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Journals British Journal of General Pra...

British Journal of General Practice

https://read.qxmd.com/read/39009415/external-validation-of-a-prognostic-model-to-improve-prediction-of-psychosis-in-primary-care
#1
JOURNAL ARTICLE
Sarah Ann Sullivan, Daphne Kounali, Philippa Lilford, Richard Morris, David Kessler, William Hamilton, Glyn Lewis, Irwin Nazareth
Background Early detection could reduce the duration of untreated psychosis. GPs are a vital part of the psychosis care pathway but find it difficult to detect the early features. An accurate risk prediction tool (P Risk) was developed to detect these. Aim The external validation of P Risk. Methods A retrospective cohort study using a validation dataset of 1,647,934 UK Clinical Practice Research Datalink primary care records linked to secondary care records. The same predictors (age, sex, ethnicity, social deprivation, consultations for suicidal behaviour, depression/anxiety and substance abuse, history of consultations for suicidal behaviour, smoking history and substance abuse and prescribed medications for depression/anxiety/PTSD/OCD and total number of consultations) were used as for P Risk development...
July 15, 2024: British Journal of General Practice
https://read.qxmd.com/read/38986567/severe-mental-illness-as-a-risk-factor-for-recorded-diagnosis-of-osteoporosis-and-fragility-fractures-in-people-aged-50-and-above-retrospective-cohort-study-using-uk-primary-care-data
#2
JOURNAL ARTICLE
Christina Avgerinou, Kate Walters, Juan Carlos Bazo-Alvarez, David Osborn, Robert West, Andrew Paul Clegg, Irene Petersen
BACKGROUND: Severe Mental Illness (SMI) has been associated with reduced bone density and increased risk of fractures, although some studies have shown inconsistent results. AIM: Examine the association between SMI and recorded diagnosis of osteoporosis (OP) and fragility fracture (FF) in people aged ≥50years. DESIGN AND SETTING: Population-based cohort study; UK Primary care. METHOD: We used anonymised primary care data (IQVIA Medical Research Database)...
July 10, 2024: British Journal of General Practice
https://read.qxmd.com/read/38969354/pilot-postal-birth-cohort-hcv-screening-in-uk-primary-care
#3
JOURNAL ARTICLE
Ruth Simmons, Annabel Powell, Samreen Ijaz, Sema Mandal, Justin Shute, Yasmin Mohammadi, Michael Lattimore, Kelsey McOwat, Hannah Moore, Aisling O'Rourke, Monica Desai, John MacLeod, Asra Asgharzadeh, Zoe Ward, Peter Vickerman, Ross Harris, Graham Foster, Kirsty Roberts, Matthew Hickman
BACKGROUND: Birth cohort screening has been implemented in some countries to identify the potentially 'missed population' of undiagnosed chronic Hepatitis C Virus (HCV) in people who may not be found through targeted approaches. AIM: To determine uptake of HCV antibody testing using an oral swab screening method, overall yield, whether those testing positive had risk markers in their primary care record, and cost per case detected. DESIGN AND SETTING: Pilot screening study set in general practices in the Southwest, South London and Yorkshire and Humber...
July 5, 2024: British Journal of General Practice
https://read.qxmd.com/read/38950945/safety-netting-advice-documentation-out-of-hours-a-retrospective-cohort-from-2013-to-2020
#4
JOURNAL ARTICLE
Peter Jonathan Edwards, Samuel J Finnikin, Fay Wilson, Ian Bennett-Britton, Andrew Carson-Stevens, Rebecca Barnes, Rupert A Payne
BACKGROUND: Providing safety-netting advice (SNA) in out-of-hours primary care is a recognised standard of safe care but it is not known how frequently this occurs in practice. AIM: Assess the frequency and type of SNA documented in out-of-hours primary care and explore factors associated with its presence. DESIGN AND SETTING: Retrospective cohort using the Birmingham Out-of-hours General Practice Research Database. METHOD: A stratified sample of 30 adult consultation records per month from July 2013 to February 2020 were assessed using a safety-netting coding tool...
