A5075946055- Medical Coding and Health Information
- Geriatric Care and Nursing Homes
- Clinical practice guidelines implementation
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Telemedicine and Telehealth Implementation
- Chronic Disease Management Strategies
- Intergenerational Family Dynamics and Caregiving
- Health Systems, Economic Evaluations, Quality of Life
- Biomedical Text Mining and Ontologies
- COVID-19 and healthcare impacts
- Urinary Tract Infections Management
- Genomics and Rare Diseases
- Health disparities and outcomes
- Meta-analysis and systematic reviews
- Chronic Kidney Disease and Diabetes
- Nonmelanoma Skin Cancer Studies
- Healthcare Systems and Technology
- Machine Learning in Healthcare
- Alcohol Consumption and Health Effects
- Potassium and Related Disorders
- Substance Abuse Treatment and Outcomes
- Primary Care and Health Outcomes
- Cardiac Imaging and Diagnostics
- Diabetes Treatment and Management
- Nephrotoxicity and Medicinal Plants
Health Foundation
2022-2025
Clinical Practice Research Datalink
2019-2021
London School of Hygiene & Tropical Medicine
2017-2018
University of London
2018
Abstract Background We developed a prototype minimum data set (MDS) for English care homes, assessing feasibility of extracting directly from digital records (DCRs) with linkage to health and social data. Methods Through stakeholder development workshops, literature reviews, surveys public consultation, we an aspirational MDS. identified ways extract this existing sources, including DCRs routine datasets. To address gaps, added validated measures delirium, cognitive impairment, functional...
Introduction Health and care data are routinely collected about home residents in England, yet there is no way to collate these inform benchmarking improvement. The Developing research resources And minimum set for Care Homes’ Adoption use study has developed a prototype (MDS) piloting. Methods analysis A mixed-methods longitudinal pilot will be conducted 60 homes (approximately 960 residents) 3 regions of using resident from cloud-based digital records at two-time points. These linked level...
The COVID-19 pandemic has had a significant impact on primary care service delivery with an increased use of remote consultations. With general practice delivering record numbers appointments and rising concerns around access, funding, staffing in the UK National Health Service, we assessed contemporary trends consultation rate modes (ie, face-to-face versus remote).This paper describes rates England for key demographics before during pandemic. We explore consultations regard to...
<h3>Abstract</h3> <h3>Objective</h3> To determine if trimethoprim use for urinary tract infection (UTI) is associated with an increased risk of acute kidney injury, hyperkalaemia, or sudden death in the general population. <h3>Design</h3> Cohort study. <h3>Setting</h3> UK electronic primary care records from practices contributing to Clinical Practice Research Datalink linked Hospital Episode Statistics database. <h3>Participants</h3> Adults aged 65 and over a prescription trimethoprim,...
Abstract Background To maintain good standards of care, evaluations policy interventions or potential improvements to care are required. A number quality life (QoL) measures could be used but there is little evidence for England as which would appropriate. Using data from a pilot Minimum Data Set (MDS) home residents the Developing resources And minimum dataset Care Homes’ Adoption (DACHA) study, we assessed construct validity QoL and analysed factors associated with QoL. This was...
Abstract Background We developed a prototype minimum data set (MDS) for English care homes, assessing feasibility of extracting directly from digital records (DCRs) with linkage to health and social data. Methods Through stakeholder development workshops, literature reviews, surveys public consultation we an aspirational MDS. identified ways extract this existing sources including DCRs routine datasets. To address gaps added validated measures delirium, cognitive impairment, functional...
Information on care home residents in England is captured numerous data sets (care records, General Practitioner community nursing, etc.) but little of this information currently analysed a way that useful for providers, current or future and families realises the potential to enhance provision. The DACHA study aimed develop test minimum set (MDS) which would bring together support improve facilitate research. It utility underscores importance meaningful public involvement (PI) with range...
Abstract Background To maintain good standards of care, evaluations policy interventions or potential improvements to care are required. A number quality life (QoL) measures could be used but there is little evidence for England as which would appropriate. Using data from a pilot Minimum Data Set (MDS) home residents the Developing resources And minimum dataset Care Homes’ Adoption (DACHA) study, we assessed discriminant construct validity QoL measures, using hypothesis testing assess...
