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  1. Book: Nutrition and metabolism

    Lanham-New, Susan / Macdonald, Ian / Roche, Helen M.

    (The Nutrition Society textbook series)

    2011  

    Institution Nutrition Society
    Author's details ed. by Susan A. Lanham-New ; Ian M. Macdonald ; Helen M. Roche. The Nutrition Society
    Series title The Nutrition Society textbook series
    Keywords Nutritional Physiological Phenomena ; Metabolism
    Language English
    Size XII, 431 S. : Ill., graph. Darst.
    Edition 2. ed.
    Publisher Wiley-Blackwell
    Publishing place Chichester
    Publishing country Great Britain
    Document type Book
    Note Hier auch später erschienene, unveränderte Nachdrucke
    HBZ-ID HT016616526
    ISBN 978-1-4051-6808-3 ; 1-4051-6808-0
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Timeliness of childhood vaccination in England: A population-based cohort study.

    Suffel, Anne M / Walker, Jemma L / Williamson, Elizabeth / McDonald, Helen I / Warren-Gash, Charlotte

    Vaccine

    2023  Volume 41, Issue 39, Page(s) 5775–5781

    Abstract: Introduction: Vaccine surveillance for children in England focuses on coverage at ages 1, 2, and 5 years. Previous studies exploring vaccine timeliness have used different arbitrary categories to define whether vaccines were received 'late' or 'on time'. ...

    Abstract Introduction: Vaccine surveillance for children in England focuses on coverage at ages 1, 2, and 5 years. Previous studies exploring vaccine timeliness have used different arbitrary categories to define whether vaccines were received 'late' or 'on time'. This paper aims to provide more detailed and holistic information on timing and patterns of vaccine uptake across the childhood immunisation schedule in England.
    Methods: We included all children born in England between 2006 and 2014 and registered in the Clinical Practice Research Datalink (CPRD) Aurum, a primary care electronic health record. We described vaccine uptake for representative antigens (pertussis, pneumococcus, measles) by age in days and stratified by ethnicity, region and birth cohort. Alluvial diagrams were used to illustrate common journeys through the vaccination schedule, and we applied survival analysis using accelerated failure time models (AFT) to predict age of vaccine receipt based on timing of previous doses.
    Results: 573,015 children were followed up until their fifth birthday, when they had 90.16 % coverage for two doses of measles, mumps, rubella (MMR) vaccine and 88.78% coverage for four doses of diphtheria, tetanus, pertussis (DTP) vaccine. Overall, the later the age at which a vaccine was due, the more delay in vaccination. Children of Black Ethnicity or from London showed deviating uptake patterns. If a child received their third DTP dose more than a year later than recommended, they would receive the next dose 2.7 times later than a child who was vaccinated on time. A smaller delay was found for children who did not receive first MMR dose on time.
    Discussion: We showed that the risk of vaccination delay increased with the age of the child and significant delay of previous doses. Primary care data can help to promptly identify children at higher risk of delayed vaccination.
    MeSH term(s) Child ; Humans ; Infant ; Measles-Mumps-Rubella Vaccine ; Cohort Studies ; Whooping Cough ; Vaccination ; Immunization Schedule ; Measles/prevention & control ; Mumps/prevention & control ; Diphtheria-Tetanus-Pertussis Vaccine
    Chemical Substances Measles-Mumps-Rubella Vaccine ; Diphtheria-Tetanus-Pertussis Vaccine
    Language English
    Publishing date 2023-08-11
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2023.08.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Expedited organ donation in Victoria, Australia: donor characteristics and donation outcomes.

    D'Costa, Rohit L / Radford, Samuel / Opdam, Helen I / McDonald, Mark / McEvoy, Leanne / Bellomo, Rinaldo

    Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine

    2023  Volume 22, Issue 4, Page(s) 303–311

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2023-10-18
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2401976-8
    ISSN 1441-2772
    ISSN 1441-2772
    DOI 10.51893/2020.4.OA2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Household Tenure and Its Associations with Multiple Long-Term Conditions amongst Working-Age Adults in East London: A Cross-Sectional Analysis Using Linked Primary Care and Local Government Records.

    Ingram, Elizabeth / Gomes, Manuel / Hogarth, Sue / McDonald, Helen I / Osborn, David / Sheringham, Jessica

    International journal of environmental research and public health

    2022  Volume 19, Issue 7

    Abstract: Multiple long-term conditions (MLTCs) are influenced in extent and nature by social determinants of health. Few studies have explored associations between household tenure and different definitions of MLTCs. This study aimed to examine associations ... ...

