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Deprivation and limitations in daily life in new onset kidney disease: a population study Open
Background Existing population research has evaluated inequities in health outcomes for people in deprived communities who have early kidney disease, but not the differences in their self-reported overall health and ability to manage daily…
View article: Outpatient hospital attendances in people with rheumatoid arthritis during the COVID-19 pandemic and beyond: a cohort study in three nations of the UK
Outpatient hospital attendances in people with rheumatoid arthritis during the COVID-19 pandemic and beyond: a cohort study in three nations of the UK Open
Objectives We aimed to estimate how rheumatology outpatient hospital attendances have changed since the COVID-19 pandemic and determine demographic characteristics associated with observed changes. Methods Using three primary and secondary…
A governance framework for facilitating cross-agency data sharing Open
Linking data across local authorities and health boards has the potential to reduce inequalities and improve outcomes. However, cross-agency data sharing leads to complexities around data ownership, legal conditions for processing, organis…
Individual and neighborhood-level social and deprivation factors impact kidney health in the GLOMMS-CORE study Open
Prospective cohort studies of kidney equity are limited by a focus on advanced rather than early disease and selective recruitment. Whole population studies frequently rely on area-level measures of deprivation as opposed to individual mea…
Identifying key health system components associated with improved outcomes to inform the re-configuration of services for adults with rare autoimmune rheumatic diseases: a mixed-methods study Open
Versus Arthritis.
Service and clinical impacts of reader bias in breast cancer screening: a retrospective study Open
Objectives To determine factors influencing reader agreement in breast screening and investigate the relationship between agreement level and patient outcomes. Methods Reader pair agreement for 83 265 sets of mammograms from the Scottish B…
View article: Serious mental health diagnoses in children on the Child Protection Register: a record linkage study
Serious mental health diagnoses in children on the Child Protection Register: a record linkage study Open
Purpose Children with experience of maltreatment, abuse or neglect are known to have a higher prevalence of poor mental health. Child Protection Services identify children most at risk of harm and in need of intervention. Mental healthcare…
View article: Estimated Glomerular Filtration Rate, Albuminuria, and Adverse Outcomes
Estimated Glomerular Filtration Rate, Albuminuria, and Adverse Outcomes Open
Importance Chronic kidney disease (low estimated glomerular filtration rate [eGFR] or albuminuria) affects approximately 14% of adults in the US. Objective To evaluate associations of lower eGFR based on creatinine alone, lower eGFR based …
Recovery of kidney function after acute kidney disease—a multi-cohort analysis Open
Background There are no consensus definitions for evaluating kidney function recovery after acute kidney injury (AKI) and acute kidney disease (AKD), nor is it clear how recovery varies across populations and clinical subsets. We present a…
Impact of Different Mammography Systems on Artificial Intelligence Performance in Breast Cancer Screening Open
Artificial intelligence (AI) tools may assist breast screening mammography programs, but limited evidence supports their generalizability to new settings. This retrospective study used a 3-year dataset (April 1, 2016-March 31, 2019) from a…
Natural history of long-COVID in a nationwide, population cohort study Open
Previous studies on the natural history of long-COVID have been few and selective. Without comparison groups, disease progression cannot be differentiated from symptoms originating from other causes. The Long-COVID in Scotland Study (Long-…
Outcomes among confirmed cases and a matched comparison group in the Long-COVID in Scotland study Open
With increasing numbers infected by SARS-CoV-2, understanding long-COVID is essential to inform health and social care support. A Scottish population cohort of 33,281 laboratory-confirmed SARS-CoV-2 infections and 62,957 never-infected ind…
View article: The clinically extremely vulnerable to COVID: Identification and changes in healthcare while self-isolating (shielding) during the coronavirus pandemic.
The clinically extremely vulnerable to COVID: Identification and changes in healthcare while self-isolating (shielding) during the coronavirus pandemic. Open
ObjectiveIn March 2020, Scottish government identified people clinically extremely vulnerable to COVID due to pre-existing health conditions. These people were advised to strictly self-isolate (shield) at home. We examined who was identifi…
The path to approvals: Facilitating access to healthcare data via a local Governance Forum. Open
ObjectivesResearch using unconsented healthcare data has the potential to have significant public benefit in terms of improved health outcomes. However, due to the sensitive nature of this data, appropriate governance, approvals, and mitig…
View article: Inequalities in children’s mental health prescribing and referrals for specialist mental health services.
Inequalities in children’s mental health prescribing and referrals for specialist mental health services. Open
Objective1 in 8 young people in the United Kingdom are estimated to have a diagnosable mental health condition. Prevalence is increasing over time, many are untreated, and need is not evenly distributed across the population. We aimed to i…
Care processes and outcomes of deprivation across the clinical course of kidney disease: findings from a high-income country with universal healthcare Open
Background No single study contrasts the extent and consequences of inequity of kidney care across the clinical course of kidney disease. Methods This population study of Grampian (UK) followed incident presentations of acute kidney injury…
View article: Inequalities in children’s mental health care: analysis of routinely collected data on prescribing and referrals to secondary care
Inequalities in children’s mental health care: analysis of routinely collected data on prescribing and referrals to secondary care Open
Background One in eight children in the United Kingdom are estimated to have a mental health condition, and many do not receive support or treatment. The COVID-19 pandemic has negatively impacted mental health and disrupted the delivery of…
Do we need consent to obtain consent? Public and participant feedback to using personal health data for recruitment Open
Peer reviewed
Long-COVID in Scotland Study: a nationwide, population cohort study Open
BACKGROUNDWith increasing numbers of people infected with SARS-CoV-2, a better understanding of long-COVID is required to inform health and social care support.METHODSA nationwide, ambidirectional, population cohort was constructed of adul…
View article: The clinically extremely vulnerable to COVID: Identification and changes in healthcare while self-isolating (shielding) during the coronavirus pandemic
The clinically extremely vulnerable to COVID: Identification and changes in healthcare while self-isolating (shielding) during the coronavirus pandemic Open
Background In March 2020, the government of Scotland identified people deemed clinically extremely vulnerable to COVID due to their pre-existing health conditions. These people were advised to strictly self-isolate (shield) at the start of…