710 results match your criteria Primary Care Respiratory Journal[Journal]


Challenges of tuberculosis management in high and low prevalence countries in a mobile world.

Prim Care Respir J 2014 Mar;23(1):106-11

Professor of Primary Care, Centre for Primary Care and Public Health, Blizard Institute, Queen Mary University of London, London, UK.

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http://dx.doi.org/10.4104/pcrj.2014.00019DOI Listing
March 2014
4 Reads

A golden goal in 2010, and another GOLD in 2014 in primary care, or vice versa.

Prim Care Respir J 2014 Mar;23(1):5-6

Medical Epidemiologist, FISIB-IdISPA Hospital Universitari Son Espases, Palma de Mallorca, Spain.

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http://dx.doi.org/10.4104/pcrj.2014.00018DOI Listing
March 2014
3 Reads

Exciting times ahead: a partnership with Nature Publishing Group.

Prim Care Respir J 2014 Mar;23(1):1-2

Editors-in-Chief, Primary Care Respiratory Journal.

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http://www.nature.com/articles/pcrj201422
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http://dx.doi.org/10.4104/pcrj.2014.00022DOI Listing
March 2014
6 Reads

Performance of a brief asthma control screening tool in community pharmacy: a cross-sectional and prospective longitudinal analysis.

Prim Care Respir J 2014 Mar;23(1):79-84

Woolcock Institute of Medical Research, University of Sydney, Sydney, Australia.

Background: Guidelines recommend basing asthma management on assessment of asthma control. Validated control tools, while suitable for clinical research, may not be feasible for routine use in primary care.

Aims: To describe the performance of the Pharmacy Asthma Control Screening tool (PACS) compared with the Asthma Control Questionnaire (ACQ-6). Read More

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http://www.nature.com/articles/pcrj201411
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http://dx.doi.org/10.4104/pcrj.2014.00011DOI Listing
March 2014
5 Reads

Impact of switching to new spirometric reference equations on severity staging of airflow obstruction in COPD: a crosssectional observational study in primary care.

Prim Care Respir J 2014 Mar;23(1):85-91

Department of Primary and Community Care, Radboudumc, Nijmegen, The Netherlands • Department of Family Medicine, Medical Faculty of Ljubljana, University of Ljubljana, Slovenia.

Background: Severity of airflow obstruction in chronic obstructive pulmonary disease (COPD) is based on forced expiratory volume in one second expressed as percentage predicted (FEV1%predicted) derived from reference equations for spirometry results.

Aims: To establish how switching to new spirometric reference equations would affect severity staging of airflow obstruction in the Dutch primary care COPD patient population.

Methods: Spirometry tests of 3,370 adults aged >40 years with obstruction (postbronchodilator FEV1/forced vital capacity (FVC) <0. Read More

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http://www.nature.com/articles/pcrj20146
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http://dx.doi.org/10.4104/pcrj.2014.00006DOI Listing
March 2014
11 Reads

Validation of the COPD Diagnostic Questionnaire in an Australian general practice cohort: a cross-sectional study.

Prim Care Respir J 2014 Mar;23(1):92-7

School of Public Health and Community Medicine, University of New South Wales, Kensington, NSW, Australia.

Background: The gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD) is spirometry, but there are barriers to its use in primary care.

Aims: To externally validate the COPD Diagnostic Questionnaire (CDQ) as a diagnostic tool in patients at increased risk in Australian general practice and to compare its performance with other CDQ validation studies.

Methods: Patients were recruited from 36 general practices in Sydney, Australia. Read More

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http://dx.doi.org/10.4104/pcrj.2014.00015DOI Listing
March 2014
8 Reads

Inappropriate prescribing of combination inhalers in Northern Ireland: retrospective cross-sectional cohort study of prescribing practice in primary care.

Prim Care Respir J 2014 Mar;23(1):74-8

Centre for Infection and Immunity, Queen's University of Belfast, Belfast, UK.

Background: Asthma management guidelines advocate a stepwise approach to asthma therapy, including the addition of a long-acting bronchodilator to inhaled steroid therapy at step 3. This is almost exclusively prescribed as inhaled combination therapy.