    Abstract Multiple long-term conditions (MLTCs) are influenced in extent and nature by social determinants of health. Few studies have explored associations between household tenure and different definitions of MLTCs. This study aimed to examine associations between household tenure and MLTCs amongst working-age adults (16 to 64 years old, inclusive). This cross-sectional study used the 2019−2020 wave of an innovative dataset that links administrative data across health and local government for residents of a deprived borough in East London. Three definitions of MLTCs were operationalised based on a list of 38 conditions. Multilevel logistic regression models were built for each outcome and adjusted for a range of health and sociodemographic factors. Compared to working-age owner-occupiers, odds of basic MLTCs were 36% higher for social housing tenants and 19% lower for private renters (OR 1.36; 95% CI 1.30−1.42; p < 0.001 and OR 0.81, 95% CI 0.77−0.84, p < 0.001, respectively). Results were consistent across different definitions of MLTCs, although associations were stronger for social housing tenants with physical-mental MLTCs. This study finds strong evidence that household tenure is associated with MLTCs, emphasising the importance of understanding household-level determinants of health. Resources to prevent and tackle MLTCs among working-age adults could be differentially targeted by tenure type.
    MeSH term(s) Cross-Sectional Studies ; Housing ; Local Government ; London/epidemiology ; Primary Health Care
    Language English
    Publishing date 2022-03-31
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19074155
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Investigating the optimal handling of uncertain pregnancy episodes in the CPRD GOLD Pregnancy Register: a methodological study using UK primary care data.

    Campbell, Jennifer / Bhaskaran, Krishnan / Thomas, Sara / Williams, Rachael / McDonald, Helen I / Minassian, Caroline

    BMJ open

    2022  Volume 12, Issue 2, Page(s) e055773

    Abstract: Objectives: To investigate why episodes of pregnancy identified from electronic health records may be incomplete or conflicting (overlapping), and provide guidance on how to handle them.: Setting: Pregnancy Register generated from the Clinical ... ...

    Abstract Objectives: To investigate why episodes of pregnancy identified from electronic health records may be incomplete or conflicting (overlapping), and provide guidance on how to handle them.
    Setting: Pregnancy Register generated from the Clinical Practice Research Datalink (CPRD) GOLD UK primary care database.
    Participants: Female patients with at least one pregnancy episode in the Register (01 January 1937-31 December 2017) which had no recorded outcome or conflicted with another episode.
    Design: We identified multiple scenarios potentially explaining why uncertain episodes occur. Criteria were established and systematically applied to determine whether episodes had evidence of each scenario. Linked Hospital Episode Statistics were used to identify pregnancy events not captured in primary care.
    Results: Of 5.8 million pregnancy episodes in the Register, 932 604 (16%) had no recorded outcome, and 478 341 (8.5%) conflicted with another episode (251 026 distinct conflicting pairs of episodes among 210 593 women). 826 146 (89%) of the episodes without outcome recorded in primary care and 215 577 (86%) of the conflicting pairs were consistent with one or more of our proposed scenarios. For 689 737 (74%) episodes with recorded outcome missing and 215 544 (86%) of the conflicting pairs (at least one episode), supportive evidence (eg, antenatal records, linked hospital records) suggested they were true and current pregnancies. Furthermore, 516 818 (55 %) and 160 936 (64%), respectively, were during research quality follow-up time. For a sizeable proportion of uncertain episode, there is evidence to suggest that historical outcomes being recorded by the general practitioner during an ongoing pregnancy may offer explanation (73 208 (29.2%) and 349 874 (37.5%)).
    Conclusions: This work provides insight to users of the CPRD Pregnancy Register on why uncertain pregnancy episodes exist and indicates that most of these episodes are likely to be real pregnancies. Guidance is given to help researchers consider whether to include/exclude uncertain pregnancies from their studies, and how to tailor approaches to minimise underestimation and bias.
    MeSH term(s) Databases, Factual ; Electronic Health Records ; Female ; Hospitals ; Humans ; Male ; Pregnancy ; Primary Health Care ; United Kingdom
    Language English
    Publishing date 2022-02-22
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-055773
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Exploring the impact of mental health conditions on vaccine uptake in high-income countries: a systematic review.

    Suffel, Anne M / Ojo-Aromokudu, Oyinkansola / Carreira, Helena / Mounier-Jack, Sandra / Osborn, David / Warren-Gash, Charlotte / McDonald, Helen I

    BMC psychiatry

    2023  Volume 23, Issue 1, Page(s) 15

    Abstract: Background: Vaccination is an essential public health intervention to reduce morbidity and mortality from infectious diseases. Despite being at higher at risk of infectious diseases, health inequalities towards vaccine uptake in people with mental ... ...

