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Clinical presentation, diagnosis, and management

Section edited by Attila Altiner and Norbert Donner-Banzhoff

This section covers all aspects of patient diagnosis and treatment for acute and chronic conditions within the context of primary care.

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  1. Content type: Research article

    A prerequisite for early lung cancer diagnosis is that individuals with respiratory alarm symptoms (RAS) contact a general practitioner (GP). This study aims to determine the proportion of individuals in the g...

    Authors: Lisa Maria Falk Sele, Sandra Elnegaard, Kirubakaran Balasubramaniam, Jens Søndergaard and Dorte Ejg Jarbøl

    Citation: BMC Family Practice 2016 17:47

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  2. Content type: Research article

    Analysis of encounter data relevant to the diagnostic process sourced from routine electronic medical record (EMR) databases represents a classic example of the concept of a learning healthcare system (LHS). By c...

    Authors: Jean K Soler, Derek Corrigan, Przemyslaw Kazienko, Tomasz Kajdanowicz, Roxana Danger, Marcin Kulisiewicz and Brendan Delaney

    Citation: BMC Family Practice 2015 16:63

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  3. Content type: Research article

    Guidelines on hypertension management recommend adjusting therapeutic efforts in accordance with global cardiovascular risk (CVR) rather than by blood pressure levels alone. However, this paradigm change has n...

    Authors: Achim Mortsiefer, Tobias Meysen, Martin Schumacher, Heinz-Harald Abholz, Karl Wegscheider and Jürgen in der Schmitten

    Citation: BMC Family Practice 2015 16:56

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  4. Content type: Research article

    Referral for both lifestyle and surgical interventions are recommended as part of the clinical management of obesity in general practice. However, current practice falls short of this. This qualitative study a...

    Authors: Kyoung Kon Kim, Lin-Lee Yeong, Ian D Caterson and Mark F Harris

    Citation: BMC Family Practice 2015 16:45

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  5. Content type: Research article

    The vast majority of patients with diabetes have multiple chronic conditions, increasing complexity of care; however, clinical practice guidelines, interventions, and public reporting metrics do not adequately...

    Authors: Elizabeth M Magnan, Rebecca Gittelson, Christie M Bartels, Heather M Johnson, Nancy Pandhi, Elizabeth A Jacobs and Maureen A Smith

    Citation: BMC Family Practice 2015 16:42

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  6. Content type: Research article

    We see patients who present with spirometry airflow limitation despite their forced expiratory volume in one second (FEV1) as well as forced vital capacity (FVC) to be supernormal (FEV1/FVC < 70%, both the %FEV1 ...

    Authors: Satomi Shiota, Masako Ichikawa, Kazuhiro Suzuki, Yoshinosuke Fukuchi and Kazuhisa Takahashi

    Citation: BMC Family Practice 2015 16:41

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  7. Content type: Research article

    Antibiotic and oral corticosteroid prescribing rate in patients suffering from acute exacerbations of chronic obstructive pulmonary disease (COPD) or asthma in general practice are only sparsely described. Our...

    Authors: Salwan Al-ani, Mark Spigt, Johanna Laue and Hasse Melbye

    Citation: BMC Family Practice 2015 16:40

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  8. Content type: Study protocol

    In contrast with the recommendations of clinical practice guidelines, the most common treatment for anxiety and depressive disorders in primary care is pharmacological. The aim of this study is to assess the e...

    Authors: Amale Jauregui, Joaquín Ponte, Monika Salgueiro, Saloa Unanue, Carmen Donaire, Maria Cruz Gómez, Natalia Burgos-Alonso and Gonzalo Grandes

    Citation: BMC Family Practice 2015 16:39

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  9. Content type: Research article

    Prolonged stress may lead to mental illness, but the prevalence of stress in a working age population seeking primary health care for whatever reason, is unknown. This paper seeks to examine to what extent thi...

