Evaluation of the referral management systems (RMS) used by GP practices in Northumberland: a qualitative study.

abstract：OBJECTIVES:(1) To explain general practitioners' (GPs') approaches to prostate-specific antigen (PSA) testing and overdiagnosis; (2) to explain how GPs reason about their PSA testing routines and (3) to explain how these routines influence GPs' personal experience as clinicians. SETTING:Primary care practices in Austr...

journal_title：BMJ open

authors： Pickles K,Carter SM,Rychetnik L

更新日期：2015-03-17 00:00:00

abstract：OBJECTIVE:To assess the inclusion of patients as international research partners in Outcome Measures in Rheumatology (OMERACT) conferences and how this has influenced the scope and conduct of outcomes research in rheumatology. DESIGN:A thematic content analysis of OMERACT internal documents, publications and conferenc...

journal_title：BMJ open

authors： de Wit M,Abma T,Koelewijn-van Loon M,Collins S,Kirwan J

更新日期：2013-05-09 00:00:00

abstract：INTRODUCTION:A substantial minority of children who sustain a concussion suffer prolonged postconcussive symptoms. These symptoms can persist for more than 1 month postinjury and include physical, cognitive, behavioural and emotional changes. Those affected can develop significant disability, diminishing their quality ...

journal_title：BMJ open

authors： Bressan S,Takagi M,Anderson V,Davis GA,Oakley E,Dunne K,Clarke C,Doyle M,Hearps S,Ignjatovic V,Seal M,Babl FE

更新日期：2016-01-12 00:00:00

abstract：OBJECTIVE:To investigate the incidence of primary care presentations for herpes zoster (zoster) in a representative New Zealand population and to evaluate the utilisation of primary healthcare services following zoster diagnosis. DESIGN:A cross-sectional retrospective cohort study used a natural language processing so...

journal_title：BMJ open

authors： Turner NM,MacRae J,Nowlan ML,McBain L,Stubbe MH,Dowell A

更新日期：2018-05-31 00:00:00

abstract：INTRODUCTION:Rehabilitation is a key element in most cancer care policies in recognition of the often unmet physical, psychological and social needs among the rising numbers of patients with cancer. A systematic assessment of patients' needs and available rehabilitation services constitute the foundation for timely, co...

journal_title：BMJ open

authors： Kristiansen M,Adamsen L,Hendriksen C

更新日期：2013-11-19 00:00:00

abstract：:Objectives Eosinophilic oesophagitis (EO) shows eosinophilic infiltration of the mucosa and can present with symptoms indistinguishable from gastrooesophageal reflux disease (GORD). The authors describe the clinical, endoscopic and histopathological features of all cases of histological EO presenting during 2007-2008 ...

journal_title：BMJ open

authors： Cohen MC,Rao P,Thomson M,Al-Adnani M

更新日期：2012-01-12 00:00:00

abstract：OBJECTIVES:To analyse the association of sedentary behaviour patterns with dietary and lifestyle habits among public school teachers. DESIGN:Cross-sectional study. PARTICIPANTS:A sample of 245 teachers (186 women and 59 men) with mean age of 45.2 (±10.4) were randomly selected from public schools. PRIMARY AND SECOND...

journal_title：BMJ open

authors： Delfino LD,Tebar WR,Gil FC,De Souza JM,Romanzini M,Fernandes RA,Christofaro DGD

更新日期：2020-01-23 00:00:00

abstract：OBJECTIVES:Determine how general practitioners (GPs) manage patients with cancer symptoms. DESIGN:GPs reviewed 24 video-vignettes and case notes on patients with cancer symptoms and indicated whether they would refer the patient and/or prescribe medication, and/or undertake further investigation. According to availabl...

journal_title：BMJ open

authors： Jiwa M,Meng X,O'Shea C,Magin P,Dadich A,Pillai V

更新日期：2015-09-14 00:00:00

abstract：OBJECTIVES:Current clinical guidelines discourage long-term prescription of benzodiazepines and Z-drugs (BZD); however, the practice continues to exist. The aim of this study was to investigate the proportion of long-term BZD prescriptions and its risk factors. DESIGN:Retrospective cohort study using a health insuranc...

journal_title：BMJ open

authors： Takano A,Ono S,Yamana H,Matsui H,Matsumoto T,Yasunaga H,Kawakami N

更新日期：2019-07-26 00:00:00

abstract：INTRODUCTION:Delirium is very common in patients admitted to intensive care unit (ICU), and may worsen survival in these patients. Several meta-analyses have evaluated the antidelirium effects of dexmedetomidine in ICU patients, but their findings were inconsistent. Recently, several large multicentre randomised clinic...

journal_title：BMJ open

authors： Sun R,Wang S,Li S,Yang C,Zhao Y,Luo A

更新日期：2019-04-03 00:00:00

abstract：OBJECTIVE:New electronic devices offer an opportunity within routine primary care settings for improving the detection of atrial fibrillation (AF), which is a common cardiac arrhythmia and a modifiable risk factor for stroke. We aimed to assess the performance of a modified blood pressure (BP) monitor and two single-le...

