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The ubiquitous nature of irritable bowel syndrome (IBS), coupled with a lack of good treatment options, has created the impression that the condition must represent a large drain on health-care resources. The literature certainly appears to support this view but is largely based on patients seen in referral centres (10-15%) and it may not be appropriate to(More)
We sent an anonymous self-administered questionnaire to 4200 employees of a Trust hospital, 1903 of whom returned it. We identified 158 migraine sufferers according to International Headache Society (IHS) criteria. These sufferers estimated 2.0 days/year absence from work, and an equivalent of 5.5 days/year lost by reduced effectiveness at work, caused by(More)
An economic analysis was conducted comparing the cost effectiveness of fluticasone propionate with that of sodium cromoglycate (cromolyn sodium) in a group of children aged 4 to 12 years old with asthma, who required inhaled prophylactic therapy. Over an 8-week study period, 115 patients received sodium cromoglycate 20mg 4 times daily, via the spin operated(More)
BACKGROUND The growing literature on the economics of migraine and its treatment generally indicates that the direct healthcare costs of managing the disorder are relatively low compared with the personal and societal burdens resulting from the disruption to normal functioning caused by migraine attacks. OBJECTIVE To investigate the effectiveness of(More)
Crawford, A. J. Ball, S. J. Barber, P. Church, , Y. Gao, R. A. Gowen, A. Griffiths, A. Hagermann, W. T. Pike, A. Phipps, S. Sheridan, M. R. Sims, D. L. Talboys, N. Wells, Mullard Space Science Laboratory, University College London, Holmbury St Mary, RH5 6NT, UK, E-mail: as@mssl.ucl.ac.uk, School of Earth Sciences, Birkbeck College, London, UK, Planetary and(More)
Disease management is a comprehensive approach to improving the outcomes for patients suffering from chronic disease. It has frequently been applied to diseases like diabetes and asthma but, to date, has not widely been regarded as particularly relevant to migraine. Yet a number of factors suggest that this view might usefully be reconsidered, notably the(More)
There is a need to establish the proportion of adult asthmatics at each step of the recommended asthma management guidelines, the cost of their prescribed treatment, and a revised cost of treatment assuming patients who were suboptimally controlled were moved up a step. Actual prescription and cost figures and a theoretical projection of an ideal scenario(More)