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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.

Page 3 of 4

  1. Content type: Research article

    Patients with elevated calcium concentrations have an increased morbidity due to various underlying illnesses. However, there is a lack of studies of quality of life and health care consumption in patients wit...

    Authors: Sofia Dalemo, Robert Eggertsen, Per Hjerpe, Svante Jansson and Kristina Bengtsson Boström

    Citation: BMC Family Practice 2014 15:84

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  2. Content type: Study protocol

    Insulin initiation and titration in primary care is necessary to respond to the growing epidemic of type 2 diabetes (T2D). The INITIATION study aims to evaluate the impact of implementing a new model of care w...

    Authors: Irene D Blackberry, John S Furler, Louise E Ginnivan, Hanan Derraz, Alicia Jenkins, Neale Cohen, James D Best, Doris Young, Danny Liew, Glenn Ward, Jo-Anne Manski-Nankervis and David N O’Neal

    Citation: BMC Family Practice 2014 15:82

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  3. Content type: Research article

    Point of care testing for C-reactive protein (CRP) has shown promise as a measure to reduce unnecessary antibiotic prescribing in respiratory tract infections (RTI), but its use in primary care is still contro...

    Authors: Elena Andreeva and Hasse Melbye

    Citation: BMC Family Practice 2014 15:80

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  4. Content type: Research article

    Evaluation of angina symptoms in primary care often includes clinical exercise testing. We sought to identify clinical characteristics that predicted the outcome of exercise testing and to describe the occurre...

    Authors: Gunnar Nilsson, Thomas Mooe, Hans Stenlund and Eva Samuelsson

    Citation: BMC Family Practice 2014 15:71

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  5. Content type: Research article

    Peripheral arterial disease (PAD) is a marker of systemic atherosclerosis and associated with a three to six fold increased risk of death from cardiovascular causes. Furthermore, it is typically asymptomatic a...

    Authors: Jane H Davies, Joyce Kenkre and E Mark Williams

    Citation: BMC Family Practice 2014 15:69

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  6. Content type: Research article

    Little is known as to whether primary care teams’ perceptions of how well they have implemented the Chronic Care Model (CCM) corresponds with their patients’ own experience of chronic illness care. We examined...

    Authors: Polly H Noël, Michael L Parchman, Ray F Palmer, Raquel L Romero, Luci K Leykum, Holly J Lanham, John E Zeber and Krista W Bowers

    Citation: BMC Family Practice 2014 15:57

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  7. Content type: Research article

    Concurrent diseases, multiple pathologies and multimorbidity patterns are topics of increased interest as the world’s population ages. To explore the impact of multimorbidity on affected patients and the conse...

    Authors: Quintí Foguet-Boreu, Concepció Violan, Albert Roso-Llorach, Teresa Rodriguez-Blanco, Mariona Pons-Vigués, Miguel A Muñoz-Pérez, Enriqueta Pujol-Ribera and Jose M Valderas

    Citation: BMC Family Practice 2014 15:55

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  8. Content type: Research article

    There is a gap between prescribed asthma medication and diagnosed asthma in children and adolescents. However, few studies have explored this issue among adults, where asthma medication is also used for the tr...

    Authors: Paolina Weidinger, J Lars G Nilsson and Ulf Lindblad

    Citation: BMC Family Practice 2014 15:54

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  9. Content type: Research article

    Guidance in England and Wales recommends that nicotine replacement therapies (NRTs), varenicline or bupropion should be offered for smoking cessation support. Research on general practitioner (GP) NRT prescrib...

    Authors: Michelle Johnson, Pippa Anderson and Ian Lockhart

    Citation: BMC Family Practice 2014 15:47

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  10. Content type: Research article

    Ambroxol has a local anaesthetic action and is marketed for pain relief for sore throat. The objective is to examine the efficacy and safety of ambroxol for the relief of pain associated with acute uncomplicat...

    Authors: Jean-François Chenot, Peter Weber and Tim Friede

    Citation: BMC Family Practice 2014 15:45

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  11. Content type: Research article

    Multimorbidity is a common phenomenon in primary care. Until now, no clinical guidelines for multimorbidity exist. For the development of these guidelines, it is necessary to know whether or not patients are a...

    Authors: Heike Hansen, Ingmar Schäfer, Gerhard Schön, Steffi Riedel-Heller, Jochen Gensichen, Siegfried Weyerer, Juliana J Petersen, Hans-Helmut König, Horst Bickel, Angela Fuchs, Susanne Höfels, Birgitt Wiese, Karl Wegscheider, Hendrik van den Bussche and Martin Scherer

    Citation: BMC Family Practice 2014 15:39

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  12. Content type: Research article

    Detection of depression can be difficult in primary care, particularly when associated with chronic illness. Patient beliefs may affect detection and subsequent engagement with management. We explored patient ...

