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BMC Family Practice

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: 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. Content type: Research article

    Improving the quality of care for patients with vascular disease is a priority. Clinical guidance has emphasised the importance of early identification and active management of chronic kidney disease (CKD) in ...

    Authors: Hannah Gaffney, Thomas Blakeman, Christian Blickem, Anne Kennedy, David Reeves, Shoba Dawson, Rahena Mossabir, Peter Bower, Caroline Gardner, Victoria Lee and Anne Rogers

    Citation: BMC Family Practice 2014 15:196

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  12. Content type: Research article

    The utility of clinical exercise tests depends on their support of treatment decisions. We sought to assess the utility of exercise tests for the selection of primary-care patients for referral to cardiologic ...

    Authors: Gunnar Nilsson, Thomas Mooe, Lars Söderström and Eva Samuelsson

    Citation: BMC Family Practice 2014 15:182

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  13. Content type: Research article

    The prevalence of coexisting chronic conditions (multimorbidity) is rising. Disease labels, however, give little information about impact on subjective health and personal illness experience. We aim to examine...

    Authors: Nahal Mavaddat, Jose M Valderas, Rianne van der Linde, Kay Tee Khaw and Ann Louise Kinmonth

    Citation: BMC Family Practice 2014 15:185

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  14. Content type: Study protocol

    Urinary tract infections (UTI) are the most frequent bacterial infection affecting women and account for about 15% of antibiotics prescribed in primary care. However, some women with a UTI are not prescribed a...

    Authors: Janine Bates, Emma Thomas-Jones, Timothy Pickles, Nigel Kirby, Micaela Gal, Emily Bongard, Kerenza Hood, Nicolas Francis, Paul Little, Michael Moore, Kate Rumsby, Carlos Llor, Curt Burgman, Theo Verheij, David Cohen, Mandy Wootton…

    Citation: BMC Family Practice 2014 15:187

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  15. Content type: Research article

    Initiation of statin therapy as primary prevention particularly in those with mildly elevated cardiovascular disease risk factors is still being debated. The 2013 ACC/AHA blood cholesterol guideline recommends...

    Authors: Yook Chin Chia, Hooi Min Lim and Siew Mooi Ching

    Citation: BMC Family Practice 2014 15:172

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  16. Content type: Research article

    Transient ischaemic attack (TIA) is characterised by its transient nature with symptoms of neurological dysfunction resolving within 24 hours. The occurrence of TIA is a major risk factor for stroke with 10-s1...

    Authors: Elizabeth J Croot, Tony W Ryan, Jennifer Read, Fiona Campbell, Alicia O’Cathain and Graham Venables

    Citation: BMC Family Practice 2014 15:174

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  17. Content type: Research article

    Oral anticoagulation (OAC) with coumarins and new anticoagulants are highly effective in preventing thromboembolic complications. However, some studies indicate that over- and under-treatment with anticoagulan...

    Authors: Lisa-R Ulrich, Karola Mergenthal, Juliana J Petersen, Ina Roehl, Sandra Rauck, Birgit Kemperdick, Sylvia Schulz-Rothe, Andrea Berghold and Andrea Siebenhofer

    Citation: BMC Family Practice 2014 15:170

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  18. Content type: Research article

    Over 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aur...

    Authors: Evelien ME van Bijnen, W John Paget, Casper DJ den Heijer, Ellen E Stobberingh, Cathrien A Bruggeman and François G Schellevis

    Citation: BMC Family Practice 2014 15:175

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  19. Content type: Research article

    Overweight and obesity are common in the Netherlands: in 2006 51% of adult men and 42% of adult women were overweight; 10% of men and 12% of women were obese. Patients with overweight or obesity in the Netherl...

    Authors: Elisabeth Govers, Jacob C Seidell, Marjolein Visser and Ingeborg A Brouwer

    Citation: BMC Family Practice 2014 15:161

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