General practice activity in Australia 1998?1999

Britt, Helena

doi:10.1071/nb99073

Cited by 371 publications

(590 citation statements)

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“…Low back pain (LBP) is the most common musculoskeletal condition affecting approximately 80 % of the adult population at least once during their lifetime [1,2]. LBP troubles are the fifth most frequent reason for a visit to a primary health care clinician in the USA and the seventh most frequent reason in Australia [3,4].…”

Section: Introductionmentioning

confidence: 99%

Clinicians’ views on factors that trigger a sudden onset of low back pain

et al. 2013

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Purpose Little is known about what triggers an episode of low back pain (LBP) in those presenting to primary care. Previous studies of risk factors have focused on specific occupational settings and work conditions. No study has asked primary care clinicians to consider what triggers an episode of sudden-onset LBP in patients presenting to them for care. The purpose of this study, therefore, was to describe the short-and long-term factors that primary care clinicians consider important in triggering a sudden episode of acute LBP. Methods One hundred and thirty-one primary care clinicians who were recruiting patients with LBP to a large observational study were invited to participate. A questionnaire was designed to obtain information about the clinician's characteristics, profession and clinical experience. We also asked clinicians to nominate the five shortand five long-term exposure factors, most likely to trigger a sudden episode of acute LBP, based on their experience. Descriptive statistics and frequency distributions were used to describe clinician's characteristics and the frequencies of the main risk factor categories were reported. Results Based on the views of 103 primary care clinicians, biomechanical risk factors appear to be the most important short-term triggers (endorsed by 89.3 % of clinicians) and long-term triggers (endorsed by 54.2 % of clinicians) for a sudden episode of acute LBP. Individual risk factors were endorsed by 39 % of clinicians as important long-term triggers, while only 6.4 % of clinicians considered them important short-term triggers. Other risk factors, such as psychological/psychosocial and genetic factors, were not commonly endorsed as risk factors for an episode of LBP by primary care clinicians. Conclusions This study shows that primary care clinicians believe that biomechanical risk factors are the most important short-term triggers, while biomechanical and individual risk factors are the most important long-term triggers for a sudden onset of LBP. However, other risk factors, such as psychological/psychosocial and genetic, were not commonly endorsed as risk factors for an episode of LBP by primary care clinicians. Results of this study are based on primary care clinicians' views and further investigation is needed to test the validity of these suggested risk factors.

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Section: Introductionmentioning

confidence: 99%

Clinicians’ views on factors that trigger a sudden onset of low back pain

et al. 2013

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“…12 In Australia, hypertension is the most frequently managed problem in general practice accounting for 8.6% of encounters and 7.9% of prescriptions. 13 Despite this high level of interaction between the public and medical practitioners, reported BP control rates around the world remain suboptimal. [14][15][16][17][18] Data from the United States National Health and Nutrition Examination Surveys (NHANES) revealed that although awareness of hypertension improved from 51 to 70% from 1976 to 2000, treatment and control rates improved only from 31 to 59% and 10 to 34%, respectively.…”

Section: Introductionmentioning

confidence: 99%

Temporal changes in the control of blood pressure in an older Australian population

Chua

Rochtchina

2005

J Hum Hypertens

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Trends in blood pressure prevalence and control have important public health implications. We aim to document trends in hypertension prevalence, awareness and control in the older Australian population, a group at greatest risk of blood pressure related diseases. The Blue Mountains Eye Study (BMES) is a population-based study of residents aged 49 years or older, in two postcode areas of the Blue Mountains, Australia. The first cross-section (BMES I, 1992(BMES I, -1994 .9 kg/m 2 ). Hypertension awareness decreased significantly from 79.8 to 73.0%, while treatment and control rates decreased from 71.1 to 67.3% and 56.3 to 46.5%, respectively (Po0.0001). Our results showed that elevated BMI (Po0.0001), lack of exercise (Po0.002) and serum triglyceride 42 mmol/l (Po0.0001) were significantly associated with prevalence of hypertension. We found that the prevalence of hypertension in the older Australian population was increasing while awareness, treatment and control rates decreased. Programmes to improve community awareness of hypertension, and its association with BMI may lead to further reductions in blood pressure and the burden of cardiovascular disease.

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“…In Australia, where a universal health system exists, it is estimated that around 85% of the population sees a primary care physician at least once per year. 34 Within primary health care in Australia, current guidelines recommend physicians develop surveillance programs for individuals at high risk; assess patients who are concerned and develop appropriate management programs depending on their level of risk; and identify risk factors for skin cancer in patients presenting for other reasons. 35 It is additionally recommended that physicians use strategies to accommodate disadvantaged individuals, including those with lower education, which will help improve their screening behavior.…”

Section: Epidemiologymentioning

confidence: 99%

Association between melanoma thickness, clinical skin examination and socioeconomic status: Results of a large population‐based study

Youl

Baade

Parekh

et al. 2011

Intl Journal of Cancer

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Survival from melanoma is inversely related to tumour thickness and is less favorable for those in lower socioeconomic (SES) strata. Reasons for this are unclear but may relate to a lower prevalence of skin screening. Our aim was to examine the association between melanoma thickness, individual-level SES and clinical skin examination (CSE) using a population-based case-control study. Cases were Queensland (Australia) residents aged 20-75 years with a histologically confirmed first primary invasive cutaneous melanoma diagnosed between January 2000 and December 2003. Telephone interviews were completed by 3,762 cases (77.7%) and 3,824 (50.4%) controls. Thickness was dichotomized to thin ( 2 mm) and thick (>2 mm). Compared with controls, the risk of thick melanoma was significantly increased among men [relative risk ratio (RRR) 5 1.56, 95% CI 5 1.22-2.00], older participants (RRR 5 1.76, 95% CI 5 1.10-2.82), those educated to primary level (RRR 5 1.70, 95% CI 5 1.08-2.66), not married/living as married (RRR 5 1.47, 95% CI 5 1.15-1.88), retired (RRR 5 1.39, 95% CI 5 1.01-1.94) and not having a CSE in past 3 years (RRR 5 1.45, 95% CI 5 1.12-1.86). There was a significant trend to increasing prevalence of CSE with higher education (p < 0.01) and the benefit of CSE in reducing the risk of thick melanoma was most pronounced among that subgroup. There were no significant associations between cases with thin melanoma and controls. Melanoma thickness at presentation is significantly associated with educational level, other measures of SES and absence of CSE. Public health education efforts should focus on identifying new avenues that specifically target those subgroups of the population who are at increased risk of being diagnosed with thick melanoma.

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General practice activity in Australia 1998?1999

Cited by 371 publications

References 0 publications

Clinicians’ views on factors that trigger a sudden onset of low back pain

Clinicians’ views on factors that trigger a sudden onset of low back pain

Temporal changes in the control of blood pressure in an older Australian population

Association between melanoma thickness, clinical skin examination and socioeconomic status: Results of a large population‐based study

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