European Journal of General Practice最新文献

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Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire. 评估西班牙文和加泰罗尼亚文版本的 "患者报告的基层医疗安全经历和结果 (PREOS-PC)-Compact 问卷 "的心理测量性能。
IF 3.4 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-01-10 DOI: 10.1080/13814788.2023.2296573
Maria A Fiol-deRoque, José M Valderas, Jorge Arias de la Torre, Maria J Serrano-Ripoll, Montserrat Gens-Barberà, Encarna Sánchez-Freire, Francisco M Martín-Luján, Antonio Olry de Labry, Ignacio Ricci-Cabello
{"title":"Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire.","authors":"Maria A Fiol-deRoque, José M Valderas, Jorge Arias de la Torre, Maria J Serrano-Ripoll, Montserrat Gens-Barberà, Encarna Sánchez-Freire, Francisco M Martín-Luján, Antonio Olry de Labry, Ignacio Ricci-Cabello","doi":"10.1080/13814788.2023.2296573","DOIUrl":"10.1080/13814788.2023.2296573","url":null,"abstract":"<p><strong>Background: </strong>Patients provide a unique, irreplaceable, and essential perspective in evaluating patient safety. The suite of Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) tools are a notable exception to the scarcity of patient-reported patient safety measures. Full evaluation of their performance has only been attempted for the English version, thereby limiting its international applicability.</p><p><strong>Objectives: </strong>To assess the psychometric performance of the Spanish and Catalan versions of the PREOS-PC-Compact.</p><p><strong>Methods: </strong>Cross-sectional validation study. We used Classical Test Theory methods to examine scale score distribution, internal consistency, and construct validity; and Item Response Theory (IRT) methods to further explore construct validity.</p><p><strong>Results: </strong>3287 patients completed the Spanish version, and 1007 the Catalan version. Similar results were obtained for both versions. Confirmatory Factor Analysis supported a single construct for each scale. The correlations between PREOS-PC-Compact scales and known group analysis suggested adequate construct validity (inconclusive for known groups at the provider level). All four multi-item scales demonstrated adequate internal consistency reliability (α > 0.7), which was only confirmed for test-retest reliability for 'Practice activation.' A sample between 60-90 patients per practice was estimated sufficient to produce scores with reliability > 0.7 for all scales except for harm scales. IRT models showed disordered thresholds for 'Practice activation' and 'Harm burden' but showed excellent fit after reducing the response categories.</p><p><strong>Conclusion: </strong>The Spanish and Catalan versions of the PREOS-PC-Compact are broadly valid and reliable tools to measure patient safety in Spanish primary care centres; confirmation of lower-than-expected test-rest reliability merits further examination .</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10783822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The experiences of transgender and nonbinary adults in primary care: A systematic review. 变性和非二元成人在初级保健中的经历:系统回顾。
IF 3.4 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-01-10 DOI: 10.1080/13814788.2023.2296571
Daisy Holland, Luka C J White, Marija Pantelic, Carrie Llewellyn
{"title":"The experiences of transgender and nonbinary adults in primary care: A systematic review.","authors":"Daisy Holland, Luka C J White, Marija Pantelic, Carrie Llewellyn","doi":"10.1080/13814788.2023.2296571","DOIUrl":"10.1080/13814788.2023.2296571","url":null,"abstract":"<p><strong>Background: </strong>Transgender and nonbinary (TNB) people face barriers to primary care, which remains the main entry point for accessing gender-affirming healthcare in the UK.</p><p><strong>Objectives: </strong>This systematic review aims to summarise the evidence regarding TNB people's experiences of primary care to inform improvements in service and patient outcomes.</p><p><strong>Methods: </strong>This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. A systematic literature search was conducted across articles from 2005 to April 2023 across Ovid Medline, Ovid Embase and PsychInfo using established keywords relating to gender identity, primary care and experiences. Qualitative data were thematically analysed and quantitative data were compiled using a descriptive narrative.