9,304 results match your criteria British Journal Of General Practice[Journal]


Prescription of suboptimal statin treatment regimens: a retrospective cohort study of trends and variation in English primary care.

Br J Gen Pract 2020 Jun 29. Epub 2020 Jun 29.

The DataLab, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.

Background: Since 2014 English national guidance recommends 'high-intensity' statins, reducing low-density lipoprotein (LDL) cholesterol by ≥40%.

Aim: To describe trends and variation in low-/medium-intensity statin prescribing and assess the feasibility of rapid prescribing behaviour change.

Design And Setting: A retrospective cohort study using OpenPrescribing data from all 8142 standard NHS general practices in England from August 2010 to March 2019. Read More

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http://dx.doi.org/10.3399/bjgp20X710873DOI Listing

Nausea and vomiting in pregnancy is not just 'morning sickness': data from a prospective cohort study in the UK.

Br J Gen Pract 2020 Jun 29. Epub 2020 Jun 29.

SPD Development Limited, Bedford.

Background: Nausea and vomiting in pregnancy is usually called 'morning sickness'. This is felt by sufferers to trivialise the condition. Symptoms have been described as occurring both before and after noon, but daily symptom patterns have not been clearly described and statistically modelled to enable the term 'morning sickness' to be accurately analysed. Read More

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http://dx.doi.org/10.3399/bjgp20X710885DOI Listing

How to manage low testosterone level in men: a guide for primary care.

Br J Gen Pract 2020 Jul 25;70(696):364-365. Epub 2020 Jun 25.

Translational & Clinical Research Institute, Newcastle University, Newcastle upon Tyne.

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http://dx.doi.org/10.3399/bjgp20X710729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319700PMC

Hyperparathyroidism (primary) NICE guideline: diagnosis, assessment, and initial management.

Br J Gen Pract 2020 Jul 25;70(696):362-363. Epub 2020 Jun 25.

National Guideline Centre, Royal College of Physicians, London.

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http://dx.doi.org/10.3399/bjgp20X710717DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319687PMC

The atypical presentation of COVID-19 as gastrointestinal disease: key points for primary care.

Br J Gen Pract 2020 Jul 25;70(696):360-361. Epub 2020 Jun 25.

Department of Infectious Diseases, Singapore General Hospital, Singapore; Programme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore.

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http://dx.doi.org/10.3399/bjgp20X710705DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319666PMC

COVID-19 with abdominal symptoms and acute abdominal pain: a guide to identification for general practice.

Br J Gen Pract 2020 Jul 25;70(696):358-359. Epub 2020 Jun 25.

Department of General Surgery, Renmin Hospital of Wuhan University, Wuhan, People's Republic of China.

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http://dx.doi.org/10.3399/bjgp20X710693DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319657PMC

An Australian reflects on the Collings report 70 years on.

Authors:
Gerard Gill

Br J Gen Pract 2020 Jul 25;70(696):356-357. Epub 2020 Jun 25.

Deakin University, Geelong, Victoria, Australia.

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http://dx.doi.org/10.3399/bjgp20X710681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319676PMC

SAFER diagnosis: a teaching system to help reduce diagnostic errors in primary care.

Authors:
Paul Silverston

Br J Gen Pract 2020 Jul 25;70(696):354-355. Epub 2020 Jun 25.

University of Suffolk; Visiting Professor, Anglia Ruskin University, Cambridge.

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http://dx.doi.org/10.3399/bjgp20X710669DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319682PMC

Winter 2020.

Authors:
Saul Miller

Br J Gen Pract 2020 Jul 25;70(696):353. Epub 2020 Jun 25.

Wooler, Northumberland.

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http://dx.doi.org/10.3399/bjgp20X710657DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319690PMC

Books: : Social Disadvantage.

Authors:
Amanda Howe

Br J Gen Pract 2020 Jul 25;70(696):352. Epub 2020 Jun 25.

Immediate Past President WONCA, Professor of Primary Care, Norwich Medical School, UEA, Norwich. Email:

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http://dx.doi.org/10.3399/bjgp20X710645DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319681PMC

Books: : Using Kindness to Make Teams Work More Effectively.

