Clinical prediction tools to identify patients at highest risk of myeloma in primary care: a retrospective open cohort study.

Bookmark this %label%

Patients with myeloma experience substantial delays in their diagnosis, which can adversely affect their prognosis.To generate a clinical prediction rule to identify primary care patients who are at highest risk […]

» Read more

GPs’ and patients’ views on the value of diagnosing anxiety disorders in primary care: a qualitative interview study.

Bookmark this %label%

In the UK between 1998 and 2008, GPs’ recording of anxiety symptoms increased, but their recording of anxiety disorders decreased. The reason for this decline is not clear, nor are […]

» Read more

Measuring the complexity of general practice consultations: a Delphi and cross-sectional study in English primary care.

Bookmark this %label%

The complexity of general practice consultations may be increasing and varies in different settings. A measure of complexity is required to test these hypotheses.To develop a valid measure of general […]

» Read more

Post-bariatric surgery nutritional follow-up in primary care: a population-based cohort study.

Bookmark this %label%

Bariatric surgery is the most effective treatment for severe obesity. However, without recommended follow-up it has long-term risks.To investigate whether nutritional and weight monitoring in primary care meets current clinical […]

» Read more

Promoting physical activity in primary care: a systematic review and meta-analysis.

Bookmark this %label%

Promoting physical activity is an important part of patient care in primary care and has been investigated in many studies with a wide range of intervention characteristics, often including external […]

» Read more

The readability of general practice websites: a cross-sectional analysis of all general practice websites in Scotland.

Bookmark this %label%

General practice websites are an increasingly important point of interaction, but their readability is largely unexplored. One in four adults struggle with basic literacy, and there is a socioeconomic gradient. […]

» Read more

Collaborative improvement in Scottish GP clusters after the Quality and Outcomes Framework: a qualitative study.

Bookmark this %label%

Scotland abolished the Quality and Outcomes Framework (QOF) in April 2016, prior to implementing a new Scottish GP contract in April 2018. Since 2016, groups of practices (GP clusters) have […]

» Read more

Medication-related harm in New Zealand general practice: a retrospective records review.

Bookmark this %label%

The extent of medication-related harm in general practice is unknown.To identify and describe all medication-related harm in electronic general practice records.Retrospective cohort records review study in 44 randomly selected New […]

» Read more

The Fast Track FIT study: diagnostic accuracy of faecal immunochemical test for haemoglobin in patients with suspected colorectal cancer.

Bookmark this %label%

The faecal immunochemical test (FIT) is now available to support clinicians in the assessment of patients at low risk of colorectal cancer (CRC) and within the Bowel Cancer Screening Programme.To […]

» Read more

Patient-centred innovation for multimorbidity care: a mixed-methods, randomised trial and qualitative study of the patients’ experience.

Bookmark this %label%

Patient-centred interventions to help patients with multimorbidity have had mixed results.To assess the effectiveness of a provider-created, patient-centred, multi-provider case conference with follow-up, and understand under what circumstances it worked, […]

» Read more

Primary care consultations after hospitalisation for pneumonia: a large population-based cohort study.

Bookmark this %label%

Up to 70% of patients report ongoing symptoms 4 weeks after hospitalisation for pneumonia; the impact on primary care is poorly understood.To investigate the frequency of primary care consultations after […]

» Read more

GPs’ use of gut feelings when assessing cancer risk: a qualitative study in UK primary care.

Bookmark this %label%

The use of gut feelings to guide clinical decision making in primary care has been frequently described but is not considered a legitimate reason for cancer referral.To explore the role […]

» Read more

Impact of changes to national guidelines on hypertension-related workload: an interrupted time series analysis in English primary care.

Bookmark this %label%

In 2011, National Institute for Health and Care Excellence (NICE) guidelines recommended the routine use of out-of-office blood pressure (BP) monitoring for the diagnosis of hypertension. These changes were predicted […]

» Read more

Antimicrobial stewardship during the COVID-19 epidemic: population-based cohort study and interrupted time series analysis in the United Kingdom.

Bookmark this %label%

The COVID-19 pandemic has altered the context for antimicrobial stewardship in primary care.To assess the effect of the pandemic on antibiotic prescribing, accounting for changes in consultations for respiratory and […]

» Read more

Effectiveness and perceptions of using templates in long-term condition reviews: a systematic synthesis of quantitative and qualitative studies.

