Publications by authors named "M J G Bankart"

Background: A 2018 review into continuity of care with doctors in primary and secondary care concluded that mortality rates are lower with higher continuity of care.

Aim: This association was studied further to elucidate its strength and how causative mechanisms may work, specifically in the field of primary medical care.

Design And Setting: Systematic review of studies published in English or French from database and source inception to July 2019.

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Management of primary spontaneous pneumothorax (PSP) depends on the symptoms and size of lung collapse. The British Thoracic Society recommends needle aspiration (NA) for all PSP requiring intervention, followed by intercostal drain (ICD) if NA fails. We compared the role of NA versus ICD as the first step in PSP with 'complete lung collapse'.

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Objectives: To evaluate the feasibility and potential clinical benefits of medicines optimisation through comprehensive geriatric assessment (CGA) of frail patients with multiple conditions, by secondary care geriatricians in a general practice care setting.

Methods: Seven general practitioner (GP) practices in one region of Stoke-on-Trent volunteered to take part. GPs selected patients (n=186) who were local permanent residents, at least 65 years old and on eight or more medications per day.

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Article Synopsis
  • - The institution has created a structured self-management program called SPACE for COPD(C), which aims to help patients with chronic obstructive pulmonary disease (COPD) manage their condition better through group-based sessions led by healthcare professionals.
  • - A randomized controlled trial will evaluate the program's feasibility, acceptability, and effectiveness, with participants either receiving the SPACE intervention over six sessions or usual care, and outcomes will be measured at 6 and 9 months.
  • - Ethics approval for the study has been granted, and the research will include discussions with healthcare providers and focus groups with participants to gather qualitative insights on implementing the program in practice.
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Background: In England, coronary heart disease (CHD) mortality has declined, but variations remain.

Methods: This study aimed to describe under 75-year CHD mortality variations across geographically defined populations. Regression slopes for mortality data as a function of time were calculated for all 151 English primary care trusts (PCTs), giving the change in the expected age adjusted rate for each extra year.

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