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Clinical prediction rules in practice: review of clinical guidelines and survey of GPs.
CONCLUSION: GPs use CPRs to guide management but also to comply with local policy requirements. Future research could focus on which clinical areas clinicians would most benefit from CPRs and promoting the use of robust, externally validated CPRs. PMID: 24686888 [PubMed - in process]
Source: The British Journal of General Practice - April 1, 2014 Category: Primary Care Authors: Plüddemann A, Wallace E, Bankhead C, Keogh C, Van der Windt D, Lasserson D, Galvin R, Moschetti I, Kearley K, O'Brien K, Sanders S, Mallett S, Malanda U, Thompson M, Fahey T, Stevens R Tags: Br J Gen Pract Source Type: research

Application of the Community Assessment Risk Screen in Primary Care centres of the Valencia Health System.
CONCLUSIONS: CARS does not properly identify the population at high risk of hospital readmission. However, if it could be revised and the positive predictive value improved, it could be incorporated into the Primary Care computer systems and be useful in the initial screening and grouping of chronic patients at risk of hospital readmission. PMID: 24332509 [PubMed - as supplied by publisher]
Source: Atencion Primaria - December 11, 2013 Category: Primary Care Authors: Ródenas F, Garcés J, Doñate-Martínez A, Zafra E Tags: Aten Primaria Source Type: research

Depression and chronic diseases: it is time for a synergistic mental health and primary care approach.
Conclusion: Measures must be implemented across the communities of mental health and primary care practitioners in order to achieve a synergistic approach to depression. PMID: 23930236 [PubMed]
Source: Primary Care - August 14, 2013 Category: Primary Care Authors: Voinov B, Richie WD, Bailey RK Tags: Prim Care Companion CNS Disord Source Type: research

Social connectedness and predictors of successful ageing
Conclusions: A healthy lifestyle and maintenance of healthy weight, but not social connectedness, may improve the chances of ageing successfully by our definition. Social connectedness may be related to a perception of ageing well, but it does not appear to help avoid the usual conditions associated with ageing.
Source: Maturitas - May 28, 2013 Category: Primary Care Authors: Allison M. Hodge, Dallas R. English, Graham G. Giles, Leon Flicker Tags: Research articles Source Type: research

Suicidal Ideation Higher Among Stroke Survivors than Among Those with History of Cancer
A variety of sociodemographic factors were found to predict suicidal ideation among stroke survivors with a high degree of sensitivity and specificity.
Source: Consultant Live - February 11, 2013 Category: Primary Care Source Type: news

Socioeconomic variation in the financial consequences of ill health for older people with chronic diseases: A systematic review
Abstract: Chronic disease has financial consequences for older adults, but it is unclear how this varies between conditions with different disease trajectories. The aim of this study was to review evidence on the financial burden associated with cancer, heart failure or stroke in older people, to identify those most at risk of financial adversity. We systematically searched nine databases for studies with data on the illness-related financial burden (objective), or on the perception of financial hardship (subjective), of older patients and/or their informal caregivers in high-income countries. We identified thirty-eight pa...
Source: Maturitas - February 6, 2013 Category: Primary Care Authors: Nicole K. Valtorta, Barbara Hanratty Tags: Reviews Source Type: research

Health maintenance in women.
Abstract The health maintenance examination is an opportunity to focus on disease prevention and health promotion. The patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling and contraception as needed, and all women planning or capable of pregnancy should take 400 to 800 mcg of folic acid per day. High-risk sexually active women should be counseled on reducing the risk of sexually transmitted infections, and screened for chlamydia, gonorrhea, and syphilis. All women should be screened for huma...
Source: American Family Physician - January 1, 2013 Category: Primary Care Authors: Riley M, Dobson M, Jones E, Kirst N Tags: Am Fam Physician Source Type: research

Combined hormonal contraception
Abstract: Combined oral contraception is now available as oral, transdermal, vaginal and injectable preparations. Only the pill and patch are currently marketed in the UK. Most of the data come from the oral preparation (the combined pill), which has been marketed for more than 40 years and used by millions of women. Used perfectly, combined hormonal contraception is highly effective (failure rate 1/1000), because it works by inhibiting ovulation. In typical use, however, mistakes are made, and pill failure rates are about 8%. Serious cardiovascular side-effects (heart attack, stroke and venous thromboembolism) are ra...
Source: Women's Health Medicine - November 1, 2006 Category: Primary Care Authors: Anna Glasier Source Type: research

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