Aims: To examine whether asthma prescribing practice for inhaled combination therapy (inhaled corticosteroid/long-acting β2-agonist (ICS/LABA)) in primary care in Northern Ireland is in line with national asthma management guidelines. Read More

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http://dx.doi.org/10.4104/pcrj.2014.00007DOI Listing
March 2014
4 Reads

Wheezing phenotypes in young children: an historical cohort study.

Prim Care Respir J 2014 Mar;23(1):60-6

Villamuriel Primary Care Health Centre, Regional Health Service, Castilla y León, Spain.

Background: Wheezing phenotypes in young children have usually been described on the basis of questionnaire surveys instead of prospectively doctor-diagnosed episodes, and have never been described in terms of incidence rates.

Aims: To identify wheezing phenotypes in the first three years and describe their incidence trends, and to investigate their relationship with asthma at six years of age.

Methods: Doctor-diagnosed wheezing episodes in the first 36 months and active asthma at six years were identified in a historical cohort of 3,739 children followed from birth in 29 primary care health centres in Spain. Read More

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http://dx.doi.org/10.4104/pcrj.2014.00008DOI Listing
March 2014
3 Reads

National cohort data from Sweden to the National COPD audit in England and Wales: grand designs for quality improvement.

Prim Care Respir J 2014 Mar;23(1):7-8

Clinical Research Fellow, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK; General Practitioner, Armada Surgery, Plymouth, UK.

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http://www.nature.com/articles/pcrj201413
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http://dx.doi.org/10.4104/pcrj.2014.00013DOI Listing
March 2014
5 Reads

On Goldilocks, care coordination, and palliative care: making it 'just right'.

Prim Care Respir J 2014 Mar;23(1):8-10

Division of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC USA • Center for Learning Health Care, Duke Clinical Research Institute, Durham, NC USA.

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http://dx.doi.org/10.4104/pcrj.2014.00017DOI Listing
March 2014
17 Reads

Comorbidity in asthma is important and requires a generalist approach.

Authors:
Stewart W Mercer

Prim Care Respir J 2014 Mar;23(1):4-5

Professor of Primary Care Research, Department of General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

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http://dx.doi.org/10.4104/pcrj.2014.00012DOI Listing
March 2014
5 Reads

Predicting the outcome of early childhood wheeze: mission impossible.

Authors:
Paul L P Brand

Prim Care Respir J 2014 Mar;23(1):10-1

Amalia Children's Centre, Isala Hospital, Zwolle, The Netherlands; UMCG Postgraduate School of Medicine, University Medical Centre and University of Groningen, The Netherlands.

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http://dx.doi.org/10.4104/pcrj.2014.00010DOI Listing
March 2014
1 Read

Vitamin D and the HLA locus help to explain the relationship between autoimmune and allergic diseases.

Authors:
Scott T Weiss

Prim Care Respir J 2014 Mar;23(1):2-3

Professor of Medicine, Harvard Medical School; Associate Director, Channing Division of Network Medicine, Brigham and Women's Hospital, Boston MA, USA.

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http://dx.doi.org/10.4104/pcrj.2014.00009DOI Listing
March 2014
3 Reads

Can nurses successfully diagnose and manage patients with COPD?

Prim Care Respir J 2014 Mar;23(1):12-3

Professor of Medicine (retired), The University of Arizona, Tucson, Arizona, USA.

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http://dx.doi.org/10.4104/pcrj.2014.00016DOI Listing
March 2014
25 Reads

Predicting asthma in preschool children at high risk presenting in primary care: development of a clinical asthma prediction score.

Prim Care Respir J 2014 Mar;23(1):52-9

Department of General Practice, Academic Medical Center, Amsterdam, The Netherlands.

Background: A setting-specific asthma prediction score for preschool children with wheezing and/or dyspnoea presenting in primary healthcare is needed since existing indices are mainly based on general populations.

Aims: To find an optimally informative yet practical set of predictors for the prediction of asthma in preschool children at high risk who present in primary healthcare.

Methods: A total of 771 Dutch preschool children at high risk of asthma were followed prospectively until the age of six years. Read More

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http://dx.doi.org/10.4104/pcrj.2014.00003DOI Listing
March 2014
8 Reads

Accuracy of diagnosis and classification of COPD in primary and specialist nurse-led respiratory care in Rotherham, UK: a cross-sectional study.

