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Epidemiology and research methodology in primary care

This section covers, though is not limited to, all aspects of epidemiological research and research methodology within the context of primary care.

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  1. There are few areas of health care where sufficient research-based evidence exists and primary health care is no exception. In the absence of such evidence, the development of assisted support must be based on...

    Authors: Elisabeth Søndergaard, Ruth K. Ertmann, Susanne Reventlow and Kirsten Lykke

    Citation: BMC Family Practice 2018 19:117

    Content type: Research article

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  2. Novel oral anticoagulation (NOAC) has been introduced in recent years, but data on use in atrial fibrillation (AF) in primary care setting is scarce. In Germany, General Practitioners are free to choose type o...

    Authors: Simon Schwill, Katja Krug, Frank Peters-Klimm, Jan van Lieshout, Gunter Laux, Joachim Szecsenyi and Michel Wensing

    Citation: BMC Family Practice 2018 19:115

    Content type: Research article

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  3. Polypharmacy is common in older people and associated with potential harms. The aim of this study was to analyse the characteristics of an older multimorbid population with polypharmacy and to identify factors...

    Authors: Anja Rieckert, Ulrike S. Trampisch, Renate Klaaßen-Mielke, Eva Drewelow, Aneez Esmail, Tim Johansson, Sophie Keller, Ilkka Kunnamo, Christin Löffler, Joonas Mäkinen, Giuliano Piccoliori, Anna Vögele and Andreas Sönnichsen

    Citation: BMC Family Practice 2018 19:113

    Content type: Research article

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  4. The purpose of this study was to ascertain multimorbidity patterns using a non-hierarchical cluster analysis in adult primary patients with multimorbidity attended in primary care centers in Catalonia.

    Authors: Concepción Violán, Albert Roso-Llorach, Quintí Foguet-Boreu, Marina Guisado-Clavero, Mariona Pons-Vigués, Enriqueta Pujol-Ribera and Jose M. Valderas

    Citation: BMC Family Practice 2018 19:108

    Content type: Research article

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  5. Evidence-Based Medicine (EBM) integrates best available evidence from literature and patients’ values, which then informs clinical decision making. However, there is a lack of validated instruments to assess t...

    Authors: Ranita Hisham, Chirk Jenn Ng, Su May Liew, Pauline Siew Mei Lai, Yook Chin Chia, Ee Ming Khoo, Nik Sherina Hanafi, Sajaratulnisah Othman, Ping Yein Lee, Khatijah Lim Abdullah and Karuthan Chinna

    Citation: BMC Family Practice 2018 19:98

    Content type: Research article

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  6. Across Canada and internationally we have poor infrastructure to regularly collect survey data from primary care practices to supplement data from chart audits and physician billings. The purpose of this work ...

    Authors: Sabrina T. Wong, William Hogg, Fred Burge, Sharon Johnston, Ilisha French and Stephanie Blackman

    Citation: BMC Family Practice 2018 19:87

    Content type: Research article

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  7. QUALICOPC is an international survey of primary care performance. QUALICOPC data have been used in several studies, yet the representativeness of the Canadian QUALICOPC survey is unknown, potentially limiting ...

    Authors: Allanah Li, Shawna Cronin, Yu Qing Bai, Kevin Walker, Mehdi Ammi, William Hogg, Sabrina T. Wong and Walter P. Wodchis

    Citation: BMC Family Practice 2018 19:77

    Content type: Research article

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  8. Falls and the resulting complications are common among frail older adults. We aimed to explore risk factors and potential prevention strategies for falls in elderly residents of Long-Term Care Facilities (LTCF).

    Authors: Emily J. Cameron, Susan K. Bowles, Emily Gard Marshall and Melissa K. Andrew

    Citation: BMC Family Practice 2018 19:73

    Content type: Research article

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  9. Cluster randomized controlled trials are often used in research in primary care but creates challenges regarding biases and confounders. We recently presented a study on low back pain from primary care in Norw...