The insights available from linking routine data have transformative potential for understanding and improving population health wellbeing. People living in care homes could benefit greater accessibility utility of linked to allow better their needs. However, there are well-documented challenges achieving cross-sectoral linkage the UK, with slower progress incorporating social data. In this Perspectives paper we outline our experiences as researchers undertaking DACHA study (Developing...
Abstract Purpose The Clinical Practice Research Datalink (CPRD) now provides a new medical record database, CPRD Aurum. This is the first of several studies being undertaken to assess quality and completeness Aurum data for research endeavors. Methods We identified patients with pulmonary embolism (PE) diagnosis from random sample 50 000 in compared diagnoses using Hospital Episode Statistics (HES). calculated proportion PE cases recorded who also had HES. evaluated by identifying all HES...
Evidence is insufficient to infer whether topical calcineurin inhibitors (TCIs; tacrolimus and pimecrolimus) cause malignancy. The study objective was estimate the long-term risk of skin cancer lymphoma associated with TCI use in adults children, separately.A cohort Denmark, Sweden, UK, Netherlands conducted. Adjusted incidence rate ratios (IRRs) 95% confidence intervals (CIs) were calculated for nonmelanoma (NMSC), melanoma, cutaneous T-cell (CTCL), non-Hodgkin (NHL) excluding CTCL, Hodgkin...
Background Since 2010 the National Institute for Health and Care Excellence has recommended screening adults excessive alcohol consumption to try help prevent alcohol-use disorders. Little is known about extent which these recommendations are followed, resulting completeness validity of alcohol-related data recording in primary care. Objective To investigate accuracy use within care records UK. Design setting Cross-sectional study Clinical Practice Research Datalink. Participants We included...
Objectives Investigate trends in continuity of care with a general practitioner (GP) before and during the COVID-19 pandemic. Identify whether is associated consultation mode, controlling for other patient practice characteristics. Design Retrospective cross-sectional longitudinal observational studies. Setting Primary records from 389 practices participating Clinical Practice Research Datalink Aurum England. Participants In descriptive analysis, 100 000+ patients were included each month...
To derive two household context factors - living alone and in a two-person with person who is frail from routine administrative health data to assess their association emergency hospital use people aged 65 or over.Retrospective cohort study using national pseudonymised address derived minimised version of the Master Patient Index, central database all patient registrations England.England-wide.4 876 285 years older registered at GP practices England on 16 December 2018 were up six people,...
Objective and ApproachResearch on social care services requires large, comprehensive, routine datasets. Launched in November 2019, Developing resources And minimum data set for Care Homes’ Adoption (DACHA) study aims to develop a prototype dataset as proof of concept propose implementation. We describe our experience since 2021 identifying, applying for, linking home, local, integrated system (ICS) national datasets, including direct-care software-provider data, GP NHS England (NHSE)...
ObjectiveDeveloping resources And minimum data set for Care Homes’ Adoption (DACHA) is a four-year NIHR-funded project to establish what need be in place support research, service development and innovation uptake care homes older people. An aspirational (MDS) specification was identified, which included from several sources pilot variables. Approach767 home residents (with valid NHS number recorded) across three integrated systems consented linkage of their record with administrative health...
Background The COVID-19 pandemic has led to an ongoing increase in the use of remote consultations general practice England. Though evidence is limited, there are concerns that could lead more antibiotic prescribing. Methods We used patient-level primary care data from Clinical Practice Research Datalink estimate association between consultation mode (remote vs face-to-face) and prescribing England for acute respiratory infections (ARI) April 2021 - March 2022. targeted maximum likelihood...
Abstract Background The COVID-19 pandemic has had a significant impact on primary care service delivery. With general practice delivering record numbers of appointments and rising concerns around access, funding staffing in the UK National Health Service, we assessed contemporary trends consultation rate mode (face-to-face versus remote). Methods We did retrospective analysis 9,429,919 consultations by GP, nurse or other health professional between March 2018 February 2022 for patients...
To investigate alcohol use recording in people with newly diagnosed depression English primary care and individual characteristics associated the of use. A population-based cross-sectional study. Primary data from practices contributing to UK Clinical Practice Research Datalink. We included adults (18+ years) between 1 January 2011 2017 without previous antidepressant at least year registration before diagnosis. described proportion individuals level recorded four time points (the date...