Publications
206 results found
Partridge MR, Dal Negro RW, Olivieri D, 2011, Understanding patients with asthma and COPD: insights from a European study, PRIMARY CARE RESPIRATORY JOURNAL, Vol: 20, Pages: 315-323, ISSN: 1471-4418
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- Citations: 64
Stirland L, Halani L, Raj B, et al., 2011, Recruitment of South Asians into asthma research: qualitative study of UK and US researchers, PRIMARY CARE RESPIRATORY JOURNAL, Vol: 20, Pages: 282-290, ISSN: 1471-4418
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- Citations: 9
Ahmedzai S, Balfour-Lynn IM, Bewick T, et al., 2011, Managing passengers with stable respiratory disease planning air travel: British Thoracic Society recommendations, THORAX, Vol: 66, Pages: 1-30, ISSN: 0040-6376
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- Citations: 155
Kessler R, Partridge MR, Miravitlles M, et al., 2011, Symptom variability in patients with severe COPD: a pan-European cross-sectional study, EUROPEAN RESPIRATORY JOURNAL, Vol: 37, Pages: 264-272, ISSN: 0903-1936
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- Citations: 263
Ghiassi R, Partridge MR, 2011, Health literacy and sleep apnoea, THORAX, Vol: 66, Pages: 180-180, ISSN: 0040-6376
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- Citations: 5
Ghiassi R, Murphy K, Cummin AR, et al., 2011, Developing a pictorial Epworth Sleepiness Scale, THORAX, Vol: 66, Pages: 97-100, ISSN: 0040-6376
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- Citations: 32
Roberts NJ, Partridge MR, 2011, Evaluation of a paper and electronic pictorial COPD action plan, CHRONIC RESPIRATORY DISEASE, Vol: 8, Pages: 31-40, ISSN: 1479-9723
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- Citations: 8
Calderón-Larrañaga A, Carney L, Soljak M, et al., 2011, Association of population and primary healthcare factors with hospital admission rates for chronic obstructive pulmonary disease in England: national cross-sectional study, Vol: 66, Pages: 191-196
Background Hospital admission rates for chronic obstructive pulmonary disease (COPD) are known to be strongly associated with population factors. Primary care services may also affect admission rates, but there is little direct supporting evidence.Objectives To determine associations between population characteristics, diagnosed and undiagnosed COPD prevalence, primary healthcare factors, and COPD admission rates primary care trust (PCT) and general practice levels in England.Design, setting, and participants National cross-sectional study (53,676,051 patients in 8,064 practices in 152 English PCTs), combining data on hospital admissions, populations, primary healthcare staffing, clinical practice quality and access, and prevalence.Main outcome measures Directly and indirectly standardised hospital admission rates for COPD, for PCT and practice populations.Results Mean annual COPD admission rates per 100 000 population varied from 124.7 to 646.5 for PCTs and 0.0 to 2175.2 for practices. Admissions were strongly associated with population deprivation at both levels. In a practice-level multivariate Poisson regression, registered and undiagnosed COPD prevalence, smoking prevalence and deprivation were risk factors for admission (p<0.001), while healthcare factors- influenza immunisation, patient-reported access to consultations within two days, and primary care staffing, were protective (p<0.05).Conclusion Associations of COPD admission rates with deprivation, primary healthcare access and supply highlight the need for adequate services in deprived areas. An association between admission rates and undiagnosed COPD prevalence suggests that case-finding strategies should be evaluated. Of the COPD clinical quality indicators, only influenza immunisation was associated with reduced admission rates. Patients' experience of access to primary care may also be clinically important.
