The European journal of general practice
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Multicenter Study
Cancer screening and follow-up in general practice: A French nationwide cross-sectional study.
The overall activity of general practitioners (GPs) related to cancer screening and follow-up is poorly documented. ⋯ Around 5% of French general practice consultations include cancer screening or follow-up. Socio-economical inequalities demand further research.
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Multicenter Study
Prescription of psychotropic medication in patients with type two diabetes mellitus: A multi-practice study from Ireland.
Background: Comorbid anxiety and depression and type two diabetes mellitus (T2DM) are commonly managed by General Practitioners (GPs). Objectives: To investigate the proportion of people with T2DM who are prescribed either antidepressant or benzodiazepine medications in general practice; to compare people with T2DM that have a prescription with those that do not in terms of patient characteristics, glycaemic control and healthcare utilization. Methods: Anonymized data was collected by GPs and senior medical students from electronic medical records of patients with T2DM in 34 Irish general practices affiliated with the University of Limerick Graduate Entry Medical School during the 2013/14 academic year. ⋯ Rates of poor glycaemic control were similar in those with and without a current prescription. Conclusion: Over one-fifth of people with T2DM in Irish general practice are prescribed an antidepressant or benzodiazepine medication. Prescription of these is associated with increased healthcare utilization but not poorer glycaemic control.
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Multicenter Study
Previous antibiotic exposure and antibiotic resistance of commensal Staphylococcus aureus in Spanish primary care.
Commensal flora of healthy people is becoming an important reservoir of resistant bacteria. ⋯ Although no causal inference is possible, an association was observed between previous antibiotic dispensation and isolation of resistant organisms in community-dwelling individuals, mainly between packages of penicillin and penicillin-resistant staphylococci.
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Randomized Controlled Trial Multicenter Study
Impact of practice, provider and patient characteristics on delivering screening and brief advice for heavy drinking in primary healthcare: Secondary analyses of data from the ODHIN five-country cluster randomized factorial trial.
The implementation of primary healthcare-based screening and advice that is effective in reducing heavy drinking can be enhanced with training. ⋯ Training primary healthcare providers diminishes the negative impacts that some practice, provider and patient characteristics have on the likelihood of patients being screened and advised. Trial registration ClinicalTrials.gov. Trial identifier: NCT01501552.
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Randomized Controlled Trial Multicenter Study
Efficacy of flurbiprofen 8.75 mg spray in patients with sore throat due to an upper respiratory tract infection: A randomised controlled trial.
Viral infections cause most cases of pharyngitis (sore throat); consequently, antibiotics are generally not warranted. However, a treatment targeting pain and inflammation, e.g. a topical non-steroidal anti-inflammatory spray, may be helpful for patients. ⋯ Flurbiprofen spray provides rapid and long-lasting relief from sore throat symptoms, and is well-tolerated over three days.