journal_title：BMJ open

authors： Kearley K,Selwood M,Van den Bruel A,Thompson M,Mant D,Hobbs FR,Fitzmaurice D,Heneghan C

更新日期：2014-05-02 00:00:00

abstract：OBJECTIVE:While newcomers are often disproportionately concentrated in disadvantaged areas, little attention is given to the effects of immigrants' postimmigration context on their mental health and care use. Intersectionality theory suggests that understanding the full impact of disadvantage requires considering the e...

journal_title：BMJ open

authors： Durbin A,Moineddin R,Lin E,Steele LS,Glazier RH

更新日期：2015-03-13 00:00:00

abstract：BACKGROUND:According to new Norwegian laws, mental healthcare for adults are obligated to assess all patients who are parents and to act on their children's needs. This article describes the study protocol of implementing the interventions Family Assessment and Child Talks for children of patients in the adult psychiat...

journal_title：BMJ open

authors： Reedtz C,Lauritzen C,van Doesum KT

更新日期：2012-05-03 00:00:00

abstract：OBJECTIVES:It is unclear how newer methods of respiratory support for infants born extremely preterm (EP; 22-27 weeks gestation) have affected in-hospital sequelae. We aimed to determine changes in respiratory support, survival and morbidity in EP infants since the early 1990s. DESIGN:Prospective longitudinal cohort s...

journal_title：BMJ open

authors： Cheong JLY,Olsen JE,Huang L,Dalziel KM,Boland RA,Burnett AC,Haikerwal A,Spittle AJ,Opie G,Stewart AE,Hickey LM,Anderson PJ,Doyle LW,Members of the Victorian Infant Collaborative Study Group.

更新日期：2020-09-10 00:00:00

abstract：OBJECTIVES:To investigate the relationship between poststroke fatigue and depression and subsequent mortality in young ischaemic stroke patients in a population-based study. DESIGN:A prospective cohort study. SETTING:All surviving young ischaemic stroke patients living in Hordaland County. PARTICIPANTS:Young ischaem...

journal_title：BMJ open

authors： Naess H,Nyland H

更新日期：2013-03-01 00:00:00

abstract：OBJECTIVES:Given the increasing need of long-term care and the low occupancy rate of nursing homes in Shanghai, this study attempts to explore what factors influence older people's intention to enrol in nursing homes. DESIGN:A cross-sectional observational study based on the theory of reasoned action was conducted. Su...

journal_title：BMJ open

authors： Luo M,Xue Y,Zhang S,Dong Y,Mo D,Dong W,Qian K,Fang Y,Liang H,Zhang Z

更新日期：2018-09-05 00:00:00

abstract：INTRODUCTION:The management of intra-articular chondral defects in the knee remains a challenge. Inadequate healing in areas of weight bearing leads to impairment in load transmission and these defects predispose to later development of osteoarthritis. Surgical management of full thickness chondral defects include arth...

journal_title：BMJ open

authors： Freitag J,Ford J,Bates D,Boyd R,Hahne A,Wang Y,Cicuttini F,Huguenin L,Norsworthy C,Shah K

更新日期：2015-12-18 00:00:00

abstract：OBJECTIVES:This article summarises all the available evidence on the impact of introducing blood-based point-of-care panel testing (POCT) in ambulatory care on patient outcomes and healthcare processes. DESIGN:Systematic review and meta-analysis of randomised-controlled trials and before-after studies. DATA SOURCES:O...

journal_title：BMJ open

authors： Goyder C,Tan PS,Verbakel J,Ananthakumar T,Lee JJ,Hayward G,Turner PJ,Van Den Bruel A

更新日期：2020-02-27 00:00:00

abstract：OBJECTIVES:To determine if point-of-care (POC) glycated haemoglobin (HbA₁c) is sufficiently accurate in real-world remote settings to predict or exclude the diagnosis of diabetes based on laboratory HbA1c measurements. DESIGN:Cross-sectional study comparing POC capillary HbA₁c results with corresponding venous HbA₁c l...

journal_title：BMJ open

authors： Marley JV,Oh MS,Hadgraft N,Singleton S,Isaacs K,Atkinson D

更新日期：2015-03-12 00:00:00

abstract：OBJECTIVES:Female sex workers (FSWs) experience violence from a range of perpetrators, but little is known about how violence experience across multiple settings (workplace, community, domestic) impacts on HIV/sexually transmitted infection (STI) risk. We examined whether HIV/STI risk differs by the perpetrator of viol...

journal_title：BMJ open

authors： Beksinska A,Prakash R,Isac S,Mohan HL,Platt L,Blanchard J,Moses S,Beattie TS

更新日期：2018-09-11 00:00:00

abstract：OBJECTIVES:To establish the rates of publication and reporting of results for interventional clinical trials across Polish academic medical centres (AMCs) completed between 2009 and 2013. We aim also to compare the publication and reporting success between adult and paediatric trials. DESIGN:Cross-sectional study. SE...

