Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, Greece
| Autor: | Foteini Anastasiou, Charalampos M Apostolakis, Aggeliki A Vasilaki, Ioanna Tsiligianni, Theodoros Vasilopoulos, George Vrentzos, Kornilia Makri, Dimitris K Kounalakis, Ilias A Grammatikopoulos, Maria Papadakaki, George I Fountakis, Nikos Tsakountakis, Stelios A Dimitrakopoulos, Chrysa S Petraki, Dimitra Prokopiadou, Eva S Ladoukaki, John D Komninos, Nikos G Ploumis, Constantine I. Vardavas, Maria Antonopoulou, Christos Lionis, Ioanna Stefanaki, Emmanouil K. Symvoulakis, Emmanouil N Tzortzis |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Quality Assurance Health Care MEDLINE Neuralgia Postherpetic Community Networks Herpes Zoster Catchment Area Health Cost of Illness Nursing Epidemiology Electronic Health Records Humans Medicine Aged Aged 80 and over lcsh:R5-920 Greece Marital Status Primary Health Care business.industry Incidence Incidence (epidemiology) Rural health Health services research Middle Aged medicine.disease Social Class Family medicine Neuralgia Marital status Female Health Services Research Rural Health Services Rural area Family Practice business lcsh:Medicine (General) Sentinel Surveillance Stress Psychological Research Article |
| Zdroj: | BMC Family Practice, Vol 12, Iss 1, p 136 (2011) BMC Family Practice |
| ISSN: | 1471-2296 |
| Popis: | Background Research has indicated that general practitioners (GPs) have good clinical judgment in regards to diagnosing and managing herpes zoster (HZ) within clinical practice in a country with limited resources for primary care and general practice. The objective of the current study was to assess the burden of HZ and post herpetic neuralgia (PHN) within rural general practices in Crete, Greece. Methods The current study took place within a rural setting in Crete, Greece during the period of November 2007 to November 2009 within the catchment area in which the Cretan Rural Practice-based Research Network is operating. In total 19 GP's from 14 health care units in rural Crete were invited to participate, covering a total turnover patient population of approximately 25, 000 subjects. For the purpose of this study an electronic record database was constructed and used as the main tool for monitoring HZ and PHN incidence. Stress related data was also collected with the use of the Short Anxiety Screening Test (SAST). Results The crude incidence rate of HZ was 1.4/1000 patients/year throughout the entire network of health centers and satellite practices, while among satellite practices alone it was calculated at 1.3/1000 patients/year. Additionally, the standardised incidence density within satellite practices was calculated at 1.6/1000 patients/year. In regards to the stress associated with HZ and PHN, the latter were found to have lower levels of anxiety, as assessed through the SAST score (17.4 ± 3.9 vs. 21.1 ± 5.7; p = 0.029). Conclusions The implementation of an electronic surveillance system was feasible so as to measure the burden of HZ and PHN within the rural general practice setting in Crete. |
| Databáze: | OpenAIRE |
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