BACKGROUND Annual health checks for adults with intellectual disability (ID) have been incentivised by National Health Service (NHS) England since 2009, but it is unclear what impact they have had on important health outcomes such as emergency hospitalisation. METHODS An evaluation of a 'natural experiment', incorporating practice and individual-level designs, to assess the effectiveness of h...

Background Aging is an urgent global-scale issue and Japan is the frontrunner of aging. Emergency department (ED) admission of the oldest-old challenges emergency physicians and polypharmacy has been considered as one of its possible risk factors. The aim of this study was to analyze hospital admission among patients aged 85 years and older using ambulance transport regarding its relationship w...

BACKGROUND the National Service Framework for Older People mandates the introduction of 'intermediate care services' to reduce emergency admissions to hospital from the population aged 75 years or more. We evaluated the predictive performance of one of the screening instruments used to identify older people who might most benefit from such services. METHODS using multiple logistic regression,...

OBJECTIVE To investigate the relationship between the route to diagnosis, patient characteristics, treatment intent and 1 -year survival among patients with oesophagogastric (O-G) cancer. SETTING Cohort study in 142 English NHS trusts and 30 cancer networks. PARTICIPANTS Patients diagnosed with O-G cancer between October 2007 and June 2009. DESIGN Prospective cohort study. Route to diagno...