Roberts NJ, Smith SF, Partridge MR, 2011, Why is spirometry underused in the diagnosis of the breathless patient: a qualitative study, BMC PULMONARY MEDICINE, Vol: 11, ISSN: 1471-2466
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- Citations: 25
Ghiassi R, Partridge MR, 2010, HEALTH LITERACY AND SLEEP APNOEA, THORAX, Vol: 65, Pages: A162-A162, ISSN: 0040-6376
Ghiassi R, O'Byrne L, Cummin AR, et al., 2010, WHAT MIGHT PATIENTS MEAN BY "SLEEPINESS"?, Publisher: B M J PUBLISHING GROUP, Pages: A165-A165, ISSN: 0040-6376
Bousquet J, Mantzouranis E, Cruz AA, et al., 2010, Uniform definition of asthma severity, control, and exacerbations: Document presented for the World Health Organization Consultation on Severe Asthma, JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, Vol: 126, Pages: 926-938, ISSN: 0091-6749
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- Citations: 513
Roberts NJ, Glasser M, Partridge MR, 2010, Are evaluated respiratory service developments implemented into clinical practice?, QUALITY & SAFETY IN HEALTH CARE, Vol: 19, Pages: 383-386, ISSN: 1475-3898
O'Byrne L, Darlow C, Roberts N, et al., 2010, Smoothing the passage of patients from primary care to specialist respiratory opinion, PRIMARY CARE RESPIRATORY JOURNAL, Vol: 19, Pages: 248-253, ISSN: 1471-4418
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- Citations: 2
Partridge MR, Miravitlles M, Stahl E, et al., 2010, Development and validation of the Capacity of Daily Living during the Morning questionnaire and the Global Chest Symptoms Questionnaire in COPD, EUROPEAN RESPIRATORY JOURNAL, Vol: 36, Pages: 96-104, ISSN: 0903-1936
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- Citations: 53
Roberts NJ, Evans G, Blenkhorn P, et al., 2010, Development of an electronic pictorial asthma action plan and its use in primary care, PATIENT EDUCATION AND COUNSELING, Vol: 80, Pages: 141-146, ISSN: 0738-3991
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- Citations: 22
Toro-Troconis M, Meeran K, Higham J, et al., 2010, Design and Delivery of Game-Based Learning for Virtual Patients in Second Life: Initial Findings, Researching Learning in Virtual Environments Conference, Publisher: SPRINGER, Pages: 111-+, ISSN: 1571-5035
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- Citations: 10
Sheikh A, Halani L, Bhopal R, et al., 2009, Facilitating the Recruitment of Minority Ethnic People into Research: Qualitative Case Study of South Asians and Asthma, PLOS MEDICINE, Vol: 6, ISSN: 1549-1277
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- Citations: 37
Smith SM, Elkin SL, Partridge MR, 2009, Technology and its role in respiratory care., Prim Care Respir J, Vol: 18, Pages: 159-164
INTRODUCTION: Telemonitoring, telemedicine, clinical and medical informatics or telecare, are terms used to describe the use of technology along with local clinical protocols to monitor remotely a patient's medical condition in their own home. In respiratory medicine, where large numbers of people have long term conditions such as asthma and chronic obstructive pulmonary disease (COPD), the role of such monitoring technology in the management of patients is of great interest. AIM: This review seeks to explore what evidence exists to support the deployment of technology to improve the care of people with respiratory conditions. METHOD: Narrative review. RESULT: A wide variety of technologies have been involved in asthma and COPD care, from management systems to self monitoring devices. Many studies report that staff and patients 'liked' the technology. The service, care and financial benefits to both patients and the health care system were less obvious. Many studies suffered from poor methodology and lacked clear endpoints. CONCLUSION: There is an enormous potential for telemonitoring to assist in the provision of better care for those with long term lung diseases. However, evidence of benefit is unclear and there remains a need for robust studies and answers to clear research questions for specific patient populations before such technologies can be recommended for widespread implementation.
Partridge MR, Karlsson N, Small IR, 2009, Patient insight into the impact of chronic obstructive pulmonary disease in the morning: an internet survey., Curr Med Res Opin, Vol: 25, Pages: 2043-2048
OBJECTIVE: To determine diurnal variability of symptoms in chronic obstructive pulmonary disease (COPD) and to assess the impact of COPD upon patients' morning activities and routines. RESEARCH DESIGN AND METHODS: Quantitative internet interviews with 803 COPD patients from Europe and the USA, including 289 patients with severe COPD. Severe COPD was defined according to regular use of COPD medication, third level of breathlessness or above using the modified Medical Research Council (MRC) dyspnoea scale (MRC dyspnoea score > or =3) and one or more COPD exacerbations in the preceding 12 months. RESULTS: Morning was the worst time of day for COPD symptoms, particularly in patients with severe COPD (reported by 46% of severe patients). In these patients, shortness of breath was the most frequently reported symptom, correlating strongly with problems experienced with morning activities. Morning activities most affected by COPD were walking up and down stairs, putting on shoes and socks, making the bed, dressing, showering or bathing and drying. The majority of patients were not taking their medication in time for it to exert its optimal effect. CONCLUSIONS: Many patients consider the impact of COPD on morning activities to be substantial. Physicians should question patients about morning activities to assess disease impact and to advise regarding the optimal time to use therapy. This was an internet-based questionnaire survey and possible bias in patient selection and self-reported diagnosis of COPD and its severity should be taken into account.
