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British Journal of General Practice: the Journal of the Royal College of General Practitioners

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https://www.readbyqxmd.com/read/29203683/possible-missed-opportunities-for-diagnosing-colorectal-cancer-in-dutch-primary-care-a-multimethods-approach
#1
Daan Brandenbarg, Feikje Groenhof, Ilse M Siewers, Anna van der Voort, Fiona M Walter, Annette J Berendsen
BACKGROUND: Early detection of colorectal cancer (CRC) is important to achieve better survival. Discriminating symptoms suggestive of CRC from benign conditions is a challenge for GPs because most known 'alarm symptoms' have low predictive values. AIM: To further understand the diagnostic process of CRC in general practice in terms of healthcare use and by analysing factors related to diagnostic intervals. DESIGN AND SETTING: A multimethod approach comprising a historical, prospective registry study and qualitative content analysis...
December 4, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29203682/reasons-why-people-do-not-attend-nhs-health-checks-a-systematic-review-and-qualitative-synthesis
#2
Emma Harte, Calum MacLure, Adam Martin, Catherine L Saunders, Catherine Meads, Fiona M Walter, Simon J Griffin, Jonathan Mant, Juliet A Usher-Smith
BACKGROUND: The NHS Health Check programme is a prevention initiative offering cardiovascular risk assessment and management advice to adults aged 40-74 years across England. Its effectiveness depends on uptake. When it was introduced in 2009, it was anticipated that all those eligible would be invited over a 5-year cycle and 75% of those invited would attend. So far in the current cycle from 2013 to 2018, 33.8% of those eligible have attended, which is equal to 48.5% of those invited to attend...
December 4, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29203681/patients-views-on-interactions-with-practitioners-for-type-2-diabetes-a-longitudinal-qualitative-study-in-primary-care-over-10-years
#3
Hajira Dambha-Miller, Barbora Silarova, Greg Irving, Ann Louise Kinmonth, Simon J Griffin
BACKGROUND: It has been suggested that interactions between patients and practitioners in primary care have the potential to delay progression of complications in type 2 diabetes. However, as primary care faces greater pressures, patient experiences of patient-practitioner interactions might be changing. AIM: To explore the views of patients with type 2 diabetes on factors that are of significance to them in patient-practitioner interactions in primary care after diagnosis, and over the last 10 years of living with the disease...
December 4, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29203680/developing-a-written-action-plan-for-children-with-eczema-a-qualitative-study
#4
Kingsley Powell, Emma Le Roux, Jonathan P Banks, Matthew J Ridd
BACKGROUND: Eczema is common in children but adherence to treatments is poor. Written action plans (WAPs) have been shown to help in asthma but the potential value, format, and content of an eczema WAP is unknown. AIM: To explore the potential role of an eczema WAP, and to design an eczema-specific WAP. DESIGN AND SETTING: A qualitative study of parents of children with eczema, primary and secondary care health professionals, and other stakeholders...
December 4, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29158247/predictive-values-of-referrals-for-transient-ischaemic-attack-from-first-contact-health-care-a-systematic-review
#5
Rebecca Kandiyali, Daniel S Lasserson, Penny Whiting, Alison Richards, Jonathan Mant
BACKGROUND: Over 150 000 cases of suspected transient ischaemic attack (TIA) are referred to outpatient clinics in England each year. The majority of referrals are made by GPs. AIM: This study aimed to identify how many patients referred to a TIA clinic actually have TIA (that is, calculate the positive predictive value [PPV] of first-contact healthcare referral) and to record the alternative diagnoses in patients without TIA, in order to determine the optimal service model for patients with suspected TIA...
November 20, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29158246/self-taken-vaginal-swabs-versus-clinician-taken-for-detection-of-candida-and-bacterial-vaginosis-a-case-control-study-in-primary-care
#6
Pam Barnes, Rute Vieira, Jayne Harwood, Mayur Chauhan
BACKGROUND: Vaginal discharge and vulvitis are common presenting symptoms in general practice. Few studies have specifically looked at the validity of self-taken low vulvovaginal swabs (LVS) for the diagnosis of vulvovaginal candidiasis (VVC) and bacterial vaginosis (BV). AIM: To assess if patient self-taken LVS are a valid alternative to clinician-taken high vaginal swabs (HVS) for the detection of VVC and BV. DESIGN AND SETTING: Case-control study with the patient acting as their own control in an urban sexual health centre in Newcastle upon Tyne, UK...
November 20, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29158245/variations-in-presentation-management-and-patient-outcomes-of-urinary-tract-infection-a-prospective-four-country-primary-care-observational-cohort-study
#7
Christopher C Butler, Nick Francis, Emma Thomas-Jones, Carl Llor, Emily Bongard, Michael Moore, Paul Little, Janine Bates, Mandy Lau, Timothy Pickles, Micaela Gal, Mandy Wootton, Nigel Kirby, David Gillespie, Kate Rumbsy, Curt Brugman, Kerenza Hood, Theo Verheij
BACKGROUND: Regional variations in the presentation of uncomplicated urinary tract infection (UTI) and pathogen sensitivity to antibiotics have been cited as reasons to justify differences in how the infections are managed, which includes the prescription of broad-spectrum antibiotics. AIM: To describe presentation and management of UTI in primary care settings, and explore the association with patient recovery, taking microbiological findings and case mix into account...
