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Management: General Practices
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Total 326 results found since Jan 2013.
Management of exertional heat stroke: a practical update for primary care physicians.
PMID: 29472229 [PubMed - in process]
Source: The British Journal of General Practice - February 25, 2018 Category: Primary Care Authors: Walter E, Steel K Tags: Br J Gen Pract Source Type: research
A snapshot of type two diabetes mellitus management in general practice prior to the introduction of diabetes Cycle of Care
ConclusionsThis study provides a comprehensive snapshot of care in Irish general practice for patients with T2DM prior to the introduction of the Cycle of Care. Future research must investigate the impact of Cycle of Care on patient care in general practice.
Source: Irish Journal of Medical Science - February 7, 2018 Category: General Medicine Source Type: research
Burden of cardiovascular disease across 29 countries and GPs' decision to treat hypertension in oldest-old.
CONCLUSIONS: GPs' choice to treat/not treat hypertension in oldest-old was explained by differences in country-specific health characteristics. GPs in countries with high CVD burden and low life expectancy at age 60 were most likely to treat hypertension in oldest-old. Key Points • General practitioners (GPs) are in a clinical dilemma when deciding whether (or not) to treat hypertension in the oldest-old (>80 years of age). • In this study including 1947 GPs from 29 countries, we found that a high country-specific cardiovascular disease (CVD) burden (i.e. myocardial infarction and/or stroke) was associated...
Source: Primary Care - January 25, 2018 Category: Primary Care Authors: Streit S, Gussekloo J, Burman RA, Collins C, Kitanovska BG, Gintere S, Gómez Bravo R, Hoffmann K, Iftode C, Johansen KL, Kerse N, Koskela TH, Peštić SK, Kurpas D, Mallen CD, Maisonneuve H, Merlo C, Mueller Y, Muth C, Ornelas RH, Šter MP, Petrazzuoli F Tags: Scand J Prim Health Care Source Type: research
Effect of adding GLP-1RA on mortality, cardiovascular events, and metabolic outcomes among insulin-treated patients with type 2 diabetes: A large retrospective UK cohort study
Conclusion Based on a large UK cohort in routine clinical practice, adding a GLP-1RA to insulin therapy is associated with a reduction in risk of composite CV events and all-cause mortality but a nonsignificant higher risk of hospitalization for heart failure in overweight patients with T2D.
Source: American Heart Journal - December 1, 2017 Category: Cardiology Source Type: research
Low-dose aspirin and risk of intracranial bleeds: An observational study in UK general practice
Conclusion:
Low-dose aspirin is not associated with an increased risk of any type of ICB and is associated with a significantly decreased risk of SAH when used for ≥1 year.
Source: Neurology - November 27, 2017 Category: Neurology Authors: Cea Soriano, L., Gaist, D., Soriano-Gabarro, M., Bromley, S., Garcia Rodriguez, L. A. Tags: All Cerebrovascular disease/Stroke, Case control studies, Risk factors in epidemiology ARTICLE Source Type: research
Low annual frequency of HbA1c testing in people with Type 2 diabetes in primary care practices in Germany
ConclusionsOnly three out of four individuals with Type 2 diabetes underwent at least two HbA1c tests in Germany in 2016, which means that 25% of individuals underwent fewer tests than required by German guidelinesThis article is protected by copyright. All rights reserved.
Source: Diabetic Medicine - November 25, 2017 Category: Endocrinology Authors: K. Kostev, L. Jacob, W. Rathmann Tags: Research Article Source Type: research
Predictive values of referrals for transient ischaemic attack from first-contact health care: a systematic review.
CONCLUSION: This study highlights the variation in prevalence of true vascular events in patients referred to TIA clinics. For patients without a cerebrovascular diagnosis, the high prevalence of conditions that also require specialist investigations and management are an additional burden on a care pathway that is primarily designed to prevent recurrent stroke. Service commissioners need to assess whether the existing outpatient provision is optimal for people with pathologies other than cerebrovascular disease.
PMID: 29158247 [PubMed - as supplied by publisher]
Source: The British Journal of General Practice - November 20, 2017 Category: Primary Care Authors: Kandiyali R, Lasserson DS, Whiting P, Richards A, Mant J Tags: Br J Gen Pract Source Type: research
High-risk patients being underprescribed statins, study finds
Cholesterol-lowering drugs are also being overprescribed to people at low risk of having a heart attack or stroke, researchers findStatins are being overprescribed to low-risk groups and underprescribed to high-risk groups, research by the British Journal of General Practice (BJGP) has shown.The report found potential “undertreatment” among people who have at least a 20% chance of cardiovascular disease (CVD) within a decade, who are considered high-risk patients.Continue reading...
