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Management: General Practices

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Total 10481 results found since Jan 2013.

Computer screening for palliative care needs in primary care: a mixed-methods study.
CONCLUSION: GP practices can use computer searching to generate lists of patients for review and care planning. The challenges of starting a conversation about the future remain. However, most patients regard key components of palliative care (proactive planning, including sharing information with urgent care services) as important. Screening for people with deteriorating health at risk from unplanned care is a current focus for quality improvement and should not be limited by labelling it solely as 'palliative care'. PMID: 29581129 [PubMed - as supplied by publisher]
Source: The British Journal of General Practice - March 26, 2018 Category: Primary Care Authors: Mason B, Boyd K, Steyn J, Kendall M, Macpherson S, Murray SA Tags: Br J Gen Pract Source Type: research

"Br J Gen Pract"ta; +147 new citations
147 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: "Br J Gen Pract"[ta] These pubmed results were generated on 2013/05/26PubMed, a service of the National Library of Medicine, includes over 15 million citations for biomedical articles back to the 1950's. These citations are from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources.
Source: The British Journal of General Practice - May 26, 2013 Category: Primary Care Tags: Report Source Type: research

Herpes zoster as a risk factor for stroke and TIA: A retrospective cohort study in the UK
Conclusion: HZ is an independent risk factor for vascular disease in the UK population, particularly for stroke, TIA, and MI in subjects affected before the age of 40 years. In older subjects, better ascertainment of vascular risk factors and earlier intervention may explain the reduction in risk of stroke after the occurrence of HZ.
Source: Neurology - January 20, 2014 Category: Neurology Authors: Breuer, J., Pacou, M., Gauthier, A., Brown, M. M. Tags: Stroke in young adults, Viral infections, All Cerebrovascular disease/Stroke, Cohort studies, Risk factors in epidemiology ARTICLE Source Type: research

"Br J Gen Pract"ta; +110 new citations
110 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: "Br J Gen Pract"[ta] These pubmed results were generated on 2014/02/28PubMed, a service of the National Library of Medicine, includes over 15 million citations for biomedical articles back to the 1950's. These citations are from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources.
Source: The British Journal of General Practice - February 28, 2014 Category: Primary Care Tags: Report Source Type: research

Herpes zoster as a risk factor for stroke and TIA: A retrospective cohort study in the UK
Conclusion: HZ is an independent risk factor for vascular disease in the UK population, particularly for stroke, TIA, and MI in subjects affected before the age of 40 years. In older subjects, better ascertainment of vascular risk factors and earlier intervention may explain the reduction in risk of stroke after HZ infection.
Source: Neurology - July 7, 2014 Category: Neurology Authors: Breuer, J., Pacou, M., Gautier, A., Brown, M. M. Tags: CORRECTED AND REPUBLISHED ARTICLES Source Type: research

Chronic condition comorbidity and multidrug therapy in general practice populations: a cross-sectional linkage study
Conclusions Our findings show that multidrug prescribing for different body systems is higher with comorbidity and may be associated with lower likelihood of prescribing for specific conditions. Further research is required on whether multidrug prescribing influences the outcomes of care for chronic conditions.
Source: BMJ Open - July 11, 2014 Category: Journals (General) Authors: Roberts, E. R., Green, D., Kadam, U. T. Tags: Open access, Cardiovascular medicine, Epidemiology, Mental health, Pharmacology and therapeutics, Respiratory medicine, Rheumatology Research Source Type: research

How often are interventions in cluster-randomised controlled trials of complex interventions in general practices effective and reasons for potential shortcomings? Protocol and results of a feasibility project for a systematic review
Introduction Most studies conducted at general practices investigate complex interventions and increasingly use cluster-randomised controlled trail (c-RCT) designs to do so. Our primary objective is to evaluate how frequently complex interventions are shown to be more, equally or less effective than routine care in c-RCTs with a superior design. The secondary aim is to discover whether the quality of a c-RCT determines the likelihood of the complex intervention being effective. Methods and analysis All c-RCTs of any design that have a patient-relevant primary outcome and with a duration of at least 1 year will be inc...
Source: BMJ Open - February 18, 2016 Category: Journals (General) Authors: Siebenhofer, A., Erckenbrecht, S., Pregartner, G., Berghold, A., Muth, C. Tags: Open access, General practice / Family practice, Medical publishing and peer review, Public health Protocol Source Type: research

Hypothyroidism as a Predictor of Surgical Outcomes in the Elderly
Conclusions It is recommended to post-pone elective surgery in elderly patients with hypothyroidism until an euthyroid state is achieved. If patients need urgent or emergent surgery, it is recommended to proceed with surgery only if they have mild or moderate hypothyroidism. Replacement therapy should be started preoperatively and there should be growing attention to the possible occurrence of minor post-operative complications in hypothyroid patients. As suggested by the American Thyroid Association (ATA), the treatment in elderly patients should be initiated at low doses with slow titration based on serum TSH evaluation...
Source: Frontiers in Endocrinology - April 23, 2019 Category: Endocrinology Source Type: research

Is there an association between long-term antibiotics for acne and subsequent infection sequelae and antimicrobial resistance? A systematic review
CONCLUSION: There is a lack of high-quality evidence on the relationship between oral antibiotics for acne treatment and subsequent AMR sequelae. This needs to be urgently addressed with rigorously conducted studies.PMID:33667190 | DOI:10.3399/BJGPO.2020.0181
Source: The British Journal of General Practice - March 5, 2021 Category: Primary Care Authors: Ketaki Bhate Liang-Yu Lin John S Barbieri Clemence Leyrat Susan Hopkins Richard Stabler Laura Shallcross Liam Smeeth Nick Francis Rohini Mathur Sin éad M Langan Sarah-Jo Sinnott Source Type: research

Testing for coeliac disease rarely leads to a diagnosis: a population-based study
CONCLUSION: The number of diagnosed CD patients in the Netherlands is substantially higher than previously reported. This suggests that the gap between diagnosed and undiagnosed patients is lower than generally assumed. This may explain that despite a high frequency of gluten-related consultations in general practice the diagnostic yield of case finding by serological testing is low.Key pointsThe diagnostic approach of GPs regarding CD and the diagnostic yield is largely unknownCase finding in a primary health care practice has a low yield of 1.6%CD testing was mostly prompted by consultation for gastrointestinal symptomsT...
Source: Primary Care - June 17, 2021 Category: Primary Care Authors: Maxine D Rouvroye Lotte Oldenburg Pauline Slottje Johanna H K Joosten Renee X de Menezes Marcel E Reinders Gerd Bouma Source Type: research

Risk prediction models for symptomatic patients with bladder and kidney cancer: a systematic review
CONCLUSION: Models were identified that could be used in primary care to guide referrals, with potential to identify lower-risk patients with visible haematuria and to stratify individuals who present with non-visible haematuria. However, before application in general practice, external validations in appropriate populations are required.PMID:34844922 | DOI:10.3399/BJGP.2021.0319
Source: The British Journal of General Practice - November 30, 2021 Category: Primary Care Authors: Hannah Harrison Juliet A Usher-Smith Lanxin Li Lydia Roberts Zhiyuan Lin Rachel E Thompson Sabrina H Rossi Grant D Stewart Fiona M Walter Simon Griffin Yin Zhou Source Type: research