    Authors: Erik L. Werner, Ida Løchting, Kjersti Storheim and Margreth Grotle

    Citation: BMC Family Practice 2018 19:71

    Content type: Research article

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  10. Faced with patients suffering from more than one chronic condition, or multimorbidity, general practitioners (GPs) must establish diagnostic and treatment priorities. Patients also set their own priorities to ...

    Authors: Anouk Déruaz-Luyet, Alexandra A. N’Goran, Jérôme Pasquier, Bernard Burnand, Patrick Bodenmann, Stefan Zechmann, Stefan Neuner-Jehle, Nicolas Senn, Daniel Widmer, Sven Streit, Andreas Zeller, Dagmar M. Haller and Lilli Herzig

    Citation: BMC Family Practice 2018 19:66

    Content type: Research article

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  11. Over one million asylum seekers were registered in Germany in 2016, most from Syria and Afghanistan. The Refugee Convention guarantees access to healthcare, however delivery mechanisms remain heterogeneous. Th...

    Authors: Laura F. Goodman, Guy W. Jensen, Joseph M. Galante, Diana L. Farmer and Stephanie Taché

    Citation: BMC Family Practice 2018 19:64

    Content type: Research article

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  12. burnout syndrome is a significant problem in nursing professionals. Although, the unit where nurses work may influence burnout development. Nurses that work in primary care units may be at higher risk of burno...

    Authors: Carolina S. Monsalve-Reyes, Concepción San Luis-Costas, Jose L. Gómez-Urquiza, Luis Albendín-García, Raimundo Aguayo and Guillermo A. Cañadas-De la Fuente

    Citation: BMC Family Practice 2018 19:59

    Content type: Research article

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  13. In the United States, the effective, safe huma papilloma virus (HPV) vaccine is underused and opportunities to prevent cancer continue to be missed. National guidelines recommend completing the 2–3 dose HPV va...

    Authors: Jane M. Garbutt, Sherry Dodd, Emily Walling, Amanda A. Lee, Katharine Kulka and Rebecca Lobb

    Citation: BMC Family Practice 2018 19:53

    Content type: Research article

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  14. Parkinson’s disease progressively limits patients at different levels and as a result family members play a key role in their care. However, studies show lack of an integrative approach in Primary Care to resp...

    Authors: M. V. Navarta-Sánchez, M. E. Ursua, M. Riverol Fernández, L. Ambrosio, M. Medina, S. Díaz de Cerio, M. J. Álvarez, J. M. Senosiain, A. Gorraiz, N. Caparrós, S. Anaut, R. Martín-Lanas, M. Recio and M. C. Portillo

    Citation: BMC Family Practice 2018 19:45

    Content type: Study protocol

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  15. Depression is one of the leading causes of disability and affects 10-15% of the population. The majority of people with depressive symptoms seek care and are treated in primary care. Evidence internationally f...

    Authors: Cecilia Björkelund, Irene Svenningsson, Dominique Hange, Camilla Udo, Eva-Lisa Petersson, Nashmil Ariai, Shabnam Nejati, Catrin Wessman, Carl Wikberg, Malin André, Lars Wallin and Jeanette Westman

    Citation: BMC Family Practice 2018 19:28

    Content type: Research article

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  16. Good patient experience is recognized as an important component of a strong primary care system. Among the dimensions related to experience in family medicine, the ability to cope better with health problems i...

    Authors: Christine Cohidon, Pascal Wild and Nicolas Senn

    Citation: BMC Family Practice 2018 19:27

    Content type: Research article

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  17. The use of dietary supplements and over-the-counter (OTC) drugs is increasing, and there is adequate concern about potential harmful effects. However, there are limited reports on the concurrent use of nonpres...

    Authors: Shoichi Masumoto, Mikiya Sato, Takami Maeno, Yumiko Ichinohe and Tetsuhiro Maeno

    Citation: BMC Family Practice 2018 19:20

    Content type: Research article

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  18. Chlamydia prevalence remains high despite scaling-up control efforts. Transmission is not effectively interrupted without partner notification (PN) and (timely) partner treatment (PT). In the Netherlands, the ...

