Sally A Hull

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BACKGROUND Inequalities of service use across ethnic groups are important to policy makers, service providers and service users. AIMS To identify ethnic variations in pathways to specialist mental health care, continuity of contact, voluntary and compulsory psychiatric in-patient admissions; to assess the methodological strength of the findings. METHOD(More)
OBJECTIVE In clinical trials of dabigatran and rivaroxaban for stroke prevention in atrial fibrillation (AF), drug eligibility and dosing were determined using the Cockcroft-Gault equation to estimate creatine clearance as a measure of renal function. This cross-sectional study aimed to compare whether using estimated glomerular filtration rate (eGFR) by(More)
BACKGROUND Studies have linked ethnic differences in depression rates with neighbourhood ethnic density although results have not been conclusive. We looked at this using a novel approach analysing whole population data covering just over one million GP patients in four London boroughs. METHOD Using a dataset of GP records for all patients registered in(More)
BACKGROUND The effect of ethnicity on the prevalence and management of hypertension and associated chronic kidney (CKD) disease in the UK is unknown. METHODS We performed a cross sectional study of 49,203 adults with hypertension to establish the prevalence and management of hypertension and associated CKD by ethnicity. Routinely collected data from(More)
OBJECTIVE To compare the rate of progression of diabetic chronic kidney disease in different ethnic groups. DESIGN Prospective longitudinal observational study. PARTICIPANTS All new patients attending a tertiary renal unit in east London with diabetic chronic kidney disease between 2000 and 2007 and followed up till 2009 were included. Patients(More)
OBJECTIVES To describe implementation and results from the National Health Service (NHS) Health Check programme. DESIGN Three-year observational open cohort study: 2009-2011. PARTICIPANTS People of age 40-74 years eligible for an NHS Health Check. SETTING 139/143 general practices in three east London primary care trusts (PCTs) serving an ethnically(More)
BACKGROUND System redesign is described in one primary care trust (PCT)/clinical commissioning group (CCG) resulting in improved cardiovascular disease (CVD) management. AIM To evaluate CVD managed practice networks in one entire local health economy using practice networks, compared with PCTs in London, England, and local PCTs. DESIGN AND SETTING(More)
BACKGROUND Structured care for people with chronic obstructive pulmonary disease (COPD) can improve outcomes. Delivering care in a deprived ethnically diverse area can prove challenging. AIMS Evaluation of a system change to enhance COPD care delivery in a primary care setting between 2010 and 2013 using observational data. METHODS All 36 practices in(More)
OBJECTIVE Lay interest in vitamin D and the potential benefits of supplementation is considerable, but little information exists concerning lay knowledge, beliefs and attitudes towards vitamin D to inform public health initiatives and professional guidance. DESIGN Qualitative focus group study. PARTICIPANTS 58 adults capturing diversity in disease(More)
OBJECTIVES To assess whether in people with poorly controlled type 2 diabetes (HbA1c>7.5%) improvement in HbA1c varies by ethnic and social group. DESIGN Prospective 2-year cohort of type 2 diabetes treated in general practice. SETTING AND PARTICIPANTS All patients with type 2 diabetes in 100 of the 101 general practices in two London boroughs. The(More)