Primary Health Care

Letter Primary Health Care

How to ensure better healthcare experiences for transgender people

Maria Maddalena Sirufo, Lina Maria Magnanimi, Lia Ginaldi, Massimo De Martinis

FAMILY PRACTICE (2022)

Article Endocrinology & Metabolism

Serum uric acid levels and diabetic kidney disease in patients with type 2 diabetes mellitus: A dose-response meta-analysis

Pan Ji, Jieyun Zhu, Jihua Feng, Hongyuan Li, Qiao Yu, Han Qin, Lile Wei, Jianfeng Zhang

Summary: This study assessed the association between serum uric acid (SUA) levels and diabetic kidney disease (DKD) in patients with type 2 diabetes mellitus (T2DM). The findings suggest that higher SUA levels are associated with an increased risk of DKD in T2DM patients. The risk of DKD increases by 24% for each 1 mg/dl increase in SUA. These results highlight the potential of SUA as a predictor for DKD in T2DM patients.

PRIMARY CARE DIABETES (2022)

Article Primary Health Care

Identification of Depression Among Elderly During COVID-19

Meily Kurniawidjaja, Indri Hapsari Susilowati, Dadan Erwandi, Abdul Kadir, Bonardo Prayogo Hasiholan, Rijal Al Ghiffari

Summary: This study aims to assess depression among the elderly during the COVID-19 pandemic and to identify risk factors associated with it, such as socio-demographic, physical and psychosocial conditions, and family support. The findings showed significant associations between depression and retirement/income, dependency, fitness/health status, family/social support, and sources of funds. Measures for social, health, and psychosocial support should be implemented to minimize the impact of depression among the elderly.

JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH (2022)

Article Primary Health Care

Differences in Hypertension Medication Prescribing for Black Americans and Their Association with Hypertension Outcomes

Hunter K. Holt, Ginny Gildengorin, Leah Karliner, Valy Fontil, Rajiv Pramanik, Michael B. Potter

Summary: By analyzing the differences in prescription patterns and hypertension (HTN) control between Black/African Americans (BAA) and non-BAA individuals, the study found that providers seem to be following race-based guidelines for HTN treatment. However, HTN control for BAA remains worse than non-BAA, suggesting that an individualized approach to HTN therapy may be more important than race-based guidelines.

JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE (2022)

Article Primary Health Care

Beliefs, barriers, and acceptance associated with COVID-19 vaccination among Taif University students in Saudi Arabia

Ali S. Mubarak, Ameera S. Baabbad, Nada A. Almalki, Ghaida T. Alrbaiai, Ghadi A. Alsufyani, Danah K. Kabrah

Summary: This study aimed to assess the beliefs, barriers, and acceptance of COVID-19 vaccination among Taif University students in Saudi Arabia. The results showed that most students were willing to take the vaccine, and beliefs in vaccine safety and effectiveness, as well as trust in the vaccine's ability to prevent complications, were associated with a higher acceptance rate.

JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE (2022)

Article Endocrinology & Metabolism

Impacts of the COVID-19 pandemic on unmet social needs, self-care, and outcomes among people with diabetes and poor glycemic control

Minal R. Patel, Guanghao Zhang, Cindy Leung, Peter X. K. Song, Michele Heisler, Hae Mi Choe, Roshanak Mehdipanah, Xu Shi, Kenneth Resnicow, Geila Rajaee, John D. Piette

Summary: This study aimed to examine the impact of pandemic exposure on unmet social and diabetes needs, self-care behaviors, and diabetes outcomes among individuals with diabetes and poor glycemic control. The results showed that adults with low incomes and diabetes were most affected during the pandemic.

PRIMARY CARE DIABETES (2022)

Article Primary Health Care

Effects of the COVID-19 confinement period on hip strength, flexibility and muscle injury rate in professional soccer players

Cigdem Demir, Burak Subasi, Gulcan Harput

Summary: This study examined the effects of COVID-19 confinement on muscle strength and flexibility in professional male soccer players. The results showed that the 8-week confinement had a negative impact on hamstring eccentric strength and flexibility, and some players experienced muscle injuries when they returned to play.

