GrippeCanadaV3, Main, Exploration, bibRecord, 000010

Preventive care among primary care patients living with spinal cord injury.

Identifieur interne : 000010 ( Main/Exploration ); précédent : 000009; suivant : 000011

Preventive care among primary care patients living with spinal cord injury.

Auteurs : Aisha Lofters [Canada] ; Maha Chaudhry [Canada] ; Morgan Slater [Canada] ; Andree Schuler [Canada] ; James Milligan [Canada] ; Joseph Lee [Canada] ; Sara J T. Guilcher [Canada]

Source :

The journal of spinal cord medicine [ 2045-7723 ] ; 2019.

RBID : pubmed:29424661

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Détection précoce de cancer (), Examen physique (), Femelle, Humains, Mâle, Médecine de famille (), Médecins de famille (), Ontario (épidémiologie), Prévention primaire (), Soins de santé primaires (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tests diagnostiques courants (), Traumatismes de la moelle épinière (épidémiologie), Vaccination de masse (), Vaccins antigrippaux (usage thérapeutique), Études rétrospectives.
MESH :
- usage thérapeutique : Vaccins antigrippaux.
- épidémiologie : Ontario, Traumatismes de la moelle épinière.
- Adulte, Adulte d'âge moyen, Détection précoce de cancer, Examen physique, Femelle, Humains, Mâle, Médecine de famille, Médecins de famille, Prévention primaire, Soins de santé primaires, Sujet âgé, Sujet âgé de 80 ans ou plus, Tests diagnostiques courants, Vaccination de masse, Études rétrospectives.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Diagnostic Tests, Routine (statistics & numerical data), Early Detection of Cancer (statistics & numerical data), Family Practice (statistics & numerical data), Female, Humans, Influenza Vaccines (therapeutic use), Male, Mass Vaccination (statistics & numerical data), Middle Aged, Ontario (epidemiology), Physical Examination (statistics & numerical data), Physicians, Family (statistics & numerical data), Primary Health Care (statistics & numerical data), Primary Prevention (statistics & numerical data), Retrospective Studies, Spinal Cord Injuries (epidemiology).
MESH :
- chemical , therapeutic use : Influenza Vaccines.
- geographic , epidemiology : Ontario.
- epidemiology : Spinal Cord Injuries.
- statistics & numerical data : Diagnostic Tests, Routine, Early Detection of Cancer, Family Practice, Mass Vaccination, Physical Examination, Physicians, Family, Primary Health Care, Primary Prevention.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Retrospective Studies.

Abstract

Objective: Context/Objective: Family physicians may lack the knowledge or resources to adequately support patients with spinal cord injury (SCI). Our objectives were to determine patterns of preventive care for patients with SCI in a primary care setting (i.e. cancer screening, influenza vaccinations, general physicals, bone mineral density tests), and determine physicians' level of comfort with providing primary care to patients with SCI.Design: i) Retrospective chart review, ii) Survey of physicians in the family practice.Setting: Six primary care practice sites in Ontario, Canada.Participants: All adult rostered patients of the family practice with SCI; All family physicians in the six sites.Outcome Measures: Proportion of patients up-to-date on cancer screening, proportion of patients with influenza vaccinations, general physicals, bone mineral density tests; physicians' level of comfort with providing care to patients with SCI.Results: Sixty patients were included in analyses. Rates of cancer screening were generally poor. The highest uptake was seen for cervical cancer screening, where 50% of eligible women were up-to-date on Pap tests. Only 36.7% of patients were up-to-date on colorectal cancer screening. Only 14 (23.3%) patients had a documented general physical exam in their electronic record. There was a recorded flu vaccination for 55% of patients, and of those, there was a median of 19 months since last vaccination. Fifteen physicians (21.4%) responded to the survey. Ten physicians reported at least one patient with SCI, with the maximum being 20 patients. Comfort level in managing SCI-relevant conditions varied and was lowest for spasticity, respiratory issues and autonomic dysreflexia, where only 27.3% of respondents had some level of comfort.Conclusion There are many opportunities to improve the preventive care of patients living with SCI.