    Authors: Ingrid V. F. van den Broek, Gé A. Donker, Karin Hek, Jan E. A. M. van Bergen, Birgit H. B. van Benthem and Hannelore M. Götz

    Citation: BMC Family Practice 2017 18:103

    Content type: Research article

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  19. The Japanese health care system has yet to establish structured training for primary care physicians; therefore, physicians who received an internal medicine based training program continue to play a principal...

    Authors: Makoto Kaneko, Ryuichi Ohta, Naoki Nago, Motoharu Fukushi and Masato Matsushima

    Citation: BMC Family Practice 2017 18:87

    Content type: Research article

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  20. Primary care plays a pivotal role in the provision of both mental health care and chronic disease prevention and screening (CDPS). Unfortunately, moderate mental illness (MMI) is associated with poorer general...

    Authors: Ginetta Salvalaggio, Christopher Meaney, Rahim Moineddin, Eva Grunfeld and Donna Manca

    Citation: BMC Family Practice 2017 18:73

    Content type: Research article

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  21. It is common to find a high variability in the accuracy of heart failure (HF) diagnosis in electronic primary care medical records (EMR). Our aims were to ascertain (i) whether the prognosis of HF labelled pat...

    Authors: Miguel-Angel Muñoz, Xavier Mundet-Tuduri, Jordi Real, José-Luis Del Val, Mar Domingo, Ernest Vinyoles, Ester Calero, Caterina Checa, Nuria Soldevila-Bacardit and José-María Verdú-Rotellar

    Citation: BMC Family Practice 2017 18:38

    Content type: Research article

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  22. Data on the social determinants of health can help primary care practices target improvement efforts, yet relevant data are rarely available. Our family practice located in Toronto, Ontario routinely collects ...

    Authors: A.K. Lofters, A. Schuler, M. Slater, N.N. Baxter, N. Persaud, A.D. Pinto, E. Kucharski, S. Davie, R. Nisenbaum and T. Kiran

    Citation: BMC Family Practice 2017 18:31

    Content type: Research article

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  23. Comorbidity is common in patients consulting in primary care. Musculoskeletal pain and insomnia each increase the risk of the other. Co-occurrence may pose an increased burden on well-being. However, the preva...

    Authors: Shula Baker, John McBeth, Carolyn A. Chew-Graham and Ross Wilkie

    Citation: BMC Family Practice 2017 18:17

    Content type: Research article

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  24. Little information is available about whether the use of self-assessment instruments in primary care affects depression course and outcome. The purpose was to evaluate whether using a depression self-rating sc...

    Authors: C. Wikberg, J. Westman, E-L. Petersson, M. E. H. Larsson, M. André, R. Eggertsen, J. Thorn, H. Ågren and C. Björkelund

    Citation: BMC Family Practice 2017 18:6

    Content type: Research article

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  25. Cardiovascular diseases are highly represented in multimorbidity patterns. Nevertheless, few studies have analysed the burden of these diseases in the population with multimorbidity. The objective of this stud...

    Authors: Concepción Violán, Néker Bejarano-Rivera, Quintí Foguet-Boreu, Albert Roso Llorach, Mariona Pons-Vigués, Miguel Martin Mateo and Enriqueta Pujol-Ribera

    Citation: BMC Family Practice 2016 17:150

    Content type: Research article

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  26. We aimed to determine the degree to which control targets of glycaemia and cardiovascular risk factors were achieved among patients with type 2 diabetes and to investigate sex- and age-related differences in t...

    Authors: K. Cambra, A. Galbete, L. Forga, O. Lecea, M. J. Ariz, C. Moreno-Iribas, F. Aizpuru and B. Ibañez

    Citation: BMC Family Practice 2016 17:144

    Content type: Research article

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  27. Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is a complex condition. Causal factors are not established, although underlying psychological or immunological susceptibility has been proposed. We s...

