Evidence map›Paper›PMID 16105366›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2005

Recent changes in the prevalence of diseases presenting for health care.

Douglas M Fleming, Kenneth W Cross, Michele A Barley

Abstract readMulticenter Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. What are the most common conditions in primary care? Systematic review.Canadian family physician Medecin de famille canadien · 2018
    Pooled it
  2. Pooled it
  3. Trial
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  5. Article
  6. Dynamic Load Model Systems of Tendon Inflammation and Mechanobiology.Frontiers in bioengineering and biotechnology · 2022
    Review
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  8. Article
  9. Article
  10. Observational
  11. Increased Infection Risk in Addison's Disease and Congenital Adrenal Hyperplasia.The Journal of clinical endocrinology and metabolism · 2020
    Article
  12. Review
  13. Treatment of a Woman WithJournal of chiropractic medicine · 2018
    Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Incidence, severity, help seeking, and management of uncomplicated urinary tract infection: a population-based survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
    Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Douglas M FlemingBirmingham Research Unit of the Royal College of General Practitioners, Birmingham, UK. dfleming@rcgpbhamresunit.nhs.uk
Kenneth W Cross
Michele A Barley

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPractice-based morbidity surveys inform on the prevalence of diseases presenting for health care. The last major survey in England and Wales was conducted in 1991.

aimTo reveal changes in disease prevalence between 1991 and 2001. DESIGN OF STUDY: Population-based analysis of persons presenting to GPs. Annual prevalence of diseases reported in the Weekly Returns Service (WRS) of the Royal College of General Practitioners in 2001 was compared with prevalence reported in Morbidity Statistics from General Practice, Fourth National Study (MSGP4).

settingThirty-eight general practices contributing to the WRS, monitoring a population of 326,000 in 2001.

methodPrevalence was determined from Read codes for morbidity entered in the respective survey years. Diseases and disease groups were defined from Read codes mapping to the chapters, major sub-groups and 3-digit codes of the International Classification of Disease version 9 (ICD9). Age-standardised prevalence rates per 10,000 registered persons and 99% confidence intervals (CIs) were calculated using the national census population for 2001 as the standard. Survey differences in prevalence were identified from non-overlapping CIs.

resultsThere was a general reduction in the prevalence of disease caused by infection and an increase of degenerative disorders. The prevalence of mental disorders, skin disease and musculoskeletal disorders showed little change. Particular increases were noted for other malignant and benign neoplasms of the skin, hypothyroidism and diabetes. There were marked reductions for disorders of the conjunctiva, ear infections, acute myocardial infarction and heart failure, respiratory infections and injuries.

conclusionsThe role of the GP continues to change. These results confirm the importance of the management of chronic diseases as the dominant (though not the sole) role of the GP. The results demonstrate the use of the WRS as a source of data on disease prevalence.

Indexed as

PrevalenceAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDiseaseEnglandFamily PracticeFemaleHumansInfantInfant, NewbornMaleMiddle Aged

Identifiers

PMID16105366
PMCPMC1463227

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.