Source: Guardian Unlimited Science - October 24, 2017 Category: Science Authors: Mattha Busby Tags: Statins Society Heart attack Medical research Stroke UK news Science Source Type: news
Screening of older patients for atrial fibrillation in general practice: Current evidence and its implications for future practice.
CONCLUSIONS: It was determined that improved detection and diagnosis of AF, combined with appropriate anticoagulation strategies, will be crucial for improving stroke prevention and reducing its associated social and economic costs.
PMID: 29034749 [PubMed - in process]
Source: European Journal of General Practice - October 18, 2017 Category: Primary Care Tags: Eur J Gen Pract Source Type: research
Males with prolactinoma are at increased risk of incident cardiovascular disease
ConclusionsIn contrast to females, men with prolactinoma have increased risk for incident CVD; the aetiology of this gender‐specific finding remains to be elucidatedThis article is protected by copyright. All rights reserved.
Source: Clinical Endocrinology - October 16, 2017 Category: Endocrinology Authors: Konstantinos A. Toulis, Tim Robbins, Narendra Reddy, Balachandran Kumarendran, Krishna Gokhale, Haren Wijesinghe, Kar Keung Cheng, Niki Karavitaki, John Wass, Krishnarajah Nirantharakumar Tags: Original Article Source Type: research
Burden of Atrial Fibrillation in M āori and Pacific People in New Zealand: A Cohort Study
ConclusionAF screening and stroke thromboprophylaxis in Māori and Pacific people could start below the age of 65 years in NZ.
Source: Internal Medicine Journal - October 16, 2017 Category: Internal Medicine Authors: Yulong Gu, Robert N Doughty, Ben Freedman, John Kennelly, Jim Warren, Matire Harwood, Richard Hulme, Chris Paltridge, Ruth Teh, Anna Rolleston, Natalie Walker Tags: Original Article Source Type: research
Effect of adding GLP-1RA on mortality, cardiovascular events and metabolic outcomes among insulin-treated patients with Type 2 Diabetes: A Large Retrospective UK Cohort Study
Conclusion Based on a large UK cohort in routine clinical practice, adding a GLP-1RA to insulin therapy is associated with a reduction in risk of composite CV events and all-cause mortality, but non-significant higher risk of hospitalisation for heart failure in overweight patients with Type 2 diabetes.
Source: American Heart Journal - October 10, 2017 Category: Cardiology Source Type: research
Effect of population screening for type 2 diabetes and cardiovascular risk factors on mortality rate and cardiovascular events: a controlled trial among 1,912,392 Danish adults
Conclusions/interpretationA population-based stepwise screening programme for type 2 diabetes and cardiovascular risk factors among all middle-aged adults in Denmark was not associated with a reduction in rate of mortality or cardiovascular events between 2001 and 2012.
Source: Diabetologia - September 27, 2017 Category: Endocrinology Source Type: research
The relationship between knowledge, health literacy, and adherence among patients taking oral anticoagulants for stroke thromboprophylaxis in atrial fibrillation
ConclusionSignificant correlations between health literacy, OAC knowledge, and adherence were observed, and these relationships should to be considered by health professionals responsible for monitoring patients who are prescribed anticoagulants. We also observed serious gaps in OAC knowledge. Interventions designed to optimize the outcomes of anticoagulant treatment need to address these factors.
Source: Cardiovascular Therapeutics - September 25, 2017 Category: Cardiology Authors: Chanelle A. Rolls, Kehinde O. Obamiro, Leanne Chalmers, Luke R. E. Bereznicki Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Effects of obesity on metabolic and cardiovascular outcomes following insulin initiation in patients with type 2 diabetes
Conclusion Among patients with T2D insulin initiators, obesity adversely influences HbA1c up to 12 months, but not beyond 24 months and is associated with a decrease in BMI compared to non-obese groups. Morbidly obese patients initiating insulin have 30% increased risk of composite CV events after 5 years.
Source: Obesity Research and Clinical Practice - September 21, 2017 Category: Eating Disorders & Weight Management Source Type: research