    Authors: Inger J. Bakken, Kari Tveito, Kari M. Aaberg, Sara Ghaderi, Nina Gunnes, Lill Trogstad, Per Magnus, Camilla Stoltenberg and Siri E. Håberg

    Citation: BMC Family Practice 2016 17:128

    Content type: Research article

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  28. Macrocytic anaemia (MCV ≥ 100 fL) is a relatively common finding in general practice. However, literature on the prevalence of the different causes in this population is limited. The prevalence of macrocytic a...

    Authors: Karlijn Stouten, Jurgen A. Riedl, Jolanda Droogendijk, Rob Castel, Joost van Rosmalen, Ron J. van Houten, Paul Berendes, Pieter Sonneveld and Mark-David Levin

    Citation: BMC Family Practice 2016 17:113

    Content type: Research article

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  29. Cramps are involuntary painful muscle contractions that mainly affect older people. Cramps may cause severe pain and sleep disturbance. Little information exists on the prevalence and the main features of cram...

    Authors: Hubert Maisonneuve, Juliette Chambe, Chloé Delacour, Joris Muller, Fabien Rougerie, Dagmar M. Haller and Michel Leveque

    Citation: BMC Family Practice 2016 17:111

    Content type: Research article

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  30. Many instruments have been developed to identify frail older adults in primary care. A direct comparison of the accuracy and prevalence of identification methods is rare and most studies ignore the stepped sel...

    Authors: Fleur L. Sutorius, Emiel O. Hoogendijk, Bernard A. H. Prins and Hein P. J. van Hout

    Citation: BMC Family Practice 2016 17:102

    Content type: Research article

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  31. The pathological mechanisms of lumbar spinal stenosis are unclear. Family doctors in the primary care setting may perform medical examinations of patients with lumbar spinal stenosis. Our aim was to use the pa...

    Authors: Naoto Takahashi, Osamu Shirado, Kazuki Kobayashi, Ryosuke Mashiko and Shin-ichi Konno

    Citation: BMC Family Practice 2016 17:90

    Content type: Research article

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  32. Dizziness-related impairment is a strong predictor for an unfavourable course of dizziness in older people. In this study we explored the experiences of older patients with significant dizziness-related impair...

    Authors: Hanneke Stam, Marjanne Wisse, Bram Mulder, Johannes C. van der Wouden, Otto R. Maarsingh and Henriëtte E. van der Horst

    Citation: BMC Family Practice 2016 17:74

    Content type: Research article

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  33. The prevalence of multimorbidity is increasing worldwide, presumably leading to an increased use of medicines. During the last decades the use of hypnotic and anxiolytic benzodiazepine derivatives and related ...

    Authors: Kristjan Linnet, Larus S. Gudmundsson, Frida G. Birgisdottir, Emil L. Sigurdsson, Magnus Johannsson, Margret O. Tomasdottir and Johann A. Sigurdsson

    Citation: BMC Family Practice 2016 17:69

    Content type: Research article

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  34. Multimorbidity is a highly prevalent health problem, which may reduce adherence, produce conflicts in treatment, and is not yet supported by evidence-based clinical recommendations. Many older people suffer fr...

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

    Citation: BMC Family Practice 2016 17:68

    Content type: Research article

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  35. The Four-Dimensional Symptom Questionnaire (4DSQ) is originally a Dutch 50 item questionnaire developed in primary care to assess distress, depression, anxiety and somatization. We aimed to develop and validat...

    Authors: Berend Terluin, Pemra C. Unalan, Nurver Turfaner Sipahioğlu, Seda Arslan Özkul and Harm W. J. van Marwijk

    Citation: BMC Family Practice 2016 17:53

    Content type: Research article

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  36. Various definitions of hyperkalaemia have been used in clinical research, and data from routine clinical practice on its incidence are sparse. We aimed to establish the incidence of hyperkalaemia in patients w...

