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| http://dx.doi.org/10.3399/bjgp12X625067 | DOI Listing |
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Factors affecting prostate cancer detection through asymptomatic PSA testing in primary care in England: Evidence from the 2018 National Cancer Diagnosis Audit.
Br J Gen Pract
October 2024
Exeter collaboration of Academic Primary Care (APEx), University of Exeter
Article Synopsis
- Prostate-Specific Antigen (PSA) testing is utilized in primary care to identify prostate cancer, and this study focuses on how many cases are diagnosed through asymptomatic PSA screenings.
- An analysis of data from the 2018 English National Cancer Diagnosis Audit revealed that 19% of prostate cancer cases were detected via asymptomatic PSA testing, with a significant portion (52.1%) being patients aged 50-69 years.
- Factors such as younger age, non-White ethnicity, lower deprivation, and fewer co-morbidities were linked to a higher likelihood of asymptomatic PSA diagnoses, highlighting considerable variability among different GP practices.
Impact of COVID-19 on recorded blood pressure screening and hypertension management in England: an analysis of monthly changes in the quality and outcomes framework indicators in OpenSAFELY.
Open Heart
August 2024
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Article Synopsis
- The COVID-19 pandemic negatively impacted cardiovascular disease management in England, particularly affecting blood pressure screening and hypertension management.
- A study analyzed data from 25.2 million NHS patients, showing a decline in blood pressure screening from 90% in March 2019 to 85% in March 2023, while hypertension prevalence remained stable at about 15%.
- Treatment percentages for hypertension also dropped significantly during the pandemic, with patients aged ≤79 years treated to target falling from 71% to 47% and those aged ≥80 years from 85% to 58% before showing signs of recovery.
'Picking up the pieces': primary care practitioners' experiences of cancer care reviews. A descriptive qualitative study.
BJGP Open
January 2025
School of Nursing and Midwifery, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.
Background: The number of people who are living with and beyond cancer is increasing in England. Primary care delivers cancer care via structured proactive conversations which are incentivised through the Quality and Outcomes Framework (QoF): 'cancer care reviews' (CCRs). Declining workforce numbers, increasing patient demand, CCR policy changes in 2020, and the onset of the coronavirus disease 2019 (COVID-19) pandemic motivate exploration of how staff deliver CCRs.
View Article and Find Full Text PDFIdentifying potential biases in code sequences in primary care electronic healthcare records: a retrospective cohort study of the determinants of code frequency.
BMJ Open
September 2023
Department of Primary Care and Public Health, Imperial College London, London, UK.
Objectives: To determine whether the frequency of diagnostic codes for long-term conditions (LTCs) in primary care electronic healthcare records (EHRs) is associated with (1) disease coding incentives, (2) General Practice (GP), (3) patient sociodemographic characteristics and (4) calendar year of diagnosis.
Design: Retrospective cohort study.
Setting: GPs in England from 2015 to 2022 contributing to the Clinical Practice Research Datalink Aurum dataset.
Prevalence of Chronic Obstructive Pulmonary Disease in England from 2000 to 2019.
Int J Chron Obstruct Pulmon Dis
July 2023
National Heart and Lung Institute/School of Public Health, Imperial College London, London, UK.
Background: There is considerable variation in reported chronic obstructive pulmonary disease (COPD) prevalence internationally, partly due to differing definitions in use. Accurate estimates of disease prevalence are important for allocation of health-care resources, yet UK estimates of COPD prevalence have not been updated for a decade. We calculated yearly COPD prevalence in England between 2000 and 2019 using different definitions of COPD.
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