July 1, 2024: British Journal of General Practice
https://read.qxmd.com/read/38950944/preconception-indicators-and-associations-with-health-outcomes-reported-in-uk-routine-primary-care-data-a-systematic-review
#5
JOURNAL ARTICLE
Danielle Schoenaker, Elizabeth Lovegrove, Emma Cassinelli, Jennifer Hall, Majel McGranahan, Laura McGowan, Helen Carr, Nisreen Alwan, Judith Stephenson, Keith Godfrey
BACKGROUND: Routine primary care data may be a valuable resource for preconception health research and informing provision of preconception care. AIM: To review how primary care data could provide information on the prevalence of preconception indicators and examine associations with maternal and offspring health outcomes. DESIGN AND SETTING: Systematic review of observational studies using UK routine primary care data. METHOD: Literature searches were conducted in five databases (March 2023) to identify observational studies that used national primary care data from individuals aged 15-49 years...
July 1, 2024: British Journal of General Practice
https://read.qxmd.com/read/38950943/recurrent-urinary-tract-infections-and-prophylactic-antibiotic-use-in-women-cross-sectional-study
#6
JOURNAL ARTICLE
Leigh Sanyaolu, Victoria Best, Rebecca Cannings-John, Fiona Wood, Adrian Edwards, Ashley Akbari, Gail Hayward, Haroon Ahmed
BACKGROUND: Despite the considerable morbidity caused by recurrent UTIs (rUTIs), and the wider personal and public health implications from frequent antibiotic use, few studies adequately describe the prevalence and characteristics of women with rUTIs or those who use prophylactic antibiotics. AIM: To describe the prevalence, characteristics, and urine profiles of women with rUTIs with and without prophylactic antibiotic use in Welsh primary care. DESIGN AND SETTING: Retrospective cross-sectional study in Welsh General Practice using the SAIL Databank...
July 1, 2024: British Journal of General Practice
https://read.qxmd.com/read/38950942/general-practitioners-perspectives-on-diagnostic-testing-in-children-with-persistent-non-specific-symptoms
#7
JOURNAL ARTICLE
Lianne Mulder, Sophie Martine Ansems, Marjolein Berger, Guus Blok, Gea Holtman
BACKGROUND: Diagnostic testing is prevalent among children with persistent non-specific symptoms (PNS), and both undertesting and overtesting have negative consequences for child and society. Research in adults with PNS has shown that general practitioners (GPs) use diagnostic testing for reasons other than diagnosis, but comparable research has not been conducted in children. Understanding GPs' perspectives of testing decisions in children could provide insights into mechanisms of undertesting and overtesting...
July 1, 2024: British Journal of General Practice
https://read.qxmd.com/read/38950941/collaborative-discussions-between-pharmacists-and-general-practitioners-to-optimise-patient-medication-a-qualitative-study-within-a-clinical-trial
#8
JOURNAL ARTICLE
Roxanne Parslow, Lorna J Duncan, Barbara Caddick, Carolyn A Chew-Graham, Katrina Turner, Rupert A Payne, Cindy Mann, Bruce Guthrie, Peter Blair, Deborah McCahon
BACKGROUND: There has been significant investment in pharmacists working in UK general practice to improve the effective and safe use of medicines. However, evidence of how to optimise collaboration between GPs and pharmacists in the context of polypharmacy (multiple medication) is lacking. AIM: To explore GP and pharmacist views and experiences of in-person, inter-professional collaborative discussions (IPCDs) as part of a complex intervention to optimise medication use for patients with polypharmacy in general practice...
July 1, 2024: British Journal of General Practice
https://read.qxmd.com/read/38936884/understanding-access-to-general-practice-through-the-lens-of-candidacy-a-critical-review-of-the-literature
#9
JOURNAL ARTICLE
Carol Sinnott, Akbar Ansari, Evleen Price, Rebecca Fisher, Jake Beech, Hugh Alderwick, Mary Dixon-Woods
BACKGROUND: Dominant conceptualisations of access to healthcare are limited, framed in terms of speed and supply. The Candidacy Framework offers a more comprehensive approach, identifying diverse influences on how access is accomplished. AIM: We aimed to characterise how the Candidacy Framework can explain access to general practice - an increasingly fraught area of public debate and policy. DESIGN AND SETTING: Qualitative review guided by the principles of critical interpretive synthesis...
June 27, 2024: British Journal of General Practice
https://read.qxmd.com/read/38936883/additional-roles-reimbursement-scheme-commissioning-2020-2023-associations-with-patient-experience-and-qof
#10
JOURNAL ARTICLE
Chris Penfold, Jialan Hong, Peter Jonathan Edwards, Mavin Kashyap, Chris Salisbury, Ben Bennett, John MacLeod, Theresa Redaniel
BACKGROUND: The Additional Roles Reimbursement Scheme (ARRS) was introduced by NHS England in 2020 alongside Primary Care Networks (PCNs) with aims of increasing the workforce and improving patient outcomes. AIM: Describe the uptake of direct-patient care (DPC)-ARRS roles and its impact on patients' experiences. DESIGN AND SETTING: Ecological study using 2020-2023 PCN and Practice workforce data, registered patient characteristics, the General Practice Patient Survey, and the Quality and Outcomes Framework (QOF)...
