Article
Public, Environmental & Occupational Health
Katherine M. Iverson, Kelly L. Stolzmann, Julianne E. Brady, Omonyele L. Adjognon, Melissa E. Dichter, Robert A. Lew, Megan R. Gerber, Galina A. Portnoy, Samina Iqbal, Sally G. Haskell, LeAnn E. Bruce, Christopher J. Miller
Summary: This study investigates the impact of implementation facilitation on the integration of intimate partner screening programs in primary care. The results show that implementation facilitation can increase the reach of screening programs and improve IPV detection, strengthening connections to support services among patients.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2023)
Article
Medicine, General & Internal
Elizabeth Needham Waddell, George S. Leibowitz, Levi N. Bonnell, Gail L. Rose, Mark Mcgovern, Benjamin Littenberg
Summary: Rates of alcohol-associated deaths have been increasing over the past 20 years, with a significant rise between 2019 and 2020. This study investigates the geographic disparities in documentation of alcohol-related problems in primary care electronic health records, which may result in undertreatment of alcohol use disorder.
Review
Psychology, Clinical
Maxime Pautrat, Jean Pierre Lebeau, Catherine Laporte
Summary: This study aims to identify and suggest steps to help practitioners select the appropriate addictive disorder screening tests validated in primary care. The review found 17 validated questionnaires for substance use disorders in primary care, but none for non-substance addictive behaviors. Some tests screen for a variety of substance use disorders, while others have only a few questions to improve feasibility. Shorter tests, however, had weaker psychometric properties and need further assessment in primary care.
ADDICTIVE BEHAVIORS
(2022)
Article
Multidisciplinary Sciences
Ann John, Joanna McGregor, Amanda Marchant, Marcos DelPozo-Banos, Ian Farr, Ulugbek Nurmatov, Alison Kemp, Aideen Naughton
Summary: We aimed to create the first externally validated algorithm for identifying childhood maltreatment (CM) using routinely collected healthcare data. Our algorithm outperformed previously published lists in primary care, identifying 43-72% of cases with a specificity >= 85%. However, the identification of CM cases in hospital admissions data was lower, identifying between 9 and 28% of cases with high specificity (> 96%).
SCIENTIFIC REPORTS
(2023)
Review
Pediatrics
Sarah Loveday, Teresa Hall, Leanne Constable, Kate Paton, Lena Sanci, Sharon Goldfeld, Harriet Hiscock
Summary: This article systematically reviews the impact of ACEs screening on children and parents. The findings suggest that ACEs screening increases identification of adversity and may lead to increased referrals to services, but there is limited data on referral uptake and mental health outcomes.
Review
Oncology
Juliet A. Usher-Smith, Sarah Hindmarch, David P. French, Marc Tischkowitz, Sowmiya Moorthie, Fiona M. Walter, Rebecca A. Dennison, Francisca Stutzin Donoso, Stephanie Archer, Lily Taylor, Jon Emery, Stephen Morris, Douglas F. Easton, Antonis C. Antoniou
Summary: The National Institute for Health and Care Excellence (NICE) in the UK recommends offering risk-reducing medication and enhanced breast screening to women at moderate or high risk of breast cancer. In June 2022, NICE made a significant shift in recommending proactive risk assessment in primary care, paving the way for a primary care-based screening program. While there are benefits to this approach, there are also uncertainties and research gaps that need to be addressed before implementation.
BRITISH JOURNAL OF CANCER
(2023)
Article
Medicine, General & Internal
Ailin Song, Jay B. Lusk, Kyung-Min Roh, Kevin J. Jackson, Karen A. Scherr, Ryan P. McNabb, Ranee Chatterjee, Anthony N. Kuo
Summary: Fundoscopic examination is rarely performed and not sensitive for detecting DR in primary care practice. Research is needed to explore and overcome barriers to implementing effective primary care-based DR screening strategies.
