Screening questionnaires to identify problem drinking in the primary care setting: a systematic review

Objectives: Conduct a systematic review designed to determine needs and experiences of LGBTQ adolescents in the pediatric primary care setting and to the ability of primary care practitioners to provide the most inclusive care to LGBTQ adolescents. Methods: PubMed, CINAHL, and Embase searches using the following keywords: LGBTQ, Adolescents, Pediatrics, Sexual-Minority, Gender-Identity, and primary care, to identify peer-reviewed publications from 1998 to 2017 that focused on stigma in the healthcare setting related to LGBTQ youth and the knowledge of healthcare providers on enhancing care for their sexual and gender minority patients. Article inclusion criteria include: primary research studies conducted in a pediatric primary care describing LGBTQ patients, pediatric patients as described by the American Academy of Pediatrics (AAP), and written in the English language. Articles were excluded if they used inaccurate definitions for LGBTQ identity, inappropriate patient ages outside of those defined by the AAP, and studies not in a pediatric primary care setting. Results: Four articles were identified for the review. Of the included articles, the majority of LGBTQ adolescents experience stigma in the healthcare setting. A limited number of physicians providing care to LGBTQ adolescents felt equipped to care for their sexual-minority patients due to lack of education and resources. Conclusions: The education of physicians should include a more detailed approach to providing care to the LGBTQ population, particularly to those training to become pediatricians. A standard guide to treating LGBTQ adolescents could eliminate stigma in the healthcare setting.

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Assessment and Treatment of Nocturia in Neurological Disease in a Primary Care Setting: Systematic Review and Nominal Group Technique Consensus

European Urology Focus ◽

10.1016/j.euf.2021.12.012 ◽

2022 ◽

Author(s):

Nadine A.M. van Merode ◽

Shoba Dawson ◽

Elizabeth Coulthard ◽

Emily J. Henderson ◽

Claire M. Rice ◽

...

Keyword(s):

Systematic Review ◽

Primary Care ◽

Neurological Disease ◽

Care Setting ◽

Primary Care Setting ◽

Nominal Group Technique ◽

Nominal Group ◽

Assessment And Treatment ◽

Group Technique

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Randomised Controlled Trials in women with polycystic ovary syndrome do not represent the majority of patients who are in a primary care setting: systematic review and meta-analysis

Endocrine Abstracts ◽

10.1530/endoabs.63.p329 ◽

2019 ◽

Author(s):

Alexandros Leonidas Liarakos ◽

Miles Levy ◽

Hamidreza Mani

Keyword(s):

Systematic Review ◽

Primary Care ◽

Randomised Controlled Trials ◽

Care Setting ◽

Primary Care Setting ◽

Polycystic Ovary ◽

Meta Analysis ◽

Controlled Trials ◽

Ovary Syndrome ◽

Randomised Controlled

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Physician and nurse-led brief intervention for alcohol drinking in the primary care setting : a systematic review

10.5353/th_b5098348 ◽

2013 ◽

Author(s):

Ching-han, Helen Chan

Keyword(s):

Systematic Review ◽

Primary Care ◽

Brief Intervention ◽

Alcohol Drinking ◽

Care Setting ◽

Primary Care Setting

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Practical and validated tool to assess falls risk in the primary care setting: a systematic review

BMJ Open ◽

10.1136/bmjopen-2020-045431 ◽

2021 ◽

Vol 11 (9) ◽

pp. e045431

Author(s):

Wytske MA Meekes ◽

Joke C Korevaar ◽

Chantal J Leemrijse ◽

Ien AM van de Goor

Keyword(s):

Systematic Review ◽

Risk Assessment ◽

Primary Care ◽

Older People ◽

Care Setting ◽

Primary Care Setting ◽

Predictive Performance ◽

Assessment Tools ◽

Falls Risk ◽

Risk Assessment Tools

ObjectiveAlthough several falls risk assessment tools are available, it is unclear which have been validated and which would be most suitable for primary care practices. This systematic review aims to identify the most suitable falls risk assessment tool for the primary care setting (ie, requires limited time, no expensive equipment and no additional space) and that has good predictive performance in the assessment of falls risk among older people living independently.DesignA systematic review based on prospective studies.MethodsAn extensive search was conducted in the following databases: PubMed, Embase, CINAHL, Cochrane and PsycINFO. Tools were excluded if they required expensive and/or advanced software that is not usually available in primary care units and if they had not been validated in at least three different studies. Of 2492 articles published between January 2000 and July 2020, 27 were included.ResultsSix falls risk assessment tools were identified: Timed Up and Go (TUG) test, Gait Speed test, Berg Balance Scale, Performance Oriented Mobility Assessment, Functional Reach test and falls history. Most articles reported area under the curve (AUC) values ranging from 0.5 to 0.7 for these tools. Sensitivity and specificity varied substantially across studies (eg, TUG, sensitivity:10%–83.3%, specificity:28.4%–96.6%).ConclusionsGiven that none of the falls risk assessment tools had sufficient predictive performance (AUC <0.7), other ways of assessing high falls risk among independently living older people in primary care should be investigated. For now, the most suitable way to assess falls risk in the primary care setting appears to involve asking patients about their falls history. Compared with the other five tools, the falls history requires the least amount of time, no expensive equipment, no training and no spatial adjustments. The clinical judgement of healthcare professionals continues to be most important, as it enables the identification of high falls risk even for patients with no falls history.Trial registraion numberThe Netherlands Trial Register, NL7917; Pre-results.

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