</p><p><strong>Results: </strong>Following eligibility criteria, 16 articles were included in this review. This review identified both facilitators and limitations and barriers experienced by TNB people related to primary care provider knowledge; the patient-provider relationship, and healthcare settings. Quantitative findings reported up to 54.4% of participants were uncomfortable discussing TNB issues with their physician. Overall findings suggest TNB people face discrimination on a systemic level utilising primary care services, though positive healthcare encounters at a local level were reported. Participants expressed a desire for primary care-led gender-affirming healthcare services, with involvement from local TNB communities.</p><p><strong>Conclusion: </strong>This review demonstrates TNB people's mixed experiences of primary care alongside their recommendations for service improvement. This is the first systematically reviewed evidence on the topic, emphasising the need for clinicians and policymakers to centre the voices of the TNB community in service design and improvement.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10783848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating sarcoidosis: Recognizing, managing, and supporting patients in primary care. 引领肉样瘤病:在初级医疗中识别、管理和支持患者。
IF 2.3 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-10-24 DOI: 10.1080/13814788.2024.2418307
Marjolein Drent, Nellie Jans
{"title":"Navigating sarcoidosis: Recognizing, managing, and supporting patients in primary care.","authors":"Marjolein Drent, Nellie Jans","doi":"10.1080/13814788.2024.2418307","DOIUrl":"https://doi.org/10.1080/13814788.2024.2418307","url":null,"abstract":"<p><strong>Background: </strong>Sarcoidosis is a chronic multisystem inflammatory disease of unknown aetiology, characterised by noncaseating granulomas and a variable clinical presentation. Despite its global distribution, sarcoidosis is relatively rare, with the highest prevalence in northern Europe. This poses challenges for primary care physicians due to its broad spectrum of symptoms, from organ-specific manifestations to general complaints like fatigue and concentration difficulties.</p><p><strong>Objectives: </strong>This article aims to provide primary care physicians with practical tools for the early recognition and management of sarcoidosis, emphasising their role in monitoring disease progression and providing supportive care.</p><p><strong>Methods: </strong>Key strategies for diagnosis and management are reviewed, focusing on holistic patient care addressing both somatic and psychosocial aspects of the disease.</p><p><strong>Results: </strong>Early recognition, careful monitoring of disease progression, and individualised treatment plans are crucial. Pharmacotherapy is not always required and should be carefully balanced. The role of supportive, patient-centered counseling is illustrated with two cases.</p><p><strong>Conclusion: </strong>Primary care physicians play a critical role in managing sarcoidosis, particularly in early recognition and monitoring. Given the absence of standardised treatment protocols, a flexible, holistic approach that includes psychosocial support is essential. This article provides a practical framework for general practitioners to address the challenges of sarcoidosis management and improve patient outcomes.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of COVID-19 pandemic on Primary Health Care through 'health providers' eyes': Α qualitative study of focus groups and individual interviews in Greece. 通过 "医疗服务提供者的眼睛 "看 COVID-19 大流行对初级医疗保健的影响:希腊焦点小组和个人访谈定性研究。
IF 2.3 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI: 10.1080/13814788.2024.2382218
Foteini Michalaki, Korina Marina Triantafillopoulou, Ilias Pagkozidis, Ilias Tirodimos, Theodoros Dardavesis, Zoi Tsimtsiou
