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Total 326 results found since Jan 2013.

Cost-Effectiveness Analysis of the DiagnOSAS Screening Tool Compared With Polysomnography Diagnosis in Dutch Primary Care
Conclusions:DiagnOSAS appears to be a cost-saving alternative for the usual OSA diagnostic strategy in The Netherlands. When DiagnOSAS succeeds in decreasing time to diagnosis, it could substantially improve health outcomes as well.Citation:Geessinck FAJ, Pleijhuis RG, Mentink RJ, van der Palen J, Koffijberg H. Cost-effectiveness analysis of the DiagnOSAS screening tool compared with polysomnography diagnosis in Dutch primary care.J Clin Sleep Med. 2018;14(6):1005–1015.
Source: Journal of Clinical Sleep Medicine : JCSM - June 14, 2018 Category: Sleep Medicine Source Type: research

Variation in anticoagulation for atrial fibrillation between English clinical commissioning groups: an observational study.
CONCLUSION: Anticoagulation for AF has improved substantially in England in association with considerable increases in the eligible population as a result of decreased exception reporting and the use of the CHA2DS2VASc score. There is still substantial room for improvement in most CCGs because, even allowing for exceptions, nine out of 10 CCGs failed to achieve 90% anticoagulation. PMID: 29970397 [PubMed - as supplied by publisher]
Source: The British Journal of General Practice - July 2, 2018 Category: Primary Care Authors: Robson J, Homer K, Ahmed Z, Antoniou S Tags: Br J Gen Pract Source Type: research

Sex Differences in the Occurrence of Major Clinical Events in Elderly People with Type 2 Diabetes Mellitus Followed up in the General Practice
Conclusions Elderly women with well-controlled type 2 diabetes were less likely to experience major clinical events than their male counterparts. More studies are needed to determine the reasons for the higher hospitalization rate in men. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Experimental and Clinical Endocrinology and Diabetes - August 22, 2018 Category: Endocrinology Authors: Al-Salameh, Abdallah Bucher, Sophie Bauduceau, Bernard Benattar-Zibi, Linda Berrut, Gilles Bertin, Philippe Corruble, Emmanuelle Danchin, Nicolas Derumeaux, Genevi ève Doucet, Jean Falissard, Bruno Forette, Fran çoise Hanon, Olivier Ourabah, Rissane Pas Tags: Article Source Type: research

A cross-sectional survey of general practice health workers ’ perceptions of their provision of culturally competent services to ethnic minority people with diabetes
Diabetes is the fourth most common cause of death globally [1]. It is a lifelong disease, with serious health complications (such as blindness, coronary vascular disease, kidney failure, nerve damage, stroke and lower limb amputation) and significantly reduces life expectancy [2]. The ageing populations and rising levels of obesity across the world would suggest diabetes is a major challenge in global public health. Ethnic minority groups (population subgroups with an ethnic origin different from that of the majority population of the host country), are susceptible to diabetes due to physiological, environmental and lifest...
Source: Primary Care Diabetes - August 22, 2018 Category: Primary Care Authors: Peter Zeh, Ann-Marie Cannaby, Harbinder K. Sandhu, Jane Warwick, Jackie A. Sturt Tags: Original research Source Type: research

Pharmacists play vital role in improving patient health shows biggest review of evidence to date
Pharmacists serving non-hospitalised patients, such as in general practices and community pharmacies, may achieve improvements in patient health outcomes according to the most comprehensive systematic review of the scientific evidence to date.This press release originally was posted on the University of Bath website.A team of researchers led by Professor Margaret Watson from the University of Bath, working with Cochrane, NHS Education Scotland, and the Universities of Aberdeen, Brunel, California and Nottingham Trent, reviewed 116 scientific trials involving more than 40,000 patients. They compared pharmacist interventions...
Source: Cochrane News and Events - September 7, 2018 Category: Information Technology Authors: Muriah Umoquit Source Type: news

Incidence of epilepsy and associated factors in elderly patients in Germany
ConclusionsThe incidence of epilepsy was high and increased with age in elderly patients followed in general practices in Germany. Addressing identified risk factors may help reduce the risk of developing epilepsy.
Source: Epilepsy and Behavior - December 5, 2018 Category: Neurology Source Type: research

Incidence of epilepsy and associated factors in elderly patients in Germany.
CONCLUSIONS: The incidence of epilepsy was high and increased with age in elderly patients followed in general practices in Germany. Addressing identified risk factors may help reduce the risk of developing epilepsy. PMID: 30529258 [PubMed - as supplied by publisher]
Source: Epilepsy and Behaviour - December 4, 2018 Category: Neurology Authors: Jacob L, Bohlken J, Schmitz B, Kostev K Tags: Epilepsy Behav Source Type: research