Bookmark this %label%

Review templates are commonly used in long-term condition (LTC) consultations to standardise care for patients and promote consistent data recording. However, templates may affect interactions during the review and potentially […]

» Read more

Exploring commissioners’ understandings of early Primary Care Network development: qualitative interview study.

Bookmark this %label%

Primary Care Networks (PCNs) are financially incentivised groupings of General Practices (GP) in the English NHS. Their purpose is to deliver a number of policy goals set out in the […]

» Read more

Are more GPs associated with a reduction in emergency hospital admissions? A quantitative study on GP referral in England.

Bookmark this %label%

Recent studies have found an association between access to primary care and accident and emergency attendances, with better access associated with fewer attendances. Analyses of an association with emergency admissions, […]

» Read more

Effect of the OPTIMAL programme on self-management of multimorbidity in primary care: a randomised controlled trial.

Bookmark this %label%

Effective primary care interventions for multimorbidity are needed.To evaluate the effectiveness of a group-based, 6-week, occupational therapy-led self-management support programme (OPTIMAL) for patients with multimorbidity.A pragmatic parallel randomised controlled trial […]

» Read more

Effect of weight loss on cardiometabolic risk: observational analysis of two randomised controlled trials of community weight-loss programmes.

Bookmark this %label%

Guidelines recommend that clinicians identify individuals at high cardiometabolic risk and support weight loss in those with overweight or obesity. However, we lack individual level data quantifying the benefits of […]

» Read more

Experience of implementing and delivering group consultations in UK general practice: a qualitative study.

Bookmark this %label%

Group consultations are a relatively new concept in UK primary care and are a suggested solution to current workload pressures in general practice. Little is known about the experience of […]

» Read more

Is there an association between long-term antibiotics for acne and subsequent infection sequelae and antimicrobial resistance? A systematic review.

Bookmark this %label%

Antimicrobial resistance (AMR) is a global health priority. Acne vulgaris is a common skin condition for which antibiotic use ranges from a few months to years of daily exposure.To systemically […]

» Read more

Associations with antibiotic prescribing for acute exacerbation of COPD in primary care.

Bookmark this %label%

C-reactive protein point-of-care testing (CRP-POCT) has been shown to reduce antibiotic use in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) in primary care by 26%, without compromising […]

» Read more

Factors associated with potentially missed acute deterioration in primary care.

Bookmark this %label%

In the UK, the majority of primary care contacts are uncomplicated. However, safety incidents resulting in patient harm occur, such as failure to recognise a patient’s deterioration in health.We aimed […]

» Read more

Proactive frailty identification – a good idea? A sequential mixed-methods study of GP views.

Bookmark this %label%

In England, general practitioners (GPs) are independent contractors working to a national contract. Since 2017 the contract requires GPs to use electronic tools to proactively identify moderate and severe frailty […]

» Read more

An exploration of GP care in outreach settings for people experiencing homelessness: a qualitative study.

Bookmark this %label%

Although people experiencing homelessness (PEH) have the worst health outcomes in society, they have a low uptake of primary care services. GP outreach has developed as a way of increasing […]

» Read more

Remote primary care consultations for people living with dementia during the COVID-19 pandemic: experiences of people living with dementia and their carers.

Bookmark this %label%

COVID-19 has accelerated remote healthcare provision in primary care, with changes potentially permanent. The implementation of remote provision of healthcare needs to hear from vulnerable populations, such as people living […]

» Read more

Trends in diabetes medication use in Australia, Canada, England, and Scotland: a repeated cross-sectional analysis in primary care.

Bookmark this %label%

Several new classes of glucose-lowering medications have been introduced in the past two decades. Some, such as sodium-glucose cotransporter 2 inhibitors (SGLT2s), have evidence of improved cardiovascular outcomes, while others, […]

» Read more

Guidance impact on primary care prescribing rates of simple analgesia: an interrupted time series analysis in England.

Bookmark this %label%

In March 2018, NHS England published guidance for clinical commissioning groups (CCGs) to encourage implementation of policy to reduce primary care prescriptions of over-the-counter medications, including simple analgesia.To investigate the […]

» Read more

Prevalence and Predictors of Potentially Inappropriate Prescribing in Middle-Aged Adults: Repeated Cross-Sectional Study.

Bookmark this %label%

Potentially inappropriate prescribing (PIP) is common in older adults and known to be associated with polypharmacy and multimorbidity. Less is known about the prevalence and causes of PIP in middle-aged […]

» Read more
1 2 3 15