{"title":"The impact of COVID-19 pandemic on Primary Health Care through 'health providers' eyes': Α qualitative study of focus groups and individual interviews in Greece.","authors":"Foteini Michalaki, Korina Marina Triantafillopoulou, Ilias Pagkozidis, Ilias Tirodimos, Theodoros Dardavesis, Zoi Tsimtsiou","doi":"10.1080/13814788.2024.2382218","DOIUrl":"10.1080/13814788.2024.2382218","url":null,"abstract":"<p><strong>Background: </strong>Primary Health Care (PHC) was the cornerstone of the pandemic response.</p><p><strong>Objectives: </strong>We aimed to explore the positive and negative impact of the pandemic, during its final wave, through 'PHC providers' eyes', as well as their recommendations towards restructuring and enhancing PHC services.</p><p><strong>Methods: </strong>A two-phase qualitative study was conducted, pursuing data triangulation from Focus Groups (FGs) and individual, semi-structured interviews for the purposes of data completeness and confirmation (summer 2022 and spring 2023, respectively). A purposive sample of settings was employed, including in total five PHC units according to location with different population distribution; one in Athens (FGs) and four in Northern Greece (interviews). Inductive content analysis was used.</p><p><strong>Results: </strong>In total, 24 PHC professionals participated in FGs, whereas 17 were individually interviewed. Our findings reflect a general understanding of the pandemic's positive imprint, namely acceleration of digitalisation, establishment of health protection measures, recognition of PHC's role, raise in public awareness of primary prevention, team-cooperation, increase in providers' self-efficacy, appointment of health professionals and re-organisation of accessibility. The negative impact is summarised in fatigue/burnout in PHC providers, patient safety concerns and changes in patients' behaviour. To increase resilience, participants suggest restructuring PHC, recruiting PHC personnel and enhancing digital infrastructure, maintenance of sanitary protection measures, investment in quality, and empowering patients through health literacy.</p><p><strong>Conclusion: </strong>Based on the lessons learnt, building further on the pandemic-accelerated digitalisation, emphasising on quality improvement and patient safety, ensuring providers' well-being, and empowering citizens through health literacy could be key in promoting PHC resilience.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11275516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Monitoring COVID-19 in Belgian general practice: A tool for syndromic surveillance based on electronic health records. 监测比利时全科医生的 COVID-19:基于电子健康记录的综合征监测工具。
IF 3.4 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-01-08 DOI: 10.1080/13814788.2023.2293699
Bénédicte Vos, Laura Debouverie, Kris Doggen, Nicolas Delvaux, Bert Aertgeerts, Robrecht De Schreye, Bert Vaes
{"title":"Monitoring COVID-19 in Belgian general practice: A tool for syndromic surveillance based on electronic health records.","authors":"Bénédicte Vos, Laura Debouverie, Kris Doggen, Nicolas Delvaux, Bert Aertgeerts, Robrecht De Schreye, Bert Vaes","doi":"10.1080/13814788.2023.2293699","DOIUrl":"10.1080/13814788.2023.2293699","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 may initially manifest as flu-like symptoms. As such, general practitioners (GPs) will likely to play an important role in monitoring the pandemic through syndromic surveillance.</p><p><strong>Objectives: </strong>To present a COVID-19 syndromic surveillance tool in Belgian general practices.</p><p><strong>Methods: </strong>We performed a nationwide observational prospective study in Belgian general practices. The surveillance tool extracted the daily entries of diagnostic codes for COVID-19 and associated conditions (suspected or confirmed COVID-19, acute respiratory infection and influenza-like illness) from electronic medical records. We calculated the 7-day rolling average for these diagnoses and compared them with data from two other Belgian population-based sources (laboratory-confirmed new COVID-19 cases and hospital admissions for COVID-19), using time series analysis. We also collected data from users and stakeholders about the syndromic surveillance tool and performed a thematic analysis.</p><p><strong>Results: </strong>4773 out of 11,935 practising GPs in Belgium participated in the study. The curve of contacts for suspected COVID-19 followed a similar trend compared with the curves of the official data sources: laboratory-confirmed COVID-19 cases and hospital admissions but with a 10-day delay for the latter. Data were quickly available and useful for decision making, but some technical and methodological components can be improved, such as a greater standardisation between EMR software developers.</p><p><strong>Conclusion: </strong>The syndromic surveillance tool for COVID-19 in primary care provides rapidly available data useful in all phases of the COVID-19 pandemic to support data-driven decision-making. Potential enhancements were identified for a prospective surveillance tool.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10776082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary healthcare professionals' perceptions, attitudes and ideas regarding asthma management in Greece: A mixed-method study. 希腊初级医疗保健专业人员对哮喘管理的认识、态度和想法:混合方法研究。