PHYSICIAN AND SPORTSMEDICINE (2023)

Article Primary Health Care

Multistakeholder Perspectives on Data Sharing to Address Patient Food Insecurity

Andrea Lynn Nederveld, Jodi Holtrop, Kelsey Fife Duarte, Macharnie Skalecki, Elena T. Broaddus-Shea

Summary: Social determinants of health have an impact on health outcomes, with food insecurity being the most common need. Many healthcare organizations have started screening for and referring patients to food assistance resources, but there are varying perspectives among stakeholders regarding privacy concerns and the workload involved in this process.

JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE (2022)

Article Primary Health Care

Withdrawing from SSRI antidepressants: advice for primary care

Emilia G. Palmer, Sangeetha Sornalingam, Lisa Page, Maxwell Cooper

BRITISH JOURNAL OF GENERAL PRACTICE (2023)

Article Primary Health Care

Impact of COVID-19 prevention measures on health service quality, perceived value and user satisfaction. A structural equation modelling (SEM) approach

Diego Gomez-Carmona, Alberto Paramio, Serafin Cruces-Montes, Pedro P. Marin-Duenas

Summary: This study explains the impact of confidence in COVID-19 preventive measures on patient satisfaction using a structural equation model, and analyzes the effect of these measures on service quality and perceived value. The results indicate that confidence has a positive direct effect on service quality, perceived value, and user satisfaction.

ATENCION PRIMARIA (2022)

Article Endocrinology & Metabolism

2022 update to the position statement by Primary Care Diabetes Europe: a disease state approach to the pharmacological management of type 2 diabetes in primary care

S. Seidu, X. Cos, S. Brunton, S. B. Harris, S. P. O. Jansson, M. Mata-Cases, A. M. J. Neijens, P. Topsever, K. Khunti

Summary: This article introduces a simple and patient-centered clinical decision-making model that can be widely implemented by primary care clinicians worldwide through shared-decision conversations with their patients. It highlights the importance of managing cardiovascular disease and elevated cardiovascular risk in patients with type 2 diabetes and provides innovative risk stratification and treatment strategies.

PRIMARY CARE DIABETES (2022)

Review Primary Health Care

Adults with intellectual disabilities and mental health disorders in primary care: a scoping review

Katrien P. M. Pouls, Monique C. J. Koks-Leensen, Mathilde Mastebroek, Geraline L. Leusink, Willem J. J. Assendelft

Summary: Through a scoping review, it was found that GPs play important, diverse, and demanding roles in caring for patients with both intellectual disabilities and mental health disorders. However, there are identified gaps regarding effective training, guidelines and tools, collaborative mental health care, and payment models.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Review Primary Health Care

Global youth vaping and respiratory health: epidemiology, interventions, and policies

Lynnette Nathalie Lyzwinski, John A. Naslund, Christopher J. Miller, Mark J. Eisenberg

Summary: The usage of e-cigarettes, also known as vaping products, is being widely recognized as a global public health issue. One significant challenge is the marketing of these products to minors, leading to an increase in usage among teenagers and children. E-cigarettes expose minors to unnecessary health risks, including respiratory problems and cognitive impairment. They are also linked to the initiation of other substances, such as cigarettes and cannabis, which compounds the health risks for dual users. More interventions and stricter public health policies are needed to prevent and reduce e-cigarette usage among minors.

NPJ PRIMARY CARE RESPIRATORY MEDICINE (2022)

Article Primary Health Care

Supportive interactions with primary care doctors are associated with better mental health among transgender people: results of a nationwide survey in Aotearoa/New Zealand

Gareth J. Treharne, Rona Carroll, Kyle K. H. Tan, Jaimie F. Veale

Summary: This study investigates the relationship between supportive healthcare interactions and the mental health of transgender people. The results suggest that transgender individuals who receive supportive care from their primary care doctors have better mental health outcomes despite ongoing negative healthcare experiences. These findings highlight the importance of positive aspects of care.

