Top 10 Most Read in November: health and social care constraints in England, general practice as a career choice, and cost-effectiveness of interventions in preventing type 2 diabetes

November was an interesting month, with many new papers published: five of which reached this month’s Top 10 Most Read list. In the top spot is Watkins et al, with a time trend analysis looking at the effects of health and social care spending constraints on mortality in England. They found that spending constraints, especially public expenditure on healthcare, are associated with a substantial mortality gap.

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In at number five, a diagnostic accuracy study looks at physical signs to see whether they can assist in the screening of patients with chronic fatigue syndrome/myalgic encephalomyelitis. A mixed methods paper by Alberti et al looks to ascertain comments from trainees about their career choices at number seven, finding that negative comments towards general practice as a career do exist within clinical settings and are having a potential impact on poor recruitment rates to GP training.

Roberts and colleagues, reaching number nine this month, perform a systematic review of economic evaluations, to assess the cost-effectiveness of lifestyle interventions and metformin in reducing subsequent incidence of type 2 diabetes in high risk individuals. Finally, in at number ten, Earl et al examine whether chronic fatigue syndrome is associated with altered circulating vitamin D metabolites.

Rank Author(s) Title
1 Watkins et al. Effects of health and social care spending constraints on mortality in England: a time trend analysis
2 Ashton et al. Do emotions related to alcohol consumption differ by alcohol type? An international cross-sectional survey of emotions associated with alcohol consumption and influence on drink choice in different settings
3 Irving et al.
4 Xie et al. Risk of death among users of Proton Pump Inhibitors: a longitudinal observational cohort study of United States veterans
5 Hives et al. Can physical assessment techniques aid diagnosis in people with chronic fatigue syndrome/myalgic encephalomyelitis? A diagnostic accuracy study
6 Brusselaers et al. Maintenance therapy with proton pump inhibitors and risk of gastric cancer: a nationwide population-based cohort study in Sweden
7 Alberti et al. ‘Just a GP’: a mixed method study of undermining of general practice as a career choice in the UK
8 Graham et al. What factors are associated with reporting lacking interest in sex and how do these vary by gender? Findings from the third British national survey of sexual attitudes and lifestyles
9 Roberts et al. Preventing type 2 diabetes: systematic review of studies of cost-effectiveness of lifestyle programmes and metformin, with and without screening, for pre-diabetes
10 Earl et al. Vitamin D status in chronic fatigue syndrome/myalgic encephalomyelitis: a cohort study from the North-West of England

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