PRIMARY HEALTH CARE STUDY GROUP meeting
Wednesday 27th February 2008
Royal Statistical Society, Errol St, London
2-5pm
(directions http://www.rss.org.uk/about/direction.html)
No pre-registration is necessary
'Monitoring chronic conditions in primary care'
2pm PAUL GLASZIOU (Oxford University)
Monitoring in chronic disease: ill-charted waters?
Managing long term illness is an important and costly element of health care, and accounts for 80% of GP consultations. Monitoring forms a major part of this management, however it has been neglected as an area for research. For example, despite a lack of evidence of effectiveness of self-monitoring in Type 2 diabetes, the costs of monitoring strips alone in 2002 in the UK was £118 Million, larger than the expenditure on oral medications for diabetes. Despite the investment in monitoring, in many patients chronic disease is poorly controlled. We suggest that optimal monitoring should be considered in five phases: (1) pre-treatment, (2) initial titration, (3) maintenance, (4) re-establish control, and (5) cessation.
2.40pm TIM COLE (Institute of Child Health, UCL)
Issues in the monitoring of obesity and thinness in children
The recent rise in child obesity is a major public health concern, and primary care has an important role to play in handling obesity (and its counterpart, thinness) in individual children. Methods for measuring adiposity, defining thinness, overweight and obesity and monitoring the effects of treatment, all raise statistical issues that will be discussed.
3.20pm Tea
3.45pm Discussion in groups
4.30pm Rounding up and conclusion
5pm Close
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