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Articles by Thomas Beaney
Challenges of clustering disease trajectories in people with multiple long-term conditions using data from 7.2 million patients
Abstract Generating clusters of people with similar patterns of Multiple Long-Term Conditions (MLTC) could help target healthcare services for specific patient groups. We aimed to generate data-driven clusters of patients based on their disease trajectories and assess clinical interpretability and associations with future health outcomes.
The role of community-based blood pressure screening in improving hypertension care
Get full text access Log in, subscribe or purchase for full access. References 1. Frieden, TR ∙ Garg, R ∙ Moran, AE ∙ et al. Improved hypertension care requires measurement and management in health facilities, not mass screening Lancet. 2025; 405:1879-1882 2. Poulter, NR ∙ Schutte, AE ∙ Tomaszewski, M ∙ et al. May Measurement Month: a new joint global initiative by the International Society of Hypertension and the World Hypertension League to raise awareness of raised blood pressure J Hypertens.
Clustering in multiple long-term conditions: methodological and translational challenges and solutions
Clustering, the process of grouping long-term conditions (LTCs) or people based on shared characteristics, disease patterns, risk factors or clinical trajectories, has become a prominent focus of research on multiple long-term conditions (MLTC).1,2 Its potential for delivering personalised care tailored to specific patient phenotypes is significant, particularly as the burden of MLTC continues to rise globally.3,4 However, its promises remain largely unfulfilled in clinical practice due to...
Continuity of care in general practice and secondary care: retrospective cohort study
Abstract Background Better continuity in primary and secondary care is linked to improved health outcomes, but it is unclear whether the sociodemographic determinants of continuity are the same in both settings and whether continuity measures in each setting are associated.
Regulation of AI scribes in clinical practice
Intended for healthcare professionals News & Views Regulation of AI...
Identifying clusters of people with Multiple Long-Term Conditions using Large Language Models: a population-based study
The authors have declared no competing interest. This study was funded by NIHR Imperial Biomedical Research Centre I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.
May Measurement Month 2022: results from the global blood pressure screening campaign
Discussion In MMM 2022, over 750 000 adults from 60 countries were included and over 250 000 participants (36.9%) were classified as hypertensive, of whom 40% were unaware, almost half were untreated and only about one in seven were controlled to currently recommended targets. Rates of awareness, treatment and control were worse in the African and Asian regions than in Europe and the Americas.
Global Blood Pressure Screening During the Covid-19 Pandemic: Results From the May Measurement Month 2021 Campaign
BACKGROUND: Raised blood pressure (BP) remains the biggest risk factor contributing to the global burden of disease and mortality, despite the COVID-19 pandemic. May Measurement Month (MMM), an annual global screening campaign aims to highlight the importance of BP measurement by evaluating global awareness, treatment and control rates among adults with hypertension. In 2021, we assessed the global burden of these rates during the COVID-19 pandemic.
Identifying multi-resolution clusters of diseases in ten million patients with multimorbidity in primary care in England - Communications Medicine
Abstract Identifying clusters of diseases may aid understanding of shared aetiology, management of co-morbidities, and the discovery of new disease associations. Our study aims to identify disease clusters using a large set of long-term conditions and comparing methods that use the co-occurrence of diseases versus methods that use the sequence of disease development in a person over time.
Is consensus attainable on the definition of multiple long term conditions?
Opinion BMJ 2024; 384 doi: https://doi.org/10.1136/bmj.q230 Cite this as: BMJ 2024;384:q230 Thomas Beaney, GP and clinical research fellow Imperial College London Multiple long term conditions is a term that is useful for the conceptual framework it provides, rather than as a diagnostic label.
Effect of timeframes to define long term conditions and sociodemographic factors on prevalence of multimorbidity using disease code frequency in primary care electronic health records: retrospective study
Discussion Our study found large variation in the prevalence of multimorbidity depending on the timeframe used to define long term conditions in a nationally representative cohort of patients in the general practice electronic health record in England, ranging from 41.4% where three codes were required within a 12 month period to 73.9% where a single code sufficed. Using active problem codes resulted in the lowest prevalence of 35.2%.
Validating a framework to guide the implementation of high-quality virtual primary care: an international eDelphi study protocol
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Cross-sectional analyses of online appointment booking and repeat prescription ordering user characteristics in general practices of England in the years 2018-2020 | BMJ Open
Discussion Overall, the findings of the study indicate that indicators of increased healthcare need and socioeconomic disadvantage predicted variations in the use of two types of online services and use of these services increased over the 3 years studied. Contrary to our hypothesis about age, we observed different variability in the relationship between age and online services use.
Identifying potential biases in code sequences in primary care electronic healthcare records: a retrospective cohort study of the determinants of code frequency
Discussion With an increased use of NLP methods incorporating temporally ordered code sequences in the primary care EHR, we need to better understand the frequency and determinants of repeated occurrences of diagnostic codes. Our study demonstrates significant associations in the frequency of codes for newly diagnosed conditions according to patient sociodemographic factors, GP practice, disease inclusion in QOF and calendar year.
How can we improve the quality of data collected in general practice?
News & Views How can we improve the... How can we improve the quality of data collected in general practice?
Evaluating the impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in patients with COVID-19 assessed in emergency departments in England: a retrospective matched cohort study
Strengths and limitations A strength of this study is the use of data on those enrolled to the CO@h programme, as well as comprehensive data on all people resident in England with a positive COVID-19 test, allowing matching of people enrolled to controls who would have been eligible for the programme but were not enrolled.
