Only 1 trial at high risk of bias was included in this recent update of a 2014 Cochrane review of periodontal therapy for preventing cardiovascular disease (CVD) providing insufficient evidence to support or refute whether periodontal therapy can prevent the recurrence of CVD in the long term in patients with chronic periodontitis.
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Kirsten Lawson summarises the UPBEAT-UK programme of research into the relationship between coronary heart disease and depression and anxiety in primary care patients.
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Emily Stapley presents the findings of a trial which looks at the effectiveness of an integrated telehealth service for patients with depression.
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Farhana Mann presents a helpful summary of a number of different tools that have been used in the study of social relationships, as they relate to health and social service use and cardiovascular outcomes.
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This review looked at the evidence linking carotid atherosclerosis with periodontal disease 15 studies involving 17,330 patients were included. The overall pooled result showed periodontal disease was associated with carotid atherosclerosis, OR=1.27 (95% C; 1.14–1.41; P = 0.001). However, once adjusted for smoking and diabetes mellitus, this reduced to borderline significance OR=1.08 (95% CI; 1.00–1.18; P = 0.05).
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Kirsten Lawson explores the benefits of working across professional and therapeutic boundaries, highlighted beautifully by the recent COINCIDE RCT of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease.
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NICE has completed a review of its 2008 guidance on antimicrobial prophylaxis against infective endocarditis following the publication of a recent study. NICE found no need to change any of its existing guidance.
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15 prospective studies were included in this review of periodontal disease (PD) & coronary disease risk. PD was associated with an increased risk of coronary disease RR=1.19; (95% CI; 1.13–1.26).
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Jake Crawshaw summarises a systematic review which investigates the relationships between positive psychological constructs and health outcomes in cardiovascular disease.
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There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story…]
