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British Journal of General Practice

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Health inequalities

Wilfrid Treasure
British Journal of General Practice 2011; 61 (584): 224. DOI: https://doi.org/10.3399/bjgp11X561348
Wilfrid Treasure
Muirhouse Medical Group, Edinburgh. E-mail:
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I was struck by some statements in two of the leaders in the December Journal so I looked up the references.

One leader1 reported that ‘practices in deprived localities improved performance to the level of their peers in the least deprived areas over a period of only 3 years’ and referenced three papers. The first of these papers2 didn't seem to me to compare deprived areas with other areas. The second3 was a review article that supported its comments about deprivation by referencing a leader rather than a research paper — I didn't pursue that line of enquiry. And the third4 was a cross-sectional study that didn't seem to report change over time.

The other leader reported that ‘The DASH diet … is associated with a lower incidence of heart failure, all-cause mortality, and stroke’5 and referenced two papers. The first6 demonstrated a reduction in Framingham 10-year coronary heart disease risk score rather than in outcomes; and the second7 was a review article, the abstract of which (I couldn't access the full article) referred to evidence of risk factor reduction rather than event reduction.

My interpretation of these papers doesn't seem the same as the leader writers' and I'd welcome some clarification.

  • © British Journal of General Practice, January 2011

REFERENCES

  1. ↵
    1. Hull S
    (2010) Health inequalities affect the health of all. Br J Gen Pract 60(581):877–878.
    OpenUrlFREE Full Text
  2. ↵
    1. Campbell SM,
    2. Reeves D,
    3. Kontopantelis E,
    4. et al.
    (2009) Effects of pay for performance on the quality of primary care in England. N Eng J Med 361(4):368–378.
    OpenUrlCrossRefPubMed
  3. ↵
    1. Ashworth M,
    2. Kordowicz M
    (2010) Quality and Outcomes Framework: time to take stock. Br J Gen Pract 60(578):637–638.
    OpenUrlFREE Full Text
  4. ↵
    1. Kiran T,
    2. Hutchings A,
    3. Dhalla IA,
    4. et al.
    (2010) The association between quality of primary care, deprivation and cardiovascular outcomes: a cross-sectional study using data from the UK Quality and Outcomes Framework. J Epidemiol Community Health 64(10):927–934.
    OpenUrlAbstract/FREE Full Text
  5. ↵
    1. Nicoll R,
    2. Henein MY
    (2010) Hypertension and lifestyle modification: how useful are the guidelines? Br J Gen Pract 60(581):879–880.
    OpenUrlFREE Full Text
  6. ↵
    1. Chen ST,
    2. Maruthur NM,
    3. Appel LJ
    (2010) The effect of dietary patterns on estimated coronary heart disease risk: results from the Dietary Approaches to Stop Hypertension (DASH) trial. Circ Cardiovasc Qual Outcomes 3(5):484–489.
    OpenUrlAbstract/FREE Full Text
    1. Craddick SR,
    2. Elmer PJ,
    3. Obarzanek E,
    4. et al.
    (2003) The DASH diet and blood pressure. Curr Atheroscler Rep 5(6):484–491.
    OpenUrlCrossRefPubMed
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British Journal of General Practice: 61 (584)
British Journal of General Practice
Vol. 61, Issue 584
March 2011
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Health inequalities
Wilfrid Treasure
British Journal of General Practice 2011; 61 (584): 224. DOI: 10.3399/bjgp11X561348

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Health inequalities
Wilfrid Treasure
British Journal of General Practice 2011; 61 (584): 224. DOI: 10.3399/bjgp11X561348
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  • GPs’ understanding of the wider workforce in primary care
  • 2020 vision? A retrospective study of time-bound curative claims in British and Irish newspapers
  • Verschlimmbesserung
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