    Authors: Sarah L Alderson, Robbie Foy, Liz Glidewell and Allan O House

    Citation: BMC Family Practice 2014 15:37

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  13. Content type: Research article

    Studies have shown that the quality of family health history (FHH) collection in primary care is inadequate to assess disease risk. To use FHH for risk assessment, collected data must have adequate detail. To ...

    Authors: R Ryanne Wu, Tiffany L Himmel, Adam H Buchanan, Karen P Powell, Elizabeth R Hauser, Geoffrey S Ginsburg, Vincent C Henrich and Lori A Orlando

    Citation: BMC Family Practice 2014 15:31

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  14. Content type: Research article

    Skin cancer is believed to impose a heavy burden on healthcare services, but the burden of skin lesions suspected of malignancy on primary healthcare has never been evaluated. Therefore the aim of this study w...

    Authors: Cecile JL Koelink, Boudewijn J Kollen, Feikje Groenhof, Klaas van der Meer and Wouter K van der Heide

    Citation: BMC Family Practice 2014 15:29

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  15. Content type: Research article

    Most evidence on the effect of collaborative care for depression is derived in the selective environment of randomised controlled trials. In collaborative care, practice nurses may act as case managers. The Pr...

    Authors: Jodi Gray, Hossein Haji Ali Afzali, Justin Beilby, Christine Holton, David Banham and Jonathan Karnon

    Citation: BMC Family Practice 2014 15:10

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  16. Content type: Research article

    Depression is a common mental disorder with a high burden of disease which is mainly treated in primary care. It is unclear to what extent stepped care principles are applied in routine primary care. The first...

    Authors: Marleen LM Hermens, Anna Muntingh, Gerdien Franx, Peter T van Splunteren and Jasper Nuyen

    Citation: BMC Family Practice 2014 15:5

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  17. Content type: Research article

    Changes in reimbursement have been compelling for Dutch primary care practices to apply a disease management approach for patients with chronic obstructive pulmonary disease (COPD). This approach includes indi...

    Authors: Viola Voncken-Brewster, Huibert Tange, Albine Moser, Zsolt Nagykaldi, Hein de Vries and Trudy van der Weijden

    Citation: BMC Family Practice 2014 15:4

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  18. Content type: Research article

    With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify ...

    Authors: Anna Nützel, Anne Dahlhaus, Angela Fuchs, Jochen Gensichen, Hans-Helmut König, Steffi Riedel-Heller, Wolfgang Maier, Ingmar Schäfer, Gerhard Schön, Siegfried Weyerer, Birgitt Wiese, Martin Scherer, Hendrik van den Bussche and Horst Bickel

    Citation: BMC Family Practice 2014 15:1

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  19. Content type: Research article

    Primary care physicians provide palliative home care. In cancer patients dying at home in the Netherlands (45% of all cancer patients) euthanasia in about one out of every seven patients indicates unbearable s...

    Authors: Cees DM Ruijs, Ad JFM Kerkhof, Gerrit van der Wal and Bregje D Onwuteaka-Philipsen

    Citation: BMC Family Practice 2013 14:201

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  20. Content type: Research article

    There is limited evidence to support the use of facemasks in preventing infection for primary care professionals. Negative effects on communication has been suggested when the physician wears a facemask. As co...

    Authors: Carmen Ka Man Wong, Benjamin Hon Kei Yip, Stewart Mercer, Sian Griffiths, Kenny Kung, Martin Chi-sang Wong, Josette Chor and Samuel Yeung-shan Wong

    Citation: BMC Family Practice 2013 14:200

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  21. Content type: Study protocol

    Pressure ulcers (PrUs) are ischemic wounds in the skin and underlying tissues caused by long-standing pressure force over an external bone or cartilaginous surface. PrUs are an important challenge for the over...

    Authors: Mireia Guillén-Solà, Aina Soler Mieras and Antònia M Tomàs-Vidal

    Citation: BMC Family Practice 2013 14:196

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  22. Content type: Research article

    It is well known that hypertension control is non-satisfactory, but it is not clear how many hypertensive patients can be controlled in real life. We addressed this question implementing a simple, multifaceted...

    Authors: Alessandro Filippi, Diego Sangiorgi, Stefano Buda, Luca Degli Esposti, Giulio Nati, Italo Paolini and Antonino Di Guardo

    Citation: BMC Family Practice 2013 14:192

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  23. Content type: Research article

    Screening for vascular disease, risk assessment and management are encouraged in general practice however there is limited evidence about the emotional impact on patients. The Health Improvement and Prevention...

    Authors: Suzanne Helen McKenzie, Upali W Jayasinghe, Mahnaz Fanaian, Megan Passey and Mark Fort Harris

    Citation: BMC Family Practice 2013 14:190

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  24. Content type: Research article

    Women of reproductive age are a group of particular concern as diabetes may affect their pregnancy outcome as well as long-term morbidity and mortality. This study aimed to compare the clinical profiles and gl...

