Publications
206 results found
Taylor R, Dawson S, Sridhar M, et al., 2006, Why do patients decline to take part in a research project involving pulmonary rehabilitation?, THORAX, Vol: 61, Pages: II69-II69, ISSN: 0040-6376
Roberts NJ, Robinson DS, Partridge MR, 2006, How is difficult asthma managed?, EUROPEAN RESPIRATORY JOURNAL, Vol: 28, Pages: 968-973, ISSN: 0903-1936
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- Citations: 14
Partridge MR, Lewison G, 2006, Respiratory research output, CHEST, Vol: 130, Pages: 1283-1283, ISSN: 0012-3692
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- Citations: 3
Wolfenden H, Bailey L, Murphy K, et al., 2006, Use of an open access spirometry service by general practitioners., Prim Care Respir J, Vol: 15, Pages: 252-255, ISSN: 1471-4418
AIMS: To understand better which patients with which diagnoses or suspected diagnoses are referred for spirometry in primary care, and to assess whether all such referrals are appropriate. METHODS: 200 consecutive patient referrals to an open access spirometry service from ten local general practices were evaluated by perusing the request forms, and analysis of the spirometry results and the report sent to the general practitioner (GP). RESULTS: 51% of all referrals had suspected or stated COPD, but airway obstruction was demonstrated in only 53% of cases. A minority had a degree of reversibility which suggested an additional asthma component at least. Airway obstruction was rarely demonstrated in patients referred with stated or suspected asthma. 117 patients were referred with stated or suspected airway disease but had no evidence of airway narrowing on testing. 14.5% of these had an unexpected small lung (restrictive) disorder. Six of these had a BMI of more than 30. CONCLUSION: Most referrals with stated or suspected COPD were highly appropriate since spirometry is required in order to establish the correct diagnosis. Referral of patients with suspected asthma is less likely to be helpful, and a period of home peak flow monitoring may be more useful. Restrictive disorders can be confused with airway disorders, and obesity may be underestimated as a cause of breathlessness.
Kessler R, Ståhl E, Vogelmeier C, et al., 2006, Patient understanding, detection, and experience of COPD exacerbations: an observational, interview-based study., Chest, Vol: 130, Pages: 133-142, ISSN: 0012-3692
STUDY OBJECTIVES: This study was conducted to gain insight into patients' comprehension, recognition, and experience of exacerbations of COPD, and to explore the patient burden associated with these events. DESIGN: A qualitative, multinational, cross-sectional, interview-based study. SETTING: Patients' homes. PATIENTS: Patients (n = 125) with predominantly moderate-to-very severe COPD (age > or = 50 years; with two or more exacerbations during the previous year). INTERVENTIONS: Patients underwent a 1-h face-to-face interview with a trained interviewer. MEASUREMENTS AND RESULTS: During the preceding year, patients experienced a mean +/- SD of 4.6 +/- 5.4 exacerbations, after which 19.2% (n = 24) believed they had not fully recovered. Although commonly used by physicians, only 1.6% (n = 2) of patients understood the term exacerbation, preferring to use simpler terms, such as chest infection (16.0%; n = 20) or crisis (16.0%; n = 20) instead. Approximately two thirds of patients stated that they were aware of when an exacerbation was imminent and, in most cases, patients recounted that symptoms were consistent from one exacerbation to another. Some patients (32.8%; n = 41), however, reported no recognizable warning signs. At the onset of an exacerbation, 32.8% of patients (n = 41) stated that they reacted by self-administering their medication. Some patients spontaneously mentioned a fear of dying (12.0%; n = 15) or suffocating (9.6%; n = 12) during exacerbations, and effects on activities, mood, and personal/family relationships were frequently reported. Physicians tended to underestimate the psychological impact of exacerbations compared with patient reports. CONCLUSIONS: This study shows that patients with frequent exacerbations have a poor understanding of the term exacerbation. Patient recollections suggest that exacerbation profiles vary enormously between patients but that symptoms/warning signs are fairly consistent within individuals, and are generally recog
Partridge MR, van der Molen T, Myrseth S-E, et al., 2006, Attitudes and actions of asthma patients on regular maintenance therapy: the INSPIRE study., BMC Pulm Med, Vol: 6
