Koki Kato
No abstract text is available yet for this article.
July 29, 2021: Family Practice
Yu Xiao, Xiao-Hong Wu, Jia Chen, Fang-Fei Xie
No abstract text is available yet for this article.
July 29, 2021: Family Practice
Koki Kato
No abstract text is available yet for this article.
July 27, 2021: Family Practice
Victoria White, Carolyn Der Vartanian, Fiona Tansley, Anna Ugalde
BACKGROUND: Shared breast cancer follow-up care involving a breast cancer specialist and a general practitioner (GP) has been demonstrated to be effective, yet barriers to participation in this model by women remain. This study explores the responses of women who recently finished active treatment for early breast cancer (EBC) to a proposed model of shared follow-up care to understand the type of information needed to support participation. METHODS: Qualitative study based on focus groups with women with EBC in the early stage of follow-up care from across metropolitan, regional and rural settings in Australia...
July 22, 2021: Family Practice
Guus C G H Blok, Laura M M Veenstra, Johan van der Lei, Marjolein Y Berger, Gea A Holtman
BACKGROUND: General practitioners (GPs) face a diagnostic challenge when assessing acute abdominal pain in children. However, no information is available on the current diagnostic process or the diagnostic accuracy of history and physical examination in primary care settings. OBJECTIVE: To describe the diagnostic process for acute abdominal pain among children in primary care, focusing on appendicitis, and to assess the diagnostic accuracy of individual clinical features...
July 19, 2021: Family Practice
Sara Carrillo de Albornoz, Kah-Ling Sia, Anthony Harris
BACKGROUND: The COVID-19 pandemic has focussed attention on models of healthcare that avoid face-to-face contacts between clinicians and patients, and teleconsultations have become the preferred mode of primary care delivery. However, the effectiveness of remote consultations in this setting remains unclear. OBJECTIVE: To evaluate the impact of telephone or video consultations compared to those conducted face-to-face on key patient-relevant outcomes and healthcare utilisation in primary care, mental health and allied health services, which have had a critical role in the management of the wider and longer-term consequences of COVID-19...
July 19, 2021: Family Practice
Paul Sebo, Dagmar M Haller, Céline Kaiser, Armita Zaim, Olivier Heimer, Nicolas Chauveau, Hubert Maisonneuve
BACKGROUND: Although nocturnal leg cramps are common, little research is available about their impact on quality of life. This mixed-methods study explored the impact of nocturnal leg cramps on health-related quality of life (HRQoL). METHODS: The study included primary care patients (>50 years) who reported suffering from nocturnal leg cramps (2016-2017). In the quantitative phase, patients completed a questionnaire about their HRQoL (SF-36) and the frequency of their cramps, and we computed the SF-36 scores...
July 19, 2021: Family Practice
Waqas Ullah Khan, Gregory Staios, Myeda Kamal
No abstract text is available yet for this article.
July 16, 2021: Family Practice
Alex Harocopos, Bennett Allen, Rachel Chernick
BACKGROUND: The ways in which prescription drug monitoring programs (PDMPs) have been integrated into primary care practice remain understudied, and research into physician utilization of PDMPs in states where PDMP use is mandated remains scant. OBJECTIVES: To characterize primary care physician perspectives on and utilization of a mandatory PDMP in New York City. METHODS: We conducted face-to-face, in-depth interviews with primary care physicians who reported that they currently prescribed opioid analgesic medication...
July 16, 2021: Family Practice
John Travers, Roman Romero-Ortuno, Éidin Ní Shé, Marie-Therese Cooney
BACKGROUND: An essential consideration in health research is to conduct research with members of the public rather than for them. Public and patient involvement (PPI) of older people in research can improve enrolment, relevance and impact. However, few studies with PPI in frailty research have been identified. PPI has fallen during the Covid-19 pandemic. OBJECTIVE: We aimed to involve older people in co-designing a randomised control trial (RCT) intervention to reverse frailty and build resilience...
July 16, 2021: Family Practice
Wade Thompson, Dorte Jarbøl, Jesper Bo Nielsen, Peter Haastrup, Line Bjørnskov Pedersen
BACKGROUND: Deprescribing (planned, supervised discontinuation) of statins may be considered in some older persons. This should be carefully discussed between patients and GPs. METHODS: We examined GPs' preferences for discussing statin deprescribing by conducting a discrete choice experiment (DCE) sent to a stratified random sample of 500 Danish GPs. Attributes were discussion topics (goals of therapy, evidence on statin use in older persons, adverse effects, uncertainty), and levels were the depth of the discussion topics (none, brief, detailed)...
