The British journal of general practice : the journal of the Royal College of General Practitioners
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Comment Letter
Maternal depression and primary healthcare use for children.
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Route to heart failure diagnosis in English primary care: a retrospective cohort study of variation.
Despite the existence of evidence-based guidelines supporting the identification of heart failure (HF) in primary care, the proportion of patients diagnosed in this setting remains low. Understanding variation in patients' routes to diagnosis will better inform HF management. ⋯ The significant association of certain patient characteristics with route to HF diagnosis and the variation between GP practices raises concerns about equitable HF management. Further studies should investigate reasons for this variation to improve the diagnosis of HF in primary care. However, these must consider the complexities of a patient group often affected by frailty and multiple comorbidities.