Readable research linked to original sources
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Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
16 articles
Newest firstBackgroundPost-infection conditions (PICs), such as Long Covid, are associated with heterogeneous, fluctuating symptoms that profoundly affect daily functioning. Despite moderate-certainty evidence from the NIHR-funded LISTEN trial (COV-LT2-0009) that personalised self-management support improves outcomes and may reduce societal and economic impacts of Long Covid, many people living with PICs still receive conditi…
Open article record in new tab ↗IntroductionOsteoarthritis (OA) is a chronic joint disease, often leading to pain, joint stiffness and impaired function. The first metatarsophalangeal (MTP-1) joint is the most frequently affected joint in foot OA. Footwear interventions might have potential to reduce pain for people with MTP-1 joint OA. The aim of this study is to determine the effectiveness and cost-effectiveness of orthopaedic modifications to…
Open article record in new tab ↗Introduction On April 1st, 2024, Germany's cannabis legalisation bill entered into force. It is unknown what effect the legal changes could have, if any, on the prevalence of cannabis use. Preventive measures of cannabis-related health impacts are best possible if harmful use is recognised and addressed at an early stage. Our aim was to estimate the proportion of people who used cannabis in Germany that discussed…
Open article record in new tab ↗Introduction As legalization of medical cannabis (MC) in the USA expands, there remains uncertainty in clinical guidance. Healthcare professionals remain unprepared to communicate to patients the therapeutic outcomes and possible adverse effects of MC utilization. There is limited training provided at all levels of medical education, even for professionals with many years of clinical practice. Additionally, there…
Open article record in new tab ↗BACKGROUNDIt is assumed that there is universal provision of the maternal postnatal 6-8 week check (6WC) in primary care following the introduction of additional funding provided through the General Medical Services contract in 2020/21. Prior to the pandemic, it is estimated that 20-40% of women in England did not have a postpartum maternal check recorded in primary care. Concerned that changes in local appointmen…
Open article record in new tab ↗IntroductionNon-English-speaking migrant women face healthcare barriers, exacerbating maternal health inequalities. Primary care-based preconception interventions can reduce preconception risk factors but require engagement. We explored whether women interact with general practice (GP) and accident and emergency (A&E) in the year pre-pregnancy, differences between interpreter-users and non-interpreter-users, and c…
Open article record in new tab ↗BackgroundAvoidable hospital admissions in the UK have been a focal area for healthcare policy and research, often with a focus on prevention. This is particularly important as hospitalisation can negatively impact patients, especially frail older people, leading to further risk of morbidity and mortality. To reduce costs and enhance patient care, the focus has shifted toward improving community interventions to p…
Open article record in new tab ↗BackgroundGlobal and United Kingdom (UK) primary care face significant General Practitioner (GP) workforce shortages. Worldwide strategies to address this issue include the introduction of additional healthcare professionals and increasing technology utilisation, to reduce GP workload. However, whether these strategies can sustain the GP workforce remains unclear. Our review examines the factors that sustain and e…
BackgroundRoutine primary care data may be a valuable resource for preconception health research and informing provision of preconception care. AimTo review how primary care data could provide information on the prevalence of preconception indicators and examine associations with maternal and offspring health outcomes. Design and SettingSystematic review of observational studies using UK routine primary care data.…
Open article record in new tab ↗BackgroundNHS England issued commissioning guidance on 18 low-priority treatments which should not be routinely prescribed in primary care. We aimed to monitor the impact of an educational intervention delivered to regional prescribing advisors by senior pharmacists from NHS England on the primary care spend on low-priority items. MethodsAn opportunistic randomised, controlled parallel-group trial. Participants (c…
Open article record in new tab ↗Background Relevant data for the prescription and therapeutic effects of medical cannabinoids (CAM) are still missing in everyday medicine especially for elderly and geriatric patients. Aim of the study Documentation of prescription (duration, age) of CAM (dronabinol, nabiximols, cannabinoid extracts) and co-medicated opioids in a doctor's office specializing in pain. Methods Analysis of the consumption of opioids…
Open article record in new tab ↗BackgroundThe COVID-19 pandemic created unprecedented pressure on healthcare services. This study aimed to investigate if disease-modifying anti-rheumatic drug (DMARD) safety monitoring was affected during the COVID-19 pandemic. MethodsA population-based cohort study was conducted with the approval of NHS England, using the OpenSAFELY platform to access electronic health record data from 24{middle dot}2 million pa…
Aims. General practitioners (GPs), who are the most frequently consulted health professionals by adolescents, play a key role in screening for psychoactive substance (PAS) use. The purpose of our study was to determine the barriers and expectations of adolescents regarding the identification and management of their PAS use by their general practitioner. Methods. Descriptive, cross-sectional study of a population o…
Background Medicinal cannabis (MC) products have been available on prescription in Australia for around six years. General practitioners (GPs) are at the forefront of MC prescribing and recent years have seen substantial increases in prescription numbers. This study examined the current knowledge, experiences, and attitudes of Australian GPs around MC. We also compared our findings to those of an earlier 2017 inve…
Open article record in new tab ↗BackgroundApproaches to addressing unwarranted variation in healthcare service delivery have traditionally relied on the prospective identification of activities and outcomes, based on a hypothesis, with subsequent reporting against defined measures. Practice-level prescribing data in England are made publicly available by the NHS Business Services Authority for all general practices. There is an opportunity to ad…
Open article record in new tab ↗BACKGROUND: Several authorities recommend measuring peak expiratory flow (PEF) standing. Limited evidence suggests that PEF obtained sitting is similar in magnitude but there are no studies in African populations. AIM: To determine in adults aged 18-60 years if PEF measured sitting differs from that measured standing. DESIGN & SETTING: Crossover design with alternating position of initial measurement in people att…
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