abstract：OBJECTIVE:To determine the effect of preoperative patient and hospital factors on resource use, cost and length of stay (LOS) among patients undergoing off-pump coronary artery bypass grafting (OPCAB). DESIGN:Observational retrospective study. SETTINGS:Data from the Japanese Administrative Database. PARTICIPANTS:Pat...

journal_title：BMJ open

authors： Shinjo D,Fushimi K

更新日期：2015-11-17 00:00:00

abstract：INTRODUCTION:Nursing bedside handover in hospital has been identified as an opportunity to involve patients and promote patient-centred care. It is important to consider the preferences of both patients and nurses when implementing bedside handover to maximise the successful uptake of this policy. We outline a study wh...

journal_title：BMJ open

authors： Spinks J,Chaboyer W,Bucknall T,Tobiano G,Whitty JA

更新日期：2015-11-11 00:00:00

abstract：OBJECTIVES:To explore feedback on tailored SMS reminders to encourage medication adherence and outpatient treatment among patients taking antipsychotic medication, and associations related to the feedback. DESIGN:A cross-sectional survey nested within a nationwide randomised clinical trial ("Mobile.Net" ISRCTN27704027...

journal_title：BMJ open

authors： Kannisto KA,Adams CE,Koivunen M,Katajisto J,Välimäki M

更新日期：2015-11-09 00:00:00

abstract：OBJECTIVES:Many of the approximately 8000 New Zealand retailers selling tobacco are small stores that tobacco companies have represented as victims of policy measures designed to reduce smoking. Despite this depiction, many retailers experience considerable ambivalence in selling tobacco, a product they know harms thei...

journal_title：BMJ open

authors： Guthrie J,Hoek J,Darroch E,Wood Z

更新日期：2015-11-09 00:00:00

abstract：OBJECTIVE:To explore the barriers faced by healthcare professionals (HCPs) in managing falls among older people (aged above 60 years) who have a high risk of falling. RESEARCH DESIGN:The study used a qualitative methodology, comprising 10 in-depth interviews and two focus group discussions. A semistructured topic guid...

journal_title：BMJ open

authors： Loganathan A,Ng CJ,Tan MP,Low WY

更新日期：2015-11-05 00:00:00

abstract：OBJECTIVE:To pilot and feasibility-test supervised final year undergraduate pharmacy student-led medication reviews for patients with diabetes to enable definitive trial design. METHOD:Third year pharmacy students were recruited from one UK School of Pharmacy and trained to review patient's medical records and provide...

journal_title：BMJ open

authors： Adams RP,Barton G,Bhattacharya D,Grassby PF,Holland R,Howe A,Norris N,Shepstone L,Wright DJ

更新日期：2015-11-04 00:00:00

abstract：INTRODUCTION:While patient and citizen engagement has been recognised as a crucial element in healthcare reform, limited attention has been paid to how best to engage seniors-the fastest growing segment of the population and the largest users of the healthcare system. To improve the healthcare services for this populat...

journal_title：BMJ open

authors： Stolee P,Elliott J,McNeil H,Boscart V,Heckman GA,Hutchinson R,Hedley M,Glouberman S,Judd M

更新日期：2015-11-03 00:00:00

abstract：OBJECTIVE:There have been calls to remove 'carcinoma' from terminology for in situ cancers such as ductal carcinoma in situ (DCIS), to reduce overdiagnosis and overtreatment. We investigated the effect of describing DCIS as 'abnormal cells' versus 'pre-invasive breast cancer cells' on women's concern and treatment pref...

journal_title：BMJ open

authors： McCaffery K,Nickel B,Moynihan R,Hersch J,Teixeira-Pinto A,Irwig L,Barratt A

更新日期：2015-11-02 00:00:00

abstract：OBJECTIVE:Both environmental and genetic factors play important roles in the development of metabolic syndrome (MetS). Studies about its associated factors and genetic contribution in African Americans (AA) are sparse. Our aim was to report the prevalence, associated factors and heritability estimates of MetS and its c...

journal_title：BMJ open

authors： Khan RJ,Gebreab SY,Sims M,Riestra P,Xu R,Davis SK

更新日期：2015-11-01 00:00:00

abstract：INTRODUCTION:With the ageing of the population and the general improvement of care, an increasing number of people are living with multiple chronic health conditions or 'multimorbidity'. Multimorbidity often implies multiple medical treatments. As a consequence, the risk of adverse events and the time spent by patients...

journal_title：BMJ open

authors： Déruaz-Luyet A,N'Goran AA,Tandjung R,Frey P,Zeller A,Haller DM,Rosemann T,Burnand B,Bodenmann P,Senn N,Widmer D,Herzig L