BACKGROUND: This study examined the attitudes and actions of 3415 physician-recruited adults aged > or = 16 years with asthma in eleven countries who were prescribed regular maintenance therapy with inhaled corticosteroids or inhaled corticosteroids plus long-acting beta2-agonists. METHODS: Structured interviews were conducted to assess medication use, asthma control, and patients' ability to recognise and self-manage worsening asthma. RESULTS: Despite being prescribed regular maintenance therapy, 74% of patients used short-acting beta2-agonists daily and 51% were classified by the Asthma Control Questionnaire as having uncontrolled asthma. Even patients with well-controlled asthma reported an average of 6 worsenings/year. The mean period from the onset to the peak symptoms of a worsening was 5.1 days. Although most patients recognised the early signs of worsenings, the most common response was to increase short-acting beta2-agonist use; inhaled corticosteroids were increased to a lesser extent at the peak of a worsening. CONCLUSION: Previous studies of this nature have also reported considerable patient morbidity, but in those studies approximately three-quarters of patients were not receiving regular maintenance therapy and not all had a physician-confirmed diagnosis of asthma. This study shows that patients with asthma receiving regular maintenance therapy still have high levels of inadequately controlled asthma. The study also shows that patients recognise deteriorating asthma control and adjust their medication during episodes of worsening. However, they often adjust treatment in an inappropriate manner, which represents a window of missed opportunity.
van Baar JD, Joosten H, Car J, et al., 2006, Understanding reasons for asthma outpatient (non)-attendance and exploring the role of telephone and e-consulting in facilitating access to care: exploratory qualitative study, QUALITY & SAFETY IN HEALTH CARE, Vol: 15, Pages: 191-195, ISSN: 1475-3898
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- Citations: 36
Partridge MR, Roberts NJ, 2006, Writing to patients, CLINICAL MEDICINE, Vol: 6, Pages: 319-319, ISSN: 1470-2118
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- Citations: 1
Roberts NJ, Partridge MR, 2006, How useful are post consultation letters to patients?, BMC MEDICINE, Vol: 4, ISSN: 1741-7015
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- Citations: 40
Boulet L, Becker A, Bowie D, et al., 2006, Implementing Practice Guidelines: A workshop on guidelines dissemination and implementation with a focus on asthma and COPD, Canadian Respiratory Journal, Vol: 13 Suppl A, Pages: 5-47
Roberts NJ, Robinson D, Partridge MR, 2005, Difficult asthma in the UK: A national survey of approaches to management and available services, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: II57-II57, ISSN: 0040-6376
Roberts NJ, Partridge MR, 2005, Are telephone consultations useful in respiratory outpatients?, Winter Meeting of the British-Thoracic-Society, Publisher: BMJ PUBLISHING GROUP, Pages: II25-II25, ISSN: 0040-6376
Roberts NJ, Partridge MR, 2005, How useful do patients find post consultation letters?, Winter Meeting of the British-Thoracic-Society, Publisher: BMJ PUBLISHING GROUP, Pages: II25-II26, ISSN: 0040-6376
Coker RK, Shiner R, Partridge MR, 2005, Update on BTS/BLF UK Flight Outcomes Study, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: II10-II11, ISSN: 0040-6376
Brown CE, Applegate EM, Caress AL, et al., 2005, Lay asthma educators knowledge and consultation styles, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: II26-II27, ISSN: 0040-6376
Partridge MR, Lindsell A, Varney M, et al., 2005, The value of a new capnographic device in the assessment of asthma and chronic obstructive pulmonary disease, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: II112-II112, ISSN: 0040-6376
Smith SF, Brenton H, Roberts NJ, et al., 2005, Computer assisted learning is a useful tool to teach final year medical undergraduates the principles of spirometry, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: II59-II59, ISSN: 0040-6376
Haughney J, Partridge MR, Vogelmeier C, et al., 2005, Exacerbations of COPD:: quantifying the patient's perspective using discrete choice modelling, EUROPEAN RESPIRATORY JOURNAL, Vol: 26, Pages: 623-629, ISSN: 0903-1936
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- Citations: 43
