Based Survey. J Nurs Scholarsh. 2019 Jan; doi:10.1111/jnu.12455. Epub 2019 Jan 09. PMID:30628174. IF: 2,540.

Gea-Caballero V, Díaz-Herrera MA, Juárez-Vela R, Ferrer-Ferrándiz E, Tenías-Burillo JM, Martínez-Rierra JR. Perception of the professional nursing environment in Primary Care in the Valencian Community, in departments with public and private management. An Sist Sanit Navar. 2019 Jun; doi:10.23938/ASSN.0639. Epub 2019 Jun 10. Spanish. PMID:31180369. IF: 0,533.

Montserrat-Capdevila J, Godoy P, Marsal JR, Ortega M, Barbé F, Castañ MT, Seminario MA, Pujol J, Alsedà M. Prevalence and characteristics of chronic obstructive pulmonary disease in non-smokers. Aten Primaria. 2019 Dec;51(10):602-609. doi: 10.1016/j.aprim.2017.10.012. Epub 2018 Nov 16. Spanish. PubMed PMID: 30454958; PubMed Central PMCID: PMC6930941. IF: 1,346.

Moreno JLB, Muñoz RC, Matos YR, Balboa IV, Puértolas OC, Ortega JA, Perez ER, Curto XM, Ripollès CR, Farres NM, Agudelo OLA, Cantera CM, Ledesma RA. Effectiveness of the Epley manoeuvre in posterior canal benign paroxysmal positional vertigo: a randomised clinical trial in primary care. Br J Gen Pract. 2018 Dec; doi:10.3399/bjgp18X700253. Epub 2018 Dec 03. PMID:30510098. IF: 4,434.

The group participates in the following publications

Cabellos-García AC, Castro-Sánchez E, Martínez-Sabater A, Díaz-Herrera MÁ, Ocaña-Ortiz A, Juárez-Vela R, Gea-Caballero V. Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease. Int J Environ Res Public Health. 2020 03; 17(6). doi:10.3390/ijerph17062082. Epub 2020 Mar 20. pmc:PMC7143569. PMID:32245143. IF: 2,849.

García-Alamino JM, Escuriet-Peiró JR, Fabrellas N, Fernández J, Sanz M, Binfa L, Roman E, Díaz MÁ, et al. Manifiesto Florence para unos mejores cuidados basados en la evidencia. Rev Enferm ROL. 2020;43(11):741-746.

Martínez-Riera JR, Juárez-Vela R, Díaz-Herrera MÁ, Montejano-Lozoya R, Doménech-Briz V, Benavent-Cervera JV, Cabellos-García AC, Melo P, Nguyen TH, Gea-Caballero V. Qualitative Analysis by Experts of the Essential Elements of the Nursing Practice Environments Proposed by the TOP10 Questionnaire of Assessment of Environments in Primary Health Care. Int J Environ Res Public Health. 2020 10; 17(20). doi:10.3390/ijerph17207520. Epub 2020 Oct 15. pmc:PMC7602784. PMID:33076545. IF: 2,849.

Olmedo L, Azagra R, Aguyé A, Pascual M, Calvet X, Gené E. High Effectiveness of a 14-Day Concomitant Therapy for Treatment in Primary Care. An Observational Multicenter Study. J Clin Med. 2020 Jul; 9(8). doi:10.3390/jcm9082410. Epub 2020 Jul 28. pmc:PMC7464342. PMID:32731455. IF: 3,303.




Researchers with PhD


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Total Funding

120.950 €

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