Authors:
Gervase Vernon

Br J Gen Pract 2020 Jul 25;70(696):351. Epub 2020 Jun 25.

Essex. Email:

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http://dx.doi.org/10.3399/bjgp20X710609DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319680PMC

Books: : A Medical Psychological Thriller.

Authors:
Dougal Jeffries

Br J Gen Pract 2020 Jul 25;70(696):350-351. Epub 2020 Jun 25.

Falmouth, Cornwall. Email:

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http://dx.doi.org/10.3399/bjgp20X710633DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319691PMC

Books: : Understanding Endometriosis.

Authors:
Lesley Morrison

Br J Gen Pract 2020 Jul 25;70(696):350. Epub 2020 Jun 25.

Scottish Borders. Email:

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http://dx.doi.org/10.3399/bjgp20X710621DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319671PMC

Books: : Developing Clinical Reasoning.

Br J Gen Pract 2020 Jul 25;70(696):350. Epub 2020 Jun 25.

Hannage Brook Medical Centre, Derbyshire. Email:

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http://dx.doi.org/10.3399/bjgp20X710597DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319673PMC

Trust me - I'm a millennial GP.

Authors:
Sophie Lumley

Br J Gen Pract 2020 Jul 25;70(696):349. Epub 2020 Jun 25.

Academic Clinical Fellow, Keele University, Keele. Email:

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http://dx.doi.org/10.3399/bjgp20X710585DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319667PMC

Yonder: Vitamin D screening, startups, social distancing, and world leaders on Twitter.

Authors:
Ahmed Rashid

Br J Gen Pract 2020 Jul 25;70(696):348. Epub 2020 Jun 25.

UCL Medical School, UCL, London. Email:

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http://dx.doi.org/10.3399/bjgp20X710573DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319693PMC

Moving on.

Authors:
Amar Rughani

Br J Gen Pract 2020 Jul 25;70(696):347. Epub 2020 Jun 25.

Chapelgreen Practice, Sheffield. Currently Provost of the RCGP. Email:

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http://dx.doi.org/10.3399/bjgp20X710561DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319697PMC

The other Self: a note on counselling practice.

Authors:
Stuart Hannabuss

Br J Gen Pract 2020 Jul 25;70(696):346. Epub 2020 Jun 25.

University of Aberdeen, Aberdeen; Volunteer Counsellor, NHS Grampian. Email:

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http://dx.doi.org/10.3399/bjgp20X710549DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319677PMC

Looking after you too.

Authors:
Katie Barnett

Br J Gen Pract 2020 Jul 25;70(696):345. Epub 2020 Jun 25.

Haxby Group Practice; Honorary Clinical Fellow, Department of Health Sciences, University of York, York. Email:

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http://dx.doi.org/10.3399/bjgp20X710537DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319658PMC

Doing the day's work well: my unlikely COVID-19 renaissance.

Authors:
Anupma Parihar

Br J Gen Pract 2020 Jul 25;70(696):344. Epub 2020 Jun 25.

Penshurst Gardens Surgery, Edgware, Middlesex. Email:

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http://dx.doi.org/10.3399/bjgp20X710525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319664PMC

A hard time to die: grief and the coronavirus: Michael Boland.

Authors:
Mary Jane Boland

Br J Gen Pract 2020 Jul 25;70(696):343. Epub 2020 Jun 25.

Skibbereen, Co. Cork, Republic of Ireland, and London, UK. Email:

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http://dx.doi.org/10.3399/bjgp20X710513DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319675PMC

Treating the pandemic of fear.

Authors:
Samar Razaq

Br J Gen Pract 2020 Jul 25;70(696):342. Epub 2020 Jun 25.

Burnham, Buckinghamshire. Email:

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http://dx.doi.org/10.3399/bjgp20X710501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319689PMC

Domestic abuse in the time of coronavirus.

Authors:
Anonymous

Br J Gen Pract 2020 Jul 25;70(696):341. Epub 2020 Jun 25.

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http://dx.doi.org/10.3399/bjgp20X710489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319684PMC

Domestic violence during COVID-19: the GP role.

