Journal of the Royal Society of Medicine最新文献

{"title":"John Clark 1780 and 1792: learning from properly kept records.","authors":"Ulrich Tröhler","doi":"10.1177/01410768241290735","DOIUrl":"10.1177/01410768241290735","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"117 11","pages":"382-383"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Will four-year medical degrees solve the crisis in medical education?","authors":"Kamran Abbasi","doi":"10.1177/01410768241306006","DOIUrl":"10.1177/01410768241306006","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"117 11","pages":"359"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Sovietisation of British medicine.","authors":"Richard Spicer","doi":"10.1177/01410768241289064","DOIUrl":"10.1177/01410768241289064","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"360"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From <i>JRSM Open</i>.","authors":"","doi":"10.1177/01410768241306007","DOIUrl":"10.1177/01410768241306007","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"117 11","pages":"384"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The constitution, functions and skill sets of teams.","authors":"Dinesh Bhugra","doi":"10.1177/01410768241289856","DOIUrl":"10.1177/01410768241289856","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"366-368"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"For more events and to book online, please visit www.rsm.ac.uk/diary.","authors":"","doi":"10.1177/01410768241306342","DOIUrl":"10.1177/01410768241306342","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"117 11","pages":"385"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare utilisation of 282,080 individuals with long COVID over two years: a multiple matched control, longitudinal cohort analysis.","authors":"Yi Mu, Ashkan Dashtban, Mehrdad A Mizani, Chris Tomlinson, Mohamed Mohamed, Mark Ashworth, Mamas Mamas, Rouven Priedon, Steffen Petersen, Evan Kontopantelis, Kim Horstmanshof, Christina Pagel, Mevhibe Hocaoğlu, Kamlesh Khunti, Richard Williams, Johan Thygesen, Paula Lorgelly, Manuel Gomes, Melissa Heightman, Amitava Banerjee","doi":"10.1177/01410768241288345","DOIUrl":"10.1177/01410768241288345","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate healthcare utilisation and cost in individuals with long COVID (LC) at population level.</p><p><strong>Design: </strong>Case-control cohort analysis with multiple age-, sex-, ethnicity-, deprivation-, region- and comorbidity-matched control groups: (1) COVID only, no LC; (2) pre-pandemic; (3) contemporary non-COVID; and (4) pre-LC (self-controlled, pre-COVID pandemic).</p><p><strong>Setting: </strong>National, population-based, linked UK electronic health records (British Heart Foundation/NHS England Secure Data Environment).</p><p><strong>Participants: </strong>Adults aged ≥18 years with LC between January 2020 and January 2023.</p><p><strong>Main outcome measures: </strong>Healthcare utilisation (number of consultations/visits per person: primary care (general practitioner [GP]), secondary care (outpatient [OP], inpatient [IP] and emergency department [ED], investigations and procedures) and inflation-adjusted cost (£) for LC and control populations per month, calendar year and pandemic year for each category.</p><p><strong>Results: </strong>A total of 282,080 individuals with LC were included between January 2020 and January 2023. The control groups were COVID only, no LC (<i>n</i> = 1,112,370), pre-pandemic (<i>n</i> = 1,031,285), contemporary non-COVID (<i>n</i> = 1,118,360) and pre-LC (<i>n</i> = 282,080). Healthcare utilisation per person (per month/year) was higher in LC than controls across GP, OP and ED. For IP, LC had higher healthcare utilisation than pre-LC and contemporary non-COVID (all <i>p</i> < 0.0001). Healthcare utilisation of the LC group increased progressively between 2020 and 2023, compared with controls. Median cost per patient/year was also higher in individuals with LC than all control groups.</p><p><strong>Conclusions: </strong>LC has been associated with substantial, persistent healthcare utilisation and cost over the last three years. Future funding, resources and staff for LC prevention, treatment and research must be prioritised to reduce sustained primary and secondary healthcare utilisation and costs.</p>","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"369-381"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11603423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging accelerated medical programmes and workforce demands: a critical evaluation of the four-year direct entry medical degree.","authors":"Jun Jie Lim, Chris Roberts, Rajvir Singh, Jack Wellington","doi":"10.1177/01410768241289812","DOIUrl":"10.1177/01410768241289812","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"361-365"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Death Notices.","authors":"","doi":"10.1177/01410768241306258","DOIUrl":"10.1177/01410768241306258","url":null,"abstract":"","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":"117 11","pages":"384"},"PeriodicalIF":8.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19-related morbidity and mortality in people with multiple long-term conditions: a systematic review and meta-analysis of over 4 million people.","authors":"Shukrat O Salisu-Olatunji, Yogini V Chudasama, Navjot Kaur, Zara Kayani, Babatunde A Odugbemi, Olasope Esther Bolodeoku, Shirley Akua Konnor, Elpida Vounzoulaki, Atanu Bhattacharjee, Radia Fahami, Jonathan Valabhji, Amitava Banerjee, Francesco Zaccardi, Clare L Gillies, Kamlesh Khunti","doi":"10.1177/01410768241261507","DOIUrl":"10.1177/01410768241261507","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the direct impact of coronavirus disease 2019 (COVID-19) infection on morbidity and mortality in people with multiple long-term conditions (MLTCs).</p><p><strong>Design: </strong>A systematic review and meta-analysis including observational studies.</p><p><strong>Setting: </strong>Studies conducted between 1 January 2020 and 4 May 2023 across 51 countries were identified from five databases.</p><p><strong>Participants: </strong>A total of 4,084,469 patients with confirmed COVID-19 infection.</p><p><strong>Main outcome measures: </strong>Pooled risk ratios (RRs) for mortality, hospitalisation, severe disease, intensive care unit (ICU) admission and mechanical ventilation were estimated with random effect meta-analysis models.</p><p><strong>Results: </strong>A total of 38,356 studies were identified and 111 included. In most (74%) of the studies, MLTCs referred to having two or more long-term conditions. Others described MLTCs by high weighted indices: the Charlson Comorbidity Index in 11% and the Clinical Frailty Score in 7%. Using the National Institutes of Health quality assessment tool for observational studies, the risk of bias was judged as low and moderate in 86 and 25 studies, respectively. Having MLTCs was associated with increased mortality (RR: 2.61 [95% CI: 2.27 to 3.0]); hospitalisation (2.4 [1.92 to 2.99]); severe disease (2.61 [1.92 to 3.54]); ICU admission (1.22 [1.07 to 1.39]) and mechanical ventilation (1.83 [1.18 to 2.84]) compared with those with no MLTCs. Pooled RRs for adverse outcomes were higher in children and young people compared with all age groups. In meta-regression analyses, men were more likely to need ICU admission (<i>p</i> = 0.013) and mechanical ventilation (<i>p</i> = 0.002).</p><p><strong>Conclusions: </strong>Public health policies, clinical and preventative interventions should prioritise people with MLTCs to minimise direct adverse outcomes from COVID-19 disease.</p>","PeriodicalId":17271,"journal":{"name":"Journal of the Royal Society of Medicine","volume":" ","pages":"336-351"},"PeriodicalIF":8.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}