Care management for depression and osteoarthritis pain in older primary care patients: a pilot study

2008 ◽  
Vol 23 (11) ◽  
pp. 1166-1171 ◽  
Author(s):  
Jürgen Unützer ◽  
Melinda Hantke ◽  
Diane Powers ◽  
Lori Higa ◽  
Elizabeth Lin ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Care Management ◽  
Osteoarthritis Pain ◽  
Primary Care Patients

scholarly journals Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Maria Salinas ◽  
Maria Leiva-Salinas ◽  
Emilio Flores ◽  
Maite López-Garrigós ◽  
Carlos Leiva-Salinas
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Pilot Study ◽  
Iron Deficiency ◽  
Laboratory Testing ◽  
Laboratory Tests ◽  
Young Female ◽  
Cross Sectional ◽  
Primary Care Patients ◽  
Cross Sectional Studies

Background. The aim was to study the demographic and laboratory pattern of primary care patients with alopecia undergoing laboratory testing, more specifically, the request of hemoglobin and ferritin and values showing anemia and iron deficiency, and to evaluate the effects of an intervention involving automatic ferritin registration and measurement when not requested. Methods. Retrospective and prospective observational cross-sectional studies were conducted, as well as an intervention to automatically register and measure ferritin when not requested by the general practitioner. Results. There were 343 and 1032 primary care laboratory requests prompted by alopecia in the retrospective and prospective studies. Hemoglobin was requested in almost every patient and ferritin in 88%. 5% of the cohort had anemia, and 25% had iron deficiency. The intervention registered and measured that 123 ferritin and 24 iron deficiencies were detected in patients with alopecia, all women, at a cost of 10.6€. Conclusion. Primary care patients with alopecia and laboratory tests request were mainly young female. Our intervention added ferritin when not requested, detecting iron deficiency in 27.9% of women, potentially avoiding the adverse effects of iron deficiency on hair loss.

scholarly journals Primary care patients in psychiatric clinical trials: a pilot study using videoconferencing

2007 ◽  
Vol 6 (1) ◽  
Author(s):  
Janet BW Williams ◽  
Amy Ellis ◽  
Arthur Middleton ◽  
Kenneth A Kobak
Keyword(s):  
Primary Care ◽  
Clinical Trials ◽  
Pilot Study ◽  
Primary Care Patients

scholarly journals Depression Outcomes in Smokers and Nonsmokers: Comparison of Collaborative Care Management Versus Usual Care

2019 ◽  
Vol 10 ◽  
pp. 215013271986126 ◽  
Author(s):  
Joseph A. Akambase ◽  
Nathaniel E. Miller ◽  
Gregory M. Garrison ◽  
Paul Stadem ◽  
Heather Talley ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Outcomes ◽  
Collaborative Care ◽  
Clinical Remission ◽  
Care Management ◽  
Negative Impact ◽  
Reference Group ◽  
Care Practice ◽  
Treatment Type ◽  
Primary Care Patients

Background: Depression is common in the primary care setting and tobacco use is more prevalent among individuals with depression. Recent research has linked smoking to poorer outcomes of depression treatment. We hypothesized that in adult primary care patients with the diagnosis of depression, current smoking would have a negative impact on clinical outcomes, regardless of treatment type (usual primary care [UC] vs collaborative care management [CCM]). Methods: A retrospective chart review study of 5155 adult primary care patients with depression in a primary care practice in southeast Minnesota was completed. Variables obtained included age, gender, marital status, race, smoking status, initial Patient Health Questionnaire–9 (PHQ-9), and 6-month PHQ-9. Clinical remission (CR) was defined as 6-month PHQ-9 <5. Persistent depressive symptoms (PDS) were defined as PHQ-9 ≥10 at 6 months. Treatment in both CCM and UC were compared. Results: Using intention to treat analysis, depressed smokers treated with CCM were 4.60 times as likely (95% CI 3.24-6.52, P < .001) to reach CR and were significantly less likely to have PDS at 6 months (adjusted odds ratio [AOR] 0.19, 95% CI 0.14-0.25, P < .001) compared with smokers in UC. After a 6-month follow-up, depressed smokers treated with CCM were 1.75 times as likely (95% CI 1.18-2.59, P = .006) to reach CR and were significantly less likely to have PDS (AOR 0.45, 95% CI 0.31-0.64, P < .001) compared with smokers in UC. Conclusions: CCM significantly improved depression outcomes for smokers at 6 months compared with UC. However, in the UC group, smoking outcomes were not statistically different at 6 months for either remission or PDS. Also, nonsmokers in CCM had the best clinical outcomes at 6 months in both achieving clinical remission and reduction of PDS when compared with smokers in UC as the reference group.

scholarly journals Optimising primary care management of knee osteoarthritis (the partner study): lessons from a non-randomised pilot study

2019 ◽  
Vol 27 ◽  
pp. S297-S298
Author(s):  
J.L. Bowden ◽  
K. Schuck ◽  
C. Marshall ◽  
M. King ◽  
K.L. Bennell ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Knee Osteoarthritis ◽  
Care Management ◽  
Primary Care Management
Sign in / Sign up

Export Citation Format

Share Document