Associations and mitigations: an analysis of the changing risk factor landscape for chronic kidney disease in primary care using national general practice level data
Conclusions CKD is a preventable disease with high costs and consequences. These data and novel analysis give clearer relative risk values for different patient characteristics with some unexpected findings such as potential harmful association between CKD and opiates, and a more benign association with NSAIDs. A deeper understanding of CKD risk factors is important to update and implement local and national management strategies. Further research is required to establish the causal nature of these associations and to refine location appropriate actions to minimise harm from CKD on regional and local levels. (Source: BMJ Open)
Source: BMJ Open - December 22, 2022 Category: General Medicine Authors: Stedman, M., Heald, A., Robinson, A., Davies, M., Harnett, P. Tags: Open access, Renal medicine Source Type: research

Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study
CONCLUSIONS: A significant number of people are living with comorbid cancer and dementia in England. This group have additional comorbidity and higher general practice usage than those with cancer/dementia alone. The needs of this group should be considered in future general practice care planning and research.PMID:36371194 | PMC:PMC9655793 | DOI:10.1186/s12875-022-01882-w (Source: Primary Care)
Source: Primary Care - November 12, 2022 Category: Primary Care Authors: Michelle Collinson Ellen Mason Rachael Kelley Alys Griffiths Laura Ashley Ann Henry Hayley Inman Fiona Cowdell June Hennell Liz Jones Maria Walsh Margaret Ogden Amanda Farrin Claire Surr Source Type: research

Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study
CONCLUSIONS: A significant number of people are living with comorbid cancer and dementia in England. This group have additional comorbidity and higher general practice usage than those with cancer/dementia alone. The needs of this group should be considered in future general practice care planning and research.PMID:36371194 | DOI:10.1186/s12875-022-01882-w (Source: Primary Care)
Source: Primary Care - November 12, 2022 Category: Primary Care Authors: Michelle Collinson Ellen Mason Rachael Kelley Alys Griffiths Laura Ashley Ann Henry Hayley Inman Fiona Cowdell June Hennell Liz Jones Maria Walsh Margaret Ogden Amanda Farrin Claire Surr Source Type: research

The impact of a clinical review of people with active epilepsy not under shared care by a GP with special interest
CONCLUSION: Review of PWE in primary care remains poor. Attitudes from both GPs and PWE to their condition needs evaluation in order to plan future care. Bone health is an issue easily addressed in primary care and should be promoted through education or the re-introduction of a specific QOF (Quality and Outcomes Framework) target. Guidance on bone health for ASM needs clarification. This study adds to the evidence of the effectiveness of a GPwSIe.PMID:35809502 | DOI:10.1016/j.yebeh.2022.108778 (Source: Epilepsy and Behaviour)
Source: Epilepsy and Behaviour - July 9, 2022 Category: Neurology Authors: I Minshall A Neligan Source Type: research

The impact of a clinical review of people with active epilepsy not under shared care by a GP with special interest
CONCLUSION: Review of PWE in primary care remains poor. Attitudes from both GPs and PWE to their condition needs evaluation in order to plan future care. Bone health is an issue easily addressed in primary care and should be promoted through education or the re-introduction of a specific QOF (Quality and Outcomes Framework) target. Guidance on bone health for ASM needs clarification. This study adds to the evidence of the effectiveness of a GPwSIe.PMID:35809502 | DOI:10.1016/j.yebeh.2022.108778 (Source: Epilepsy and Behaviour)
Source: Epilepsy and Behaviour - July 9, 2022 Category: Neurology Authors: I Minshall A Neligan Source Type: research

Association of environmental and socioeconomic indicators with serious mental illness diagnoses identified from general practitioner practice data in England: A spatial Bayesian modelling study
ConclusionsOur study provides further evidence on the significance of socioeconomic associations in patterns of SMI but emphasises the additional importance of considering environmental characteristics alongside socioeconomic variables in understanding these patterns. In this study, we did not observe a significant association between green space and SMI prevalence, but we did identify an apparent association between green spaces with a lake and SMI prevalence. Deprivation, higher concentrations of air pollution, and higher proportion of ethnic minorities were associated with higher SMI prevalence, supporting a social-ecol...
Source: PLoS Medicine - June 30, 2022 Category: Internal Medicine Authors: Joana Cruz Source Type: research

Effect of COVID-19 pandemic on glycaemic monitoring and other processes of care in Type 2 Diabetes: Protocol for a retrospective cohort study
CONCLUSIONS: The COVID-19 pandemic has impacted on the delivery of care but little is known on the process of care of people with T2DM. This study will report the impact of the COVID-19 pandemic on these processes of care.INTERNATIONAL REGISTERED REPORT: DERR1-10.2196/35971.PMID:35417404 | DOI:10.2196/35971 (Source: Rural Remote Health)
Source: Rural Remote Health - April 13, 2022 Category: Rural Health Authors: Mekha Mathew Jeremy van Vlymen Bernardo Meza-Torres William Hinton Gayathri Delanerolle Ivelina Yonova Michael Feher Xuejuan Fan Harshana Liyanage Mark Joy Fabrizio Carinci Simon de Lusignan Source Type: research

