Spirometry and FeNO testing for asthma in children in UK primary care: a prospective observational cohort study of feasibility and acceptability.
CONCLUSION: After training, general practice staff obtained quality spirometry and FeNO data from most children tested. Testing was acceptable to staff and families. The majority of general practice staff reported that spirometry helped them to manage children's asthma better. PMID: 33077507 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - October 19, 2020 Category: Primary Care Authors: Lo D, Beardsmore C, Roland D, Richardson M, Yang Y, Danvers L, Wilson A, Gaillard EA Tags: Br J Gen Pract Source Type: research

Excess mortality in the first COVID pandemic peak: cross-sectional analyses of the impact of age, sex, ethnicity, household size, and long-term conditions in people of known SARS-Cov-2 status in England.
Abstract BACKGROUND: The SARS-CoV-2 pandemic has passed its first peak in Europe. AIM: To describe the mortality in England and its association with SARS-CoV-2 status and other demographic and risk factors. DESIGN AND SETTING: Cross-sectional analyses of people with known SARS-CoV-2 status in the Oxford RCGP Research and Surveillance Centre (RSC) sentinel network. METHOD: Pseudonymised, coded clinical data were uploaded from volunteer general practice members of this nationally representative network ( n = 4 413 734). All-cause mortality was compared with national rates for 2019, using a relative su...
Source: The British Journal of General Practice - October 19, 2020 Category: Primary Care Authors: Joy M, Hobbs FR, Bernal JL, Sherlock J, Amirthalingam G, McGagh D, Akinyemi O, Byford R, Dabrera G, Dorward J, Ellis J, Ferreira F, Jones N, Oke J, Okusi C, Nicholson BD, Ramsay M, Sheppard JP, Sinnathamby M, Zambon M, Howsam G, Williams J, de Lusignan S Tags: Br J Gen Pract Source Type: research

Uncoded chronic kidney disease in primary care: a cross-sectional study of inequalities and cardiovascular disease risk management.
Abstract BACKGROUND: Uncoded chronic kidney disease (CKD) is associated with poorer quality of care. AIM: To ascertain the proportion and determinants of CKD, which have not been formally recorded (Read coded), and identify differences in management and quality-of-care measures for patients with coded and uncoded CKD. DESIGN AND SETTING: Cross-sectional survey undertaken in an ethnically diverse adult population using primary care electronic health records (EHRs) from GP clinics in Lambeth, South London, UK. METHOD: Multivariable logistic regression analysis examined the association of demographic f...
Source: The British Journal of General Practice - October 19, 2020 Category: Primary Care Authors: Molokhia M, Okoli GN, Redmond P, Asgari E, Shaw C, Schofield P, Ashworth M, Durbaba S, Nitsch D Tags: Br J Gen Pract Source Type: research

Supporting GPs around euthanasia requests from people with dementia: a qualitative analysis of Dutch nominal group meetings.
CONCLUSION: Consensus was reached with the help of experts on support needs for GPs confronted with euthanasia requests from PWD. A concise and clear explanation of the law is strongly desired. Changing public opinion seems the most challenging and a long-term aim. Communication training for finding the right balance between the physician's professional responsibility and the patient's autonomy should be made available, as a short-term aim. PMID: 33077510 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - October 19, 2020 Category: Primary Care Authors: Schuurmans J, Vos S, Vissers P, Tilburgs B, Engels Y Tags: Br J Gen Pract Source Type: research

Managing older people's perceptions of alcohol-related risk: a qualitative exploration in Northern English primary care.
CONCLUSION: Later life is a time when older people may be open to making changes to their alcohol use, particularly when suggested by practitioners. Older people can struggle to recognise potential risks or perceive little gain in acting on perceived risks. Such perceptions may be challenging to navigate in supportive discussions. PMID: 33077511 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - October 19, 2020 Category: Primary Care Authors: Bareham BK, Kaner E, Hanratty B Tags: Br J Gen Pract Source Type: research

Group medical consultation for osteoporosis: a prospective pilot study of patient experience in Canadian tertiary care.
CONCLUSION: Group consultations represent a satisfactory and time-efficient alternative to one-to-one consultations for select patients with osteoporosis. PMID: 33020167 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - October 5, 2020 Category: Primary Care Authors: Billington EO, Feasel AL, VanDyke JL, Kline GA Tags: Br J Gen Pract Source Type: research

