Recent Changes in the Prevalence of Diseases Presenting for Health Care

Overview

Journal Br J Gen Pract

Specialty Public Health

Date 2005 Aug 18

PMID 16105366

Citations 27

Authors

Douglas M Fleming

Kenneth W Cross

Michele A Barley

Affiliations

Soon will be listed here.

Abstract

Background: Practice-based morbidity surveys inform on the prevalence of diseases presenting for health care. The last major survey in England and Wales was conducted in 1991.

Aim: To reveal changes in disease prevalence between 1991 and 2001.

Design Of Study: Population-based analysis of persons presenting to GPs. Annual prevalence of diseases reported in the Weekly Returns Service (WRS) of the Royal College of General Practitioners in 2001 was compared with prevalence reported in Morbidity Statistics from General Practice, Fourth National Study (MSGP4).

Setting: Thirty-eight general practices contributing to the WRS, monitoring a population of 326,000 in 2001.

Method: Prevalence was determined from Read codes for morbidity entered in the respective survey years. Diseases and disease groups were defined from Read codes mapping to the chapters, major sub-groups and 3-digit codes of the International Classification of Disease version 9 (ICD9). Age-standardised prevalence rates per 10,000 registered persons and 99% confidence intervals (CIs) were calculated using the national census population for 2001 as the standard. Survey differences in prevalence were identified from non-overlapping CIs.

Results: There was a general reduction in the prevalence of disease caused by infection and an increase of degenerative disorders. The prevalence of mental disorders, skin disease and musculoskeletal disorders showed little change. Particular increases were noted for other malignant and benign neoplasms of the skin, hypothyroidism and diabetes. There were marked reductions for disorders of the conjunctiva, ear infections, acute myocardial infarction and heart failure, respiratory infections and injuries.

Conclusions: The role of the GP continues to change. These results confirm the importance of the management of chronic diseases as the dominant (though not the sole) role of the GP. The results demonstrate the use of the WRS as a source of data on disease prevalence.

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References

Hippisley-Cox J, Pringle M, Cater R, Wynn A, Hammersley V, Coupland C . The electronic patient record in primary care--regression or progression? A cross sectional study. BMJ. 2003; 326(7404):1439-43. PMC: 162256. DOI: 10.1136/bmj.326.7404.1439. View

Chapman R, Smith G, Warburton F, Mayon-White R, Fleming D . Impact of NHS Direct on general practice consultations during the winter of 1999-2000: analysis of routinely collected data. BMJ. 2002; 325(7377):1397-8. PMC: 138519. DOI: 10.1136/bmj.325.7377.1397. View

Sunderland R, Fleming D . Continuing decline in acute asthma episodes in the community. Arch Dis Child. 2004; 89(3):282-5. PMC: 1719847. DOI: 10.1136/adc.2003.029611. View

Fleming D, Schellevis F, Van Casteren V . The prevalence of known diabetes in eight European countries. Eur J Public Health. 2004; 14(1):10-4. DOI: 10.1093/eurpub/14.1.10. View

Fleming D . The measurement of morbidity in general practice. J Epidemiol Community Health. 1991; 45(3):180-3. PMC: 1060754. DOI: 10.1136/jech.45.3.180. View

Fleming D, Charlton J . Morbidity and healthcare utilisation of children in households with one adult: comparative observational study. BMJ. 1998; 316(7144):1572-6. PMC: 28559. DOI: 10.1136/bmj.316.7144.1572. View

Hughes G, Simms I, Rogers P, Swan A, Catchpole M . New cases seen at genitourinary medicine clinics: England 1997. Commun Dis Rep CDR Suppl. 1999; 8(7):S1-11. View

Fleming D . Weekly Returns Service of the Royal College of General Practitioners. Commun Dis Public Health. 1999; 2(2):96-100. View

Eriksson J, Lindstrom J, Valle T, Aunola S, Hamalainen H, Ilanne-Parikka P . Prevention of Type II diabetes in subjects with impaired glucose tolerance: the Diabetes Prevention Study (DPS) in Finland. Study design and 1-year interim report on the feasibility of the lifestyle intervention programme. Diabetologia. 1999; 42(7):793-801. DOI: 10.1007/s001250051229. View

10.

Fleming D, Zambon M, Bartelds A, de Jong J . The duration and magnitude of influenza epidemics: a study of surveillance data from sentinel general practices in England, Wales and the Netherlands. Eur J Epidemiol. 1999; 15(5):467-73. DOI: 10.1023/a:1007525402861. View

11.

Fleming D, Ross A, Cross K, Kendall H . The reducing incidence of respiratory tract infection and its relation to antibiotic prescribing. Br J Gen Pract. 2003; 53(495):778-83. PMC: 1314710. View

12.

Fleming D, Cross K, Sunderland R, Ross A . Comparison of the seasonal patterns of asthma identified in general practitioner episodes, hospital admissions, and deaths. Thorax. 2000; 55(8):662-5. PMC: 1745832. DOI: 10.1136/thorax.55.8.662. View

13.

Ross A, Fleming D . Chickenpox increasingly affects preschool children. Commun Dis Public Health. 2000; 3(3):213-5. View

14.

Drivsholm T, Ibsen H, Schroll M, Davidsen M, Borch-Johnsen K . Increasing prevalence of diabetes mellitus and impaired glucose tolerance among 60-year-old Danes. Diabet Med. 2001; 18(2):126-32. DOI: 10.1046/j.1464-5491.2001.00417.x. View

15.

Tuomilehto J, Lindstrom J, Eriksson J, Valle T, Hamalainen H, Ilanne-Parikka P . Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001; 344(18):1343-50. DOI: 10.1056/NEJM200105033441801. View

16.

Fleming D, Charlton J . The prevalence of asthma and heart disease in transport workers: a practice-based study. Br J Gen Pract. 2001; 51(469):638-43. PMC: 1314074. View