The Lancet Primary Care

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...

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

For all episodes, visit the page & subscribe ⤵️
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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...

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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
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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

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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...

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Pneumococcal vaccination for new residents entering older adult care homes in England: national observational surveillance study Pneumococcal vaccination for new care home residents could prevent substantially more cases and deaths per dose and would require only 20% more doses than the current national PPV23 programme for adul...

🩺“Vaccinating new older adult care home residents upon entry has the potential to substantially reduce the burden of pneumococcal disease in this vulnerable population”
Read the findings from the national observational study in The Lancet Healthy Longevity
➡️ www.thelancet.com/journals/lan...

Online first: Oral contraceptive use and risk of #livercancer: a population-based study, systematic review, and meta-analysis

thelancet.com/journals/lan...

Linked comment: Oral contraceptives and risk of liver cancer

thelancet.com/journals/lan...

Data manipulation within the US Federal Government A US Department of Veterans Affairs dataset compiling veteran health-care use in 2021 was quietly amended on March 5, 2025. A column titled gender was renamed sex, and the words were also switched in ...

New peer-reviewed research letter analyses undisclosed changes made to public health datasets published by US federal agencies. The most common change was renaming the category "gender" to "sex". tinyurl.com/2hdbu295 @bulaw.bsky.social

Strengthening primary health-care leadership: responding to a global need The need for whole-system leadership to advance primary health care (PHC) has never been more urgent. In this Comment, we make the case for cultivating PHC leadership capacity worldwide and share earl...

🆕 “In this Comment, we make the case for cultivating PHC leadership capacity worldwide and share early lessons from a first-of-its-kind effort to do so.”
Faraz Khalid and colleagues describe efforts to improve leadership in global primary health care
Read here ➡️ www.thelancet.com/journals/lan...

Summary of recommendations. Figure 2 of the Review. Four sections of the figure describe recommendations, as follows: 1) increase use of innovative design: Use designs that best fit the planned intervention; rigorous designs can be flexible, adaptive, multisite and general, or local and specific; 2) Expand research questions: include the implementation of science questions and principles, mixed-methods, and analyses that help identify what works best or for whom and when; 3) keep person and community at centre: continue to increase community-engaged and participatory research and focus on the whole person (including mental health and wellbeing); and 4) Tackle big issues: Interventions focused on system-level changes are promising, including reducing enacted stigma and increasing economic and food security

📢“Protecting hard-earned gains in prioritising person-centred and community-centred care is ... crucial”
A new Review in The Lancet HIV discusses the landscape for ART adherence and treatment success in the U=U era
Read here ➡️ www.thelancet.com/journals/lan...