journal_title：BMJ open

authors： Strzebonska K,Wasylewski MT,Zaborowska L,Riedel N,Wieschowski S,Strech D,Waligora M

更新日期：2020-01-22 00:00:00

abstract：OBJECTIVES:Domestic violence screening is advocated in some healthcare settings. Evidence that it increases referral to support agencies or improves health outcomes is limited. This study aimed to (1) investigate the proportion of hospital patients reporting domestic violence, (2) describe characteristics and previous ...

journal_title：BMJ open

authors： Warren-Gash C,Bartley A,Bayly J,Dutey-Magni P,Edwards S,Madge S,Miller C,Nicholas R,Radhakrishnan S,Sathia L,Swarbrick H,Blaikie D,Rodger A

更新日期：2016-01-04 00:00:00

abstract：OBJECTIVES:We examined the level of agreement between biomedical and self-reported measurements of hypertension and diabetes in a Chinese national community sample, and explored associations of the agreement and possible contextual effects among provinces and geographic regions in China. DESIGN:Secondary analysis of a...

journal_title：BMJ open

authors： Ning M,Zhang Q,Yang M

更新日期：2016-01-04 00:00:00

abstract：OBJECTIVE:Foot problems (FP) may be considered to be a prevalent conditions in people but there is limited evidence of their effect on the quality of life (QoL) related to foot health in men and women. The aim of this study was to assess the impact of FPs on both overall foot health and QoL, stratified by gender. DESI...

journal_title：BMJ open

authors： López-López D,Becerro-de-Bengoa-Vallejo R,Losa-Iglesias ME,Palomo-López P,Rodríguez-Sanz D,Brandariz-Pereira JM,Calvo-Lobo C

更新日期：2018-10-18 00:00:00

abstract：INTRODUCTION:New Zealand children's physical activity, including independent mobility and active travel, has declined markedly over recent decades. The Neighbourhoods for Active Kids (NfAK) study examines how neighbourhood built environments are associated with the independent mobility, active travel, physical activity...

journal_title：BMJ open

authors： Oliver M,McPhee J,Carroll P,Ikeda E,Mavoa S,Mackay L,Kearns RA,Kyttä M,Asiasiga L,Garrett N,Lin J,Mackett R,Zinn C,Moewaka Barnes H,Egli V,Prendergast K,Witten K

更新日期：2016-08-16 00:00:00

abstract：OBJECTIVE:The objective is to evaluate efficiency based on data on morbidity and mortality, health-related quality of life and healthcare-related costs after early reversal of temporary ileostomy after rectal resection for cancer compared with the standard procedure (late reversal). BACKGROUND:Reversal of a temporary ...

journal_title：BMJ open

authors： Danielsen AK,Correa-Marinez A,Angenete E,Skullmann S,Haglind E,Rosenberg J,SSORG (Scandinavian Outcomes Research Group).

更新日期：2011-07-29 00:00:00

abstract：INTRODUCTION:The BCG vaccine is designed to protect against tuberculosis, but the vaccine may have broader effects. In 2014, the Strategic Advisory Group of Experts on Immunization reviewed the literature on non-specific effects of BCG, and concluded that the evidence was consistent with beneficial non-specific effects...

journal_title：BMJ open

authors： Thysen SM,Jensen AKG,Rodrigues A,Borges IDS,Aaby P,Benn C,Fisker A

更新日期：2019-09-24 00:00:00

abstract：INTRODUCTION:High body mass index (BMI) is associated with risk of diabetes. Lorcaserin is a selective 5-hydroxytryptamine 2C agonist which exerts robust benefits on long-term weight loss by suppressing appetite among adults with overweight or obesity. The magnitude of efficacy of lorcaserin for preventing and remittin...

journal_title：BMJ open

authors： Zeng H,Luo M,Li Z,Wen J,He G,Jin Y,Fu W,Zhou P

更新日期：2019-07-27 00:00:00

abstract：OBJECTIVES:An increasing number of studies had shown that air pollution exposure may aggravate blood glucose control in patients with diabetes, an independent risk factor for colorectal cancer (CRC) proposed by some researchers. This study aimed to investigate the impact of exposure to ambient particulate matter with a...

journal_title：BMJ open

authors： Ma JW,Lai TJ,Hu SY,Lin TC,Ho WC,Tsan YT

更新日期：2020-10-28 00:00:00

abstract：OBJECTIVE:To explore the rates, characteristics and indications for episiotomy among women delivering vaginally for the first time, as well as parous women. STUDY DESIGN:A prospective, population-based birth cohort study. SETTING:Obstetric departments in six Palestinian government hospitals. PARTICIPANTS:All women w...

journal_title：BMJ open

authors： Zimmo K,Laine K,Fosse E,Zimmo M,Ali-Masri H,Zucknick M,Vikanes Å,Hassan S

更新日期：2018-07-16 00:00:00