    Abstract Background: Vaccination is an essential public health intervention to reduce morbidity and mortality from infectious diseases. Despite being at higher at risk of infectious diseases, health inequalities towards vaccine uptake in people with mental health issues have not been systematically appraised.
    Methods: We searched 7 databases from 1994 to 26/03/2021. We included all studies with a relative measure of effect comparing a group with a mental health issue to a control group. All studies covering any mental health issue were eligible with no constraints to study population, vaccine type or region, provided in a high-income country for comparability of health care systems. The study outcomes were synthesised by study population, mental health issue and type of vaccine.
    Results: From 4,069 titles, 23 eligible studies from 12 different countries were identified, focusing on adults (n = 13) or children (n = 4) with mental health issues, siblings of children with mental health issues (n = 2), and mothers with mental health issue and vaccine uptake in their children (n = 6). Most studies focused on depression (n = 12), autism, anxiety, or alcoholism (n = 4 respectively). Many studies were at high risk of selection bias.
    Discussion: Mental health issues were associated with considerably lower vaccine uptake in some contexts such as substance use disorder, but findings were heterogeneous overall and by age, mental health issue or types of vaccine. Only individuals with mental health issues and physical comorbidities had consistently higher uptake in comparison to other adults. Mental health should be considered as a health inequality for vaccine uptake but more context specific research is needed focusing more on specific mental health issues and subgroups of the population to understand who misses vaccination and why.
    MeSH term(s) Child ; Female ; Adult ; Humans ; Mental Health ; Developed Countries ; Health Status Disparities ; Vaccines ; Mothers
    Chemical Substances Vaccines
    Language English
    Publishing date 2023-01-07
    Publishing country England
    Document type Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2050438-X
    ISSN 1471-244X ; 1471-244X
    ISSN (online) 1471-244X
    ISSN 1471-244X
    DOI 10.1186/s12888-022-04512-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The risk of acute kidney injury in colorectal cancer survivors: an english population-based matched cohort study.

    Andresen, Kirsty / Carreira, Helena / Strongman, Helen / McDonald, Helen I / Benitez-Majano, Sara / Mansfield, Kathryn E / Nitsch, Dorothea / Tomlinson, Laurie A / Bhaskaran, Krishnan

    BMC cancer

    2023  Volume 23, Issue 1, Page(s) 839

    Abstract: Background: Colorectal cancer survival has improved in recent decades but there are concerns that survivors may develop kidney problems due to adverse effects of cancer treatment or complications of the cancer itself. We quantified the risk of acute ... ...

    Abstract Background: Colorectal cancer survival has improved in recent decades but there are concerns that survivors may develop kidney problems due to adverse effects of cancer treatment or complications of the cancer itself. We quantified the risk of acute kidney injury (AKI) in colorectal cancer survivors compared to people with no prior cancer.
    Methods: Retrospective matched cohort study using electronic health record primary care data from the Clinical Practice Research Datalink GOLD linked to hospital data in England (HES-APC). Individuals with colorectal cancer between 1997-2018 were individually matched on age, sex, and GP practice to people with no prior cancer. We used Cox models to estimate hazard ratios for an incident hospital diagnosis of AKI in colorectal cancer survivors compared to individuals without cancer, overall and stratified by time since diagnosis adjusted for other individual-level factors (adj-HR).
    Results: Twenty thousand three hundred forty colorectal cancer survivors were matched to 100,058 cancer-free individuals. Colorectal cancer survivors were at increased risk of developing AKI compared to people without cancer (adj-HR = 2.16; 95%CI 2.05-2.27). The HR was highest in the year after diagnosis (adj-HR 7.47, 6.66-8.37), and attenuated over time, but there was still increased AKI risk > 5 years after diagnosis (adj-HR = 1.26, 1.17-1.37). The association between colorectal cancer and AKI was greater for younger people, men, and those with pre-existing chronic kidney disease.
    Conclusions: Colorectal cancer survivors were at increased risk of AKI for several years after cancer diagnosis, suggesting a need to prioritise monitoring, prevention, and management of kidney problems in this group of cancer survivors.
    MeSH term(s) Male ; Humans ; Cancer Survivors ; Cohort Studies ; Retrospective Studies ; Survivors ; Acute Kidney Injury/epidemiology ; Acute Kidney Injury/etiology ; Colorectal Neoplasms/complications ; Colorectal Neoplasms/epidemiology
    Language English
    Publishing date 2023-09-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041352-X
    ISSN 1471-2407 ; 1471-2407
    ISSN (online) 1471-2407
    ISSN 1471-2407
    DOI 10.1186/s12885-023-11329-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Household Tenure and Its Associations with Multiple Long-Term Conditions amongst Working-Age Adults in East London

    Elizabeth Ingram / Manuel Gomes / Sue Hogarth / Helen I. McDonald / David Osborn / Jessica Sheringham

    International Journal of Environmental Research and Public Health, Vol 19, Iss 4155, p

    A Cross-Sectional Analysis Using Linked Primary Care and Local Government Records

    2022  Volume 4155

    Abstract: Multiple long-term conditions (MLTCs) are influenced in extent and nature by social determinants of health. Few studies have explored associations between household tenure and different definitions of MLTCs. This study aimed to examine associations ... ...