FAMILY PRACTICE (2022)

Article Primary Health Care

COVID-19 and Acute Otitis Media in Children: A Case Series

Holly M. Frost, Thresia Sebastian, Amy Keith, Melanie Kurtz, Samuel R. Dominguez, Sarah K. Parker, Timothy C. Jenkins

Summary: This study reveals the association between SARS-CoV-2 and acute otitis media (AOM) in children, demonstrating that COVID-19 and AOM can co-exist. Healthcare providers should maintain a high index of suspicion for COVID-19 when evaluating children with AOM.

JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH (2022)

Article Primary Health Care

Efficacy and safety of endoscopic sleeve gastroplasty and laparoscopic sleeve gastrectomy with 12+months of adjuvant multidisciplinary support

Prudence Carr, Tim Keighley, Peter Petocz, Michelle Blumfield, Graeme G. Rich, Felicity Cohen, Asha Soni, Isabella R. Maimone, Flavia Fayet-Moore, Elizabeth Isenring, Skye Marshall

Summary: This study examined the effectiveness and safety of ESG and LSG weight loss procedures in the Australian setting. The results showed that LSG had higher excess weight loss than ESG at 12 months, while ESG improved quality of life and some biochemical markers at both 6 and 12 months. Both procedures achieved some success in reducing fat mass.

BMC PRIMARY CARE (2022)

Article Primary Health Care

Perceptions on barriers, facilitators, and recommendations related to mental health service delivery during the COVID-19 pandemic in Quebec, Canada: a qualitative descriptive study

Jessica Spagnolo, Marie Beausejour, Marie-Josee Fleury, Jean-Francois Clement, Claire Gamache, Carine Sauve, Lyne Couture, Richard Fleet, Shane Knight, Christine Gilbert, Helen-Maria Vasiliadis

Summary: This study examines the barriers and facilitating factors for mental health service delivery during the pandemic in Quebec, Canada. Some barriers were caused by the pandemic, such as staff relocation and service interruption. Virtual services were found to be more convenient for certain populations. Recommendations were made to strengthen human and technological capacity to improve mental health service delivery.

BMC PRIMARY CARE (2022)

Article Primary Health Care

Performance in major league baseball pitchers after surgical treatment of thoracic outlet syndrome

Michael J. Gutman, Brian S. Gutman, Christopher D. Joyce, Jacob M. Kirsch, Matthew B. Sherman, Surena Namdari

Summary: The study found that 74% of professional pitchers who undergo surgical intervention for TOS are able to return to play at the MLB level. The majority of pitching metrics remained unchanged from prior to surgery, indicating return at a similar functional level.

PHYSICIAN AND SPORTSMEDICINE (2022)

Article Primary Health Care

Primary care workforce composition and population, professional, and system outcomes: a retrospective cross-sectional analysis

Jon Gibson, Igor Francetic, Sharon Spooner, Kath Checkland, Matt Sutton

Summary: This study examined the associations between primary care workforce composition and professional, population, and system outcomes in GP practices across England. The results showed that having more GPs was associated with higher levels of satisfaction for both GPs and patients. However, having additional nurses and health associate professionals was associated with lower costs per prescription but more prescribing activity. The study highlights the importance of workforce composition in primary care and its impact on various outcomes.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

Article Primary Health Care

Identifying multimorbidity clusters with the highest primary care use: 15 years of evidence from a multi-ethnic metropolitan population

Marina Soley-Bori, Alessandra Bisquera, Mark Ashworth, Yanzhong Wang, Stevo Durbaba, Hiten Dodhia, Julia Fox-Rushby

Summary: Patients with multimorbidity have higher primary care consultation rates, especially when additional long-term conditions develop. The clusters with the highest increase in primary care consultations as more conditions accumulate are alcohol dependence, substance dependence, and HIV cluster, as well as the mental health cluster. Variations by ethnicity were observed, with the most significant impact seen in the chronic liver disease and viral hepatitis cluster for individuals of Black or Asian ethnicity. Targeting clinical practice to prevent multimorbidity progression in these groups could reduce future pressures on primary care demand.

BRITISH JOURNAL OF GENERAL PRACTICE (2022)