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Beyond colorectal cancer: rethinking the prognostic role of faecal immunochemical testing

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Reposted by The Lancet Primary Care

The Lancet @thelancet.com · Aug 14

Introducing a new @lancetprimarycare.bsky.social podcast channel 🎙️

For all episodes, visit the page & subscribe ⤵️
bit.ly/3UteSbW

Artwork for The Lancet Primary Care in conversation with podcast; a green rectangle with white outline speech bubbles.

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The Lancet Primary Care @lancetprimarycare.bsky.social · Aug 11

🆕 “The results reported by Malcolm and colleagues highlight the potential for a shift in how clinicians interpret the detection of faecal haemoglobin”

Read the linked Comment ➡️ www.thelancet.com/journals/lan...

In primary care, the faecal immunochemical test (FIT) has become a key tool in the early detection strategy for colorectal cancer among patients presenting with gastrointestinal symptoms. According to...

All-cause and non-colorectal cancer 1-year mortality among people having a faecal immunochemical test in primary care for investigation of symptoms of suspected colorectal cancer: an English cohort st...

The Lancet Primary Care @lancetprimarycare.bsky.social · Aug 11

🆕 “To our knowledge, this is the first study to describe the association between raised symptomatic FIT and all-cause mortality and mortality from causes other than colorectal cancer.”
Read the primary care cohort study ➡️ www.thelancet.com/journals/lan...

Further understanding of the cause-specific mortality associations with symptomatic FIT has the potential to transform diagnostic pathways and subsequent treatment—particularly in younger and female p...

Caring for the caregivers: a global imperative for family doctors’ wellbeing

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The Lancet Primary Care @lancetprimarycare.bsky.social · Aug 7

📢Can't wait till our next issue? Stay connected with The Lancet Primary Care’s Update Alerts! Receive curated content, exclusive features, and more delivered straight to your inbox in between issues. Sign up today! hubs.li/Q03BhmQt0
#medsky #familymedicinesky #internalmedicinesky

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The Lancet Primary Care @lancetprimarycare.bsky.social · Aug 6

📄Cognitive functional therapy, with or without movement sensor biofeedback, for chronic disabling low back pain
resulted in sustained effects at 3 years of follow-up compared with usual care.

Read the Article in @thelancetrheum.bsky.social ➡️ www.thelancet.com/journals/lan...

Image shows figure 2 of the manuscript, which shows clinical effects over 3 years for the Roland Morris Disability Questionnaire and pain intensity scores, with usual care scoring much higher than the intervention on both scales from 13 weeks to 156 weeks

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The Lancet Primary Care @lancetprimarycare.bsky.social · Aug 5

🆕In their Comment, Karen Flegg and @vivimbmd.bsky.social discuss how prioritising the wellbeing of family doctors is not optional, but essential, to achieve global health outcomes.

Read the Comment➡️ www.thelancet.com/journals/lan...

The global primary care workforce is under immense strain. Worldwide, family doctors and general practitioners are experiencing severe shortages, increasing burnout, and unsustainable workloads. These...

Characteristics of patient enrolment policies in primary care: a qualitative analysis of 15 schemes from 12 high-income countries

The Lancet Primary Care @lancetprimarycare.bsky.social · Aug 1

🆕A qualitative analysis of patient enrolment policies in primary care across 12 high-income countries:

“Our typology provides policy makers and researchers with an accurate basis for comparing policies”

Read the Review ➡️ www.thelancet.com/journals/lan...

@tarakiran.bsky.social

A previously published review on primary care enrolment schemes found substantial variations in their characteristics, each with the potential to affect their ability to ensure people have access to p...

John Weisz and Dennis Ougrin on a digital problem-solving intervention for Ukrainian children and adolescents displaced by war - The Lancet Primary Care in conversation with

The Lancet Primary Care @lancetprimarycare.bsky.social · Aug 1

📢We're extending our introductory offer and waiving the article-processing charge (APC) for articles submitted before Sept 30, 2025.
Read our commitment to publishing excellence, reach and impact, and take advantage of this offer ➡️ bit.ly/4jMtT45
#medsky #familymedicinesky #internalmedicinesky

Publish with us. Dedicated to publishing research and opinion that can guide the effective delivery of primary care in the 21st century.

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The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 31

🎤Episode 3: In conversation with, John Weisz and @dennisougrin.bsky.social on a digital problem-solving intervention for Ukrainian children and adolescents displaced by war
Listen here ➡️ thelancetprimarycare.buzzsprout.com/2466883/epis...

John Weisz & Dennis Ougrin discuss their Article assessing the effects of Project SOLVE, a digital problem-solving intervention for depression and anxiety symptoms in Ukrainian children and adoles...

Veronika Rasic on rural primary care and Rural Health Compass - The Lancet Primary Care in conversation with

The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 31

🎤Episode 2: In conversation with, Veronika Rasic on rural primary care and Rural Health Compass
Listen here ➡️ thelancetprimarycare.buzzsprout.com/2466883/epis...

Veronika Rasic, rural general practitioner and Founder and Director of Rural Health Compass, speaks about the organisation and her experiences and achievements working in and for rural primary care an...

Yaiza del Pozo Martín, Jessica Smith, and Lauren Southwell on The Lancet Primary Care - The Lancet Primary Care in conversation with

The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 31

🎤Episode 1: In conversation with, The Lancet Primary Care Editors, on why now is the time to launch this journal!
Listen here ➡️ thelancetprimarycare.buzzsprout.com/2466883/epis...

The three editors of The Lancet Primary Care discuss the aims and scope of this new journal, why now is the time to launch, key areas of advocacy, and their aims for the future.