    Authors: Ai Theng Cheong, Ping Yein Lee, Shariff-Ghazali Sazlina, Bujang Mohamad Adam, Boon How Chew, Ismail Mastura, Haniff Jamaiyah, Syed-Abdul-Rahman Syed Alwi, Taher Sri Wahyu and Mat-Nasir Nafiza

    Citation: BMC Family Practice 2013 14:188

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  25. Content type: Study protocol

    International disease management guidelines recommend the regular assessment of depression and anxiety in heart failure patients. Currently there is little data on the effect of screening for depression and an...

    Authors: Marion Eisele, Eva Blozik, Stefan Störk, Jens-Martin Träder, Christoph Herrmann-Lingen and Martin Scherer

    Citation: BMC Family Practice 2013 14:180

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  26. Content type: Research article

    Primary care provides most of the evidence-based chronic disease prevention and screening services offered by the healthcare system. However, there remains a gap between recommended preventive services and act...

    Authors: Eva Grunfeld, Donna Manca, Rahim Moineddin, Kevin E Thorpe, Jeffrey S Hoch, Denise Campbell-Scherer, Christopher Meaney, Jess Rogers, Jaclyn Beca, Paul Krueger and Muhammad Mamdani

    Citation: BMC Family Practice 2013 14:175

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  27. Content type: Research article

    Gout is estimated to affect 1.4% of adults in the UK. Appropriate and timely management is essential to reduce the risk of further flares, complications, and to reduce cardiovascular disease risk. The British ...

    Authors: Elizabeth Cottrell, Valerie Crabtree, John J Edwards and Edward Roddy

    Citation: BMC Family Practice 2013 14:170

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  28. Content type: Debate

    Assessment and management of symptoms is a main task in primary care. Symptoms may be defined as 'any subjective evidence of a health problem as perceived by the patient’. In other words, symptoms do not appea...

    Authors: Marianne Rosendal, Dorte Ejg Jarbøl, Anette Fischer Pedersen and Rikke Sand Andersen

    Citation: BMC Family Practice 2013 14:167

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  29. Content type: Research article

    Chest pain is a common complaint and reason for consultation in primary care. Traditional textbooks still assign pain localization a certain discriminative role in the differential diagnosis of chest pain. The...

    Authors: Stefan Bösner, Katharina Bönisch, Jörg Haasenritter, Patrice Schlegel, Eyke Hüllermeier and Norbert Donner-Banzhoff

    Citation: BMC Family Practice 2013 14:154

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  30. Content type: Research article

    The current research into single nucleotide polymorphisms has extended the role of genetic testing to the identification of increased risk for common medical conditions. Advances in genetic research may soon n...

    Authors: Masanobu Okayama, Taro Takeshima, Ryusuke Ae, Masanori Harada and Eiji Kajii

    Citation: BMC Family Practice 2013 14:149

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  31. Content type: Research article

    There are several guidelines dealing with the management of low back pain (LBP), but only few studies on the quality of care provided within General Practices as judged against those guidelines.

    Authors: Giuliano Piccoliori, Adolf Engl, Doris Gatterer, Emiliano Sessa, Jürgen in der Schmitten and Heinz-Harald Abholz

    Citation: BMC Family Practice 2013 14:148

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  32. Content type: Research article

    Acute illness is common in childhood, and it is difficult for healthcare professionals to distinguish seriously ill children from the vast majority with minor or self-limiting illnesses. Safety netting provide...

    Authors: Caroline HD Jones, Sarah Neill, Monica Lakhanpaul, Damian Roland, Hayley Singlehurst-Mooney and Matthew Thompson

    Citation: BMC Family Practice 2013 14:140

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  33. Content type: Research article

    Hypertension is one of the key factors causing cardiovascular diseases. A substantial proportion of treated hypertensive patients do not reach recommended target blood pressure values. Shared decision making (...

    Authors: Iris Tinsel, Anika Buchholz, Werner Vach, Achim Siegel, Thorsten Dürk, Angela Buchholz, Wilhelm Niebling and Karl-Georg Fischer

    Citation: BMC Family Practice 2013 14:135

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  34. Content type: Research article

    Healthy body weight (HBW) determination affects multiple aspects of eating disorder (ED) treatment. For example, it can inform patients and providers as to when return of menses (ROM), an objective determinant...

    Authors: Megan E Harrison, Nicole Obeid, Maeghan CY Fu and Mark L Norris

    Citation: BMC Family Practice 2013 14:134

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  35. Content type: Research article

    Although free eye testing is available in the UK from a nation-wide network of optometrists, there is evidence of unrecognised, tractable vision loss amongst older people. A recent review identified this unmet...

