Top 10 Most Read in January 2022: the impact of care expenditure on mortality, healthcare utilisation during COVID-19, and Advanced Clinical Practitioners







In the first month of 2022 we saw a large number of new articles enter our top 10 most read list. COVID-19 still dominates our top 10 list, three of the new articles have been highlighted below.

Impact of care expenditure on mortality in England

At number three we have our first new entry to the top ten list. A cross-sectional study from Martin et al. aimed to estimate the joint impact of social care, public health, and healthcare expenditure on mortality in England. They found that an increase in expenditure in these areas results in a reduction of mortality. This suggests that a decrease in expenditure may have been a factor in the slow down in the rate of improvement in life expectancy seen in England since spending constraints were introduced in 2010.

Impact of COVID-19 on healthcare services

Our next new entry is at number five. Moynihan et al. conducted a systematic review on the impact of COVID-19 on healthcare services. They found that during the pandemic, healthcare utilisation decreased by a third with the greatest decrease in people with less severe illness. These findings may help with healthcare prioritisation in the post pandemic recovery.

Advanced clinical practitioners in England

At number six, we have a new cross sectional survey evaluating the advanced clinical practice (ACP) role. In this survey of over 4000 people, Fothergill et al. found that there was variations in scopes of practice among ACPs and inconsistent ACP frameworks. They also found that ACPs struggled to work on all four pillars of practice, particularly the research pillar. A standardised approach may help support the development of the ACP role in England.

Other new entries can be found at number seven, nine, and ten.

Here is the full list of most read papers in BMJ Open during January 2022:

Rank Author(s) Title
1 Li et al. Impact of COVID-19 on female fertility: a systematic review and meta-analysis protocol
2  Hunter et al. Zinc for the prevention or treatment of acute viral respiratory tract infections in adults: a rapid systematic review and meta-analysis of randomised controlled trials
3 Martin et al. Causal impact of social care, public health and healthcare expenditure on mortality in England: cross-sectional evidence for 2013/2014
4 Zemedikun et al. Burden of chronic diseases associated with periodontal diseases: a retrospective cohort study using UK primary care data
5 Moynihan et al. Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review
6 Fothergill et al. Nationwide evaluation of the advanced clinical practitioner role in England: a cross-sectional survey
7 Dalum et al. Prevalence and individual and work-related factors associated with suicidal thoughts and behaviours among veterinarians in Norway: a cross-sectional, nationwide survey-based study (the NORVET study)
8 COVIDSurg Collaborative Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort studyCross-sectional associations of housework with cognitive, physical and sensorimotor functions in younger and older community-dwelling adults: the Yishun Study
9 Machado et al. Effectiveness and safety of ivermectin in the treatment of COVID-19: protocol for a systematic review and meta-analysis
10 Ammendolia et al. Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: an updated systematic review


Most read figures are based on pdf downloads and full text views. Abstract views are excluded.


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