IF 2.3 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-10-25 DOI: 10.1080/13814788.2024.2418301
Izolde Bouloukaki, Christos Spanias, Despo Ierodiakonou, Nikolaos Tzanakis, Siân Williams, Ioanna Tsiligianni
{"title":"Primary healthcare professionals' perceptions, attitudes and ideas regarding asthma management in Greece: A mixed-method study.","authors":"Izolde Bouloukaki, Christos Spanias, Despo Ierodiakonou, Nikolaos Tzanakis, Siân Williams, Ioanna Tsiligianni","doi":"10.1080/13814788.2024.2418301","DOIUrl":"10.1080/13814788.2024.2418301","url":null,"abstract":"<p><strong>Background: </strong>Implementing asthma guideline recommendations is challenging and there is variation between countries, and different healthcare professionals (HCPs). The International Primary Care Respiratory Group (IPCRG) has introduced the Asthma Right Care (ARC) programme implemented in 24 low, middle, and high countries, including Greece. It offers a promising approach drawn from social movements for health to improve asthma care by engaging HCPs in implementing guideline-based asthma care.</p><p><strong>Objectives: </strong>To explore HCPs' perspectives on current provision of asthma care and their willingness to improve implementation of recommended guidelines using ARC programme tools in Greece.</p><p><strong>Methods: </strong>A mixed methods study conducted from September 2020 to April 2021. A convenience sample of 30 pharmacists, and 10 General Practitioners (GPs), responded to a questionnaire investigating perceptions, and attitudes, towards implementation of asthma guidelines. Then, a qualitative survey followed with semi-structured interviews to evaluate the feedback obtained from HCPs to assess the content, and applicability of the ARC tools. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>A range of practical challenges in implementing guideline-recommended interventions, improving asthma control and management were described by all HCPs, including lack of time and education, high workload, patients' perceptions, and poor communication contributing to poor management and inadequate follow-up of people with asthma. However, most HCPs were willing to use ARC interventions to improve guideline implementation.</p><p><strong>Conclusion: </strong>HCPs in Greece encounter challenges in implementing asthma guidelines; however, they can overcome these challenges by using ARC interventions and engagement tools to address barriers and implement efficient asthma management strategies.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why are our medicines so expensive? Spoiler: Not for the reasons you are being told…. 我们的药品为何如此昂贵?剧透:不是因为你们被告知的原因....
IF 3.4 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-02-01 DOI: 10.1080/13814788.2024.2308006
Els Torreele
{"title":"Why are our medicines so expensive? Spoiler: Not for the reasons you are being told….","authors":"Els Torreele","doi":"10.1080/13814788.2024.2308006","DOIUrl":"10.1080/13814788.2024.2308006","url":null,"abstract":"<p><p>Often described as a natural economic trend, the prices that pharmaceutical companies charge for new medicines have skyrocketed in recent years. Companies claim these prices are justified because of the 'value' new treatments represent or that they reflect the high costs and risks associated with the research and development process. They also claim that the revenues generated through these high prices are required to pay for continued innovation.This paper argues that high prices are not inevitable but the result of a societal and political choice to rely on a for-profit business model for medical innovation, selling medicines at the highest price possible. Instead of focusing on therapeutic advances, it prioritises profit maximisation to benefit shareholders and investors over improving people's