The Lancet Primary Care in conversation with

The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 31

Want more of The Lancet Primary Care?
🎧 Listen to our podcast, The Lancet Primary Care in conversation with, hosted by our Senior Editor Lauren Southwell
We launch our podcast with three inaugural episodes
Listen or follow here ➡️ thelancetprimarycare.buzzsprout.com/2466883

Explore the latest primary care research and topics with The Lancet Primary Care In conversation with. Journal editors speak to community members, primary care professionals, academics, and other indi...

Protection that lasts? MVA-BN against clade IIb mpox

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The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 31

🆕In their Comment, @emilyevs.bsky.social ‬and @boghuma.bsky.social discuss the new Article published by Ned Latham and Colleagues on fully vaccinated individuals with mpox in NSW, Australia
Read here ➡️ www.thelancet.com/journals/lan...

Clade IIb monkeypox virus infection was first declared a public health emergency of international concern in 2022. The global outbreak was largely driven by sexual transmission, primarily among men wh...

Clinical features of mpox in fully vaccinated people in New South Wales, Australia: an outbreak investigation and retrospective cohort study

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The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 31

🆕An outbreak investigation and retrospective cohort study of fully vaccinated individuals with mpox in NSW, Australia, suggests that protection against severe disease persists beyond the point at which MVA-BN induced antibodies have been found to wane
Read here➡️ www.thelancet.com/journals/lan...

A two-dose MVA-BN series continued to protect against extragenital lesions, systemic symptoms, and hospitalisation beyond the point at which antibodies have been found to wane.

Clinical features of mpox in fully vaccinated people in New South Wales, Australia: an outbreak investigation and retrospective cohort study

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Reposted by The Lancet Primary Care

BK. Titanji @boghuma.bsky.social · Jul 25

Reassuring data from Australia showing that the protection that is conferred by the MVA-BN vaccine against mpox is durable up to two years after vaccination. Highlights the importance of expanding access in countries with outbreaks. @lancetprimarycare.bsky.social
www.thelancet.com/journals/lan...

A two-dose MVA-BN series continued to protect against extragenital lesions, systemic symptoms, and hospitalisation beyond the point at which antibodies have been found to wane.

Urgent need for mental health care for Ukrainian children affected by war

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The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 24

Our first issue is out now! 🎉
#openaccess

Explore and download at: hubs.li/Q03yqVNW0

Read our inaugural Editorial, a varied selection of comments and research articles, and more.

Thank you to our authors and reviewers
#medsky #familymedicinesky #primaryhealthcare #primarycare #communitycare

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Reposted by The Lancet Primary Care

Queen Mary Faculty of Medicine & Dentistry @qmulfmd.bsky.social · Jul 18

Short-term digital mental health interventions reduces depression and anxiety in Ukrainian children and adolescents displaced by war - a first of its kind randomised controlled trial found delivering a problem solving digital mental health intervention significantly reduced symptoms.

2 teenagers look at a tablet in a classroom setting. Photocredit LIGHTFIELD STUDIOS on Adobe Stock

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The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 18

🆕 In their Comment, Elisa Pfeiffer and Dmytro Martsenkovskyi emphasise the importance of tailored and evidence-based digital mental health interventions for populations displaced or affected by war

Read the Comment here ➡️ www.thelancet.com/journals/lan...

As of 2023, a record 59 active military conflicts were documented worldwide, which is the highest number since the post-World War II era. The majority of these conflicts were characterised by unpreced...

Effects of a brief digital problem-solving intervention on depression and anxiety symptoms in Ukrainian children and adolescents displaced by war: a crossover, randomised controlled trial

The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 18

🆕John Weisz and colleagues report the results of their RCT investigating the effect of a digital problem-solving intervention among Ukrainian youths displaced by war.

Read the Article here ➡️ www.thelancet.com/journals/lan...

@dennisougrin.bsky.social

Our data suggest that a brief problem-solving DMHI, efficiently implemented in schools, could reduce internalising symptoms in refugee Ukrainian youths. After context-specific adaptations, DMHIs could...

Effectiveness, safety, and cost-effectiveness of the ALABAMA trial

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Reposted by The Lancet Primary Care

The Lancet @thelancet.com · Jul 17

💊 5-8% of adults and children have a penicillin allergy label in their medical records.

A new trial in @lancetprimarycare.bsky.social explores how checking for penicillin allergies can help doctors prescribe more targeted penicillin antibiotics safely: tinyurl.com/m3bvm94s

Research in context panel for "Penicillin allergy assessment pathway versus usual clinical care for primary care patients with a penicillin allergy record in the UK (ALABAMA): an open-label, multicentre, randomised controlled trial". Copyright: 2025 The Author(s). Published by Elsevier Ltd. CC BY 4.0.

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The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 15

🆕“Although this trial supports the effectiveness of a ... pathway in optimising antibiotic use, the pathway involves multiple interventions beyond primary care that are potentially difficult to replicate.”

Read the Linked comment on the ALAMABA trial here ➡️ www.thelancet.com/journals/lan...

Individuals with penicillin allergy records have an increased use of broad-spectrum antibiotics, which are associated with an increased risk of adverse events, poor infection outcomes, and antimicrobi...

Penicillin allergy assessment pathway versus usual clinical care for primary care patients with a penicillin allergy record in the UK (ALABAMA): an open-label, multicentre, randomised controlled trial

The Lancet Primary Care @lancetprimarycare.bsky.social · Jul 15

🆕“The penicillin allergy assessment pathway increased the opportunity for patients to receive first-line treatment and is a potentially effective antimicrobial stewardship tool in primary care.”
Read the report of the ALABAMA trial here ➡️ www.thelancet.com/journals/lan...

Our data suggest that the penicillin allergy assessment pathway can increase prescription of narrow-spectrum penicillins with few signals of harm, indicating its potential in antibiotic stewardship.