Family practice
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Clinical research in family medicine can improve health outcomes and increase physicians' professionalism, yet is modest compared to other disciplines and receives little funding. ⋯ Providing time dedicated to research, administrative support, research training and education about the importance of research could increase participation in research by primary care physicians.
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Recent aspirin trials have not shown similar benefits for primary prevention as older studies. ⋯ Per 1200 persons taking aspirin for primary prevention for 5 years, there will be 4 fewer MACEs, 3 fewer ischaemic strokes, 3 more intracranial haemorrhages and 8 more major bleeding events. Aspirin should no longer be recommended for primary prevention.
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Depression is associated with receipt of opioids in non-cancer pain. ⋯ There is modest evidence to conclude that patients with CLBP and comorbid depression, compared with those without depression, were more likely to try both opioid and non-opioid pain treatments. Non-response to other pain treatments may partly explain why depression is associated with greater prescription opioid use.
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Randomized Controlled Trial
Work-relatedness of the presented health problem and sickness absence.
Perception by workers of their health problems as work-related is possibly associated with sickness absence (SA). The aim of this study was to to study the relationship between perceived work-relatedness of health problems and SA among workers who visit their GP, taking the influence of other potential determinants into account and to study the influence of these determinants on SA. Design and setting prospective cohort study in 32 Dutch GP practices. ⋯ Perceived work-relatedness was not associated with SA. SA was associated with chronic illness, prior SA, low perceived work ability and age over 50.
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Comparative Study
Urinary incontinence in women: treatment barriers and significance for Danish and German GPs.
Female urinary incontinence (UI) is common. Only scant information exists on the significance of UI for GPs' consultations. ⋯ In consultations with female GPs, UI was discussed significantly more frequently than with male GPs. Compared with the Danish GPs, German GPs stated significantly more uncertainties regarding UI treatment measures, and tended not to use UI guidelines.