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Search results for "fit to care" (30)

Clinical review and risk stratification

Optimum Patient Care Tools is a bespoke primary care respiratory patient management and risk stratification tool. It is part of the OPC clinical review service provided at no cost to general practices, CCGs and health boards. It optimises the care and management of patients with asthma and COPD, improving patient outcomes and reducing variation. Read…
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Clinical Articles

We publish articles, written by experts, that have been specifically chosen for our community of primary care clinicians. For example, benefit on how to personalise action plans for individuals living with asthma or COPD. Find the topic that interests you the most.



Asthma guidance

At the present time, there are multiple conflicting UK asthma guidelines. The Scottish Intercollegiate Guidelines Network (SIGN) and British Thoracic Society (BTS) published their guideline on asthma management in September 2016. Subsequently, in November 2017 NICE published their own guideline on diagnosis, monitoring and chronic asthma management. Discrepancies between the two guidelines have the potential…
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Asthma guidance

Confusion in primary care persists as to which asthma guidance to follow. BTS/SIGN published guidance for the management of asthma in 2016. Following in 2017, NICE published its guidance ‘Asthma: diagnosis, monitoring and chronic asthma management’. Discrepancies between the guidelines have the potential to introduce uncertainty for clinicians and inconsistencies in the care of individual…
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Effects of pulmonary rehabilitation on exacerbation number and severity in people with COPD

Elizabeth Moore, Roger Newson, Miland Joshi, et al. Chest 2017;152(6):1188–1202. doi: 10.1016/j.chest.2017.05.006 Acute exacerbations in chronic obstructive pulmonary disease (COPD) negatively affect health-related quality of life, and pulmonary rehabilitation (PR) is a key component of COPD management. Clear evidence of the benefits of PR on reducing hospital admissions is lacking, since there are no studies…
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Physiotherapy breathing retaining for asthma: a randomised controlled trial

Anne Bruton, Amanda Lee, Lucy Yardley, et al. Lancet Respir Med 2018;6:19–28 doi:10.1016/S2213-2600(17)30474-5   Many patients express interest in non-pharmacological self-management strategies such as breathing techniques. But although preliminary studies of breathing retraining have shown promising outcomes, such techniques are rarely used in practice. Anne Bruton (University of Southampton) and colleagues developed a self-guided breathing…
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Fractional exhaled nitric oxide as a predictor of response to inhaled corticosteroids in patients with non-specific respiratory symptoms and insignificant bronchodilator reversibility: a randomised controlled trial

David B Price, Roland Buhl, Adrian Chan, et al. Lancet Respir Med 2018;6:29–39 doi:10.1016/S2213-2600(17)30424-1   Patients with non-specific respiratory symptoms, such as coughing and breathlessness, present a significant challenge in primary care. Inhaled corticosteroids (ICS) are often prescribed to manage these symptoms, but concern regarding overuse has triggered calls to exercise more caution when prescribing…
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Comparison of a structured home-based rehabilitation programme with conventional supervised pulmonary rehabilitation: a randomised non-inferiority trial

Elizabeth J Horton, Katy E Mitchell, Vicki Johnson-Warrington, et al. Thorax 2018;73(1):29–36 doi: 10.1136/thoraxjnl-2016-208506 Pulmonary rehabilitation (PR) is a high-value intervention for patients with chronic obstructive pulmonary disease (COPD), and international guidelines recommend a programme over six weeks involving a package of supervised exercise and education. However, uptake for centre-based, supervised PR is poor. Home-based…
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Tobacco dependency: why is treatment important?

The physical harms associated with smoking are well known by clinicians and patients alike. The broader impact of tobacco dependency – on patients’ finances, their families, and healthcare workers and services – is less widely understood. Dr Noel Baxter is a GP and Clinical Commissioner in southeast London, and the current chair of PCRS-UK. In…
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ICS withdrawal

Inhaled corticosteroids (ICS) have a role in the treatment of COPD but only in a limited segment of the population with COPD. They are not recommended in the treatment of patients with COPD at low risk of exacerbation; guidelines reserve their use for high-risk patients and those with features of asthma. For low-risk patients currently…
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The Primary Care Respiratory Academy has been developed and is produced by Cogora, the publisher of Pulse, Nursing in Practice, Healthcare Leader, Management in Practice and The Pharmacist working in partnership with PCRS.

All educational content for the website and videos has been initiated and produced by PCRS and Cogora.

The Primary Care Respiratory Academy is sponsored by Chiesi Ltd.