更新日期：2015-10-28 00:00:00

abstract：INTRODUCTION:Electronic prescribing (ePrescribing) systems are rapidly being introduced into National Health Systems (NHS) hospitals in England following their widespread earlier adoption into primary care settings. Such systems require substantial changes in the way pharmacists organise their work and perform their ro...

journal_title：BMJ open

authors： Schofield B,Cresswel K,Westbrook J,Slee A,Girling A,Shah S,Coleman J,Sheikh A

更新日期：2015-10-26 00:00:00

abstract：INTRODUCTION:Antimicrobial resistance has been described as a global crisis-more prudent prescribing is part of the solution. Behaviour change interventions are needed to improve prescribing practice. Presently, the literature documents that context impacts on prescribing decisions, yet insufficient evidence exists to ...

journal_title：BMJ open

authors： Wong G,Brennan N,Mattick K,Pearson M,Briscoe S,Papoutsi C

更新日期：2015-10-22 00:00:00

abstract：OBJECTIVES:To assess which osmolarity equation best predicts directly measured serum/plasma osmolality and whether its use could add value to routine blood test results through screening for dehydration in older people. DESIGN:Diagnostic accuracy study. PARTICIPANTS:Older people (≥65 years) in 5 cohorts: Dietary Stra...

journal_title：BMJ open

authors： Hooper L,Abdelhamid A,Ali A,Bunn DK,Jennings A,John WG,Kerry S,Lindner G,Pfortmueller CA,Sjöstrand F,Walsh NP,Fairweather-Tait SJ,Potter JF,Hunter PR,Shepstone L

更新日期：2015-10-21 00:00:00

abstract：OBJECTIVE:Black women continue to have rates of mental health conditions that can be negative for their well-being. This study examined the contribution of social and contextual factors and severe physical intimate partner violence on the mental health of US Black women (African-American and Caribbean Black). SETTING:...

journal_title：BMJ open

authors： Lacey KK,Parnell R,Mouzon DM,Matusko N,Head D,Abelson JM,Jackson JS

更新日期：2015-10-19 00:00:00

abstract：OBJECTIVES:To derive priority weights for access to bariatric surgery for obese adults, from the perspective of the public. SETTING:Australian public hospital system. PARTICIPANTS:Adults (N=1994), reflecting the age and gender distribution of Queensland and South Australia. PRIMARY AND SECONDARY OUTCOME MEASURES:A d...

journal_title：BMJ open

authors： Whitty JA,Ratcliffe J,Kendall E,Burton P,Wilson A,Littlejohns P,Harris P,Krinks R,Scuffham PA

更新日期：2015-10-15 00:00:00

abstract：OBJECTIVES:To estimate the absolute cardiovascular disease (CVD) risk burden in a remote rural Bangladeshi population using the 'With' and 'Without' Cholesterol versions of the WHO/International Society of Hypertension (WHO/ISH) CVD risk assessment chart (particularly suitable for low and middle-income countries due to...

journal_title：BMJ open

authors： Fatema K,Zwar NA,Milton AH,Rahman B,Ali L

更新日期：2015-10-13 00:00:00

abstract：OBJECTIVE:To review a sample of cluster randomised controlled trials and explore the quality of reporting of (1) enabling or support activities provided to the staff during the trial, (2) strategies used to monitor fidelity throughout the trial and (3) the extent to which the intervention being tested was delivered as ...

journal_title：BMJ open

authors： McMahon NE,Holland EJ,Miller C,Patel K,Connell LA

更新日期：2015-10-09 00:00:00

abstract：OBJECTIVE:To evaluate accuracy of content and readability level of English Wikipedia articles on cardiovascular diseases, using quality and readability tools. METHODS:Wikipedia was searched on the 6 October 2013 for articles on cardiovascular diseases. Using a modified DISCERN (DISCERN is an instrument widely used in ...

journal_title：BMJ open

authors： Azer SA,AlSwaidan NM,Alshwairikh LA,AlShammari JM

更新日期：2015-10-06 00:00:00

abstract：INTRODUCTION:Α substantial corpus of literature has sought to describe the information-seeking behaviour of patients with cancer. Yet, available evidence comes mainly from cross-sectional studies, which provide 'snapshots' of patients' information needs and information-seeking styles at a single time point. Only a few ...

journal_title：BMJ open

authors： Germeni E,Bianchi M,Valcarenghi D,Schulz PJ

更新日期：2015-10-06 00:00:00

abstract：OBJECTIVE:Since the 1990s, pregnancy hypertension rates have declined in some countries, but not all. Increasing rates of early planned delivery (before the due date) have been hypothesised as the reason for the decline. The aim of this study was to explore whether early planned delivery can partly explain the declinin...

