The British journal of general practice : the journal of the Royal College of General Practitioners
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Randomized Controlled Trial
Increasing uptake of NHS Health Checks: an RCT using GP computer prompts.
Public Health England wants to increase the uptake of the NHS Health Check (NHSHC), a cardiovascular disease prevention programme. Most invitations are sent by letter, but opportunistic invitations may be issued and verbal invitations have a higher rate of uptake. Prompting staff to issue opportunistic invitations might increase uptake. ⋯ Prompts on computer systems in general practice were effective at improving the uptake of the NHSHC, especially for males and younger patients.
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Observational Study
FORM-2C (Frequency of Renal Monitoring - Creatinine and Cystatin C): An observational cohort study of primary care patients with reduced eGFR.
Monitoring is the mainstay of chronic kidney disease management in primary care; however, there is little evidence about the best way to do this. ⋯ In the primary analysis neither eGFR estimated from serum creatinine nor from serum cystatin C predicted future change in kidney function, partly due to small changes during 2 years. In some secondary analyses there was a suggestion that serum cystatin C was a more useful biomarker to estimate eGFR, especially in those with a baseline eGFR <60 ml/min/1.73 m2.