Authors:
Jeremy Gibson

Br J Gen Pract 2020 Jul 25;70(696):340. Epub 2020 Jun 25.

Derbyshire, and a named GP for safeguarding children in Derby city. Email:

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http://dx.doi.org/10.3399/bjgp20X710477DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319696PMC

Video consultations: quality, access, and equity in COVID and post-COVID general practice.

Authors:
James Matheson

Br J Gen Pract 2020 Jul 25;70(696):329. Epub 2020 Jun 25.

Chair, RCGP Health Inequalities Standing Group. Email:

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http://dx.doi.org/10.3399/bjgp20X710861DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319663PMC

Reduction in face-to-face GP consultations.

Br J Gen Pract 2020 Jul 25;70(696):328. Epub 2020 Jun 25.

St Leonard's Research Practice, Exeter.

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http://dx.doi.org/10.3399/bjgp20X710849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319661PMC

COVID-19 cumulative mortality rates for frontline healthcare staff in England.

Br J Gen Pract 2020 Jul 25;70(696):327-328. Epub 2020 Jun 25.

Diabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester.

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http://dx.doi.org/10.3399/bjgp20X710837DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319683PMC

Triage of patients with COVID-19.

Authors:
Alex Manning

Br J Gen Pract 2020 Jul 25;70(696):327. Epub 2020 Jun 25.

Newmarket Road, Burwell, Cambridge. Email:

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http://dx.doi.org/10.3399/bjgp20X710825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319692PMC

Just another GP crisis: the Collings report 70 years on.

Authors:
Martin Roland

Br J Gen Pract 2020 Jul 25;70(696):325-326. Epub 2020 Jun 25.

Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

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http://dx.doi.org/10.3399/bjgp20X710813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319686PMC

Is there a place for point-of-care ultrasound in UK primary care?

Br J Gen Pract 2020 Jul 25;70(696):323-324. Epub 2020 Jun 25.

Division of Primary Care, Public Health and Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.

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http://dx.doi.org/10.3399/bjgp20X710801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319672PMC

Investigating cancer symptoms in older people: what are the issues and where is the evidence?

Br J Gen Pract 2020 Jul 25;70(696):321-322. Epub 2020 Jun 25.

Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.

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http://dx.doi.org/10.3399/bjgp20X710789DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319670PMC

The future of diagnosis in general practice.

Authors:
William Hamilton

Br J Gen Pract 2020 Jul 25;70(696):319-320. Epub 2020 Jun 25.

University of Exeter, Exeter, UK.

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http://dx.doi.org/10.3399/bjgp20X710777DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319659PMC

Asking Questions.

Br J Gen Pract 2020 Jul 25;70(696):315. Epub 2020 Jun 25.

BJGP.

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http://dx.doi.org/10.3399/bjgp20X710981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319678PMC

Combating COVID-19: East meets West.

Br J Gen Pract 2020 Jul 25;70(696):e442-e443. Epub 2020 Jun 25.

Hong Kong Academy of Medicine; Vice Chairman, Hong Kong Jockey Club Disaster Preparedness and Response Institute, Hong Kong Academy of Medicine Jockey Club Building, Hong Kong.

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http://dx.doi.org/10.3399/bjgp20X710753DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311107PMC

Oseltamivir for coronavirus illness: post-hoc exploratory analysis of an open-label, pragmatic, randomised controlled trial in European primary care from 2016 to 2018.

Br J Gen Pract 2020 Jul 25;70(696):e444-e449. Epub 2020 Jun 25.

Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford, UK.

Background: Patients infected with the novel coronavirus (SARS-CoV-2) are being treated empirically with oseltamivir, but there is little evidence from randomised controlled trials to support the treatment of coronavirus infections with oseltamivir.

Aim: To determine whether adding oseltamivir to usual care reduces time to recovery in symptomatic patients who have tested positive for coronavirus (not including SARS-CoV-2).

Design And Setting: Exploratory analysis of data from an open-label, pragmatic, randomised controlled trial during three influenza seasons, from 2016 to 2018, in primary care research networks, in 15 European countries. Read More

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http://dx.doi.org/10.3399/bjgp20X711941DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311109PMC

Five principles for pandemic preparedness: lessons from the Australian COVID-19 primary care response.

