Dataset Information

Inclusion of populations at risk of advanced melanoma in an opportunistic targeted screening project involving general practitioners.

ABSTRACT: The study objective was to measure the rates of inclusion of populations at risk of advanced melanoma in a pilot targeted screening project involving general practitioners.This cross-sectional database study compared the inclusion rates of patients who signed inclusion in a targeted screening project with those of patients who did not, during a period in which both groups of patients consulted investigators.Data were extracted from the national healthcare insurance records in western France from 11 April to 30 October 2011.Patients, older than 18, considered for the data extraction had consulted one of the 78 participating GPs during the study period, and were affiliated with the national healthcare insurance.Inclusion in the screening was the main outcome measure. Patients at risk of advanced melanoma were characterized by male gender, age over 50, low income, rural residence, farmer, and presence of chronic disease.A total of 57,279 patients consulted GPs during the inclusion period and 2711 (4.73%) were included in the targeted screening. Populations at risk of advanced melanoma were less included: men (OR?=?0.67; 95%CI [0.61-0.73]; p?

SUBMITTER: Rat C

PROVIDER: S-EPMC5036019 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

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Inclusion of populations at risk of advanced melanoma in an opportunistic targeted screening project involving general practitioners.

Rat Cédric C Quereux Gaelle G Grimault Charlotte C Fernandez Jérémy J Poiraud Mickael M Gaultier Aurélie A Chaslerie Anicet A Pivette Jacques J Khammari Amir A Dreno Brigitte B Nguyen Jean-Michel JM

Scandinavian journal of primary health care 20160728 3

<h4>Objective</h4>The study objective was to measure the rates of inclusion of populations at risk of advanced melanoma in a pilot targeted screening project involving general practitioners.<h4>Design</h4>This cross-sectional database study compared the inclusion rates of patients who signed inclusion in a targeted screening project with those of patients who did not, during a period in which both groups of patients consulted investigators.<h4>Setting</h4>Data were extracted from the national he ...[more]

PMID: 27467203

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Project description:IntroductionEffective antibiotic options in general practice for patients with infections are declining significantly due to antibiotic over-prescribing and emerging antibiotic resistance. To better improve antibiotic prescribing by general practitioner (GP), pharmacist-GP collaborations have been promoted under antibiotic stewardship programmes. However, there is insufficient information about whether and how pharmacists help GPs to more appropriately prescribe antibiotics. This systematic review aims to determine whether pharmacist-led or pharmacist-involved interventions are effective at improving antibiotic prescribing by GPs.Methods and analysisA systematic review of English language randomised controlled trials (RCTs), cluster RCTs, controlled before-and-after studies and interrupted time series studies cited in MEDLINE, EMBASE, EMCARE, CINAHL Plus, PubMed, PsycINFO, Cochrane Central Register of Controlled Trials and Web of Science databases will be conducted. Studies will be included if a pharmacist is involved as the intervention provider and GPs are the intervention recipients in general practice setting. Data extraction and management will be conducted using Effective Practice and Organisation of Care data abstraction tools and a template for intervention description and replication. The Cochrane and ROBINS-I risk of bias assessment tools will be used to assess the methodological quality of studies. Primary outcome measures include changes (overall, broad spectrum and guidelines concordance) of GP-prescribed antibiotics. Secondary outcomes include quality of antibiotic prescribing, delayed antibiotic use, acceptability and feasibility of interventions. Meta-analysis for combined effect and forest plots, ?2 test and I2 statistics for detailed heterogeneity and sensitivity analysis will be performed if data permit. Grading of Recommendations Assessment, Development and Evaluation and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidance will be used to report findings.Ethics and disseminationNo ethics approval is required as no primary, personal or confidential data are being collected in this study. The findings will be disseminated to national and international scientific sessions and published in a peer-reviewed journal.Prospero registration numberCRD42017078478.

Dataset Information

Inclusion of populations at risk of advanced melanoma in an opportunistic targeted screening project involving general practitioners.

Publications

Inclusion of populations at risk of advanced melanoma in an opportunistic targeted screening project involving general practitioners.

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