Partridge MR, Schuermann W, Beckman O, et al., 2009, Effect on lung function and morning activities of budesonide/formoterol versus salmeterol/fluticasone in patients with COPD., Ther Adv Respir Dis, Vol: 3, Pages: 1-11
BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) often experience symptoms and problems with activities early in the morning. This is the first study to compare the effect of budesonide/formoterol and salmeterol/fluticasone on lung function, symptoms and activities early in the morning. METHODS: Lung function (peak expiratory flow [PEF] and forced expiratory volume in 1 second [FEV( 1)]) and symptoms were measured at bedside and activities were measured during the morning using a six-item questionnaire concerning basic morning routines. In a randomised, double-blind, multicentre, cross-over study, 442 patients with COPD aged >or=40 years (pre-bronchodilator FEV(1) <or=50%; FEV(1)/vital capacity <70%) received budesonide/formoterol (320/9 microg, one inhalation twice daily) dry powder inhaler (DPI) or salmeterol/fluticasone (50/500 microg, one inhalation twice daily) DPI daily, for 1 week each, separated by a 1- to 2-week washout. Lung function (PEF and FEV(1)) shortly after rising from bed in the morning, symptoms and basic morning activities were assessed by electronic diary (e-Diary) recordings. RESULTS: Budesonide/formoterol and salmeterol/fluticasone treatment increased morning PEF 5 minutes post-dose, measured as a mean improvement from baseline over the full study period (primary endpoint; adjusted mean change: 15.1 l/min and 14.2 l/min, respectively [difference 1.0 l/min; p = 0.603]). Mean morning FEV(1) improved more following budesonide/ formoterol treatment versus salmeterol/fluticasone at 5 minutes (0.12 l versus 0.09 l; p = 0.090) and 15 minutes (0.14 l versus 0.10 l; p < 0.05) post-dose. Budesonide/formoterol demonstrated a more rapid onset of effect as reflected by increases in e-Diary-recorded PEF and FEV( 1) from pre-dose to 5 and 15 minutes post-dose (all p < 0.001) and spirometry at the clinic measured after the first dose (FEV(1) p < 0.001; 5 minutes post-dose). Improvements in symptom scores within 15 minut
Reddel HK, Taylor DR, Bateman ED, et al., 2009, An Official American Thoracic Society/European Respiratory Society Statement: Asthma Control and Exacerbations Standardising Endpoints for Clinical Asthma Trials and Clinical Practice, AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, Vol: 180, Pages: 59-99, ISSN: 1073-449X
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- Citations: 1445
Smith SM, Partridge MR, 2009, Getting the rehabilitation message across: emerging barriers and positive health benefits, EUROPEAN RESPIRATORY JOURNAL, Vol: 34, Pages: 2-4, ISSN: 0903-1936
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- Citations: 7
Partridge MR, 2009, Has ISAAC told us as much as it can? Where now?, THORAX, Vol: 64, Pages: 462-463, ISSN: 0040-6376
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- Citations: 3
Roberts NJ, Mohamed Z, Wong P-S, et al., 2009, The development and comprehensibility of a pictorial asthma action plan, PATIENT EDUCATION AND COUNSELING, Vol: 74, Pages: 12-18, ISSN: 0738-3991
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- Citations: 39
Partridge MR, Khatri A, Sutton L, et al., 2009, Palliative care services for those with chronic lung disease., Chron Respir Dis, Vol: 6, Pages: 13-17, ISSN: 1479-9723
Excellent palliative care is available for patients with advanced lung cancer. Whether the same services are available for those with nonmalignant respiratory disease is less clear. A questionnaire was sent to 210 named respiratory physicians, each representing a major hospital in England, Wales, and Northern Ireland. A total of 107 replies were received; the response rate was 51.0%. Respondents cared for patients with chronic obstructive pulmonary disease, asbestosis, and diffuse parenchymal lung disease but only a third had responsibility for cystic fibrosis. Physicians were supported by a mean of 3.4 respiratory nurse specialists per department and 73.8% had a specialist lung cancer nurse. In only 16 cases (20.3%) did that nurse extend care to those with nonmalignant disease. Only a minority reported easy access to hospice in-patient care or day care. About 21.5% of the respondents had formal policies in place for care of patients with chronic respiratory disease nearing the end of life, but 87.9% of respondents had no formal process for initiating end of life discussions with those with terminal respiratory illness. Patients with advanced nonmalignant respiratory disease have less universal access to specialist palliative care services than do those with malignant lung disease, and in the majority of hospitals there is no formalized approach to end of life care issues with patients with chronic lung disease.
Roberts N, Papageorgiou P, Partridge MR, 2009, Delivery of Asthma and Allergy Care in Europe, JOURNAL OF ASTHMA, Vol: 46, Pages: 767-772, ISSN: 0277-0903
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- Citations: 6
Ghiassi R, Chan T, To K, et al., 2008, Comprehensibility of pictorial images of sleepiness and features of obstructive sleep apnoea syndrome in a Hong Kong and UK population, 19th Congress of the European-Sleep-Research-Society, Publisher: WILEY-BLACKWELL PUBLISHING, INC, Pages: 142-143, ISSN: 0962-1105
Coker RK, Shiner R, Partridge MR, 2008, Is air travel safe for those with lung disease?, EUROPEAN RESPIRATORY JOURNAL, Vol: 32, Pages: 1423-1424, ISSN: 0903-1936
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- Citations: 2
Partridge MR, Caress A-L, Brown C, et al., 2008, Can lay people deliver asthma self-management education as effectively as primary care based practice nurses?, THORAX, Vol: 63, Pages: 778-783, ISSN: 0040-6376
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- Citations: 35
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