June 27, 2024: British Journal of General Practice
https://read.qxmd.com/read/38936882/relationship-between-research-activity-and-general-practice-performance-cross-sectional-and-longitudinal-analyses
#11
JOURNAL ARTICLE
Jonathan Gibson, Evangelos Kontopantelis, Matthew Sutton, Annette Boaz, Paul Little, Christian D Mallen, Richard McManus, Sophie Park, Juliet A Usher-Smith, Peter Bower
BACKGROUND: Research activity usually improves outcomes by being translated into practice. However, there is developing evidence that research activity itself may improve the overall performance of health care organisations. However, evidence that these relationships represent a causal impact of research activity is less clear. Additionally, the bulk of the existing evidence relates to hospital settings, and it is not known if those relationships would also be found in general practice, where most patient contacts occur...
June 27, 2024: British Journal of General Practice
https://read.qxmd.com/read/38914479/assessing-the-uptake-of-incentivised-physical-health-checks-for-people-with-serious-mental-illness-a-cohort-study-in-primary-care
#12
JOURNAL ARTICLE
Maria Ana Matias, Rowena Jacobs, María José Aragón, Luis Fernandes, Nils Gutacker, Najma Siddiqi, Panagiotis Kasteridis
BACKGROUND: People with serious mental illness are more likely to experience physical illnesses. The onset of many of these illnesses can be prevented if detected early. Physical health screening for people with serious mental illness is incentivised in primary care in England through the Quality and Outcomes Framework (QOF). GPs are paid to conduct annual physical health checks on patients with serious mental illness, including checks of body mass index (BMI), cholesterol, and alcohol consumption...
June 24, 2024: British Journal of General Practice
https://read.qxmd.com/read/38858101/assessing-acutely-ill-children-in-general-practice-using-the-national-pews-and-lqsofa-clinical-scores-a-retrospective-cohort-study
#13
JOURNAL ARTICLE
Amy Clark, Rebecca Cannings-John, Enitan D Carrol, Emma Thomas-Jones, Gerri Sefton, Alastair D Hay, Christopher C Butler, Kathryn Hughes
BACKGROUND: Clinical tools are needed in general practice to help identify seriously ill children. The Liverpool quick Sequential Organ Failure Assessment (LqSOFA) was validated in an Emergency Department and performed well. The National Paediatric Early Warning score (PEWS) has been introduced in hospitals throughout England with hopes for implementation in general practice. AIM: To validate the LqSOFA and National PEWS in general practice. DESIGN/SETTING: Secondary analysis of 6,703 children <5 years presenting to 225 general practices in England and Wales with acute illnesses, linked to hospital data...
June 10, 2024: British Journal of General Practice
https://read.qxmd.com/read/38858100/the-first-100-days-after-childbirth-cross-sectional-study-of-maternal-clinical-events-and-health-needs-from-primary-care
#14
JOURNAL ARTICLE
Holly Christina Smith, Patricia Schartau, Sonia Saxena, Irene Petersen
BACKGROUND: The first 100 days after childbirth are important for women recovering from pregnancy and birth. AIM: To describe the most common clinical events or health needs documented in women's primary care records in the first 100 days after childbirth. DESIGN AND SETTING: Cross-sectional study using electronic health records from United Kingdom primary care data. METHOD: We examined the primary care records from childbirth up to 100 days after childbirth of women aged 16-49 years who had given birth to a single live infant 2006-2016 in IMRD...
June 10, 2024: British Journal of General Practice
https://read.qxmd.com/read/38858099/exploring-gps-views-on-beta-blocker-prescribing-for-people-with-anxiety-disorders-a-qualitative-study
#15
JOURNAL ARTICLE
Charlotte Archer, David Kessler, Nicola Wiles, Carolyn A Chew-Graham, Katrina Turner
BACKGROUND: Between 2003-2018, incident prescriptions of beta-blockers for anxiety increased substantially, particularly in young adults. NICE guidance for anxiety does not recommend beta-blockers, probably due to a lack of evidence to support such use. Recent reports have highlighted the potential risks of beta-blockers. AIM: To understand when and why GPs prescribe beta-blockers for people with anxiety. DESIGN AND SETTING: In-depth interviews with 17 GPs...