    Authors: Steve Iliffe, Kalpa Kharicha, Danielle Harari, Cameron Swift, Gerhard Gillmann and Andreas E Stuck

    Citation: BMC Family Practice 2013 14:130

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  36. Content type: Research article

    Determinants of vitamin D status measured as 25-OH-vitamin D in blood are exposure to sunlight and intake of vitamin D through food and supplements. It is unclear how large the contributions are from these det...

    Authors: Anne Björk, Åsa Andersson, Gunnar Johansson, Karin Björkegren, Annika Bardel and Per Kristiansson

    Citation: BMC Family Practice 2013 14:129

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  37. Content type: Research article

    Cardiovascular disease is a leading cause of death. It is important to identify patient and treatment factors that are related to successful cardiovascular risk reduction in general practice. This study invest...

    Authors: Ans H Tiessen, Andries J Smit, Jan Broer, Klaas H Groenier and Klaas Van der Meer

    Citation: BMC Family Practice 2013 14:123

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  38. Content type: Research article

    Guidelines and performance measures recommend avoiding antibiotics for acute cough/acute bronchitis and presume visits are straightforward with simple diagnostic decision-making. We evaluated clinician-assigne...

    Authors: Lauren E Whaley, Alexandra C Businger, Patrick P Dempsey and Jeffrey A Linder

    Citation: BMC Family Practice 2013 14:120

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  39. Content type: Research article

    Point-of-care blood tests are becoming increasingly available and could replace current venipuncture and laboratory testing for many commonly used tests. However, at present very few have been implemented in m...

    Authors: Caroline HD Jones, Jeremy Howick, Nia W Roberts, Christopher P Price, Carl Heneghan, Annette Plüddemann and Matthew Thompson

    Citation: BMC Family Practice 2013 14:117

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  40. Content type: Research article

    Spirometry testing is essential to confirm an obstructive lung disease, but studies have reported that a large proportion of patients diagnosed with COPD or asthma have no history of spirometry testing. Also, ...

    Authors: Mette M Koefoed, Jens Søndergaard, René dePont Christensen and Dorte E Jarbøl

    Citation: BMC Family Practice 2013 14:113

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  41. Content type: Research article

    Family health history (FHH) is the single strongest predictor of disease risk and yet is significantly underutilized in primary care. We developed a patient facing FHH collection tool, MeTree©, that uses risk str...

    Authors: R Ryanne Wu, Lori A Orlando, Tiffany L Himmel, Adam H Buchanan, Karen P Powell, Elizabeth R Hauser, Astrid B Agbaje, Vincent C Henrich and Geoffrey S Ginsburg

    Citation: BMC Family Practice 2013 14:111

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  42. Content type: Research article

    The estimated prevalence of irritable bowel syndrome (IBS) is 10%. Up to one third of patients develop chronic symptoms, which impact on everyday functioning and psychological wellbeing. Guidelines suggest an ...

    Authors: Elaine F Harkness, Val Harrington, Sue Hinder, Sarah J O’Brien, David G Thompson, Paula Beech and Carolyn A Chew-Graham

    Citation: BMC Family Practice 2013 14:92

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  43. Content type: Research article

    Poorly controlled hypertension is independently associated with mortality, cardiovascular risk and disease progression in chronic kidney disease (CKD). In the UK, CKD stage 3 is principally managed in primary ...

    Authors: Simon DS Fraser, Paul J Roderick, Natasha J Mcintyre, Scott Harris, Christopher W Mcintyre, Richard J Fluck and Maarten W Taal

    Citation: BMC Family Practice 2013 14:88

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  44. Content type: Research article

    Frailty in the elderly increases their vulnerability and leads to a greater risk of adverse events. According to various studies, the prevalence of the frailty syndrome in persons age 65 and over ranges betwee...

    Authors: Maria-Victoria Castell, Mercedes Sánchez, Rosa Julián, Rocio Queipo, Sagrario Martín and Ángel Otero

    Citation: BMC Family Practice 2013 14:86

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  45. Content type: Research article

    One of the main family practice interventions in the younger healthy population is advice on how to keep or develop a healthy lifestyle. In this study we explored the level of counselling regarding healthy lif...

    Authors: Davorina Petek, Rok Platinovsek, Zalika Klemenc-Ketis and Janko Kersnik

    Citation: BMC Family Practice 2013 14:82

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  46. Content type: Study protocol

    Psychosocial problems are more prevalent among patients with chronic diseases than among the general population. They may lead to a downward spiral of poor adherence, deterioration of the condition and decline...

    Authors: Anneke van Dijk - de Vries, Marloes A van Bokhoven, Berend Terluin, Trudy van der Weijden and Jacques Th M van Eijk

    Citation: BMC Family Practice 2013 14:77

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