journal_title：BMJ open

authors： Roberts CL,Algert CS,Morris JM,Ford JB

更新日期：2015-10-05 00:00:00

abstract：INTRODUCTION:Patient-reported outcomes (PROs) are often the outcomes of greatest importance to patients. The minimally important difference (MID) provides a measure of the smallest change in the PRO that patients perceive as important. An anchor-based approach is the most appropriate method for MID determination. No st...

journal_title：BMJ open

authors： Johnston BC,Ebrahim S,Carrasco-Labra A,Furukawa TA,Patrick DL,Crawford MW,Hemmelgarn BR,Schunemann HJ,Guyatt GH,Nesrallah G

更新日期：2015-10-01 00:00:00

abstract：IMPORTANCE:The Use of a Multidrug Pill In Reducing cardiovascular Events (UMPIRE) trial has shown improved adherence with the use of a polypill strategy when compared with usual medications for cardiovascular disease (CVD) prevention. To advance from efficacy to impact, we need a better understanding of why and how suc...

journal_title：BMJ open

authors： Wood F,Salam A,Singh K,Day S,Jan S,Prabhakaran D,Rodgers A,Patel A,Thom S,Ward H

更新日期：2015-09-30 00:00:00

abstract：OBJECTIVES:To evaluate the health outcomes and economics associated with the current guidance relating to the prevention of falls in the elderly through vitamin D supplementation. SETTING:UK. PARTICIPANTS:UK population aged 60 years and above. INTERVENTIONS:A Markov health state transition model simulated patient tr...

journal_title：BMJ open

authors： Poole CD,Smith J,Davies JS

更新日期：2015-09-29 00:00:00

abstract：OBJECTIVES:To assess non-health literature, identify key strategies in promoting more networked teams and groups, apply external ideas to healthcare, and build a model based on these strategies. DESIGN:A systematic review of the literature outside of healthcare. METHOD:Searches guided by Preferred Reporting Items for...

journal_title：BMJ open

authors： Braithwaite J

更新日期：2015-09-24 00:00:00

abstract：OBJECTIVES:To validate the performance of the most commonly used formulas for estimation of glomerular filtration rate (GFR) against measured GFR during the index hospitalisation for ST-elevation myocardial infarction (STEMI). SETTING:Single centre, methodological study. PARTICIPANTS:40 patients with percutaneous cor...

journal_title：BMJ open

authors： Venetsanos D,Alfredsson J,Segelmark M,Swahn E,Lawesson SS

更新日期：2015-09-23 00:00:00

abstract：TRIAL DESIGN:Cluster randomised controlled trial. OBJECTIVE:To compare current practice for encouraging homeless people to be screened for tuberculosis on a mobile digital X-ray unit in London, UK, with the additional use of volunteer peer educators who have direct experience of tuberculosis, homelessness or both. PA...

journal_title：BMJ open

authors： Aldridge RW,Hayward AC,Hemming S,Possas L,Ferenando G,Garber E,Lipman M,McHugh TD,Story A

更新日期：2015-09-21 00:00:00

abstract：OBJECTIVES:(1) To examine changes in women's awareness and utilisation of reproductive healthcare services in emergency settings following provision of interpersonal communication (IPC) and mass education campaigns, and (2) to describe factors associated with reproductive healthcare service use in internally displaced ...

journal_title：BMJ open

authors： Adam IF,Nakamura K,Kizuki M,Al Rifai R,Vanching U

更新日期：2015-09-15 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:Cardiovascular disease is an important comorbidity in patients with chronic obstructive pulmonary disease (COPD). We aimed to systematically review the evidence for: (1) risk of myocardial infarction (MI) in people with COPD; (2) risk of MI associated with acute exacerbation of COPD (AECOPD); (3) risk of dea...

journal_title：BMJ open

authors： Rothnie KJ,Yan R,Smeeth L,Quint JK

更新日期：2015-09-11 00:00:00

abstract：OBJECTIVES:To identify the reasons why some people do not participate in bowel cancer screening so that steps can be taken to improve informed decision-making. DESIGN:Qualitative study, using focus groups with thematic analysis of data to identify, analyse and report patterns. Transcripts were repeatedly read and indu...

journal_title：BMJ open

authors： Bradley DT,Treanor C,McMullan C,Owen T,Graham A,Anderson D

更新日期：2015-09-09 00:00:00

abstract：OBJECTIVES:To compare the subsequent fertility and risk of recurrence of an ectopic pregnancy (EP) in women who had had an EP, according to the type of surgical treatment they received--that is, salpingectomy, salpingostomy or tubal anastomosis. METHODS:A retrospective cohort study was carried out between January 2003...

