The British journal of general practice : the journal of the Royal College of General Practitioners
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Randomized Controlled Trial Multicenter Study Clinical Trial
Improving management of hypertension in general practice: a randomised controlled trial of feedback derived from electronic patient data.
Although absolute risk of death associated with raised blood pressure increases with age, the benefits of treatment are greater in older patients. However, fewer patients in this group are identified, treated, and controlled. ⋯ Levels of identification, treatment, and control improved in each group. Although there were still significant numbers of patients with uncontrolled hypertension, there is some evidence to suggest that providing patient-specific feedback may have a positive impact on identification and management of hypertension in older people and produce an increase in control.
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Randomized Controlled Trial Clinical Trial
Shared decision making and risk communication in practice: a qualitative study of GPs' experiences.
Important barriers to the wider implementation of shared decision making remain. The experiences of professionals who are skilled in this approach may identify how to overcome these barriers. ⋯ The promotion of 'patient involvement' appears likely to continue. Professionals appear receptive to this, and willing to acquire the relevant skills. Strategies for wider implementation of patient involvement could address how consultations are scheduled in primary care, and raise consumers' expectations or desires for involvement.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction.
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Randomized Controlled Trial Clinical Trial
Modelling consultation rates in infancy: influence of maternal and infant characteristics, feeding type and consultation history.
Severity of illness, sociodemographic factors, and breastfeeding have been identified as predictors of consultation rates in infants, and prescriptions for antibiotics have been found to increase future consultation rates in older children. The Baby Check trial (1996-1998) provided detailed information about consultations for 935 babies during their first 6 months. ⋯ Infants' consultation rates over time can be analysed using multilevel models, if details of primary care consultations are available. These models can incorporate the effects of fixed variables and those that change during the follow-up period. Our findings add to previous research linking breastfeeding with reduced morbidity in infancy, and for that reason breastfeeding should continue to be promoted in primary care.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Implementation of RCGP guidelines for acute low back pain: a cluster randomised controlled trial.
The Royal College of General Practitioners (RCGP) has produced guidelines for the management of acute low back pain in primary care. ⋯ The management of patients presenting with low back pain to primary care was mostly unchanged by an outreach educational strategy to promote greater adherence to RCGP guidelines among GPs. An increase in referral to physiotherapy or educational programmes followed the provision of a triage service.