The British journal of general practice : the journal of the Royal College of General Practitioners
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Randomized Controlled Trial Observational Study
Predicting illness progression for children with lower respiratory infections in primary care: a prospective cohort and observational study.
Antibiotics are commonly prescribed for children with lower respiratory tract infections (LRTIs), fuelling antibiotic resistance, and there are few prognostic tools available to inform management. ⋯ A simple three-item prognostic score could be useful as a tool to identify children with LRTI who are at low risk of an adverse outcome and to guide clinical management.
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Spirometry services to diagnose and monitor lung disease in primary care were identified as a priority in the NHS Long Term Plan, and are restarting post-COVID-19 pandemic in England; however, evidence regarding best practice is limited. ⋯ Stakeholders highlighted historic challenges and the damaging effects of the pandemic contributing to inequity in provision of spirometry, which must be addressed. Overall, stakeholders were positive about the potential of AI to support clinicians in quality assessment and interpretation of spirometry. However, it was evident that validation of the software must be sufficiently robust for clinicians and healthcare commissioners to have trust in the process.
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Most cancer diagnostic pathways start from primary care and several factors affect the diagnostic processes. ⋯ A longer symptom duration and presenting without cancer-specific symptoms were associated with GPs assessing the diagnostic process as poor.