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OBJECTIVE To determine any cardiac or vascular morbidity associated with long term treatment with tamoxifen given after mastectomy for primary breast cancer. DESIGN Cohort study using linkage between database of a randomised trial and statistics of Scottish hospital inpatients to identify episodes of cardiac and vascular morbidity. SETTING NHS hospitals(More)
BACKGROUND Scotland has been dubbed 'the sick man of Europe' on account of its higher mortality rates compared with other western European countries. It is not clear the length of time for which Scotland has had higher mortality rates. The root causes of the higher mortality in Scotland remain elusive. METHODS Life expectancy data from the Human Mortality(More)
OBJECTIVE To use the linked medical and death records in Scotland to investigate the possible increased mortality that has been reported after transurethral prostatectomy (TURP) compared with open prostatectomy. PATIENTS AND METHODS Scotland has maintained linkable hospital, cancer and death records for more than 20 years, representing one of the largest(More)
OBJECTIVE To evaluate the risk of childhood hospitalization associated with infant feeding patterns at 6-8 weeks of age in Scotland. STUDY DESIGN A retrospective population level study based on the linkage of birth, death, maternity, infant health, child health surveillance, and admission records for children born as single births in Scotland between 1997(More)
Background Although life expectancy is increasing in Scotland, the nation still has the highest rates of coronary heart disease (CHD) and selected malignancies in the UK and higher rates than most countries in Western Europe. The Scottish Health Surveys (SHeSs)—conducted in 1995, 1998 and 2003––were established to provide detailed, contemporary health(More)
BACKGROUND The aims of the study were to describe the pattern of hospital utilization (acute and mental health sectors) of the Paisley-Renfrew MIDSPAN cohort and assess the influence of biological, behavioural and social 'risk factors' (established at the time of screening) on subsequent hospital admissions. METHOD A cohort analysis was carried out in(More)
BACKGROUND Record linkage of routine hospital data to population-based research findings presents an opportunity to explore the relationships between classical risk factors and hospital activity. METHODS The objectives of this study were to examine, in Paisley and Renfrew, the effect of risk factor variables on the likelihood of experiencing an acute(More)
It is acknowledged, internationally, that health-care practitioners' work differs between and urban areas. While several factors affect individual teams' activities, there is little understanding about how patterns of work evolve. Consideration of work in relation to local circumstances is important for training, devising contracts and redesigning services.(More)
OBJECTIVES Have places in Scotland with the worst/best levels of health and the worst/best experience of health determinants changed since the early 1980s? Twenty-year trends and local-level changes in a selection of health-related indicators were examined to answer this question. STUDY DESIGN AND METHODS Routine data for seven health-related indicators,(More)
OBJECTIVE Describes the implementation of a computerised information system to collect workload data and discusses feedback from staff evaluation of use and value. DESIGN Feedback interviews following service implementation. SETTING Remote rural primary health care, Scotland. SUBJECTS Thirty-three primary health care staff. MAIN OUTCOME MEASURES Not(More)