journal_title：BMJ open

authors： Li J,Jiang K,Zhao F

更新日期：2015-09-08 00:00:00

abstract：OBJECTIVES:To assess the costs of hospital accreditation in Australia. DESIGN:Mixed methods design incorporating: stakeholder analysis; survey design and implementation; activity-based costs analysis; and expert panel review. SETTING:Acute care hospitals accredited by the Australian Council for Health Care Standards....

journal_title：BMJ open

authors： Mumford V,Greenfield D,Hogden A,Forde K,Westbrook J,Braithwaite J

更新日期：2015-09-08 00:00:00

abstract：OBJECTIVES:Hip fracture patients of 65 years and older are a complex patient group who often suffer from complications and difficult rehabilitation with disappointing results. It is unknown to what extent suboptimal hospital care contributes to these poor outcomes. This study reports on the scale, preventability, cause...

journal_title：BMJ open

authors： Merten H,Johannesma PC,Lubberding S,Zegers M,Langelaan M,Jukema GN,Heetveld MJ,Wagner C

更新日期：2015-09-07 00:00:00

abstract：OBJECTIVES:Epidemiological studies evaluating the association between adiponectin levels and endometrial carcinoma risk have produced inconsistent results. Thus, a meta-analysis was conducted to assess the association between them. METHODS:Pertinent studies were identified by a search of PubMed and Web of Knowledge th...

journal_title：BMJ open

authors： Lin T,Zhao X,Kong WM

更新日期：2015-09-03 00:00:00

abstract：OBJECTIVES:To assess the relation between the number of clinical trials conducted and respective new drug approvals in India and South Africa. DESIGN:Construction and analysis of a comprehensive database of completed randomised controlled clinical trials based on clinicaltrials.gov from 1 January 2005 to 31 December 2...

journal_title：BMJ open

authors： Limaye D,Langer JM,Rühling T,Fortwengel G

更新日期：2015-08-31 00:00:00

abstract：OBJECTIVES:To identify vulnerable cardiovascular patients in the hospital using a self-reported function-based screening tool. PARTICIPANTS:Prospective observational cohort study of 445 individuals aged ≥ 65 years admitted to a university medical centre hospital within the USA with acute coronary syndrome and/or decom...

journal_title：BMJ open

authors： Bell SP,Schnelle J,Nwosu SK,Schildcrout J,Goggins K,Cawthon C,Mixon AS,Vasilevskis EE,Kripalani S,Vanderbilt Inpatient Cohort Study.

更新日期：2015-08-27 00:00:00

abstract：OBJECTIVE:Canada is among the few countries in which e-cigarettes containing nicotine are prohibited. To date, there is little evidence on the prevalence and patterns of use of e-cigarettes in markets with product bans. The current study examines e-cigarette use among a sample of non-smokers and smokers in Canada. DES...

journal_title：BMJ open

authors： Shiplo S,Czoli CD,Hammond D

更新日期：2015-08-26 00:00:00

abstract：INTRODUCTION:Exposure to secondhand smoke (SHS) increases children's risk of acquiring chest and ear infections, tuberculosis, meningitis and asthma. Smoking bans in public places (where implemented) have significantly reduced adults' exposure to SHS. However, for children, homes remain the most likely place for them t...

journal_title：BMJ open

authors： Siddiqi K,Huque R,Jackson C,Parrott S,Dogar O,Shah S,Thomson H,Sheikh A

更新日期：2015-08-25 00:00:00

abstract：INTRODUCTION:Delayed graft function due to ischaemia-reperfusion injury is a frequent complication in deceased donor renal transplantation. Experimental evidence indicates that remote ischaemic conditioning (RIC) provides systemic protection against ischaemia-reperfusion injury in various tissues. METHODS AND ANALYSIS...

journal_title：BMJ open

authors： Krogstrup NV,Oltean M,Bibby BM,Nieuwenhuijs-Moeke GJ,Dor FJ,Birn H,Jespersen B

更新日期：2015-08-20 00:00:00

abstract：OBJECTIVES:To conduct the first population-level incidence study of aortic dissection in pregnancy using linked hospital-based data in England. SETTING:Hospital-based data (Hospital Episode Statistics (HES) linked with mortality data from the Office of National Statistics), national enquiries (Confidential Enquiries i...

journal_title：BMJ open

authors： Banerjee A,Begaj I,Thorne S

更新日期：2015-08-20 00:00:00