Research and innovation in primary care for people with multiple conditions.
University of Edinburgh
Joined February 2020
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Improving prescribing in polypharmacy is hard. Primary care, joint pharmacist-physician complex intervention did not improve outcomes in IMPPP trial doi.org/10.1016/j.lanhl.2025… in 37 practices/1950 patients. We need better ways to optimise polypharmacy.
Edinburgh Primary Care and Multimorbidity retweeted
We want to recruit a new Chair of Primary Care. Get in touch if you are a GP or family practitioner wanting to lead an internationally excellent programme of research in a world-class interdisciplinary environment tinyurl.com/EdinburghChairPr… (closing 21/11/24) @sapcacuk
Edinburgh Primary Care and Multimorbidity retweeted
Predicting who will move to a care home is hard. Tools to predict care home admission have performance (discrimination) that is acceptable at best in external validation, but little data on their accuracy (calibration). Read our latest paper: academic.oup.com/ageing/arti…
Edinburgh Primary Care and Multimorbidity retweeted
Huge thanks to @HMcArdleHT for covering the latest research by @UofGlasgow and @EdinburghUni describing the patterns of COVID-19 outbreaks in Scotland’s care homes, beyond the first wave of infections.
@JenniKBurton @acrcedincare
Read more➡️ gla.ac/43aHSZH
For the first time researchers have been able to gauge precisely what the impact was of vaccines on care home Covid deaths in Scotland. The answer?: huge👇
EXC Vaccines led to more than eight-fold drop in care home Covid deaths
heraldscotland.com/news/2414…
heraldscotland.com/news/2414…
New systematic review: many countries want to ‘transform’ primary care, with expanded multidisciplinary teams the most common intervention, but evaluation is weak, and doesn’t usually examine effects on older people or on socioeconomic inequality: link.springer.com/article/10…
New research: where you get your data from has big effects on measurement of #multimorbidity: comparison of condition and MM ascertainment using primary care data alone, hospital data alone, or both. @acrcedincare
rdcu.be/djPz7
Edinburgh Primary Care and Multimorbidity retweeted
Our new systematic review of 50 trials finds that community based interventions, using holistic assessment and care planning, reduce mortality and increase the chance of people being able to live at home: @Age_and_Ageing academic.oup.com/ageing/arti…
At all ages, people living in more deprived areas have more rapid accrual of chronic conditions and multimorbidity authors.elsevier.com/sd/arti…
For fracture risk, combined use of multiple falls risk drugs matters as well as the usual individual drug suspects: academic.oup.com/ageing/arti…
It ain’t what you do, it’s the way that you do it – the order that people acquire conditions affects mortality as well as the particular combination of conditions that someone has: sciencedirect.com/science/ar…
Edinburgh Primary Care and Multimorbidity retweeted
Want to become a leader in #Multimorbidity Research?
Recruitment is open to join our #PhD for Health Professionals, starting 1st August 2024.
Apply Now⬇️
my.corehr.com/pls/uogrecruit…
Bruce Guthrie among the authors of this new paper published in @PLOSMedicine:
Peter Hanlon and colleagues conduct meta-analyses of individual participant data extracted from 120 randomised controlled trials to investigate whether comorbidity modifies treatment effects.
doi.org/10.1371/journal.pmed…
Edinburgh Primary Care and Multimorbidity retweeted
Predicting lifetime CVD risk is difficult bmccardiovascdisord.biomedce…. New paper featuring ACRC's Jacques Fleuriot and Bruce Guthrie in @BMC #Cardiovascular @DanMoralesEpi
Edinburgh Primary Care and Multimorbidity retweeted
Health policy for older people in England and Scotland - same aims, somewhat different methods. But poor routine performance data means it’s hard to know which is the better approach. Read more in our latest paper: doi.org/10.1016/j.healthpol.… @NIHR_ARC_NENC
As always with P4P much of the 'decline' will be recording changes not worse quality. P4P is no magic bullet, and P4P enthusiasts need to measure impact better bmj.com/content/380/bmj.p582…
Reported care quality declined vs England when Scotland abolished QOF pay for performance in 2016 in latest paper by Bruce Guthrie and @DanMoralesEpi
Ending performance related payments for NHS GPs in Scotland was associated with a decline in the quality of some aspects of care compared with England where financial incentives have continued, finds this new study
bmj.com/content/380/bmj-2022…
Edinburgh Primary Care and Multimorbidity retweeted
New Briefing Paper from AIM-CISC on public engagement in artificial intelligence- edin.ac/3kGifOv #artificalintelligence #PPIE
New paper. The effects of treatment on quality of life in clinical trials did not vary by multimorbidity (reassuring) although have to remember that most people with multimorbidity (especially complex) or polypharmacy are excluded from trials journals.plos.org/plosmedici…
The QFracture risk prediction tool over-predicts fracture risk in older people - it doesn’t account for competing mortality risk. New prediction tool (CRISK) is better, but still not accurate in OP. We need to develop better clinical prediction tools edin.ac/3XmTi8O
Edinburgh Primary Care and Multimorbidity retweeted
The website for our affiliate programme AIM-CISC is up and running. Pay it a visit to find out more about their valuable work into multiple long term health conditions - ed.ac.uk/usher/aim-cisc