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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)
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 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)
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)
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 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 determine the association between risk factors and hospital admission. METHODS The 1998 Scottish Health Survey was linked to the Scottish hospital admission database. FINDINGS Smoking was the most important behavioural risk factor (hazard ratio: 1.90, 95% CI: 1.59-2.27). Other behavioural risk factors yielded small but largely anticipated(More)
BACKGROUND Glasgow, the largest city in Scotland, has high levels of deprivation and a poor-health profile compared with other parts of Europe, which cannot be fully explained by the high levels of deprivation. The 'excess' premature mortality in Glasgow is now largely attributable to deaths from alcohol, drugs, suicide and violence. METHODS(More)