Prim Care Respir J 2014 Mar;23(1):67-73

School for Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.

Background: Studies have suggested that chronic obstructive pulmonary disease (COPD) is commonly misdiagnosed and misclassified in primary care, but less is known about the quality of diagnosis in specialist respiratory care.

Aims: To measure the accuracy of COPD diagnosis and classification of airway obstruction in primary care and at a specialist respiratory centre, and to explore associations between misdiagnosis and misclassification and a range of explanatory factors.

Methods: Data were obtained for 1,205 referrals to a specialist respiratory centre between 2007 and 2010. Read More

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http://www.nature.com/articles/pcrj20145
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http://dx.doi.org/10.4104/pcrj.2014.00005DOI Listing
March 2014
8 Reads

Coordination of end-of-life care for patients with lung cancer and those with advanced COPD: are there transferable lessons? A longitudinal qualitative study.

Prim Care Respir J 2014 Mar;23(1):46-51

Department of Palliative Care Policy and Rehabilitation, Cicely Saunders Institute, King's College London, London, UK.

Background: Care coordination is defined as good communication between professionals to enable access to services based on need.

Aims: To explore patients' experience of care coordination in order to inform current debates on how best to coordinate care and deliver services in end-of-life for patients with lung cancer and those with chronic obstructive pulmonary disease (COPD).

Methods: A qualitative study involving serial interviews was performed in 18 patients recruited from three hospital outpatient clinics situated in a hospital. Read More

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http://dx.doi.org/10.4104/pcrj.2014.00004DOI Listing
March 2014
45 Reads

Indolent pneumonia in a pregnant recent immigrant from Ethiopia: think TB.

Prim Care Respir J 2014 Mar;23(1):102-5

Tuberculosis Center, Nazareth Hospital, Nazareth, and Faculty of Medicine in Galilee Bar-Ilan University, Israel.

Time delay to tuberculosis (TB) diagnosis remains a public health concern. In pregnancy, early TB diagnosis is challenging and acquires further significance due to the risk of infection of the newborn as well as others in the maternity setting. We report a delay of 12 weeks in the diagnosis of TB in a pregnant recent immigrant from Ethiopia to Israel. Read More

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http://dx.doi.org/10.4104/pcrj.2014.00001DOI Listing
March 2014
3 Reads

Are GOLD ABCD groups better associated with health status and costs than GOLD 1234 grades? A cross-sectional study.

Prim Care Respir J 2014 Mar;23(1):30-7

Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands • Department of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.

Aims: To investigate the association of the GOLD ABCD groups classification with costs and health-related quality of life (HR-QoL) and to compare this with the GOLD 1234 grades classification that was primarily based on lung function only.

Methods: In a cross-sectional study, we selected patients diagnosed with chronic obstructive pulmonary disease (COPD) from electronic medical records of general practices. Multi-level analysis was used with costs (medication, primary care, healthcare, societal), diseasespecific and generic HR-QoL as independent variables. Read More

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http://dx.doi.org/10.4104/pcrj.2014.00002DOI Listing
March 2014
18 Reads
5 Citations
2.910 Impact Factor

Transgenerational occurrence of allergic disease and autoimmunity: general practice-based epidemiological research.

Prim Care Respir J 2014 Mar;23(1):14-21

Department of General Practice, Maastricht University, CAPHRI, Maastricht, The Netherlands.

Background: Corresponding with the T helper cell type 1/T helper cell type 2 hypothesis, autoimmune and allergic diseases are considered pathologically distinct and mutually exclusive conditions. Co-occurrence of autoimmune disorders and allergy within patients, however, has been reported. Transgenerational co-occurrence of autoimmune and allergic disease has been less often described and may differ from the intra-patient results. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00108DOI Listing
March 2014
6 Reads
4 Citations
2.910 Impact Factor

Chronic disease co-morbidity of asthma and unscheduled asthma care among adults: results of the national telephone health interview survey German Health Update (GEDA) 2009 and 2010.

