Family practice
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Observational Study
Outcomes of antenatal depression in women and the new-born: a retrospective cohort study.
To determine what effect maternal antenatal depression has on pregnancy and infant outcomes in the Lleida health region. ⋯ Antenatal depression increases the risk of pregnancy complications. In addition, depression in the mother increases the probability of low birth weight.
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Multimorbidity is a growing problem. The number and complexity of (non-)pharmaceutical treatments create a great burden for patients. Treatment burden refers to the perception of the weight of these treatments, and is associated with multimorbidity. Measurement of treatment burden is of great value for optimizing treatment and health-related outcomes. ⋯ The Dutch version of the 13-item MTBQ is a single-structured, valid, and compact patient-reported outcome measure to assess treatment burden in primary care patients with multimorbidity. It could identify patients experiencing high treatment burden, with great potential to enhance shared decision-making and offer additional support.
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Opioids are commonly used both before and after total joint arthroplasty (TJA). ⋯ Opioid use before TJA is associated with significant negative health and economic consequences and should be limited. This has implications for opioid prescribing in primary care. There is little evidence that peri- or post-operative opioid use is associated with significant long-term detriments.