Implementation of the National Early Warning Score in UK care homes: a qualitative evaluation.
CONCLUSION: This evaluation highlights the need to involve care home staff and the primary care services that support them when developing and implementing interventions in care homes. The appropriateness and value of NEWS in non-acute settings requires ongoing monitoring. PMID: 33020168 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - October 5, 2020 Category: Primary Care Authors: Russell S, Stocker R, Barker RO, Liddle J, Adamson J, Hanratty B Tags: Br J Gen Pract Source Type: research

Pregnancy protection and pregnancies in women prescribed ACE inhibitors or ARBs: a cross-sectional study in primary care.
CONCLUSION: This study found that the recording of pre-pregnancy advice and contraception in women of childbearing age who were prescribed an ACE inhibitor or an ARB was suboptimal; this may place women and their babies at risk of exposure to teratogens during pregnancy. The findings indicate that there is a need for improved safety strategies based in primary care. PMID: 33020169 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - October 5, 2020 Category: Primary Care Authors: Lovegrove E, Robson J, McGettigan P Tags: Br J Gen Pract Source Type: research

Impact of lowering the risk threshold for statin treatment on statin prescribing: a descriptive study in English primary care.
CONCLUSION: Currently available evidence, which only considers people with coded risk scores in their medical record, indicates the guideline change had a large impact on statin prescribing. However, that analysis likely suffers from selection bias. This new evidence indicates only a modest impact of the guideline change. Further qualitative research about the lack of response to the guideline change is needed. PMID: 33020170 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - October 5, 2020 Category: Primary Care Authors: Pate A, Emsley R, van Staa T Tags: Br J Gen Pract Source Type: research

Highlights.
Authors: PMID: 33004354 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Tags: Br J Gen Pract Source Type: research

Herd Thinking.
PMID: 33004355 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Lawson E Tags: Br J Gen Pract Source Type: research

First do no harm: valproate and medicines safety in pregnancy.
PMID: 33004356 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Robson J, Moss N, McGettigan P, Beardsley SJ, Lovegrove E, Dezateux C Tags: Br J Gen Pract Source Type: research

Home visits for vulnerable older people: journeys to the 'Far End'.
PMID: 33004357 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Macdonald G, Vernon G, McNab D, Murdoch JC Tags: Br J Gen Pract Source Type: research

Appraisal, wellbeing, and pandemics: is a focus on wellbeing now warranted?
PMID: 33004358 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: McCartney M, Brown VT Tags: Br J Gen Pract Source Type: research

The future of scholarly communications.
PMID: 33004359 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Kiley R Tags: Br J Gen Pract Source Type: research

Revealing the reality of undergraduate GP teaching in UK medical curricula.
PMID: 33004360 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Alberti H, Cottrell E, Rosenthal J, Pope L, Thompson T Tags: Br J Gen Pract Source Type: research

Doctors as patients: submission deadline extended.
PMID: 33004361 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Finnikin SJ, Orlans DA, Charlton R, Ravall D Tags: Br J Gen Pract Source Type: research

'Bad old habits' … and what really matters.
'Bad old habits' … and what really matters. Br J Gen Pract. 2020 Oct;70(699):485-486 Authors: Swinglehurst D, Dowrick C, Heath I, Hjörleifsson S, Hull S, Misselbrook D, Reeve J PMID: 33004362 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Swinglehurst D, Dowrick C, Heath I, Hjörleifsson S, Hull S, Misselbrook D, Reeve J Tags: Br J Gen Pract Source Type: research

Could checklists support teams in stressful situations?
PMID: 33004363 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: O'Hare S, Gormley G, Conn R Tags: Br J Gen Pract Source Type: research

Correction.
Authors: PMID: 33004364 [PubMed] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Tags: Br J Gen Pract Source Type: research

PHE and BAME inequalities: too little, too late?
PMID: 33004365 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Singh C Tags: Br J Gen Pract Source Type: research

It's time for general practice to act on racism in health care.
PMID: 33004366 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Sherif J Tags: Br J Gen Pract Source Type: research

Spectacular health care.
PMID: 33004367 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Heer-Stavert S Tags: Br J Gen Pract Source Type: research

Retirement and managing the 'peridoctorpause'.
PMID: 33004368 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Warren E Tags: Br J Gen Pract Source Type: research

Finding meaning in the consultation: introducing the hermeneutic window.
PMID: 33004369 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Shah R, Clarke R, Ahluwalia S, Launer J Tags: Br J Gen Pract Source Type: research