Prim Care Respir J 2014 Mar;23(1):22-9

Department of Epidemiology and Health Monitoring, Robert Koch Institute Berlin, Berlin, Germany • Institute for Social Medicine, Epidemiology, and Health Economics, Charité - Universitätmedizin Berlin, Berlin, Germany.

Background: Co-morbidities may complicate the clinical management of chronic conditions such as asthma.

Aims: To quantify the strength of the relationship between asthma and other chronic diseases and to analyse whether co-morbidities contribute to unscheduled asthma care.

Methods: Data from two consecutive national telephone health interview surveys (GEDA 2009 and 2010) including a total of 43,312 adults (>18 years of age) were analysed. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00107DOI Listing
March 2014
8 Reads

Management, morbidity and mortality of COPD during an 11-year period: an observational retrospective epidemiological register study in Sweden (PATHOS).

Prim Care Respir J 2014 Mar;23(1):38-45

Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.

Background: Chronic obstructive pulmonary disease (COPD) is one of the most common causes of mortality and a major contributor to morbidity. Longitudinal clinical practice data yielding information on the characteristics of the disease, its natural course, and management are limited.

Aims: To investigate and describe the COPD population from a nationwide perspective during an 11-year period (1999-2009) with a focus on management, co-morbidity, and mortality. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00106DOI Listing
March 2014
13 Reads

The experience of a multidisciplinary programme of pulmonary rehabilitation in primary health care from the next of kin's perspective: a qualitative study.

Prim Care Respir J 2013 Dec;22(4):459-65

Family Medicine Research Centre, Örebro, Sweden • School of Health and Medical Sciences, Örebro University, Sweden • Centre for Assessment of Medical Technology, Örebro, Sweden.

Background: Pulmonary rehabilitation increases functional capacity and quality of life and decrease exacerbations in patients with chronic obstructive pulmonary disease (COPD), but there is little knowledge of how it influences their next of kin.

Aims: To describe the experience of a multidisciplinary programme of pulmonary rehabilitation in primary health care from the perspective of the next of kin.

Methods: A descriptive qualitative study was undertaken as part of a longitudinal study comprising a multidisciplinary programme for patients with COPD where the next of kin were invited to one session. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00094DOI Listing
December 2013
3 Reads

Using your bullets most wisely for the smoking gun.

Authors:
Keir Lewis

Prim Care Respir J 2013 Dec;22(4):387-8

Associate Professor, College of Medicine, Institute of Sciences, Swansea University, Swansea, Wales, UK; Honorary Consultant Chest Physician, Hywel Dda Health Board, Llanelli, Wales, UK.

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http://dx.doi.org/10.4104/pcrj.2013.00098DOI Listing
December 2013
3 Reads

Correct inhalation technique is critical in achieving good asthma control.

Prim Care Respir J 2013 Dec;22(4):385-6

Careggi University Hospital, Department of Experimental and Clinical Medicine, Florence, Italy.

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http://dx.doi.org/10.4104/pcrj.2013.00097DOI Listing
December 2013
32 Reads

Physical inactivity in patients with COPD: the next step is … action.

Prim Care Respir J 2013 Dec;22(4):391-2

Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium; Respiratory Rehabilitation Division, University Hospital Gasthuisberg, Leuven, Belgium.

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http://dx.doi.org/10.4104/pcrj.2013.00099DOI Listing
December 2013
5 Reads

The debated problem of community-acquired pneumonia diagnosis: many guidelines, any guideline?

Prim Care Respir J 2013 Dec;22(4):383-5

Respiratory Area, Società Italiana Interdisciplinare per le Cure Primarie (SIICP), Italy.

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http://dx.doi.org/10.4104/pcrj.2013.00096DOI Listing
December 2013
2 Reads

Poor reporting may infer poor science: lessons learned from asthma trials.

Prim Care Respir J 2013 Dec;22(4):388-90

School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, Maastricht, Netherlands.

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http://dx.doi.org/10.4104/pcrj.2013.00095DOI Listing
December 2013
4 Reads

Are we misleading users of respiratory spacer devices?

Prim Care Respir J 2013 Dec;22(4):466-7

Managing Director, Clement Clarke International Ltd., Harlow, Essex, UK.