    Authors: Mar Martín-Pérez, Ana Ruigómez, Alexander Michel and Luis A. García Rodríguez

    Citation: BMC Family Practice 2016 17:51

    Content type: Research article

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  37. Medically unexplained physical symptoms (MUPS) are highly prevalent and may affect work functioning. In this study we aimed to assess the longitudinal association between MUPS and work functioning over 2 years...

    Authors: Madelon den Boeft, Jos W. R. Twisk, Trynke Hoekstra, Berend Terluin, Brenda W. J. H. Penninx, Johannes C. van der Wouden, Mattijs E. Numans and Henriette E. van der Horst

    Citation: BMC Family Practice 2016 17:46

    Content type: Research article

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  38. Poor adherence to medical treatment may have considerable consequences for the patients’ health and for healthcare costs to society. The need to understand the determinants for poor adherence has motivated sev...

    Authors: Benedicte Lind Barfoed, Maja Skov Paulsen, Palle Mark Christensen, Peder Andreas Halvorsen, Trine Kjær, Mogens Lytken Larsen, Pia Veldt Larsen, Jesper Bo Nielsen, Jens Søndergaard and Dorte Ejg Jarbøl

    Citation: BMC Family Practice 2016 17:28

    Content type: Research article

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  39. The health status of the young people is an important indicator for future health and health care needs of the next generation. In order to understand the health risk factors of Saudi youth, we analyzed data f...

    Authors: Maziar Moradi-Lakeh, Charbel El Bcheraoui, Marwa Tuffaha, Farah Daoud, Mohammad Al Saeedi, Mohammed Basulaiman, Ziad A. Memish, Mohammad A. Al Mazroa, Abdullah A. Al Rabeeah and Ali H. Mokdad

    Citation: BMC Family Practice 2016 17:26

    Content type: Research article

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  40. Previous studies addressing determinants of frequent attendance have mainly focused on socio-demographic, psychosocial and medical factors, and few had data on lifestyle and gender-specific factors. This study...

    Authors: Jeanette Therming Jørgensen, John Sahl Andersen, Anne Tjønneland and Zorana Jovanovic Andersen

    Citation: BMC Family Practice 2016 17:9

    Content type: Research article

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  41. To investigate what a geriatric assessment in general practice adds towards previous findings of prevalence, location, impact and the dyadic doctor-patient perception of pain in this age group.

    Authors: Carsten Kruschinski, Birgitt Wiese, Marie-Luise Dierks, Eva Hummers-Pradier, Nils Schneider and Ulrike Junius-Walker

    Citation: BMC Family Practice 2016 17:8

    Content type: Research article

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  42. No previous study had ever looked at Burnout among medical practitioners involved in after-hours house calls (AHHC) in Australia. The growing popularity of AHHC and the high number of overseas-trained doctors ...

    Authors: Chris O. Ifediora

    Citation: BMC Family Practice 2016 17:2

    Content type: Research article

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  43. The prevalence of self-identified chronic pain in Canadian adults is approximately one in five people. Marginalization and addictions have been shown to complicate chronic pain in vulnerable populations. This ...

    Authors: Caroline Allen, Alka Murphy, Sheri Kiselbach, Stephanie VandenBerg and Ellen Wiebe

    Citation: BMC Family Practice 2015 16:182

    Content type: Research article

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  44. The primary care in China can be provided by general practitioners (GPs) and other physicians (non-GPs). However, China’s general practice system has never been really established. Chinese patients tend to con...

    Authors: Yaming Zou, Xiao Zhang, Yuantao Hao, Leiyu Shi and Ruwei Hu

    Citation: BMC Family Practice 2015 16:134

    Content type: Research article

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  45. Prevention, or slowing the progression, of diabetic nephropathy is one of the important goals in diabetes care. Although the impact of depression is a concern in patients with diabetes, it is unknown whether t...

    Authors: Hiroto Ito, Tosiya Sato, Noriko Satoh-Asahara and Mitsuhiko Noda

    Citation: BMC Family Practice 2015 16:124

    Content type: Study protocol

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    The Erratum to this article has been published in BMC Family Practice 2017 18:61

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