health outcomes or equitable access.As a result, people and health systems worldwide struggle to pay for the increasingly expensive health products, with growing inequities in access to even life-saving medicines while the biopharmaceutical industry and its financiers are the most lucrative business sectors.As the extreme COVID-19 vaccine inequities once again highlighted, we urgently need to reform the social contract between governments, the biopharmaceutical industry, and the public and restore its original health purpose. Policymakers must redesign policies and financing of the pharmaceutical research and development ecosystem such that public and private sectors work together towards the shared objective of responding to public health and patients' needs, rather than maximising financial return because medicines should not be a luxury.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10836477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Did aetiology matter in illness duration and complications in patients presenting in primary care with acute respiratory tract infections early in the COVID-19 pandemic: An observational study in nine countries. 在 COVID-19 大流行早期,在初级医疗机构就诊的急性呼吸道感染患者的病程和并发症是否与病因有关:九个国家的观察研究。
IF 2.3 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-07-12 DOI: 10.1080/13814788.2024.2376084
Roderick P Venekamp, Marinus J C Eijkemans, Nicolaas P A Zuithoff, Femke Böhmer, Slawomir Chlabicz, Annelies Colliers, Ana García-Sangenís, Lile Malania, Jozsef Pauer, Angela Tomacinschii, Theo J Verheij, Herman Goossens, Akke Vellinga, Christopher C Butler, Alike W van der Velden
{"title":"Did aetiology matter in illness duration and complications in patients presenting in primary care with acute respiratory tract infections early in the COVID-19 pandemic: An observational study in nine countries.","authors":"Roderick P Venekamp, Marinus J C Eijkemans, Nicolaas P A Zuithoff, Femke Böhmer, Slawomir Chlabicz, Annelies Colliers, Ana García-Sangenís, Lile Malania, Jozsef Pauer, Angela Tomacinschii, Theo J Verheij, Herman Goossens, Akke Vellinga, Christopher C Butler, Alike W van der Velden","doi":"10.1080/13814788.2024.2376084","DOIUrl":"10.1080/13814788.2024.2376084","url":null,"abstract":"<p><strong>Background: </strong>Despite considerable research into COVID-19 sequelae, little is known about differences in illness duration and complications in patients presenting in primary care with symptoms of acute respiratory tract infections (RTI) that are and are not attributed to SARS-CoV-2 infection.</p><p><strong>Objective: </strong>To explore whether aetiology impacted course of illness and prediction of complications in patients presenting in primary care with symptoms of RTI early in the COVID-19 pandemic.</p><p><strong>Methods: </strong>Between April 2020-March 2021 general practitioners from nine European countries recruited consecutively contacting patients with RTI symptoms. At baseline, an oropharyngeal-nasal swab was obtained for aetiology determination using PCR after follow-up of 28 days. Time to self-reported recovery was analysed with Kaplan-Meier curves. Predictors (baseline variables of demographics, patient and disease characteristics) of a complicated course (composite of hospital admission and persisting signs/symptoms at 28 days follow-up) were explored with logistic regression modelling.</p><p><strong>Results: </strong>Of 855 patients with RTI symptoms, 237 (27.7%) tested SARS-CoV-2 positive. The proportion not feeling fully recovered (15.6% vs 18.1%, <i>p</i> = 0.39), reporting being extremely tired (9.7% vs 12.8%, <i>p</i> = 0.21), and not having returned to usual daily activities (18.1% vs 14.4%, <i>p</i> = 0.18) at day 28 were comparable between SARS-CoV-2 positive (<i>n</i> = 237) and negative (<i>n</i> = 618) groups. However, among those feeling fully recovered (SARS-CoV-2 positive: 200 patients, SARS-CoV-2 negative: 506 patients), time to full recovery was significantly longer in SARS-CoV-2 patients (10.6 vs 7.7 days, <i>p</i> < 0.001). We found no evidence that predictors of a complicated course differed between groups (<i>p</i> = 0.07).</p><p><strong>Conclusion: </strong>Early in the pandemic, the proportion of patients not feeling fully recovered by 28 days was similar between SARS-CoV-2 positive and negative patients presenting in primary care with RTI symptoms, but it took somewhat longer for SARS-CoV-2 patients to feel fully recovered. More research is needed on predictors of a complicated course in RTI.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Periodontal diseases and cardiovascular diseases, diabetes, and respiratory diseases: Summary of the consensus report by the European Federation of Periodontology and WONCA Europe. 牙周疾病与心血管疾病、糖尿病和呼吸系统疾病:欧洲牙周病学联合会和欧洲 WONCA 共识报告摘要。