Authors:
Michael R Kidd

Br J Gen Pract 2020 Jul 25;70(696):316-317. Epub 2020 Jun 25.

Australian Government Department of Health, Australia; Professor of Primary Care Reform, Australian National University, Canberra, Australia; Adjunct Professor, Department of Family and Community Medicine, University of Toronto, Toronto, Canada; Emeritus Director, World Health Organization Collaborating Centre on Family Medicine and Primary Care, Canada; Professorial Fellow, Murdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, Australia; Honorary Professor of Global Primary Care, Southgate Institute for Health, Society and Equity, Flinders University, Adelaide, Australia.

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http://dx.doi.org/10.3399/bjgp20X710765DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311106PMC

Trends and variation in unsafe prescribing of methotrexate: a cohort study in English NHS primary care.

Br J Gen Pract 2020 Jul 25;70(696):e481-e488. Epub 2020 Jun 25.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.

Background: Prescribing high doses of methotrexate increases the potentially fatal risk of toxicity. To minimise risk, it is recommended that only 2.5 mg tablets are used. Read More

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http://dx.doi.org/10.3399/bjgp20X710993DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311108PMC

Decision making on clinical care choices including end-of-life decision making for older adults in an acute care setting.

Authors:
Sinead O'Reilly

Br J Gen Pract 2020 Jun;70(suppl 1)

Ayrshire and Arran NHS Trust.

Background: The Scottish Government's vision for older people is that In the health and social care setting in Scotland it is increasingly recognised that there is a need for careful planning of care for older patients with complex comorbidities, and that this should involve the patient where possible via a process of shared decision making (SDM).

Aim: To establish what future planning for healthcare decision making and end-of-life care was undertaken in the care of the older patients in a secondary care facility, and how much they participate in this process.

Method: An audit was conducted across four wards in the care of the older patient setting in a hospital for older patients in Scotland. Read More

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http://dx.doi.org/10.3399/bjgp20X711725DOI Listing

Evaluating the relational continuity of care of four GP practices, one of which uses personalised lists.

Authors:
Riaan Swanepoel

Br J Gen Pract 2020 Jun;70(suppl 1)

North Tyneside CCG.

Background: Continuity of care is a fading type of care because GPs are working more flexibly and at reduced working hours. The GP Contract gave a financial incentive to provide prompt GP appointments, but to the detriment of continuity of care. Increased patient demand for appointments has seemingly led to patients favouring 'any' appointment with a GP rather than 'an appointment with the same GP'. Read More

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http://dx.doi.org/10.3399/bjgp20X711713DOI Listing

Revolutionising participants' health and wellbeing through neuro-reprogramming via the Slimpod app: a randomised controlled trial.

Br J Gen Pract 2020 Jun;70(suppl 1)

Wellpods International.

Background: Obesity is a global pandemic that threatens the health of the population and the sustainability of publicly funded health care. This randomised controlled trial addresses the gap in the literature surrounding unconscious persuasion and its use in weight loss and weight management. The Slimpod tool is unlike any of those currently available on the market. Read More

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http://dx.doi.org/10.3399/bjgp20X711701DOI Listing

Association between screen-time and school performance of secondary school children in Karachi, Pakistan.

Authors:
Kashan Niazi

Br J Gen Pract 2020 Jun;70(suppl 1)

Sulaiman Al Rajhi Colleges.

Background: Electronic media are playing a negative role in people's lives and yet people are unaware of the hazardous effect.

Aim: To show that screen-time of >1 hour had detrimental associations with school performance.

Method: A population-based, cross-sectional survey of 363 students, mean age 14. Read More

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http://dx.doi.org/10.3399/bjgp20X711689DOI Listing

Multiple risk behaviour intervention to prevent depression in primary care.

Br J Gen Pract 2020 Jun;70(suppl 1)

Universidad Loyola Andalucía.

