title: [The enigma of quaternary prevention in Primary Care. When and when not to do it (presentation of two cases)].
abstract: Quaternary prevention has been commonly defined with the "primum non nocere" of classical texts by many authors. The daily life of our primary care consultations are full of patients in which we wondered if we try to obtain the benefit of our intervention will exceed the damage we cause him to intervene. Patients with multiple comorbidities, polypharmacy and complex are common in our consultations and it is becoming more difficult to move the balance of our actions, diagnostic or therapeutic benefit to the side. Through 2 cases often move to the reflection of this problem. Quaternary prevention must also be present in our daily activities.
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Salud Híjar, Servicio Aragonés de Salud, Teruel, España. Electronic address: jcucalona@semg.es.
authors.forename: J M
authors.initials: JM
authors.lastname: Cucalón
authors.forename: M
authors.initials: M
authors.lastname: Guiu
mesh_terms: D000369:Aged, 80 and over; D000726:Androgen Antagonists / Q000009:adverse effects*; D000813:Anilides / Q000009:adverse effects*; D050071:Bone Density Conservation Agents / Q000009:adverse effects*; D003534:Cyproterone / Q000009:adverse effects*; D005260:Female; D006801:Humans; D057970:Inappropriate Prescribing / Q000517:prevention & control*; D007211:Indoles / Q000009:adverse effects*; D008297:Male; D009570:Nitriles / Q000009:adverse effects*; D010024:Osteoporosis / Q000188:drug therapy*; D011320:Primary Health Care; D011471:Prostatic Neoplasms / Q000188:drug therapy*; D014105:Tosyl Compounds / Q000009:adverse effects*
chemical_list: D000726:Androgen Antagonists; D000813:Anilides; D050071:Bone Density Conservation Agents; D007211:Indoles; D009570:Nitriles; D014105:Tosyl Compounds; C053541:bicalutamide; D003534:Cyproterone; C447119:bazedoxifene
keywords: Atención Primaria; Casos clínicos; Clinical cases; Prevención cuaternaria; Primary Care; Quaternary prevention