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Table 1 Final set of recommendations

From: Developing ‘high impact’ guideline-based quality indicators for UK primary care: a multi-stage consensus process

Smoking: The percentage of patients in high risk groups whose notes record smoking status and the offer of support and treatment within preceding 15 months [composite].

Chronic Obstructive Pulmonary Disease (COPD): Diagnosis of COPD, through use of spirometry and chest radiograph [composite].

Chronic Kidney Disease (CKD): The percentage of patients on the CKD register with hypertension and proteinuria who are treated with an ACE-inhibitor or angiotensin receptor blocker.

Chronic Kidney Disease (CKD): Measurement of blood pressure, urinary protein excretion, and lifestyle advice [composite].

Chronic Kidney Disease (CKD): blood pressure and urinary protein excretion targets, and appropriate drug therapy [composite].

Myocardial infarction (MI): All patients who have had an acute MI should be offered specific combination drug treatment.

Chronic heart failure: Measurement of serum natriuretic peptides and referral where appropriate [composite].

Atrial fibrillation (AF): recommendations concerning use of anti-coagulants in AF [composite].

Hypertension: blood pressure targets in those under/over 80 years of age [composite].

Hypertension: lifestyle advice and monitoring of cholesterol and urinary protein excretion [composite].

Type 2 diabetes: 9 annual processes of care i.e. measurement of blood pressure, lipids, renal function, urine albumin-creatinine ratio (ACR), glycaemic control, BMI, smoking status, plus foot and eye checks [composite].

Type 2 diabetes: Integrate dietary advice with a personalised diabetes management plan.

Type 2 diabetes: Cardiovascular risk assessment and subsequent statin therapy where indicated.

Type 2 diabetes: Achievement of target levels for blood pressure, cholesterol and glycaemic control [composite].

Type 2 diabetes: For a person on dual therapy who is markedly hyperglycaemic, consider starting insulin therapy in preference to adding other drugs to control blood glucose.

Diabetes mellitus: The percentage of patients with diabetes in whom the last blood pressure is ≤ 140/80 mmHg.

Non-steroidal anti-inflammatory drugs (NSAIDs): Use of NSAIDs and monitoring of potential side-effects [composite].

Depression in adults: Recommendations concerning severity-appropriate treatment of depression [composite].

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BMC Primary Care

ISSN: 2731-4553

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