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Management: General Practices
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Total 326 results found since Jan 2013.
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
Impact of dronedarone on the risk of myocardial infarction and stroke in atrial fibrillation patients followed in general practices in Germany
The goal of this study was to analyze the impact of dronedarone on the risk of myocardial infarction and stroke in atrial fibrillation (AF) patients followed in general practices in Germany.
Source: International Journal of Cardiology - December 1, 2018 Category: Cardiology Authors: Joachim R. Ehrlich, Christiane Look, Karel Kostev, Carsten W. Israel, Andreas Goette Source Type: research
Barriers to a software reminder system for risk assessment of stroke in atrial fibrillation: a process evaluation of a cluster randomised trial in general practice.
CONCLUSION: Automated risk assessment for stroke in atrial fibrillation and prompting during consultations are feasible and generally acceptable, but did not overcome concerns about frailty and risk of haemorrhage as barriers to anticoagulant uptake.
PMID: 30397015 [PubMed - as supplied by publisher]
Source: The British Journal of General Practice - November 5, 2018 Category: Primary Care Authors: Holt TA, Dalton AR, Kirkpatrick S, Hislop J, Marshall T, Fay M, Qureshi N, Lasserson DS, Kearley K, Mollison J, Yu LM, Fitzmaurice D, Hobbs FR Tags: Br J Gen Pract 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
Effectiveness of CHA2DS2-VASc based decision support on stroke prevention in atrial fibrillation: A cluster randomised trial in general practice
Guidelines on atrial fibrillation (AF) recommend the CHA2DS2-VASc rule for anticoagulant decision-making, but underuse exists. We studied the impact of an automated decision support on stroke prevention in patients with AF in a cluster randomised trial in general practice.
Source: International Journal of Cardiology - September 7, 2018 Category: Cardiology Authors: S. van Doorn, F.H. Rutten, C.M. O'Flynn, R. Oudega, A.W. Hoes, K.G.M. Moons, G.J. Geersing Source Type: research
Management of exertional heat stroke.
PMID: 30166376 [PubMed - in process]
Source: The British Journal of General Practice - September 1, 2018 Category: Primary Care Authors: Adams WM 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
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
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
Atrial fibrillation and stroke prevention: where we are and where we should be.
PMID: 29853572 [PubMed - in process]
Source: The British Journal of General Practice - June 1, 2018 Category: Primary Care Authors: Jones NR, Hobbs FR, Taylor CJ Tags: Br J Gen Pract Source Type: research
Opportunistic pulse checks in primary care to improve recognition of atrial fibrillation: a retrospective analysis of electronic patient records.
CONCLUSION: Organisational alignment, standardised data entry, peer-performance dashboards, and financial incentives rapidly and generally increased opportunistic screening with pulse regularity checks. This was associated with a significant increase in detection and prevalence of AF and is of public health importance.
PMID: 29784865 [PubMed - as supplied by publisher]
Source: The British Journal of General Practice - May 21, 2018 Category: Primary Care Authors: Cole J, Torabi P, Dostal I, Homer K, Robson J Tags: Br J Gen Pract Source Type: research
Is general practice identification of prior cardiovascular disease at the time of CVD risk assessment accurate and does it matter?
CONCLUSIONS: Overall, 39% of people with prior CVD hospitalisations were not recorded as having prior CVD when their CVD risk was first assessed in general practice. This was associated with inequities in evidence-based risk management. System-based measures are required for robust data sharing at the time of clinical decision making.
PMID: 29771897 [PubMed - in process]
Source: New Zealand Medical Journal - May 19, 2018 Category: General Medicine Tags: N Z Med J Source Type: research
Patterns and temporal trends of comorbidity among adult patients with incident cardiovascular disease in the UK between 2000 and 2014: A population-based cohort study
ConclusionsThe burden of multimorbidity and comorbidity in patients with incident non-fatal CVD increased between 2000 and 2014. On average, older patients, women, and socioeconomically deprived groups had higher numbers of comorbidities, but the type of comorbidities varied by age and sex. Cardiometabolic conditions contributed substantially to the burden, but 4 out of the 10 top comorbidities were non-cardiometabolic. The current single-disease paradigm in CVD management needs to broaden and incorporate the large and increasing burden of comorbidities.
Source: PLoS Medicine - March 6, 2018 Category: Internal Medicine Authors: Jenny Tran Source Type: research