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http://dx.doi.org/10.4104/pcrj.2013.00103DOI Listing
December 2013
23 Reads

A woman with breathlessness: a practical approach to diagnosis and management.

Prim Care Respir J 2013 Dec;22(4):468-76

Family Physician Airways Group of Canada, Richmond Hill, Ontario, Canada.

Worsening breathless in a patient with severe chronic obstructive pulmonary disease (COPD) is a common diagnostic and management challenge in primary care. A systematic approach to history-taking and examination combined with targeted investigation of pulmonary, cardiovascular, thromboembolic and systemic causes is essential if co-morbidities are to be identified and managed. Distinguishing between heart failure and COPD is a particular challenge as symptoms and signs overlap. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00100DOI Listing
December 2013
3 Reads

Marked differences in GPs' diagnosis of pneumonia between Denmark and Spain: a cross-sectional study.

Prim Care Respir J 2013 Dec;22(4):454-8

Section of General Practice and Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Background: In patients with lower respiratory tract infections (LRTIs) it is a challenge to identify who should be treated with antibiotics. According to international guidelines, antibiotics should be prescribed to patients with suspected pneumonia while acute bronchitis is considered a viral infection and should, generally, not be treated with antibiotics. Overdiagnosis of pneumonia in patients with LRTIs may lead to antibiotic overprescribing. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00093DOI Listing
December 2013
5 Reads

The quality of reporting of randomised controlled trials in asthma: a systematic review.

Prim Care Respir J 2013 Dec;22(4):417-24

University of Patras, Medical School, University Campus, PC 26504, Rio, Patras, Greece.

Background: There are concerns about the reporting quality of asthma trials.

Aims: To describe the reporting of contemporary asthma trials and to identify factors associated with better reporting quality.

Methods: Two reviewers independently searched MEDLINE for randomised controlled trials (RCTs) of asthma published between January 2010 and July 2012 in leading generalist and specialist journals. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00089DOI Listing
December 2013
2 Reads

Patients' perceptions of the potential of breathing training for asthma: a qualitative study.

Prim Care Respir J 2013 Dec;22(4):449-53

Academic Unit of Psychology, Faculty of Social and Human Sciences, University of Southampton, Southampton, UK.

Background: Poor symptom control is common in asthma. Breathing training exercises may be an effective adjunct to medication; it is therefore important to understand facilitators and barriers to uptake of breathing training exercises.

Aims: To gain insight into patients' perceptions of breathing training exercises designed to help control asthma symptoms. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00092DOI Listing
December 2013
8 Reads

Discrepancy between functional exercise capacity and daily physical activity: a cross-sectional study in patients with mild to moderate COPD.

Prim Care Respir J 2013 Dec;22(4):425-30

Maastricht University Medical Centre, Department of Family Medicine, CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands.

Background: In patients with moderate to severe chronic obstructive pulmonary disease (COPD) the six-minute walk distance reflects the functional exercise level for daily physical activity. It is unknown if this also applies to patients with mild to moderate COPD in primary care.

Aims: To assess the relationship between functional exercise capacity and physical activity in patients with mild to moderate COPD. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00090DOI Listing
December 2013
6 Reads

Continuing discrepancy between patient perception of asthma control and real-world symptoms: a quantitative online survey of 1,083 adults with asthma from the UK.

Prim Care Respir J 2013 Dec;22(4):431-8

Education for Health, Warwick, UK.

Background: Previous studies have identified a discrepancy between patient perception of asthma control and real-world symptoms; despite several hypotheses, the reasons remain unclear.

Aims: To explore patients' experiences of asthma symptoms and disease management and their educational needs in the UK; to assess recent progress in asthma control and management.

Methods: A quantitative questionnaire-based online survey of UK patients aged >18 years with self-reported asthma. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00091DOI Listing
December 2013
2 Reads

Clinical and cost effectiveness of switching asthma patients from fluticasone-salmeterol to extra-fine particle beclometasone-formoterol: a retrospective matched observational study of real-world patients.

Prim Care Respir J 2013 Dec;22(4):439-48

Academic Centre of Primary Care, University of Aberdeen, UK • Research in Real Life Ltd, Cambridge, UK.

