International journal of clinical practice
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Int. J. Clin. Pract. · Sep 2012
Meta Analysis Comparative StudyStructured management strategy based on the Gastro-oesophageal Reflux Disease (GERD) Questionnaire (GerdQ) vs. usual primary care for GERD: pooled analysis of five cluster-randomised European studies.
Response to treatment among primary care patients with gastro-oesophageal disease (GERD) is variable. ⋯ Management of primary care patients with GERD can be improved by systematic stratification of patients using a patient management tool such as the GerdQ.
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Int. J. Clin. Pract. · Jul 2012
Multicenter Study Comparative StudyA dual-centre, cohort comparison of open, laparoscopic and robotic-assisted radical cystectomy.
The role of minimally invasive radical cystectomy as opposed to open surgery for bladder cancer is not yet established. We present comparative outcomes of open, laparoscopic and robotic-assisted radical cystectomy ⋯ Despite study limitations, RARC had the lowest transfusion and complication rates and the shortest length of stay, although taking the longest to perform.
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Diabetes mellitus is a risk factor for the development of coronary artery disease and chronic heart failure. When carefully screened for, diabetes or prediabetic disorders, are present in the majority of patients with clinically manifest ischaemic heart disease, and confer a major adverse impact upon morbidity and mortality. ⋯ However, despite optimal management, aided by recent landmark trials solely recruiting patients with diabetes, outcomes for patients with diabetes and heart disease remain poor. This review outlines the epidemiology, pathogenesis and management of diabetic heart disease, along with highlighting the many gaps in the evidence-base and suggesting future research priorities.