Trying to carve nature at its joints: respecting the complexity of psychiatric diagnosis.
PMID: 33004370 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Stone L Tags: Br J Gen Pract Source Type: research

Yonder: Rheumatoid feet, paternal mental health, sciatica, and good family nurses.
PMID: 33004371 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Rashid A Tags: Br J Gen Pract Source Type: research

Books: To Kill A Mockingbird: A Short Course in Racism.
PMID: 33004372 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Misselbrook D Tags: Br J Gen Pract Source Type: research

Books: Angel of Death. The Story of Smallpox: Lessons from a Previous Pandemic.
PMID: 33004373 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Rowlands S Tags: Br J Gen Pract Source Type: research

Inequalities.
PMID: 33004374 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Miller S Tags: Br J Gen Pract Source Type: research

Will the GP workforce crisis be solved by top-down initiatives?
PMID: 33004375 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Staveley I, Sampson J Tags: Br J Gen Pract Source Type: research

Ten years' GP training in China: progress and challenges.
PMID: 33004376 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Zou C, Liao XY, Spicer J, Hayhoe B Tags: Br J Gen Pract Source Type: research

Herpes simplex ophthalmia neonatorum: a sight-threatening diagnosis.
PMID: 33004377 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Maqsood N, Mahmood U Tags: Br J Gen Pract Source Type: research

Update on breast cancer diagnosis and management: new topics for primary care.
PMID: 33004378 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 30, 2020 Category: Primary Care Authors: Cox J, Bhatti A, Graham Y, Lee D Tags: Br J Gen Pract Source Type: research

Impact of COVID-19 on loneliness, mental health, and health service utilisation: a prospective cohort study of older adults with multimorbidity in primary care.
CONCLUSION: Psychosocial health of older patients with multimorbidity markedly deteriorated and missed medical appointments substantially increased after the COVID-19 outbreak. PMID: 32988955 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 27, 2020 Category: Primary Care Authors: Wong SYS, Zhang D, Sit RWS, Yip BHK, Chung RY, Wong CKM, Chan DCC, Sun W, Kwok KO, Mercer SW Tags: Br J Gen Pract Source Type: research

Socioeconomic status and HRT prescribing: a study of practice-level data in England.
Abstract BACKGROUND: Concerns have been raised that women from deprived backgrounds are less likely to be receiving hormone replacement therapy (HRT) treatment and its benefits, although evidence in support of this is lacking. AIM: To investigate general practice HRT prescription trends and their association with markers of socioeconomic deprivation. DESIGN AND SETTING: Cross-sectional study of primary care prescribing data in England in 2018. METHOD: Practice-level prescribing rate was defined as the number of items of HRT prescribed per 1000 registered female patients aged ≥40 years. The associ...
Source: The British Journal of General Practice - September 27, 2020 Category: Primary Care Authors: Hillman S, Shantikumar S, Ridha A, Todkill D, Dale J Tags: Br J Gen Pract Source Type: research

Supporting patients with female genital mutilation in primary care: a qualitative study exploring the perspectives of GPs' working in England.
CONCLUSION: FGM reporting requirements complicate consultations. The potential consequences on trust between women affected by FGM and their GP are clear. The tensions that GPs experience in supporting women affected by FGM can be understood through the theoretical lens of street-level bureaucracy. This is likely to be relevant to other areas of proposed mandated reporting. PMID: 32958532 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 20, 2020 Category: Primary Care Authors: Dixon S, Hinton L, Ziebland S Tags: Br J Gen Pract Source Type: research

Natural history of uncomplicated urinary tract infection without antibiotics: a systematic review.
CONCLUSION: Although some uncertainty around the natural history of uncomplicated UTIs remains, some women appear to improve or become symptom free spontaneously, and most improvement occurs in the first 9 days. Other women either failed to improve or became worse over a variable timespan, although the rate of serious complications was low. PMID: 32958533 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 20, 2020 Category: Primary Care Authors: Hoffmann T, Peiris R, Mar CD, Cleo G, Glasziou P Tags: Br J Gen Pract Source Type: research

Emergency admission risk stratification tools in UK primary care: a cross-sectional survey of availability and use.
CONCLUSION: EARS tools are widely available across the UK, although there is variation by region. There remains a need to align policy and practice with research evidence. PMID: 32958534 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 20, 2020 Category: Primary Care Authors: Kingston M, Griffiths R, Hutchings H, Porter A, Russell I, Snooks H Tags: Br J Gen Pract Source Type: research

