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2013 Impact Factor
(2014 JCR Reports)
Ranked 2/18 in Primary Health Care
and 21/53 in Respiratory System

Latest Issue – Editors’ Choice


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A new partnership with Nature Publishing Group
We are delighted to announce that, as from April 1st, the journal will be published by Nature Publishing Group (NPG). We present more detail in our editorial on pg 1.

Autoimmune disorders in parents: a risk factor for allergic disease in their children?
Autoimmune disorders and allergic diseases are characterised by increased activity of two opposing T helper cell subsets – T helper type 1 (Th1) cells in most autoimmune disorders, and T helper type 2 (Th2) cells in allergic diseases. Hitherto, these two different types of disorders were thought to be distinct and mutually exclusive. However, on pg 14, Maas et al. report their analysis of the medical records of 5,604 families in the Netherlands. The presence of any autoimmune disorder, particularly psoriasis, in fathers was associated with an increased risk of allergic disease in children, whereas in mothers, the association was restricted to rheumatoid arthritis/ankylosing spondylitis. In his thought-provoking editorial (pg 2), Weiss discusses the results and puts them into context.

Asthma comorbidities and unscheduled asthma care
Steppuhn et al. (pg 22) report the results of two consecutive national telephone surveys involving 43,312 adults in Germany. Using logistic regression models, the authors quantified the association between asthma and eight other common chronic diseases – diabetes, hypertension, chronic heart failure, depression, osteoarthritis, stroke, coronary artery disease and cancer. There was a statistically significant and independent association between asthma and all of the eight co-morbidities, particularly coronary artery disease, chronic heart failure, and stroke. 18% of people with asthma had three or more co-morbidities, and rates of unscheduled asthma care increased with the number of co-morbidities. Mercer discusses the importance of co-morbidity and multimorbidity in his linked editorial (pg 4).

GOLD ‘ABCD’ groups versus the ‘1234’ grades: impact on quality of life and costs
The rationale behind the new GOLD COPD classification into ‘ABCD’ groups is that it provides a multidimensional assessment of symptoms and exacerbation risk, unlike the old ‘1234’ grades classification which was primarily based on lung function only. The large cross-sectional study by Boland et al. on pg 30 involved a wide range of health-related quality of life (HRQoL) instruments, and is the first to compare the two different GOLD classifications in terms of healthcare costs. The GOLD ABCD groups were more strongly associated with costs and HRQoL than the old 1234 grades. Soriano and Román-Rodríguez discuss the results (pg 5) with a distinct sporting flavour…

Management of COPD in Sweden over 11 years
The extensive 11-year epidemiological study reported by Stallberg et al. (pg 38) involved patients from 76 primary healthcare centres in Sweden, corresponding to approximately 8% of the Swedish population. It provides important longitudinal data on management, co-morbidities and mortality. Incidence and prevalence rates increased over the 11-year period. The mean age at diagnosis decreased from 73 to 66 years, the number of COPD exacerbations decreased from 3.0 to 1.3 per patient per year, and hospitalisations decreased from 1.02 to 0.20 per patient per year. In their linked editorial (pg 7), Jones and Roberts discuss these results in light of the impending National COPD audit in England and Wales.

End-of-life care for advanced COPD versus lung cancer
Epiphaniou et al.’s multi-perspective, longitudinal qualitative study (pg 46) explores the difference between patients with lung cancer and those with advanced COPD in terms of their experience of the coordination of end-of-life care. They conclude that the keyworker role is of fundamental importance. LeBlanc et al. (pg 8) discuss the findings.

Primary Care Respiratory Journal has now re-launched as npj Primary Care Respiratory Medicine following
the establishment of a new partnership with Nature Publishing Group. The journal is online only and open access
and forms part of the Nature Partner Journals series.
In early 2015 the PCRJ site will be closing and the full
archive will be made available at the new journal web site.



The PCRJ Editors hereby invite submissions of Protocol Summary papers to be published in a new online-only section of the PCRJ from March 2013. Accepted summaries will be listed on Medline/PubMed and indexed by Thomson Reuters ISI. They will be available to readers as an open access full text manuscript free of charge.
     For all accepted Protocol Summary papers, there will be a one-off author charge of £500, payable on manuscript acceptance.

See full details as a web page or printer-friendly PDF

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Latest articles in translation
1: Miravitlles M. Long-term antibiotics in COPD: more benefit than harm? Prim Care Respir J 2013;22(3):261-262. DOI:
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2: James GDR, Petersen I, Nazareth I, Wedzicha JA, Donaldson GC. Use of long-term antibiotic treatment in COPD patients in the UK: a retrospective cohort study. Prim Care Respir J 2013;22(3):271-277. DOI:
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3: Blakey JD, Woolnough K, Fellows J, Walker S, Thomas M, Pavord ID. Assessing the risk of attack in the management of asthma: a review and proposal for revision of the current control-centred paradigm. Prim Care Respir J 2013;22(3):344-352. DOI:
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4: Sundh J, Montgomery S, Stallberg B, Lisspers K. Assessment of COPD in primary care: new evidence supports use of the DOSE index. Prim Care Respir J 2013;22(2):142-143. DOI:
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5: Rolink M, van Dijk W, van den Haak-Rongen S, Pieters W, Schermer T, van den Bemt L. Using the DOSE index to predict changes in health status of patients with COPD: a prospective cohort study. Prim Care Respir J 2013;22(2):169-174. DOI:
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6: Josephs LK, Coker RK, Thomas M, on behalf of the BTS Air Travel Working Group. Managing patients with stable respiratory disease planning air travel: a primary care summary of the British Thoracic Society recommendations. Prim Care Respir J 2013;22(2):234-238. DOI:
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7: Fishwick D, Barber C, Walker S, Scott A. Asthma in the workplace: a case-based discussion and review of current evidence. Prim Care Respir J 2013;22(2):244-248. DOI:
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HTML text now available for all new articles
The PCRJ now offers full HTML text of all articles published since January 2012. Simply click on the article page and the HTML text article is immediately available. As before, the full article PDF is available free of charge to all.

Who’s citing PCRJ articles? Data from Scopus now added
New We have expanded our service showing who is citing PCRJ articles to include data from Scopus as well as CrossRef. On each article page there is a link in the right hand column: Cited by. This opens a page displaying those articles retrieved from the CrossRef database which cite the selected article. In addition, there is now a link telling you how many times the article has been cited in Scopus; up to 20 of the citing articles can then be viewed via a link to the Scopus website. For more information on CrossRef’s Cited-by Linking Service, click here. For more information on Scopus, click here.

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