Post on 15-Jan-2016
description
Prevalence and Prevalence and diabetes indicator data diabetes indicator data
QRESEARCH (v4)QRESEARCH (v4)
Julia Hippisley-CoxJulia Hippisley-Cox
Meeting at Skipton House Meeting at Skipton House
99hh February 2005 February 2005
Trends in CHDTrends in CHD30
3234
3638
4042
rate
per
100
0
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003Year
per 1000 patients in QRESEARCH 1994 to 2003
Overall crude prevalence of coronary heart disease
Variation in CHD prevalence in 2003Variation in CHD prevalence in 20030
1020
3040
5060
70N
umbe
r of
pra
ctic
es
0 10 20 30 40 50 60 70 80 90 100 110Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of coronary heart disease
Square root of CHD prevalence 2003Square root of CHD prevalence 20030
1020
3040
5060
70N
umbe
r of
pra
ctic
es
1 2 3 4 5 6 7 8 9 10square root prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in square root of CHD prevalence
Trends in hypertensionTrends in hypertension60
7080
9010
011
012
0ra
te p
er 1
000
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003Year
per 1000 patients in QRESEARCH 1994 to 2003
Overall crude prevalence of hypertension
Variation in hypertension 2003Variation in hypertension 20030
1020
3040
5060
70N
umbe
r of
pra
ctic
es
0 20 40 60 80 100 120 140 160 180 200 220 240 260 280Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of hypertension
Trends in stroke/TIATrends in stroke/TIA6
810
1214
1618
rate
per
100
0
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003Year
per 1000 patients in QRESEARCH 1994 to 2003
Overall crude prevalence of stroke or TIA
Variation in stroke/TIA 2003Variation in stroke/TIA 20030
1020
3040
5060
Num
ber
of p
ract
ices
0 5 10 15 20 25 30 35 40 45 50Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of stroke or TIA
Variation in cancer prevalence Variation in cancer prevalence in 2003in 2003
010
2030
4050
60N
umbe
r of
pra
ctic
es
0 5 10 15 20 25 30 35 40 45 50 55 60 65Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of cancer
Variation in asthma prevalenceVariation in asthma prevalence0
1020
3040
5060
7080
90N
umbe
r of
pra
ctic
es
0 20 40 60 80 100 120 140 160 180 200 220 240 260 280 300Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of asthma
Variation in COPD prevalenceVariation in COPD prevalence0
2040
6080
100
Num
ber
of p
ract
ices
0 10 20 30 40 50 60 70 80 90 100Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of COPD
Variation in epilepsy prevalenceVariation in epilepsy prevalence0
1020
3040
5060
Num
ber
of p
ract
ices
0 2 4 6 8 10 12 14 16 18 20 22 24Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of epilepsy
Variation hypothyroidismVariation hypothyroidism0
1020
3040
5060
Num
ber
of p
ract
ices
0 5 10 15 20 25 30 35 40 45 50Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of hypothyrodism
Trends in mental healthTrends in mental health0
.2.4
.6.8
11.
21.
41.
61.
8ra
te p
er 1
000
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003Year
per 1000 patients in QRESEARCH 1994 to 2003
Overall crude prevalence of severe mental health problems
Variation in mental health 2003Variation in mental health 20030
5010
015
020
025
030
035
0N
umbe
r of
pra
ctic
es
0 5 10 15 20 25 30 35 40 45 50 55Prevalence per 1000
(426 practices in QRESEARCH on 1st January 2003)
Inter-practice variation in crude prevalence of severe mental health problems
Indicator 1Indicator 10
1020
3040
5060
7080
Num
ber
of p
ract
ices
0 10 20 30 40 50 60 70 80% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Practice prevalence of diabetes in patients aged >16 years(Indicator 1)
Indicator 2Indicator 20
1020
3040
5060
7080
90N
umbe
r of
pra
ctic
es
20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in recording of body mass index (Indicator 2)
Indicator 3Indicator 30
1020
3040
5060
7080
9010
0N
umbe
r of
pra
ctic
es
30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in recording of smoking history(Indicator 3)
Indicator 4Indicator 40
2040
6080
100
120
140
160
Num
ber
of p
ract
ices
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Variation in smokers receiving smoking cessation advice (Indicator 4)
Indicator 5Indicator 50
2040
6080
100
120
140
160
Num
ber
of p
ract
ices
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in recording of HBA1C (Indicator 5)
Indicator 6Indicator 60
1020
3040
5060
70N
umbe
r of
pra
ctic
es
0 10 20 30 40 50 60 70 80 90% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in HBA1C under 7.5% (Indicator 6)
Indicator 7Indicator 70
2040
6080
100
120
Num
ber
of p
ract
ices
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in HBA1C under 10 (Indicator 7)
Indicator 8Indicator 80
510
1520
2530
3540
4550
Num
ber
of p
ract
ices
0 10 20 30 40 50 60 70 80 90% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in retinal screening (Indicator 8)
Indicator 9Indicator 90
510
1520
2530
3540
45N
umbe
r of
pra
ctic
es
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in checking of foot pulses (Indicator 9)
Indicator 10Indicator 100
1020
3040
5060
70N
umbe
r of
pra
ctic
es
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in neuropathy testing(Indicator 10)
Indicator 11Indicator 110
2040
6080
100
120
Num
ber
of p
ract
ices
60 65 70 75 80 85 90 95 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in recording of blood pressure (Indicator 11)
Indicator 12Indicator 120
510
1520
2530
3540
45N
umbe
r of
pra
ctic
es
30 40 50 60 70 80 90% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Variation in those with blood pressure under 145/85 (Indicator 12)
Indicator 13Indicator 130
510
1520
2530
3540
45N
umbe
r of
pra
ctic
es
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in microalbuminuria testing (Indicator 13)
Indicator 14Indicator 140
2040
6080
100
120
140
Num
ber
of p
ract
ices
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in recording of creatinine (Indicator 14)
Indicator 15Indicator 150
1020
3040
5060
7080
90N
umbe
r of
pra
ctic
es
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Variation in % with proteinuria on an ACE inhibitor (Indicator 15)
Indicator 16Indicator 160
2040
6080
100
Num
ber
of p
ract
ices
10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in recording of cholesterol (Indicator 16)
Indicator 17Indicator 170
1020
3040
5060
70N
umbe
r of
pra
ctic
es
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Variation in those with a cholesterol value under 5 mmol/l (Indicator 17)
Indicator 18Indicator 180
2040
6080
100
Num
ber
of p
ract
ices
0 10 20 30 40 50 60 70 80 90 100% of eligible patients
(457 practices in QRESEARCH on 1st April 2004)
Inter-practice variation in patients with a flu vaccination (Indicator 18)