Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, Greece
<p>Abstract</p> <p>Background</p> <p>Research has indicated that general practitioners (GPs) have good clinical judgment in regards to diagnosing and managing herpes zoster (HZ) within clinical practice in a country with limited resources for primary care and general pr...
Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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Format: | Article |
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BMC
2011-12-01
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Series: | BMC Family Practice |
Online Access: | http://www.biomedcentral.com/1471-2296/12/136 |
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author | Lionis Christos D Vardavas Constantine I Symvoulakis Emmanouil K Papadakaki Maria G Anastasiou Foteini S Antonopoulou Maria D Apostolakis Charalampos M Dimitrakopoulos Stelios A Fountakis George I Grammatikopoulos Ilias A Komninos John D Kounalakis Dimitris K Ladoukaki Eva S Makri Kornilia V Petraki Chrysa S Ploumis Nikos G Prokopiadou Dimitra P Stefanaki Ioanna N Tsakountakis Nikos A Tsiligianni Ioanna G Tzortzis Emmanouil N Vasilaki Aggeliki A Vasilopoulos Theodoros K Vrentzos George E |
author_facet | Lionis Christos D Vardavas Constantine I Symvoulakis Emmanouil K Papadakaki Maria G Anastasiou Foteini S Antonopoulou Maria D Apostolakis Charalampos M Dimitrakopoulos Stelios A Fountakis George I Grammatikopoulos Ilias A Komninos John D Kounalakis Dimitris K Ladoukaki Eva S Makri Kornilia V Petraki Chrysa S Ploumis Nikos G Prokopiadou Dimitra P Stefanaki Ioanna N Tsakountakis Nikos A Tsiligianni Ioanna G Tzortzis Emmanouil N Vasilaki Aggeliki A Vasilopoulos Theodoros K Vrentzos George E |
author_sort | Lionis Christos D |
collection | DOAJ |
description | <p>Abstract</p> <p>Background</p> <p>Research has indicated that general practitioners (GPs) have good clinical judgment in regards to diagnosing and managing herpes zoster (HZ) within clinical practice in a country with limited resources for primary care and general practice. The objective of the current study was to assess the burden of HZ and post herpetic neuralgia (PHN) within rural general practices in Crete, Greece.</p> <p>Methods</p> <p>The current study took place within a rural setting in Crete, Greece during the period of November 2007 to November 2009 within the catchment area in which the Cretan Rural Practice-based Research Network is operating. In total 19 GP's from 14 health care units in rural Crete were invited to participate, covering a total turnover patient population of approximately 25, 000 subjects. For the purpose of this study an electronic record database was constructed and used as the main tool for monitoring HZ and PHN incidence. Stress related data was also collected with the use of the Short Anxiety Screening Test (SAST).</p> <p>Results</p> <p>The crude incidence rate of HZ was 1.4/1000 patients/year throughout the entire network of health centers and satellite practices, while among satellite practices alone it was calculated at 1.3/1000 patients/year. Additionally, the standardised incidence density within satellite practices was calculated at 1.6/1000 patients/year. In regards to the stress associated with HZ and PHN, the latter were found to have lower levels of anxiety, as assessed through the SAST score (17.4 ± 3.9 vs. 21.1 ± 5.7; <it>p </it>= 0.029).</p> <p>Conclusions</p> <p>The implementation of an electronic surveillance system was feasible so as to measure the burden of HZ and PHN within the rural general practice setting in Crete.</p> |
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issn | 1471-2296 |
language | English |
last_indexed | 2024-12-12T14:47:14Z |
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series | BMC Family Practice |
spelling | doaj.art-2f3ef23b35f1434f8ec2c960651195302022-12-22T00:21:06ZengBMCBMC Family Practice1471-22962011-12-0112113610.1186/1471-2296-12-136Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, GreeceLionis Christos DVardavas Constantine ISymvoulakis Emmanouil KPapadakaki Maria GAnastasiou Foteini SAntonopoulou Maria DApostolakis Charalampos MDimitrakopoulos Stelios AFountakis George IGrammatikopoulos Ilias AKomninos John DKounalakis Dimitris KLadoukaki Eva SMakri Kornilia VPetraki Chrysa SPloumis Nikos GProkopiadou Dimitra PStefanaki Ioanna NTsakountakis Nikos ATsiligianni Ioanna GTzortzis Emmanouil NVasilaki Aggeliki AVasilopoulos Theodoros KVrentzos George E<p>Abstract</p> <p>Background</p> <p>Research has indicated that general practitioners (GPs) have good clinical judgment in regards to diagnosing and managing herpes zoster (HZ) within clinical practice in a country with limited resources for primary care and general practice. The objective of the current study was to assess the burden of HZ and post herpetic neuralgia (PHN) within rural general practices in Crete, Greece.</p> <p>Methods</p> <p>The current study took place within a rural setting in Crete, Greece during the period of November 2007 to November 2009 within the catchment area in which the Cretan Rural Practice-based Research Network is operating. In total 19 GP's from 14 health care units in rural Crete were invited to participate, covering a total turnover patient population of approximately 25, 000 subjects. For the purpose of this study an electronic record database was constructed and used as the main tool for monitoring HZ and PHN incidence. Stress related data was also collected with the use of the Short Anxiety Screening Test (SAST).</p> <p>Results</p> <p>The crude incidence rate of HZ was 1.4/1000 patients/year throughout the entire network of health centers and satellite practices, while among satellite practices alone it was calculated at 1.3/1000 patients/year. Additionally, the standardised incidence density within satellite practices was calculated at 1.6/1000 patients/year. In regards to the stress associated with HZ and PHN, the latter were found to have lower levels of anxiety, as assessed through the SAST score (17.4 ± 3.9 vs. 21.1 ± 5.7; <it>p </it>= 0.029).</p> <p>Conclusions</p> <p>The implementation of an electronic surveillance system was feasible so as to measure the burden of HZ and PHN within the rural general practice setting in Crete.</p>http://www.biomedcentral.com/1471-2296/12/136 |
spellingShingle | Lionis Christos D Vardavas Constantine I Symvoulakis Emmanouil K Papadakaki Maria G Anastasiou Foteini S Antonopoulou Maria D Apostolakis Charalampos M Dimitrakopoulos Stelios A Fountakis George I Grammatikopoulos Ilias A Komninos John D Kounalakis Dimitris K Ladoukaki Eva S Makri Kornilia V Petraki Chrysa S Ploumis Nikos G Prokopiadou Dimitra P Stefanaki Ioanna N Tsakountakis Nikos A Tsiligianni Ioanna G Tzortzis Emmanouil N Vasilaki Aggeliki A Vasilopoulos Theodoros K Vrentzos George E Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, Greece BMC Family Practice |
title | Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, Greece |
title_full | Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, Greece |
title_fullStr | Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, Greece |
title_full_unstemmed | Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, Greece |
title_short | Measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural Crete, Greece |
title_sort | measuring the burden of herpes zoster and post herpetic neuralgia within primary care in rural crete greece |
url | http://www.biomedcentral.com/1471-2296/12/136 |
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