Review
Genetics & Heredity
Grant M. Wood, Sander van Boom, Kasper Recourt, Elisa J. F. Houwink
Summary: Family health history (FHH) is an important data type for assessing genetic risks, and despite advancements in technology, FHH remains the most accessible and practical tool. This paper outlines a process for primary care professionals to choose FHH digital tools based on ISO/TS 82304-2 Technical Specification, and introduces the FHH Quick App Review to quickly assess the quality and reliability of an FHH app.
Review
Medicine, General & Internal
Sarah E. Piombo, Julia Stal, Dalia Kagramanov, Lynn Kysh, David R. Freyer, Barbara J. Turner, Kimberly A. Miller
Summary: This scoping review aims to explore and analyze the integration of primary care and childhood cancer survivorship care to improve follow-up for survivors. The review will identify existing models of care, examine their effectiveness, and characterize barriers and facilitators for integration in this context.
Review
Primary Health Care
Spela Mirosevic, Zalika Klemenc-Ketis, Borut Peterlin
Summary: This review examines the current medical family history (FH) tools available for primary care and evaluates their clinical performance. Limited reporting and assessment of analytical and clinical validity were found, with half of the tools showing poor specificity. Most tools demonstrated the ability to successfully identify individuals at increased risk of disease.
EUROPEAN JOURNAL OF GENERAL PRACTICE
(2022)
Review
Multidisciplinary Sciences
Raphael Manhaes Pessanha, Sara Isabel Pimentel de Carvalho Schuab, Karolini Zuqui Nunes, Luis Carlos Lopes-Junior
Summary: Hereditary Neoplastic Syndromes, caused by inherited alterations, have a high psychosocial and economic burden. Family history can be a useful resource for assessing cancer risk, aiding in early screening and prevention.
Review
Pediatrics
Alex R. Kemper, Tiasha Barik Letostak, Cody A. Hostutler, Kevin G. Stephenson, Eric M. Butter
Summary: This study evaluated the evidence regarding anxiety screening test accuracy in primary care for children and adolescents, as well as the effectiveness of treatment for individuals identified through screening. The results indicate significant gaps in evidence related to anxiety screening in the primary care setting.
Review
Pediatrics
Milena Bergmann, Joerg Haasenritter, Dominik Beidatsch, Sonja Schwarm, Kaja Hoerner, Stefan Boesner, Paula Grevenrath, Laura Schmidt, Annika Viniol, Norbert Donner-Banzhoff, Annette Becker
Summary: Cough is a common symptom in children seen by primary care physicians, with various underlying causes including upper respiratory tract infections and bronchitis. Chronic cough may involve asthma and pertussis, and further research is needed to assess pre-test probabilities for differential diagnoses of cough in children.
Article
Health Care Sciences & Services
Rhodri Johnson, Lucy J. Griffiths, Laura E. Cowley, Karen Broadhurst, Rowena Bailey
Summary: This study examines risk factors for domestic violence and abuse (DVA) within a cohort of mothers involved in public law family court proceedings in Wales and a matched general population comparison group. The study found that mothers involved in public law family court proceedings were 8 times more likely to have had exposure to DVA documented in their primary care records than the general population group. Risk factors for DVA in this group of mothers included living in sparsely populated areas, assault-related emergency department attendances, and mental health conditions.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Medicine, General & Internal
Leonard H. Epstein, Denise E. Wilfley, Colleen Kilanowski, Teresa Quattrin, Steven R. Cook, Ihuoma U. Eneli, Nancy Geller, Daphne Lew, Michael Wallendorf, Peter Dore, Rocco A. Paluch, Kenneth B. Schechtman
Summary: This randomized clinical trial evaluated the effects of family-based treatment for childhood overweight or obesity implemented in pediatric primary care settings. The results showed that children receiving family-based treatment had better weight outcomes, and siblings who were not directly treated also had improved weight outcomes. This study suggests that family-based treatment may offer a novel approach for families with multiple children.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