Operational failures and how they influence the work of GPs: a qualitative study in primary care.
CONCLUSION: Operational failures in primary care matter for GPs and their experience of work. Compensatory labour is burdensome with an unintended consequence of rendering these failures largely invisible. Recognition of the significance of operational failures should stimulate efforts to make the primary care work environment more attractive. PMID: 32958535 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 20, 2020 Category: Primary Care Authors: Sinnott C, Georgiadis A, Dixon-Woods M Tags: Br J Gen Pract Source Type: research

The difference an end-of-life diagnosis makes: qualitative interviews with providers of community health care for frail older people.
CONCLUSION: End-of-life diagnosis is a first-class ticket to community care; people who die without such a diagnosis are potentially disadvantaged as regards care provision. Recognising this inequity should help policymakers and practitioners to mitigate it. PMID: 32958536 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 20, 2020 Category: Primary Care Authors: Polak L, Hopkins S, Barclay S, Hoare S Tags: Br J Gen Pract Source Type: research

The content and conduct of GP consultations for dermatology problems: a cross-sectional study.
CONCLUSION: In this study, skin problems were usually presented alongside other complaints and resulted in a medication recommendation. Shared decision making was uncommon and self-management advice not consistently given, with re-attendance for the same problem common. GPs' training should reflect how frequently skin problems are seen and seek to improve patient involvement in decision making and support self-management. PMID: 32895240 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 6, 2020 Category: Primary Care Authors: Le Roux E, Edwards PJ, Sanderson E, Barnes RK, Ridd MJ Tags: Br J Gen Pract Source Type: research

Hospital admissions after vertical integration of general practices with an acute hospital: a retrospective synthetic matched controlled database study.
CONCLUSION: Vertical integration was associated with a reduction in the rate of unplanned hospital admissions and readmissions in this study. Further work is required to understand the mechanisms involved in this complex intervention, to assess the generalisability of these findings, and to determine the impact on patient satisfaction, health outcomes, and GP workload. PMID: 32895241 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 6, 2020 Category: Primary Care Authors: Yu V, Wyatt S, Woodall M, Mahmud S, Klaire V, Bailey K, Mohammed MA Tags: Br J Gen Pract Source Type: research

Prevalence of suspected COVID-19 infection in patients from ethnic minority populations: a cross-sectional study in primary care.
CONCLUSION: Using data from GP records, black and South Asian ethnicity remain as predictors of suspected COVID-19, with levels of risk similar to hospital admission reports. Further understanding of these differences requires social and occupational data. PMID: 32895242 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 6, 2020 Category: Primary Care Authors: Hull SA, Williams C, Ashworth M, Carvalho C, Boomla K Tags: Br J Gen Pract Source Type: research

GPs' decisions about prescribing end-of-life anticipatory medications: a qualitative study.
CONCLUSION: GPs view anticipatory medications as key to symptom management for patients at the end of life. The drugs are often presented as a clinical recommendation to ensure patients and families accept the prescription. GPs need regular access to nurses and rely on their skills to administer drugs appropriately. Patients' and families' experiences of anticipatory medications, and their preferences for involvement in decision making, warrant urgent investigation. PMID: 32895243 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - September 6, 2020 Category: Primary Care Authors: Bowers B, Barclay SS, Pollock K, Barclay S Tags: Br J Gen Pract Source Type: research

Research Responsiblities.
PMID: 32855124 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - August 29, 2020 Category: Primary Care Authors: MacAuley D Tags: Br J Gen Pract Source Type: research

COVID-19 and the legacy of grief.
PMID: 32855125 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - August 29, 2020 Category: Primary Care Authors: Heath I Tags: Br J Gen Pract Source Type: research

A new collaborative model of primary care research: could it provide trainees and clinicians with more opportunities to get involved?
PMID: 32855126 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - August 29, 2020 Category: Primary Care Authors: Duncan P, Payne RA, Merriel S Tags: Br J Gen Pract Source Type: research

Should we, can we, halt the rise in prescribing for pain and distress?
PMID: 32855127 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - August 29, 2020 Category: Primary Care Authors: Byng R Tags: Br J Gen Pract Source Type: research

How was lockdown for you? Asylum seekers' mental health during the pandemic.
PMID: 32855128 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - August 29, 2020 Category: Primary Care Authors: Fisher P Tags: Br J Gen Pract Source Type: research