    Abstract Multiple long-term conditions (MLTCs) are influenced in extent and nature by social determinants of health. Few studies have explored associations between household tenure and different definitions of MLTCs. This study aimed to examine associations between household tenure and MLTCs amongst working-age adults (16 to 64 years old, inclusive). This cross-sectional study used the 2019–2020 wave of an innovative dataset that links administrative data across health and local government for residents of a deprived borough in East London. Three definitions of MLTCs were operationalised based on a list of 38 conditions. Multilevel logistic regression models were built for each outcome and adjusted for a range of health and sociodemographic factors. Compared to working-age owner-occupiers, odds of basic MLTCs were 36% higher for social housing tenants and 19% lower for private renters (OR 1.36; 95% CI 1.30–1.42; p < 0.001 and OR 0.81, 95% CI 0.77–0.84, p < 0.001, respectively). Results were consistent across different definitions of MLTCs, although associations were stronger for social housing tenants with physical-mental MLTCs. This study finds strong evidence that household tenure is associated with MLTCs, emphasising the importance of understanding household-level determinants of health. Resources to prevent and tackle MLTCs among working-age adults could be differentially targeted by tenure type.
    Keywords multimorbidity ; multiple long-term conditions ; comorbidity ; social determinants of health ; housing ; household tenure ; Medicine ; R
    Subject code 333
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Barriers and facilitators of use of analytics for strategic health and care decision-making

    Jessica Sheringham / Manuel Gomes / Sarah Beardon / Helen I McDonald / Elizabeth Ingram / Sue Hogarth / Silvie Cooper / Katherine Körner

    BMJ Open, Vol 12, Iss

    a qualitative study of senior health and care leaders’ perspectives

    2022  Volume 2

    Keywords Medicine ; R
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article: A prediction model to determine the untapped lung donor pool outside of the DonateLife network in Victoria.

    Okahara, Shuji / Snell, Gregory I / Levvey, Bronwyn J / McDonald, Mark / D'Costa, Rohit / Opdam, Helen / Pilcher, David V

    Anaesthesia and intensive care

    2022  Volume 50, Issue 5, Page(s) 380–387

    Abstract: Lung transplantation is limited by a lack of suitable lung donors. In Australia, the national donation organisation (DonateLife) has taken a major role in optimising organ donor identification. However, the potential outside the DonateLife network ... ...

    Abstract Lung transplantation is limited by a lack of suitable lung donors. In Australia, the national donation organisation (DonateLife) has taken a major role in optimising organ donor identification. However, the potential outside the DonateLife network hospitals remains uncertain. We aimed to create a prediction model for lung donation within the DonateLife network and estimate the untapped lung donors outside of the DonateLife network. We reviewed all deaths in the state of Victoria's intensive care units using a prospectively collected population-based intensive care unit database linked to organ donation records. A logistic regression model derived using patient-level data was developed to characterise the lung donors within DonateLife network hospitals. Consequently, we estimated the expected number of lung donors in Victorian hospitals outside the DonateLife network and compared the actual number. Between 2014 and 2018, 291 lung donations occurred from 8043 intensive care unit deaths in DonateLife hospitals, while only three lung donations occurred from 1373 ICU deaths in non-DonateLife hospitals. Age, sex, postoperative admission, sepsis, neurological disease, trauma, chronic respiratory disease, lung oxygenation and serum creatinine were factors independently associated with lung donation. A highly discriminatory prediction model with area under the receiver operator characteristic curve of 0.91 was developed and accurately estimated the number of lung donors. Applying the model to non-DonateLife hospital data predicted only an additional five lung donors. This prediction model revealed few additional lung donor opportunities outside the DonateLife network, and the necessity of alternative and novel strategies for lung donation. A donor prediction model could provide a useful benchmarking tool to explore organ donation potential across different jurisdictions, hospitals and transplanting centres.
    MeSH term(s) Humans ; Lung ; Organ Transplantation ; Tissue Donors ; Tissue and Organ Procurement ; Victoria
    Language English
    Publishing date 2022-06-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 187524-3
    ISSN 1448-0271 ; 0310-057X
    ISSN (online) 1448-0271
    ISSN 0310-057X
    DOI 10.1177/0310057X211070011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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