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis
CONCLUSION: Professional, population, and system outcomes showed a variety of associations with primary care workforce composition. Having additional nurses was associated with lower quality in some aspects, and higher costs and activity. The association between additional healthcare professionals or health associate professionals and higher costs was less than that for additional GPs, but was also linked to lower patient and GP satisfaction.PMID:35379602 | PMC:PMC8999710 | DOI:10.3399/BJGP.2021.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 5, 2022 Category: Primary Care Authors: Jon Gibson Igor Francetic Sharon Spooner Kath Checkland Matt Sutton Source Type: research

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis
CONCLUSION: Professional, population, and system outcomes showed a variety of associations with primary care workforce composition. Having additional nurses was associated with lower quality in some aspects, and higher costs and activity. The association between additional healthcare professionals or health associate professionals and higher costs was less than that for additional GPs, but was also linked to lower patient and GP satisfaction.PMID:35379602 | DOI:10.3399/BJGP.2021.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 5, 2022 Category: Primary Care Authors: Jon Gibson Igor Francetic Sharon Spooner Kath Checkland Matt Sutton Source Type: research

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis
CONCLUSION: Professional, population, and system outcomes showed a variety of associations with primary care workforce composition. Having additional nurses was associated with lower quality in some aspects, and higher costs and activity. The association between additional healthcare professionals or health associate professionals and higher costs was less than that for additional GPs, but was also linked to lower patient and GP satisfaction.PMID:35379602 | DOI:10.3399/BJGP.2021.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 5, 2022 Category: Primary Care Authors: Jon Gibson Igor Francetic Sharon Spooner Kath Checkland Matt Sutton Source Type: research

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis
CONCLUSION: Professional, population, and system outcomes showed a variety of associations with primary care workforce composition. Having additional nurses was associated with lower quality in some aspects, and higher costs and activity. The association between additional healthcare professionals or health associate professionals and higher costs was less than that for additional GPs, but was also linked to lower patient and GP satisfaction.PMID:35379602 | DOI:10.3399/BJGP.2021.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 5, 2022 Category: Primary Care Authors: Jon Gibson Igor Francetic Sharon Spooner Kath Checkland Matt Sutton Source Type: research

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis
CONCLUSION: Professional, population, and system outcomes showed a variety of associations with primary care workforce composition. Having additional nurses was associated with lower quality in some aspects, and higher costs and activity. The association between additional healthcare professionals or health associate professionals and higher costs was less than that for additional GPs, but was also linked to lower patient and GP satisfaction.PMID:35379602 | DOI:10.3399/BJGP.2021.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 5, 2022 Category: Primary Care Authors: Jon Gibson Igor Francetic Sharon Spooner Kath Checkland Matt Sutton Source Type: research

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis
CONCLUSION: Professional, population, and system outcomes showed a variety of associations with primary care workforce composition. Having additional nurses was associated with lower quality in some aspects, and higher costs and activity. The association between additional healthcare professionals or health associate professionals and higher costs was less than that for additional GPs, but was also linked to lower patient and GP satisfaction.PMID:35379602 | DOI:10.3399/BJGP.2021.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 5, 2022 Category: Primary Care Authors: Jon Gibson Igor Francetic Sharon Spooner Kath Checkland Matt Sutton Source Type: research

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis
CONCLUSION: Professional, population, and system outcomes showed a variety of associations with primary care workforce composition. Having additional nurses was associated with lower quality in some aspects, and higher costs and activity. The association between additional healthcare professionals or health associate professionals and higher costs was less than that for additional GPs, but was also linked to lower patient and GP satisfaction.PMID:35379602 | DOI:10.3399/BJGP.2021.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 5, 2022 Category: Primary Care Authors: Jon Gibson Igor Francetic Sharon Spooner Kath Checkland Matt Sutton Source Type: research

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis
CONCLUSION: Professional, population, and system outcomes showed a variety of associations with primary care workforce composition. Having additional nurses was associated with lower quality in some aspects, and higher costs and activity. The association between additional healthcare professionals or health associate professionals and higher costs was less than that for additional GPs, but was also linked to lower patient and GP satisfaction.PMID:35379602 | DOI:10.3399/BJGP.2021.0593 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 5, 2022 Category: Primary Care Authors: Jon Gibson Igor Francetic Sharon Spooner Kath Checkland Matt Sutton Source Type: research