Adherence to antithrombotic therapy guidelines and atrial fibrillation in a rural hospital: a clinical audit.
CONCLUSIONS: This study confirms that the guidelines are routinely followed in clinical practice in this rural population. PMID: 30889960 [PubMed - in process]
Source: Rural and Remote Health - March 21, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Association Between Primary Care Practitioner Empathy and Risk of Cardiovascular Events and All-Cause Mortality Among Patients With Type 2 Diabetes: A Population-Based Prospective Cohort Study.
CONCLUSIONS: Positive patient experiences of practitioner empathy in the year after diagnosis of type 2 diabetes may be associated with beneficial long-term clinical outcomes. Further work is needed to understand which aspects of patient perceptions of empathy might influence health outcomes and how to incorporate this understanding into the education and training of practitioners. PMID: 31285208 [PubMed - in process]
Source: Annals of Family Medicine - June 30, 2019 Category: Primary Care Authors: Dambha-Miller H, Feldman AL, Kinmonth AL, Griffin SJ Tags: Ann Fam Med Source Type: research

Medium and long-term risks of specific cardiovascular diseases in survivors of 20 adult cancers: a population-based cohort study using multiple linked UK electronic health records databases
In this study, we used large-scale electronic health records data from multiple linked UK databases to address these evidence gaps.MethodsFor this population-based cohort study, we used linked primary care, hospital, and cancer registry data from the UK Clinical Practice Research Datalink to identify cohorts of survivors of the 20 most common cancers who were 18 years or older and alive 12 months after diagnosis and controls without history of cancer, matched for age, sex, and general practice. We compared risks for a range of cardiovascular disease outcomes using crude and adjusted Cox models. We fitted interactions to in...
Source: The Lancet - August 21, 2019 Category: General Medicine Source Type: research

Prevalence of atrial fibrillation in the Italian elderly population and projections from 2020 to 2060 for Italy and the European Union: the FAI Project
ConclusionsOur findings indicate a high burden of AF in coming decades, especially among the oldest-old, who carry the higher AF-related risk of stroke and medical complications.
Source: Europace - June 6, 2019 Category: Cardiology Source Type: research

Long-term effects of intensive multifactorial therapy in individuals with screen-detected type 2 diabetes in primary care: 10-year follow-up of the ADDITION-Europe cluster-randomised trial
In this report, we did a post-hoc analysis of cardiovascular and renal outcomes over 10 years following randomisation, including a 5 years post-intervention follow-up. As in the original trial, the primary endpoint was a composite of first cardiovascular event, including cardiovascular mortality, cardiovascular morbidity (non-fatal myocardial infarction and non-fatal stroke), revascularisation, and non-traumatic amputation, up to Dec 31, 2014. Analyses were based on the intention-to-treat principle. ADDITION-Europe is registered with ClinicalTrials.gov, NCT00237549.Findings343 general practices were randomly assigned to ro...
Source: The Lancet Diabetes and Endocrinology - November 21, 2019 Category: Endocrinology Source Type: research

Frequency of occurrence of risk factors of cardiovascular diseases and assessment of the total cardiovascular risk in patients with chronic obstructive pulmonary disease (COPD)
Conclusion: in 75% of patients with COPD, an increased 10-year risk of all fatal complications of atherosclerosis is determined. The study indicates the need to assess the risk by SCORE in patients with initial manifestations of COPD in order to timely correction of the identified risk factors for cardiovascular disease.
Source: European Respiratory Journal - November 20, 2019 Category: Respiratory Medicine Authors: Klester, K., Klester, E., Zharikov, A., Balitskaya, A., Denisova, A. Tags: General practice and primary care Source Type: research

Opportunistic screening for atrial fibrillation by clinical pharmacists in UK general practice during the influenza vaccination season: A cross-sectional feasibility study
ConclusionsThis study demonstrates that AF screening performed by GP practice –based pharmacists was feasible, economically viable, and positively endorsed by participants. Furthermore, diagnosis of AF by the clinical pharmacist using anSLECG was more sensitive and more specific than the use of pulse palpation alone. Future research should explore the key barriers preventing the adoption of national screening programmes.
Source: PLoS Medicine - July 16, 2020 Category: Internal Medicine Authors: Vilius Savickas Source Type: research

Osteoarthritis and incidence of stroke and transient ischemic attack in 320,136 adults followed in general practices in the United Kingdom
Publication date: Available online 6 November 2020Source: Joint Bone SpineAuthor(s): Louis Jacob, Christian Tanislav, Karel Kostev
Source: Joint Bone Spine - November 8, 2020 Category: Orthopaedics Source Type: research