Partridge MR, 2005, [What is important in asthmatic patients' consultations?]., Rev Pneumol Clin, Vol: 61, Pages: 3S5-310, ISSN: 0761-8417
Feeney CL, Roberts NJ, Partridge MR, 2005, Do medical outpatients want 'out of hours' clinics?, BMC HEALTH SERVICES RESEARCH, Vol: 5, ISSN: 1472-6963
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- Citations: 7
Palmer EL, Wingfield D, Jamrozik K, et al., 2005, A pilot study to assess the possible methods of determining the burden of obstructive sleep apnoea syndrome in primary care., Prim Care Respiratory Journal, Vol: 14, Pages: 131-142
INTRODUCTION: A significant minority of otherwise healthy adults may suffer from disordered breathing during sleep. The commonest problem, known as Obstructive Sleep Apnoea Syndrome (OSAS), results in poor quality sleep, daytime hypersomnolence and excess risk of road traffic crashes. It is also associated with occupational injuries. OSAS can be successfully treated, reducing costs of hospitalisation. There is a gap in the literature regarding the burden of patients with OSAS in primary care, particularly because there is no agreed method for screening. OBJECTIVES: This pilot study was designed to determine the feasibility of screening for OSAS in a UK inner-city multi-ethnic primary care population, to investigate ways in which it might be detected, and to gain an awareness of the potential size of the burden of OSAS METHODS: We tested two methods of screening: firstly, postal questionnaires to a random sample of 240 patients from a subset of the population at highest risk of OSAS (men aged 3565 years); and secondly, the same questionnaire plus two screening tools for detecting hypersomnolence, given to patients attending the practice for pre-registration health checks. RESULTS: Despite reminders, only 40% of postal questionnaires were returned and there were only 67 (28%) usable responses. The prevalence of snoring was 55%. Almost half of those patients who responded (46%) had a Body Mass Index (BMI) associated with a high risk of OSAS. This was not a positive responder bias because there were no significant differences in BMI between responders and non-responders. 12% had a collar size of greater than 17.5, whilst 34% reported daytime sleepiness, and 24% reported witnessed apnoea. Screening during pre-registration health checks proved both feasible and productive with 38 patients of differing linguistic abilities completing the assessment. CONCLUSION: Screening for OSAS in primary care by means of a postal questionnaire produced a low response. Whilst there was
Rippon I, Lewison G, Partridge MR, 2005, Research outputs in respiratory medicine, THORAX, Vol: 60, Pages: 63-67, ISSN: 0040-6376
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- Citations: 20
Partridge MR, 2005, The asthma consultation: what is important?, CURRENT MEDICAL RESEARCH AND OPINION, Vol: 21, Pages: S11-S17, ISSN: 0300-7995
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- Citations: 17
Stephenson P, Partridge M, 2005, Presentation, diagnosis and differential diagnosis, A primary care guide to COPD, Editors: Haughney, Dartford, Kent, Publisher: Magister Consulting Ltd, Pages: 1-11, ISBN: 9781873839614
Partridge M, 2005, Domiciliary oxygen, A primary care guide to COPD, Editors: Haughney, Dartford, Kent, Publisher: Magister Consulting Ltd, Pages: 124-134, ISBN: 9781873839614
Stephenson P, Partridge M, 2005, Spirometry, an introduction, A primary care guide to COPD, Editors: Haughney, Dartford, Kent, Publisher: Magister Consulting Ltd, Pages: 25-35, ISBN: 9781873839614
Partridge M, 2005, Self management education in COPD, A primary care guide to COPD, Editors: Haughney, Dartford, Kent, Publisher: Magister Consulting Ltd, Pages: 96-106, ISBN: 9781873839614
Sridhar MK, Dawson SC, Taylor RF, et al., 2004, Pre discharge spirometry inpatients with COPD is not routine practice in hospitals in the Thames regions, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: 99-99, ISSN: 0040-6376
Palmer EL, Wingfield D, Jamrozik K, et al., 2004, A pilot study to assess methods of determining the burden of obstructive sleep apnoea syndrome (OSAS) in a multicultural inner city general practice, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: 75-76, ISSN: 0040-6376
Feeney CL, Roberts NJ, Partridge MR, 2004, Do medical outpatients want "out of hours" clinics?, Winter Meeting of the British-Thoracic-Society, Publisher: B M J PUBLISHING GROUP, Pages: 87-88, ISSN: 0040-6376
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