June 10, 2024: British Journal of General Practice
https://read.qxmd.com/read/38858098/unpacking-complexity-gp-perspectives-on-addressing-the-contribution-of-trauma-to-women-s-ill-health
#16
JOURNAL ARTICLE
MacLellan Jennifer, Sharon Dixon, Francine Toye, Abigail McNiven
BACKGROUND: There is an intricate relationship between the mind and the body in experiences of health and wellbeing. This can result in complexity of both symptom presentation and experience. Although the contribution of life trauma to illness experience is well described, this is not always fully recognised or addressed in health care encounters. Negotiating effective and acceptable trauma informed conversations can be difficult for clinicians and patients. AIM: To explore the experience of primary care practitioners caring for women through a trauma informed care lens...
June 10, 2024: British Journal of General Practice
https://read.qxmd.com/read/38806209/tensions-in-primary-care-cancer-detection-an-embedded-qualitative-intervention-development-study
#17
JOURNAL ARTICLE
Julia Hiscock, Rebecca-Jane Law, Katherine Brain, Stephanie Smits, Sadia Nafees, Nefyn Howard Williams, Jan Rose, Ruth Lewis, Jessica Roberts, Annie Hendry, Richard Neal, Clare E Wilkinson
BACKGROUND: UK cancer mortality is worse than many other high-income countries, partly due to diagnostic delays in primary care. AIM: To understand beliefs and behaviour of GPs, and systems of general practice teams, to inform the Think Cancer! intervention development. DESIGN AND SETTING: An embedded qualitative study guided by behaviour change models (COM-B and TDF) in primary care in Wales, UK. METHOD: Twenty qualitative, semi-structured telephone interviews with GPs and four face-to-face focus groups with practice teams...
May 28, 2024: British Journal of General Practice
https://read.qxmd.com/read/38806208/what-helps-or-hinders-the-communication-of-poor-prognosis-between-secondary-and-primary-care-a-systematic-review-with-narrative-synthesis
#18
JOURNAL ARTICLE
Lucy Pocock, Tanuka Palit, Adam McDermott, Sam Creavin, Emma Gilbert, Samuel Merriel, Steven Moore, Sarah Purdy, Stephen Barclay, Lucy Selman
Introduction The communication of poor prognosis from secondary to primary care helps to ensure that patients with life-limiting illness receive appropriate, coordinated care in line with their preferences. However, little is known about this information-sharing process. Aim To determine how poor prognosis is communicated from secondary care to primary care. Design and setting Systematic literature review and narrative synthesis. Method Four electronic databases were searched from 1st January 2000 to 17th May 2021, supplemented by hand-searching key journals...
May 28, 2024: British Journal of General Practice
https://read.qxmd.com/read/38806207/people-from-ethnic-minorities-seeking-help-for-long-covid-a-qualitative-study
#19
JOURNAL ARTICLE
Nina Smyth, Damien Ridge, Tom Kingstone, Dipesh P Gopal, Nisreen Alwan, Alexa Wright, Ashish Chaudhry, Sophie Clark, Rebecca Band, Carolyn A Chew-Graham
BACKGROUND: People from ethnic minority groups are disproportionately affected by COVID-19, are less likely to access primary healthcare and report dissatisfaction with healthcare. Whilst the prevalence of Long Covid in ethnic minority groups is unclear, these groups are under-represented in Long Covid specialist clinics and Long Covid lived experience research which informed the original Long Covid healthcare guidelines. AIM: To understand lived experiences of Long Covid in people from ethnic minority groups...
May 28, 2024: British Journal of General Practice
https://read.qxmd.com/read/38724188/predicting-unplanned-hospitalisations-in-older-adults-using-routinely-recorded-general-practice-data
#20
JOURNAL ARTICLE
Jet Klunder, Martijn W Heymans, Iris van der Heide, Robert Verheij, Otto R Maarsingh, Hein P J van Hout, Karlijn J Joling
BACKGROUND: Unplanned hospitalisations represent a hazardous event for older persons. Timely identification of high-risk individuals using a prediction tool may facilitate preventive interventions. AIM: To develop and validate an easy-to-use prediction model for unplanned hospitalisations in community-dwelling older adults using readily available data to allow rapid bedside assessment by general practitioners. DESIGN AND SETTING: Retrospective study using general practice electronic health records of 243,129 community-dwelling adults aged ≥65 years linked with national administrative data...
May 9, 2024: British Journal of General Practice
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