November 20, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29158244/post-traumatic-knee-mri-findings-and-associations-with-patient-trauma-and-clinical-characteristics-a-subgroup-analysis-in-primary-care-in-the-netherlands
#8
Kim van Oudenaarde, Nynke M Swart, Johan L Bloem, Sita Ma Bierma-Zeinstra, Paul R Algra, Bart Koes, Jan Verhaar, Rob Ghh Nelissen, Patrick Je Bindels, Pim Aj Luijsterburg, Monique Reijnierse
BACKGROUND: The added value of magnetic resonance imaging (MRI) in primary care is still being debated. A high diagnostic yield can be expected in young and active patients with post-traumatic knee complaints. AIM: To determine the frequency of MRI abnormalities in young and active patients (aged 18-45 years) and the associations with patient, trauma, and clinical characteristics. DESIGN AND SETTING: A subgroup analysis of 174 patients, aged 18-45 years with knee trauma of <6 months, allocated to MRI in a randomised controlled trial on the yield of MRI in primary care...
November 20, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29158243/point-of-care-lactate-testing-for-sepsis-at-presentation-to-health-care-a-systematic-review-of-patient-outcomes
#9
Elizabeth Morris, David McCartney, Daniel Lasserson, Ann Van den Bruel, Rebecca Fisher, Gail Hayward
BACKGROUND: Lactate is measured in hospital settings to identify patients with sepsis and severe infections, and to guide initiation of early treatment. Point-of-care technology could facilitate measurement of lactate by clinicians in the community. However, there has been little research into its utility in these environments. AIM: To investigate the effect of using point-of-care lactate at presentation to health care on mortality and other clinical outcomes, in patients presenting with acute infections...
November 20, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29109115/use-of-an-electronic-consultation-system-in-primary-care-a-qualitative-interview-study
#10
Jon Banks, Michelle Farr, Chris Salisbury, Elly Bernard, Kate Northstone, Hannah Edwards, Jeremy Horwood
BACKGROUND: The level of demand on primary care continues to increase. Electronic or e-consultations enable patients to consult their GP online and have been promoted as having potential to improve access and efficiency. AIM: To evaluate whether an e-consultation system improves the ability of practice staff to manage workload and access. DESIGN AND SETTING: A qualitative interview study in general practices in the West of England that piloted an e-consultation system for 15 months during 2015 and 2016...
November 6, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29109114/pointers-to-earlier-diagnosis-of-endometriosis-a-nested-case-control-study-using-primary-care-electronic-health-records
#11
Christopher Burton, Lisa Iversen, Sohinee Bhattacharya, Dolapo Ayansina, Lucky Saraswat, Derek Sleeman
BACKGROUND: Endometriosis is a condition with relatively non-specific symptoms, and in some cases a long time elapses from first-symptom presentation to diagnosis. AIM: To develop and test new composite pointers to a diagnosis of endometriosis in primary care electronic records. DESIGN AND SETTING: This is a nested case-control study of 366 cases using the Practice Team Information database of anonymised primary care electronic health records from Scotland...
November 6, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29061717/identifying-people-with-a-learning-disability-an-advanced-search-for-general-practice
#12
Amy M Russell, Louise Bryant, Allan House
BACKGROUND: People with learning disabilities (LD) have poor physical and mental health when compared with the general population. They are also likely to find it more difficult than others to describe their symptoms adequately. It is therefore harder for healthcare workers to identify the health needs of those with learning disabilities, with the danger of some problems being left unrecognised. Practice registers record only a proportion of those who are eligible, making it difficult to target improvements in their health care...
October 23, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29061716/gps-experiences-of-children-with-anxiety-disorders-in-primary-care-a-qualitative-study
#13
Doireann O'Brien, Kate Harvey, Bridget Young, Tessa Reardon, Cathy Creswell
BACKGROUND: Anxiety disorders have a median age of onset of 11 years and are the most common emotional disorders in childhood; however, a significant proportion of those affected do not access professional support. In the UK, GPs are often the first medical professional that families see so are in a prime position to support children with anxiety disorders; however, currently there is little research available on GPs' perspectives on and experiences of supporting children with these disorders...
October 23, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29192120/making-a-positive-diagnosis-of-irritable-bowel-syndrome
#14
Ruchit Sood, Robbie Foy, Alexander C Ford
No abstract text is available yet for this article.
December 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29192119/misdiagnosis-of-a-hidden-cause-of-hypertension-a-case-report
#15
Andrés de Lima, Farah El-Sharkawy, Carol Nieroda, Armando Sardi
No abstract text is available yet for this article.
December 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29192118/point-of-care-helicobacter-pylori-testing-primary-care-technology-update
#16
Brian D Nicholson, Lucy M Abel, Philip J Turner, Christopher P Price, Carl Heneghan, Gail Hayward, Annette Plüddemann
No abstract text is available yet for this article.
December 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29192117/should-gps-provide-spiritual-care
#17
Ian J Hamilton, Jillian Morrison, Sara Macdonald
No abstract text is available yet for this article.
December 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29192116/gps-at-home-with-science-and-the-humanities
#18
Alistair Appleby, John Swinton, Philip Wilson
No abstract text is available yet for this article.
December 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29192115/m%C3%A3-ni%C3%A3-re-s-why-its-diagnosis-calls-for-more-careful-evaluation
#19
Philippa Thomson
No abstract text is available yet for this article.
December 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29192114/books-attending-medicine-mindfulness-and-humanity-being-present
#20
Christopher Dowrick
No abstract text is available yet for this article.
December 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
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