IF 2.3 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-03-21 DOI: 10.1080/13814788.2024.2320120
David Herrera, Mariano Sanz, Lior Shapira, Carlos Brotons, Iain Chapple, Thomas Frese, Filippo Graziani, F D Richard Hobbs, Olivier Huck, Eva Hummers, Søren Jepsen, Oleg Kravtchenko, Phoebus Madianos, Ana Molina, Mehmet Ungan, Josep Vilaseca, Adam Windak, Shlomo Vinker
{"title":"Periodontal diseases and cardiovascular diseases, diabetes, and respiratory diseases: Summary of the consensus report by the European Federation of Periodontology and WONCA Europe.","authors":"David Herrera, Mariano Sanz, Lior Shapira, Carlos Brotons, Iain Chapple, Thomas Frese, Filippo Graziani, F D Richard Hobbs, Olivier Huck, Eva Hummers, Søren Jepsen, Oleg Kravtchenko, Phoebus Madianos, Ana Molina, Mehmet Ungan, Josep Vilaseca, Adam Windak, Shlomo Vinker","doi":"10.1080/13814788.2024.2320120","DOIUrl":"10.1080/13814788.2024.2320120","url":null,"abstract":"<p><strong>Background: </strong>Periodontitis is a chronic inflammatory non-communicable disease (NCD) characterised by the destruction of the tooth-supporting apparatus (periodontium), including alveolar bone, the presence of periodontal pockets, and bleeding on probing.</p><p><strong>Objectives: </strong>To outline, for family doctors, the implications of the association between periodontal and systemic diseases; to explore the role of family doctors in managing periodontitis as an ubiquitous non-communicable disease (NCD).</p><p><strong>Methods: </strong>The consensus reports of previous focused collaborative workshops between WONCA Europe and the European Federation of Periodontology (using previously undertaken systematic reviews), and a specifically commissioned systematic review formed the technical papers to underpin discussions. Working groups prepared proposals independently, and the proposals were subsequently discussed and approved at plenary meetings.</p><p><strong>Results: </strong>Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease, obstructive sleep apnoea, and COVID-19 complications. Treatment of periodontitis has been associated with improvements in systemic health outcomes. The article also presents evidence gaps. Oral health care professionals (OHPs) and family doctors should collaborate in managing these conditions, including implementing strategies for early case detection of periodontitis in primary medical care centres and of systemic NCDs in oral/dental care settings. There is a need to raise awareness of periodontal diseases, their consequences, and the associated risk factors amongst family doctors.</p><p><strong>Conclusion: </strong>Closer collaboration between OHPs and family doctors is important in the early case detection and management of NCDs like cardiovascular diseases, diabetes mellitus, and respiratory diseases. Strategies for early case detection/prevention of NCDs, including periodontitis, should be developed for family doctors, other health professionals (OHPs), and healthcare funders. Evidence-based information on the reported associations between periodontitis and other NCDs should be made available to family doctors, OHPs, healthcare funders, patients, and the general population.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Looking back at the EJGP in 2023: What a rich harvest of relevant publications for primary care medicine! 回顾 2023 年的 EJGP:基层医疗相关出版物收获颇丰!
IF 3.4 4区 医学
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.1080/13814788.2024.2353237
Jelle Stoffers
{"title":"Looking back at the EJGP in 2023: What a rich harvest of relevant publications for primary care medicine!","authors":"Jelle Stoffers","doi":"10.1080/13814788.2024.2353237","DOIUrl":"10.1080/13814788.2024.2353237","url":null,"abstract":"","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11123451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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