    Authors: Lilian Wiegner, Dominique Hange, Cecilia Björkelund and Gunnar Ahlborg Jr

    Citation: BMC Family Practice 2015 16:38

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  10. Content type: Study protocol

    No more than 10-15% of type 2 diabetes mellitus (T2DM) patients achieve all treatment goals regarding glycaemic control, lipids and blood pressure. Shared decision making (SDM) should increase that percentage;...

    Authors: Henk den Ouden, Rimke C Vos, Carla Reidsma and Guy EHM Rutten

    Citation: BMC Family Practice 2015 16:27

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  11. Content type: Research article

    Chronic kidney disease (CKD) is predominantly managed in primary care in the UK, but there is evidence of under-identification leading to lack of inclusion on practice chronic disease registers, which are nece...

    Authors: Simon DS Fraser, Julie Parkes, David Culliford, Miriam Santer and Paul J Roderick

    Citation: BMC Family Practice 2015 16:18

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  12. Content type: Research article

    Acute cough is a common problem in general practice and is often caused by a self-limiting, viral infection. Nonetheless, antibiotics are often prescribed in this situation, which may lead to unnecessary side ...

    Authors: Sven Streit, Peter Frey, Sarah Singer, Ueli Bollag and Damian N Meli

    Citation: BMC Family Practice 2015 16:15

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  13. Content type: Research article

    In order to provide smoking cessation support to their patients in line with clinical practice guidelines, general practitioners must first ascertain whether their patients’ use tobacco. This study examined (i...

    Authors: Jamie Bryant, Mariko Carey, Rob Sanson-Fisher, Elise Mansfield, Tim Regan and Alessandra Bisquera

    Citation: BMC Family Practice 2015 16:8

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  14. Content type: Study protocol

    Vascular ulcers are commonly seen in daily practice at all levels of care and have great impact at personal, professional and social levels with a high cost in terms of human and material resources. Given that...

    Authors: Kepa M San Sebastian, Igone Lobato, Igone Hernández, Natalia Burgos-Alonso, Maria Cruz Gomez-Fernandez, Jose Luis López, Begoña Rodríguez, Anna Giné March, Gonzalo Grandes and Isabel Andia

    Citation: BMC Family Practice 2014 15:211

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  15. Content type: Research article

    Antidepressant prescribing continues to rise. Increased long-term prescribing and higher doses are contributing to current growth; however, patient factors associated with the use of higher doses remain unknow...

    Authors: Chris F Johnson, Nadine J Dougall, Brian Williams, Stephen A MacGillivray, Alasdair I Buchanan and Richard D Hassett

    Citation: BMC Family Practice 2014 15:210

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  16. Content type: Research article

    Acute chest pain constitutes a considerable diagnostic challenge outside hospitals. This will often lead to uncertainty in choosing the right management, and the physicians’ approach may be influenced by their...

    Authors: Robert Anders Burman, Erik Zakariassen and Steinar Hunskaar

    Citation: BMC Family Practice 2014 15:1127

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  17. Content type: Study protocol

    Chest complaints presented to a general practitioner (GP) are frequently caused by diseases which have advantageous outcomes. However, in some cases, acute coronary syndrome (ACS) is present (1.5-22% of cases)...

    Authors: Robert TA Willemsen, Frank Buntinx, Bjorn Winkens, Jan F Glatz and Geert Jan Dinant

    Citation: BMC Family Practice 2014 15:203

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  18. Content type: Research article

    Tympanometry and pneumatic otoscopy are recommended for diagnosis of otitis media, but are not frequently used by general practitioners (GPs). We examined how, after targeted short training, GP diagnosis and m...

    Authors: Penelope Abbott, Sara Rosenkranz, Wendy Hu, Hasantha Gunasekera and Jennifer Reath

    Citation: BMC Family Practice 2014 15:181

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  19. Content type: Research article

    Non-specific physical symptoms (NSPS), such as headache and abdominal pain, are common reasons for children to consult primary care. NSPS represent a significant burden not only on society, but also on health ...

    Authors: Mujahed Shraim, Milisa Blagojevic-Bucknall, Christian D Mallen and Kate M Dunn

    Citation: BMC Family Practice 2014 15:195

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