Interventions in primary care to increase uptake of adult vaccines: a systematic review.

Background: There is a significant gap in understanding which strategies effectively enhance vaccination rates for recommended adult vaccines in primary care settings. This review aimed to identify interventions in outpatient clinics that increase vaccination rates for commonly recommended adult vaccines and describe the change in vaccination rate associated with each intervention aimed at increasing vaccination rates in adults.

Methods: Systematic searches identified randomized, controlled trials aiming to increase the rate of vaccination in adults in outpatient clinics.

Prospective study of autonomic neuropathy as a predictor of mortality in patients with diabetes.

Objective: The objective of this study is to evaluate whether autonomic neuropathy predicts short term all-cause mortality in an elderly cohort of veteran patients with diabetes.

Research Design And Methods: All of the diabetic patients receiving primary care at one VA medical center were eligible for participation, between 1990 and 1997. One thousand and fifteen patients were identified, of whom 14% declined to participate, so that a total of 843 diabetic patients were enrolled.