Background: Efficacy trials suggest that extra-fine particle beclometasone dipropionate-formoterol (efBDP-FOR) is comparable to fluticasone propionate-salmeterol (FP-SAL) in preventing asthma exacerbations at a clinically equivalent dosage. However, switching from FP-SAL to efBDP-FOR has not been evaluated in real-world asthma patients.

Aims: The REACH (Real-world Effectiveness in Asthma therapy of Combination inHalers) study investigated the clinical and cost effectiveness of switching typical asthma patients from FP-SAL to efBDP-FOR. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00088DOI Listing
December 2013
73 Reads

Management of COPD exacerbations in primary care: a clinical cohort study.

Prim Care Respir J 2013 Dec;22(4):393-9

Department of Respiratory Medicine, Örebro University Hospital & School of Health and Medical Science, Örebro University, 701 85 Örebro, Sweden.

Background: Chronic obstructive pulmonary disease (COPD) exacerbations are associated with lung function decline, lower quality of life, and increased mortality, and can be prevented by pharmacological treatment and rehabilitation.

Aims: To examine management including examination, treatment, and planned follow-up of COPD exacerbation visits in primary care patients and to explore how measures and management at exacerbation visits are related to subsequent exacerbation risk.

Methods: A clinical population of 775 COPD patients was randomly selected from 56 Swedish primary healthcare centres. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00087DOI Listing
December 2013
7 Reads

Acceptance and practicability of a visual communication tool in smoking cessation counselling: a randomised controlled trial.

Prim Care Respir J 2013 Dec;22(4):412-6

Institute of General Practice and Health Services Research, University of Zürich, Switzerland • Medical Practice, Zug, Switzerland.

Background: Smoking cessation advice is important for reducing the worldwide burden of disease resulting from tobacco smoking. Appropriate risk communication formats improve the success of counselling interventions in primary care.

Aims: To test the feasibility and acceptance of a smoking cessation counselling tool with different cardiovascular risk communication formats including graphs, in comparison with the International Primary Care Respiratory Group (IPCRG) 'quit smoking assistance' tool. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00086DOI Listing
December 2013
4 Reads

General practitioners' contribution to the management of community-acquired pneumonia in the Netherlands: a retrospective analysis of primary care, hospital, and national mortality databases with individual data linkage.

Prim Care Respir J 2013 Dec;22(4):400-5

Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.

Background: Community-acquired pneumonia (CAP) is an important cause of hospital admission and death, but the extent of the problem of CAP at the primary healthcare level is largely unknown.

Aims: To investigate the contribution of general practitioners (GPs) to the management of patients with CAP in the Netherlands.

Methods: The study population consisted of all people enlisted in a GP network. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00085DOI Listing
December 2013
3 Reads

Asthma patients' inability to use a pressurised metered-dose inhaler (pMDI) correctly correlates with poor asthma control as defined by the global initiative for asthma (GINA) strategy: a retrospective analysis.

Prim Care Respir J 2013 Dec;22(4):406-11

Allergy and Respiratory Research Group, Centre for Population Health Sciences: GP Section, University of Edinburgh, Edinburgh, UK.

Background: In practice it is logical that inhalers are prescribed only after patients have received training and demonstrated their ability to use the device. However, many patients are unable to use their pressurised metered-dose inhaler devices (pMDIs) correctly. We assessed the relationship between asthma control and patients' ability to use their prescribed pMDIs. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00084DOI Listing
December 2013
33 Reads

Everyday clinical practice and its relationship to 2010 and 2011 GOLD guideline recommendations for the management of COPD.

Prim Care Respir J 2013 Sep;22(3):362-4

Respiratory Clinic, University hospital of Larissa, University of Thessaly, Greece.

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http://dx.doi.org/10.4104/pcrj.2013.00073DOI Listing
September 2013
3 Reads

The Primary Care Respiratory Society-UK Quality Award: development and piloting of quality standards for primary care respiratory medicine.

Prim Care Respir J 2013 Sep;22(3):353-9

Box Surgery, Box, Wiltshire, UK.