Background: Primary care is the ideal setting for promotion and prevention intervention. Multiple risk behaviour interventions present several advantages over single-risk lifestyle interventions. Multiple risk behaviour interventions could be easily implemented in primary care to prevent non-communicable disease and depression. Read More

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http://dx.doi.org/10.3399/bjgp20X711677DOI Listing

Should diverticulitis be managed in primary care? An audit on the management of diverticulitis in primary care.

Br J Gen Pract 2020 Jun;70(suppl 1)

Tean Surgery.

Background: The prevalence of diverticulosis and acute diverticulitis is increasing in developed countries. For those with diverticulosis the lifetime risk of developing acute diverticulitis is about 4-25%. Mild, uncomplicated diverticulitis can be, and often is, managed safely in a primary care setting, avoiding unnecessary admission. Read More

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http://dx.doi.org/10.3399/bjgp20X711665DOI Listing

A pilot project on the management of osteoporosis in primary care: results of the audit cycle.

Br J Gen Pract 2020 Jun;70(suppl 1)

Barking, Havering and Redbridge University Hospitals NHS Trust.

Background: Osteoporosis is a major public health problem with the ageing population in the UK. However, there is no known national algorithm for the management of osteoporosis in primary care. Therefore, a treatment pathway was developed in secondary care for patients in the community. Read More

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http://dx.doi.org/10.3399/bjgp20X711653DOI Listing

Appropriate secondary prevention of stroke and transient ischaemic attack with antithrombotics: an audit in general practice.

Br J Gen Pract 2020 Jun;70(suppl 1)

New Queen Street and Stanground Surgeries.

Background: Stroke is a major cause of death and disability worldwide. Major advances have occurred in secondary prevention of stroke/transient ischaemic attack (TIA) during the past three decades. Primary care is a critical point of contact with patients in the implementation of secondary prevention, with the majority of patients with past stroke/TIA being managed in the community. Read More

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http://dx.doi.org/10.3399/bjgp20X711641DOI Listing

Evaluation of a novel anxiety and trauma intervention at the Edinburgh Fringe.

Authors:
Andrew Ashworth

Br J Gen Pract 2020 Jun;70(suppl 1)

sessional GP.

Background: Anxiety and psychological trauma are common presentations in general practice and may lead to long-term prescribing and/or time-consuming talking therapies.

Aim: To assess the efficacy and acceptability of short 'Gazetherapy' interventions.

Method: 'The Anxiety Experiment' was delivered as a show at the Edinburgh Fringe Festival from 1-25 August 2019. Read More

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http://dx.doi.org/10.3399/bjgp20X711629DOI Listing

Management of gout and adherence to current guidelines in general practice surgery.

Br J Gen Pract 2020 Jun;70(suppl 1)

Hartley Corner Surgery.

Background: Gout is one of the most common inflammatory joint diseases in the UK managed by GPs. The recent (2017) guideline of the British Society for Rheumatology (BSR) changed the recommendation for urate-lowering therapy (ULT) and now advises it after the first episode of gout, whereas it previously recommended after the second one. Moreover, the BSR now also recommends screening and management of risk factors of gout. Read More

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http://dx.doi.org/10.3399/bjgp20X711617DOI Listing

Blood tests in general practice: the use of routine data to characterise venous blood testing in North West London, 2016-2018.

Br J Gen Pract 2020 Jun;70(suppl 1)

Imperial College London.

Background: Laboratory testing is an integral diagnostic tool, contributing to 70% of diagnoses in the NHS today. Its use has been steadily increasing despite estimates that ≤40% of blood tests ordered are unnecessary. Understanding blood-testing patterns is a fundamental step to tackling overuse. Read More

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http://dx.doi.org/10.3399/bjgp20X711605DOI Listing

Opioid crisis in primary care? An audit of high-dose opioid prescribing at Bangholm GP Practice.

Br J Gen Pract 2020 Jun;70(suppl 1)

King's College London, GKT School of Medicine.

Background: Opioids are effective analgesics for acute and palliative pain, but there is no evidence base for long-term pain relief. They also carry considerable risks such as overdose and dependence. Despite this, they are increasingly prescribed for chronic pain. Read More

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http://dx.doi.org/10.3399/bjgp20X711581DOI Listing