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Article
Open AccessStudy protocol: Transition from localized low back pain to chronic widespread pain in general practice: Identification of risk factors, preventive factors and key elements for treatment – A cohort study
Chronic localized pain syndromes, especially chronic low back pain (CLBP), are common reasons for consultation in general practice. In some cases chronic localized pain syndromes can appear in combination with...
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Article
Unsicherheit in der Allgemeinmedizin
Mit dem von Shannon und Weaver entwickelten Begriff der Entropie lässt sich die Unsicherheit in der Allgemeinmedizin modellhaft erfassen. Allgemeinärzte sind an der Schnittstelle von Lebenswelt und Gesundheits...
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Article
Open AccessChronic low back pain patient groups in primary care – A cross sectional cluster analysis
Due to the heterogeneous nature of chronic low back pain (CLBP), it is necessary to identify patient groups and evaluate treatments within these groups. We aimed to identify groups of patients with CLBP in the...
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Article
Open AccessDifferences between patients with chronic widespread pain and local chronic low back pain in primary care - a comparative cross-sectional analysis
Chronic pain is a common reason for consultation in general practice. Current research distinguishes between chronic localized pain (CLP) and chronic widespread pain (CWP). The aim of this study was to identif...
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Article
Open AccessStudies of the symptom dyspnoea: A systematic review
To deal with patients suffering from dyspnoea, it is crucial for general practitioners to know the prevalences of different diseases causing dyspnoea in the respective area and season, the likelihood of avoida...
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Article
Open AccessThe differential diagnosis of tiredness: a systematic review
Tiredness is one of the most frequent complaints in primary care. Although often self-limiting and frequently associated with psychosocial stress, patients but also their physicians are often uncertain regardi...
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Article
Querschnitterhebung zur Einnahme von Allopurinol
Das Gichtmittel Allopurinol ist ein häufig verordnetes Medikament in Deutschland. Studien zeigen ein von internationalen Empfehlungen abweichendes Verordnungsverhalten der Hausärzte hinsichtlich der akuten und...
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Article
Open AccessPsychological risk and protective factors for disability in chronic low back pain – a longitudinal analysis in primary care
Utilizing psychological resources when dealing with chronic low back pain might aid the prevention of disability. The observational study at hand examined the longitudinal impact of resilience and co** resou...
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Article
Open AccessPrevalence, aetiologies and prognosis of the symptom dizziness in primary care – a systematic review
Dizziness is a common reason for consulting a general practitioner and there is a broad range of possible underlying aetiologies. There are few evidence-based data about prevalence, aetiology and prognosis in ...
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Article
Open AccessReduction of the long-term use of proton pump inhibitors by a patient-oriented electronic decision support tool (arriba-PPI): study protocol for a randomized controlled trial
Proton pump inhibitors (PPIs) are increasingly being prescribed, although long-term use is associated with multiple side effects. Therefore, an electronic decision support tool with the aim of reducing the lon...
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Article
Empfehlungen der zweiten Aktualisierung der Leitlinie LONTS
Die planmäßige zweite Aktualisierung der S3-Leitlinie LONTS („Langzeitanwendung von Opioiden bei chronischen nicht-tumorbedingten Schmerzen“ [CNTS]), AWMF(Arbeitsgemeinschaft der Wissenschaftlichen Medizinisch...
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Article
Open AccessProfessional roles of general practitioners, community pharmacists and specialist providers in collaborative medication deprescribing - a qualitative study
Collaborative care approaches between general practitioners (GPs) and pharmacists have received international recognition for medication optimization and deprescribing efforts. Although specialist providers ha...
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Article
Open AccessCoughing children in family practice and primary care: a systematic review of prevalence, aetiology and prognosis
For evidence-based decision making, primary care physicians need to have specific and reliable information on the pre-test probabilities of underlying diseases and a symptom’s course. We performed a systematic...
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Article
Open AccessPrevalence, aetiologies and prognosis of the symptom cough in primary care: a systematic review and meta-analysis
Cough is a relevant reason for encounter in primary care. For evidence-based decision making, general practitioners need setting-specific knowledge about prevalences, pre-test probabilities, and prognosis. Acc...
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Article
Open AccessMediQuit, an Electronic Deprescribing Tool for Patients on Polypharmacy: Results of a Feasibility Study in German General Practice
Deprescribing is an important task for general practitioners (GPs) in the face of risky polypharmacy. The electronic tool “MediQuit” was developed to guide GPs and patients through a deprescribing consultation...
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Article
Reduziert arriba-PPI die Überversorgung mit Protonenpumpeninhibitoren? Eine Machbarkeitsstudie
Die Verordnungen von Protonenpumpeninhibitoren (PPI) haben sich in den letzten zehn Jahren mehr als verdreifacht. Mit zunehmender Verordnungsprävalenz mehren sich die Hinweise auf Nebenwirkungen. Viele Patient...
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Article
Open AccessMediQuit – an electronic deprescribing tool: a pilot study in German primary care; GPs’ and patients’ perspectives
General practitioners (GPs) are the central coordinators for patients with multimorbidity and polypharmacy in most health care systems. They are entrusted with the challenging task of deprescribing when inappr...
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Article
Open AccessPatients' perspectives on a patient-oriented electronic decision support tool to reduce overuse of proton pump inhibitors (arriba-PPI): a qualitative study in primary care
To evaluate patients’ perspectives and their experiences with a consultation involving a computer-assisted and patient-centered discontinuation strategy (arriba-PPI tool) as part of a German multicenter study ...
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Article
Open AccessMap** the methodological diversity of published drug discontinuation studies—a sco** review of study topics, objectives, and designs
Trials evaluating drug discontinuation (drug discontinuation trials, DDTs) show a broad methodological spectrum. There are several specific methodological aspects in drug discontinuation trials (e.g., determin...
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Article
Open AccessEfficacy of a computer based discontinuation strategy to reduce PPI prescriptions: a multicenter cluster-randomized controlled trial
Deprescribing of inappropriate long-term proton pump inhibitors (PPI) is challenging and there is a lack of useful methods for general practitioners to tackle this. The objective of this randomized controlled ...