In an attempt to improve the standards of primary respiratory care in the UK, the Primary Care Respiratory Society-UK (PCRS-UK), in conjunction with other leading respiratory-interested health professional and patient groups, has devised a General Practice Quality Award for Respiratory Medicine. The Award is divided into three modules separated into a total of seven clinical standards (in parentheses): 'Clinical' (prevention, early and accurate diagnosis, acute care, chronic care); 'Organisational' (equipment); and 'The Practice Team' (practice learning needs, educational strategy). Assessment is by submission of a written portfolio of 37 pieces of evidence including audit, reflective learning, patient feedback, and significant event analyses. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00065DOI Listing
September 2013
7 Reads

'SIMPLES': a structured primary care approach to adults with difficult asthma.

Prim Care Respir J 2013 Sep;22(3):365-73

General Practitioner, Woodbrook Medical Centre, Loughborough, UK; Honorary Clinical Research Fellow, Allergy and Respiratory Research Group, The University of Edinburgh, Edinburgh, UK.

The substantial majority of patients with asthma can expect minimal breakthrough symptoms on standard doses of inhaled corticosteroids with or without additional add-on therapies. SIMPLES is a structured primary care approach to the review of a person with uncontrolled asthma which encompasses patient education monitoring, lifestyle and pharmacological management and addressing support needs which will achieve control in most patients. The small group of patients presenting with persistent asthma symptoms despite being prescribed high levels of treatment are often referred to as having 'difficult asthma'. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00075DOI Listing
September 2013
4 Reads

Honey plus coffee versus systemic steroid in the treatment of persistent post-infectious cough: a randomised controlled trial.

Prim Care Respir J 2013 Sep;22(3):325-30

Department of Otolaryngology, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Background: Persistent post-infectious cough (PPC) is a cough that remains after a common cold or an upper respiratory tract infection for more than three weeks or perhaps for many months. Two of the suggested treatments for PPC are systemic steroid and honey plus coffee.

Aims: The aim of this study was to evaluate and compare scientifically the therapeutic effects of these two regimens. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00072DOI Listing
September 2013
5 Reads

Every breath you take.

Prim Care Respir J 2013 Sep;22(3):265-7

Palliative Care Unit, Makerere University, Kampala, Uganda.

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http://dx.doi.org/10.4104/pcrj.2013.00079DOI Listing
September 2013
4 Reads

Long-term antibiotics in COPD: more benefit than harm?

Authors:
Marc Miravitlles

Prim Care Respir J 2013 Sep;22(3):261-2

Pneumology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain; CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain.

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http://dx.doi.org/10.4104/pcrj.2013.00074DOI Listing
September 2013
3 Reads

Early detection of COPD in general practice: patient or practice managed? A randomised controlled trial of two strategies in different socioeconomic environments.

Prim Care Respir J 2013 Sep;22(3):331-7

Caphri School of Public Health and Primary Care, Department of General Practice, Maastricht University Medical Centre, Maastricht, The Netherlands.

Background: The burden of chronic obstructive pulmonary disease (COPD) is high. Health benefits can be gained in primary care by early detection and preventive measures.

Aims: To compare the effectiveness of two strategies for population-based early detection of COPD, taking into account different socioeconomic status (SES) settings. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00070DOI Listing
September 2013
12 Reads

Early detection of COPD in general practice: implementation, workload and socioeconomic status. A mixed methods observational study.

Prim Care Respir J 2013 Sep;22(3):338-43

Caphri School of Public Health and Primary Care, Department of General Practice, Maastricht University Medical Centre, Maastricht, The Netherlands.

Background: Chronic obstructive pulmonary disease (COPD) is underdiagnosed in general practice. Our aim was to implement a population-based approach for the early detection of COPD and to assess its impact on primary care workload and costs, and the influence of socioeconomic status (SES).

Methods: An observational study with mixed methods was performed in 10 Dutch general practices of either low or moderate to high SES. Read More

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http://dx.doi.org/10.4104/pcrj.2013.00071DOI Listing
September 2013
4 Reads

Deprivation, winter season, and COPD exacerbations.

Prim Care Respir J 2013 Sep;22(3):264-5

Centre for Respiratory Medicine, Royal Free Campus, University College London, London, UK.

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http://dx.doi.org/10.4104/pcrj.2013.00078DOI Listing
September 2013
2 Reads