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British Journal of General Practice

Intended for Healthcare Professionals

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BJGP Research Conference: 31 March 2023 | RCGP, London View Programme

Feature

Cancer risk in patients with fatigue

Tiredness combined with other general symptoms like weight loss or abdominal pain could be a sign of cancer in older patients, according to this new study from University College London. Researchers looked at health records of over a quarter of a million people in England whose doctors noted that they were tired, but who didn't have any 'alarm' symptoms of cancer. It showed that more than 3% of older patients who were tired and had other general symptoms were later diagnosed with cancer within the next 9 months. These findings could help doctors spot cancer in people who don't have any obvious symptoms.

British Journal of General Practice: 73 (727)

CURRENT ISSUE

February 2023 (Vol. 73 Issue 727) Table of Contents
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Highlights

  • Unintended consequences of patient online access to health records: a qualitative study in UK...
    21 December 2022
  • Diagnosing hypertension in primary care: a retrospective cohort study to investigate the importance...
    21 December 2022
  • Earlier heart failure diagnosis in primary care
    21 December 2022
  • Help-seeking behaviour in women diagnosed with gynaecological cancer: a systematic review
    24 November 2022
  • Medical treatment for heavy menstrual bleeding in primary care: 10-year data from the ECLIPSE trial
    24 November 2022
  • Women’s health matters
    24 November 2022
  • Measuring continuity of care in general practice: a comparison of two methods using routinely...
    27 October 2022
  • Change in treatment burden among people with multimorbidity: a follow-up survey
    27 October 2022

Online First

  • GPs’ awareness of pregnancy: trends and association with hazardous medication use
    Eline Houben, et al
    British Journal of General Practice 23 January 2023; BJGP.2022.0193. DOI: https://doi.org/10.3399/BJGP.2022.0193
  • Adverse drug reactions and associated patient characteristics in older community-dwelling adults: a 6-year prospective cohort study
    Ann S Doherty, et al
    British Journal of General Practice 23 January 2023; BJGP.2022.0181. DOI: https://doi.org/10.3399/BJGP.2022.0181
  • How have remote and digital approaches impacted continuity? A mixed-studies systematic review
    Emma Ladds, et al
    British Journal of General Practice 23 January 2023; BJGP.2022.0398. DOI: https://doi.org/10.3399/BJGP.2022.0398
  • Impact of COVID-19 pandemic on incidence of long-term conditions in Wales: a population data linkage study
    Cathy Qi, et al
    British Journal of General Practice 23 January 2023; BJGP.2022.0353. DOI: https://doi.org/10.3399/BJGP.2022.0353
  • The CRISP Trial: RCT of a decision support tool for risk-stratified colorectal cancer screening
    Jon Emery, et al
    British Journal of General Practice 23 January 2023; BJGP.2022.0480. DOI: https://doi.org/10.3399/BJGP.2022.0480
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Recent Features

BJGP Research Conference

BJGP Research Conference is a one-day focused event with lots of new information for your CPD, and opportunities for networking with other primary care academics and clinicians. Workshops, plenaries, and parallel sessions provide learning opportunities valuable to researchers at all stages of their career. By ‘pulling back the curtain’ on the publishing process, the BJGP reveals how medical journals and academic publishing work, providing insight to new and established authors. See the Programme and book your place today.

Workshops include: Build a second brain: taking smart notes and ‘Personal Knowledge Management’ systems; How to get published for early career researchers; and All you need to know about non-research writing. The keynote speaker is Prof. Trish Greenhalgh, and there will be many opportunities to engage with other primary care academics and clinicians. Find out more at BJGP Research Conference.

 

Natriuretic peptide testing and heart failure diagnosis

For people presenting to primary care with symptoms of heart failure, guidelines recommend natriuretic peptide testing to inform referral. However, European Society of Cardiology (ESC) and National Institute for Health and Care Excellence (NICE) guidelines differ three-fold in their suggested cut-offs. A lower threshold means fewer cases of heart failure are missed but more diagnostic assessments are required. In addition, this study shows that a natriuretic peptide level below both ESC and NICE recommended thresholds is reliable for ruling out heart failure.

 

BJGP Top 10 research

This is the Top 10 most read and published research in 2022. Listen to the accompanying podcast where BJGP Editors discuss the Top 10. No. 10. Burnout among GPs: estimates of GP burnout vary across studies, from 6% to 32%. No. 9. Breast pain and breast cancer: breast pain alone is not associated with breast cancer. No. 8. Consequences of online consultations: these can disadvantage some patients and create additional work for staff. No. 7. Anxiety prescribing: prescribing increases may reflect better detection, but some prescribing is not evidence based. No. 6. Speculum-free cervical screening: 17% more women undertook cervical screening when offered a speculum-free test. No. 5. Continuity of care for dementia: higher continuity is associated with lower risk of delirium, incontinence, and emergency admissions. No. 4. GP wellbeing during COVID-19: international evidence and key sources of GP stress. No. 3. Why GPs rarely do video consultations: phone is often preferred, as well as face-to-face when visuals are needed. No. 2. Proton pump inhibitor overuse: predictors of PPI overuse include unnecessary ulcer prophylaxis. No. 1. Unreliability of the NICE Traffic Light tool: this tool was found to be unreliable for identifying seriously unwell children in primary care.

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Intended for Healthcare Professionals

Altmetric Data

Altmetric tracks attention and engagement of scholarly articles. The following list shows the articles most frequently shared in social media over the past six months.

  • Article has an altmetric score of 1320
    Adverse drug reactions and associated patient characteristics in older community-dwelling adults: a 6-year prospective cohort study
    Last mentioned on Sat Jan 28 2023
  • Article has an altmetric score of 1147
    Potential impact of NICE guidelines on referrals from primary care to nephrology: a primary care database and prospective research study
    Last mentioned on Thu Jan 26 2023
  • Article has an altmetric score of 293
    Mapping opportunities for the earlier diagnosis of psoriasis in primary care settings in the UK: results from two matched case–control studies
    Last mentioned on Thu Nov 24 2022
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British Journal of General Practice is an editorially-independent publication of the Royal College of General Practitioners
© 2023 British Journal of General Practice

Print ISSN: 0960-1643
Online ISSN: 1478-5242