July 16, 2021: Family Practice
Nicoline E van Hattem, Anna V Silven, Tobias N Bonten, Niels H Chavannes
No abstract text is available yet for this article.
July 16, 2021: Family Practice
Sophie A M van Kessel, Tim C Olde Hartman, Peter L B J Lucassen, Cornelia H M van Jaarsveld
BACKGROUND: It is expected that GPs are increasingly confronted with a large group of patients with symptoms persisting three weeks after initial symptoms of a mild (managed in the outpatient setting) COVID-19 infection. Currently, research on these persistent symptoms mainly focuses on patients with severe infections (managed in an inpatient setting) whereas patients with mild disease are rarely studied. OBJECTIVE: The main objective of this systematic review was to create an overview of the nature and frequency of persistent symptoms experienced by patients after mild COVID-19 infection...
July 16, 2021: Family Practice
Abigail J Rolbiecki, Joseph W LeMaster
No abstract text is available yet for this article.
July 15, 2021: Family Practice
Knut Erik Emberland, Knut-Arne Wensaas, Sverre Litleskare, Leo Larsen, Kristine Morch, Sabine Ruths, Guri Rortveit
BACKGROUND: When patients with gastroenteritis (GE) seek health care, they are generally managed in primary care. Little is known about the use of antibiotic treatment in these cases. OBJECTIVE: The aim of this study was to investigate time trends and patient characteristics associated with antibiotic treatment for GE in Norwegian primary care in a 10-year period. METHODS: We linked data from two nationwide registries, reimbursement claims data from Norwegian primary care (the KUHR database) and The Norwegian Prescription Database, for the period 2006-15...
July 15, 2021: Family Practice
Linda Lee, Aaron Jones, Loretta M Hillier, Andrew Costa, Tejal Patel, Ruchi Parikh
BACKGROUND: The Case-finding for Complex Chronic Conditions in Adults 75+ (C5-75) involves annual frailty screening in primary care using dual-trait screening measures of handgrip strength and gait speed, with additional screening for co-existing conditions in those deemed frail. OBJECTIVE: To identify low-risk individuals who could be screened for frailty every 2 years, rather than annually. METHODS: This study examined a prospective cohort of patients who completed at least two annual C5-75 screenings between April 2014 and December 2018...
July 8, 2021: Family Practice
Quiera S Booker, Jessica D Austin, Bijal A Balasubramanian
No abstract text is available yet for this article.
July 2, 2021: Family Practice
Mina P Dahli, Jūratė Šaltytė-Benth, Ole R Haavet, Torleif Ruud, Mette Brekke
BACKGROUND: Patients with mental health problems often present with somatic symptoms when visiting their general practitioner (GP). Somatic presentations may challenge correct diagnosing of mental health disorders in general practice, where most of these disorders are treated. OBJECTIVE: Explore the associations between common psychological diagnoses and somatic symptom diagnoses in Norwegian urban general practice. METHODS: A retrospective cohort study including electronic medical data from 15 750 patients aged 16-65 years from 35 GPs in six GP offices in Oslo, Norway, during 12 months in 2014-2015...
July 1, 2021: Family Practice
Jeby Jose Olickal, Ramya Selvaraj, Ganesh Kumar Saya, Palanivel Chinnakali
BACKGROUND: There is limited published literature on the impact of alcohol use among alcohol dependents and their family members. OBJECTIVES: To find the factors associated with alcohol use and explore the impact of alcohol use on alcohol dependents and their family members. METHODS: A cross-sectional analytical study was conducted among 316 men aged above 18 years, and four focus group discussions (FGDs) were conducted among alcohol dependents and their family members...
July 1, 2021: Family Practice
Ebtihal Alamer, Lemmese Al-Watban, Faris Ibrahim Nafisah
BACKGROUND: Pre-conception care is well known as part of opportunistic, proactive, preventive care for men and women throughout their reproductive years; to lower behavioural, environmental and health-related factors that could lead to poor maternal and foetal outcomes. Many studies have been conducted on the delivery of pre-conception care worldwide. However, no studies were conducted in Saudi Arabia on this topic. OBJECTIVE: To explore knowledge, attitudes and practice of pre-conception care among primary health care physicians in Riyadh's Ministry of Health primary care centres and identify barriers they may face...
June 29, 2021: Family Practice
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