The Lancet Primary Care

Figure 2 from the Article, showing the number of Heart Health Checks, per 100 eligible participants, by trial group and total eligible patients per practice; with the control group (the waitlist group) having far fewer Heart Health Checks per total eligible patients per practice than both the invitation and reminder SMS groups.

🆕 “SMS recall is an effective and scalable way to implement targeted cardiovascular disease risk screening in general practice.”

Read the results of the Text to Detect trial here ➡️ www.thelancet.com/journals/lan...

@carissabonner.bsky.social

Topical hydrogen peroxide versus fusidic acid for non-severe impetigo in Auckland, Aotearoa New Zealand (the TIARA trial): a single-blind, randomised controlled trial Topical hydrogen peroxide was not non-inferior to topical fusidic acid for treatment of non-severe impetigo. However, as these infections are mild and the difference in cure rate is small, when balanc...

🆕 In a single-blind RCT, topical hydrogen peroxide was compared with topic fusidic acid and simple wound hygiene in the management of non-severe impetigo lesions in school-aged children in Auckland, Aotearoa New Zealand.

Read the findings of the TIARA trial ➡️ www.thelancet.com/journals/lan...

The Lancet Summit: shaping the future of diabetes prevention. Image credit: Ixefra / Getty Images.

📣 Big news! We’re excited to announce the Advisory Board for The #LancetSummit: shaping the future of #diabetes prevention. Welcome Amanda Adler, Kamlesh Khunti, Dianna Magliano, Chantal Mathieu and Didac Mauricio Puente. Find out more and submit your abstract to join the Summit: hubs.li/Q03MV20T0

Social isolation and access to cognitive disorder-related prespecialist care among older people: a 10-year nationwide cross-sectional study from the French National Alzheimer Database Better coordination of health and social services is needed to address barriers faced by isolated older adults with cognitive disorders.

🆕In a cross-sectional study, Dominique Huvent-Grelle and colleagues report on associations between social isolation and cognitive decline in a 10-year nationwide study based in France.

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

The front cover of the fourth issue of The Lancet Primary Care, featuring a photograph of an older man wearing glasses at the opticians office, smiling at the viewer, the optician appears to be in the foreground and out of focus.

Our fourth issue is now live 🎉

All content is free to access and read now www.thelancet.com/journals/lan...

#primarycare #familymedicine #communitycare #openaccess

Conceptual diagram of primary care services and HIV integration. Shows the potential elements of the integrated essential HIV programme. Full integration would mean transfer of HIV programming, staffing, and budgets to the directorate responsible for delivering primary care services.

🆕📢“As vertical HIV programmes collapse... primary health care, with its syndemic approach and infrastructure for chronic disease management, is well positioned to absorb HIV services while ensuring sustainability”

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

Cervical screening approach of self-collection, point-of-care HPV testing, and same-day colposcopy among Aboriginal and Torres Strait Islander women in remote Western Australia (the PREVENT Project): ... We showed the feasibility of integrating portable, same-day cervical screening and follow-up care into remote health-care settings, achieved through successful community engagement and advocacy. These...

🆕 In The Lancet Public Health, read the findings of the PREVENT project, investigating cervical screening via self-collection, with point-of-care HPV testing and same-day colposcopy in Aboriginal and Torres Strait Islander women in Western Australia ➡️ www.thelancet.com/journals/lan...

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

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

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

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

🆕 “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...

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... 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...

🆕 “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...

📢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

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

📄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...

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

🆕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...

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

🆕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

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

📢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

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 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...

🎤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...

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

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

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

🎤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 Lancet Primary Care in conversation with 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...

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

Protection that lasts? MVA-BN against clade IIb mpox 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...

🆕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...

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

🆕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...

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

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...

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

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

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.

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

🆕 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...

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 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...

🆕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

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.

💊 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

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

🆕“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...

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 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.

🆕“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...

Figure 1 from the paper, titled “Representative of the four common conceptualisations of primary health care (PHC)”. It shows a bar chart with the four characteristics of PHC, the first is “service delivery platform”, which is used by seven organisations across UN, national, and other organisations; second, “level of care”, which is used by two UN organisations; “bundle of interventions”, which is used by two national organisations; and fourth “whole-of-society-approach to health”, which is used by one other organisation.

🆕 In their Health Policy paper, Luke Allen and colleagues investigate how primary health care is operationalised in strategic documents by major international development organisations.
Read the paper here ➡️
www.thelancet.com/journals/lan...