DOI: 10.1080/10790268.2018.1432308
PubMed: 29424661

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<term>Family Practice</term>
<term>Mass Vaccination</term>
<term>Physical Examination</term>
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<term>Primary Prevention</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ontario</term>
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<term>Femelle</term>
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<front><div type="abstract" xml:lang="en"><b>Objective: Context/Objective:</b>
 Family physicians may lack the knowledge or resources to adequately support patients with spinal cord injury (SCI). Our objectives were to determine patterns of preventive care for patients with SCI in a primary care setting (i.e. cancer screening, influenza vaccinations, general physicals, bone mineral density tests), and determine physicians' level of comfort with providing primary care to patients with SCI.<b>Design:</b>
 i) Retrospective chart review, ii) Survey of physicians in the family practice.<b>Setting:</b>
 Six primary care practice sites in Ontario, Canada.<b>Participants:</b>
 All adult rostered patients of the family practice with SCI; All family physicians in the six sites.<b>Outcome Measures:</b>
 Proportion of patients up-to-date on cancer screening, proportion of patients with influenza vaccinations, general physicals, bone mineral density tests; physicians' level of comfort with providing care to patients with SCI.<b>Results:</b>
 Sixty patients were included in analyses. Rates of cancer screening were generally poor. The highest uptake was seen for cervical cancer screening, where 50% of eligible women were up-to-date on Pap tests. Only 36.7% of patients were up-to-date on colorectal cancer screening. Only 14 (23.3%) patients had a documented general physical exam in their electronic record. There was a recorded flu vaccination for 55% of patients, and of those, there was a median of 19 months since last vaccination. Fifteen physicians (21.4%) responded to the survey. Ten physicians reported at least one patient with SCI, with the maximum being 20 patients. Comfort level in managing SCI-relevant conditions varied and was lowest for spasticity, respiratory issues and autonomic dysreflexia, where only 27.3% of respondents had some level of comfort.<b>Conclusion</b>
 There are many opportunities to improve the preventive care of patients living with SCI.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29424661</PMID>
<DateCompleted><Year>2020</Year>
<Month>06</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>06</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2045-7723</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>42</Volume>
<Issue>6</Issue>
<PubDate><Year>2019</Year>
<Month>11</Month>
</PubDate>
</JournalIssue>
<Title>The journal of spinal cord medicine</Title>
<ISOAbbreviation>J Spinal Cord Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Preventive care among primary care patients living with spinal cord injury.</ArticleTitle>
<Pagination><MedlinePgn>702-708</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1080/10790268.2018.1432308</ELocationID>
<Abstract><AbstractText><b>Objective: Context/Objective:</b>
 Family physicians may lack the knowledge or resources to adequately support patients with spinal cord injury (SCI). Our objectives were to determine patterns of preventive care for patients with SCI in a primary care setting (i.e. cancer screening, influenza vaccinations, general physicals, bone mineral density tests), and determine physicians' level of comfort with providing primary care to patients with SCI.<b>Design:</b>
 i) Retrospective chart review, ii) Survey of physicians in the family practice.<b>Setting:</b>
 Six primary care practice sites in Ontario, Canada.<b>Participants:</b>
 All adult rostered patients of the family practice with SCI; All family physicians in the six sites.<b>Outcome Measures:</b>
 Proportion of patients up-to-date on cancer screening, proportion of patients with influenza vaccinations, general physicals, bone mineral density tests; physicians' level of comfort with providing care to patients with SCI.<b>Results:</b>
 Sixty patients were included in analyses. Rates of cancer screening were generally poor. The highest uptake was seen for cervical cancer screening, where 50% of eligible women were up-to-date on Pap tests. Only 36.7% of patients were up-to-date on colorectal cancer screening. Only 14 (23.3%) patients had a documented general physical exam in their electronic record. There was a recorded flu vaccination for 55% of patients, and of those, there was a median of 19 months since last vaccination. Fifteen physicians (21.4%) responded to the survey. Ten physicians reported at least one patient with SCI, with the maximum being 20 patients. Comfort level in managing SCI-relevant conditions varied and was lowest for spasticity, respiratory issues and autonomic dysreflexia, where only 27.3% of respondents had some level of comfort.<b>Conclusion</b>
 There are many opportunities to improve the preventive care of patients living with SCI.</AbstractText>
</Abstract>
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<AffiliationInfo><Affiliation>Department of Family Medicine, Western University, Ontario, Canada.</Affiliation>
</AffiliationInfo>
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<AffiliationInfo><Affiliation>Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Ontario, Canada.</Affiliation>
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<AffiliationInfo><Affiliation>Leslie Dan Faculty of Pharmacy, University of Toronto, Ontario, Canada.</Affiliation>
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Preventive care among primary care patients living with spinal cord injury.

Preventive care among primary care patients living with spinal cord injury.

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