Evaluating the impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in patients with COVID-19 assessed in Emergency Departments in England: a retrospective matched cohort study
Strengths and limitations A strength of this study is the use of data on those enrolled to the CO@h programme, as well as comprehensive data on all people resident in England with a positive COVID-19 test, allowing matching of people enrolled to controls who would have been eligible for the programme but were not enrolled.
Population-level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with COVID-19 in England: a national analysis using a stepped wedge design
Discussion At a population level, there was no change in mortality in the period after implementation of the CO@h programme. The period of implementation was associated with statistically significant 12% increases in ED attendances and emergency hospital admissions and there was some evidence of an increase in the odds of receiving critical care in patients admitted.
Association between democratic governance and excess mortality during the COVID-19 pandemic: an observational study
Discussion Countries with higher democracy scores were associated with significantly fewer excess deaths during the first 18 months of the COVID-19 pandemic. This finding remained even after accounting for a range of pre-existing factors that could influence the distribution of both COVID-19 and non-COVID-19 deaths across countries. Higher rates of vaccination helped to explain some but not all of the observed relationship between democratic governance and excess mortality.
Global Impact of Different Blood Pressure Thresholds in 4 021 690 Participants of the May Measurement Month Initiative
Originally publishedhttps://doi.org/10.1161/HYPERTENSIONAHA.122.19144Hypertension. 2022;0:HYPERTENSIONAHA.122.19144 Abstract Background: Influential guidelines currently define hypertension at different thresholds of blood pressure (BP). The global May Measurement Month initiative provides a unique opportunity to estimate the potential consequences of universal lowering of BP thresholds on the prevalence of hypertension based on a large, real-world, patient-level data set.
Population-level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with COVID-19 in England: a national analysis using a stepped wedge design
Population-level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with COVID-19 in England: a national analysis using a stepped wedge design http://orcid.org/0000-0001-9709-7264Thomas Beaney1,2, http://orcid.org/0000-0003-1495-7746Jonathan Clarke3, Ahmed Alboksmaty1,2, Kelsey Flott2, Aidan Fowler4, Jonathan Benger5, http://orcid.org/0000-0003-4589-1743Paul P Aylin1,2, Sarah Elkin6, Ana Luisa Neves2, Ara Darzi2 1Department of Primary...
Population-level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with COVID-19 in England: a national analysis using a stepped wedge design
Population-level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with COVID-19 in England: a national analysis using a stepped wedge design http://orcid.org/0000-0001-9709-7264Thomas Beaney1,2, http://orcid.org/0000-0003-1495-7746Jonathan Clarke3, Ahmed Alboksmaty1,2, Kelsey Flott2, Aidan Fowler4, Jonathan Benger5, http://orcid.org/0000-0003-4589-1743Paul P Aylin1,2, Sarah Elkin6, Ana Luisa Neves2, Ara Darzi2 1Department of Primary...
Categorising high-cost high-need children and young people
Categorising high-cost high-need children and young people http://orcid.org/0000-0001-7476-0932Nikita Punjabi1, http://orcid.org/0000-0003-4040-1928Kathryn Marszalek2, http://orcid.org/0000-0001-9709-7264Thomas Beaney1, http://orcid.org/0000-0001-9063-5744Rakhee Shah3, Dasha Nicholls4, Sarah Deeny2, Dougal Hargreaves1 1 Department of Primary Care & Public Health, Imperial College London, London, UK 2 Data Analytics, The Health Foundation, London, UK 3 Community Paediatrics, Homerton...
Categorising high-cost high-need children and young people
Categorising high-cost high-need children and young people http://orcid.org/0000-0001-7476-0932Nikita Punjabi1, http://orcid.org/0000-0003-4040-1928Kathryn Marszalek2, http://orcid.org/0000-0001-9709-7264Thomas Beaney1, http://orcid.org/0000-0001-9063-5744Rakhee Shah3, Dasha Nicholls4, Sarah Deeny2, Dougal Hargreaves1 1Department of Primary Care & Public Health, Imperial College London, London, UK 2Data Analytics, The Health Foundation, London, UK 3Community Paediatrics, Homerton University...
Measuring the impact of covid-19
News & Views Measuring the impact...
Re: Returning to physical activity after covid-19
Dear Editor We are grateful for the helpful, important and constructive comments from Professor Lokugamage and Dr. Järte.
Returning to physical activity after covid-19
Education Returning to physical...
Excess mortality: the gold standard in measuring the impact of COVID-19 worldwide?
The unprecedented speed and scale of spread of the global COVID-19 pandemic has forced policy-makers and clinicians to operate with limited evidence for the relative success of different control measures.
Identifying naturally occurring communities of primary care providers in the English National Health Service in London
Identifying naturally occurring communities of primary care providers in the English National Health Service in London http://orcid.org/0000-0003-1495-7746Jonathan Clarke1,2, http://orcid.org/0000-0001-9709-7264Thomas Beaney3, Azeem Majeed4, Ara Darzi5, http://orcid.org/0000-0002-1089-5675Mauricio Barahona2,6 1Centre for Health Policy, Imperial College London, London, UK 2Centre for Mathematics of Precision Healthcare, Imperial College London, London, UK 3Department of Primary Care, Imperial...
Assessment and management of adults with asthma during the covid-19 pandemic
Education Assessment and...
May Measurement Month 2017: an analysis of blood pressure screening results worldwide
Raised blood pressure continues to be the biggest contributor to the global burden of disease1x1Forouzanfar, MH, Liu, P, Roth, GA et al. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990–2015. JAMA. 2017; 317: 165–182Crossref | PubMed | Scopus (87) | Google ScholarSee all References, 2x2Gakidou, E, Afshin, A, Abajobir, AA et al.
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