Routine general practice (GP) care is rarely comprehensively described in clinical trials. This paper examines routine GP care within the lifestyle approach to managing panic (LAMP) study. The aim of this paper is to describe/discuss routine GP care for @entity4697 ( @entity4697 ) @entity1 within both study arms in the LAMP study. An unblinded pragmatic randomised controlled trial in 15 East of England GP practices (2 primary care trusts). @entity1 met Diagnostic and Statistical Manual of @entity146 , Fourth Edition criteria for @entity4697 with/without @entity8396 . Follow-up measures recorded at 20 weeks/10 months following randomisation. Control arm, unrestricted routine GP care (practice appointments, referrals and prescriptions). Trial arm, occupational therapy-led lifestyle treatment comprising lifestyle review of fluid intake, diet pattern, exercise, @entity5834 , @entity167 and @entity1239 . PRIMARY OUTCOME MEASURE: beck anxiety inventory. At baseline, @entity1 attended 2-3 times more GP appointments than population average, reducing at 10 months to 1.6 times population average for routine GP care and 0.97 population average for lifestyle arm. At 10 months, 33% fewer referrals (6 referrals; 0 mental health) than at baseline (9 referrals; 2 mental health) were made for lifestyle arm @entity1 compared with 42% increase (from 12 referrals; 8 mental health at baseline to 17 referrals; 7 mental health) in GP care arm. Selective @entity750 reuptake inhibitors were prescribed most often. @entity1245 and beta-blockers were prescribed more often than tricyclic against current clinical guidelines. In conclusion, we found that @entity4697 @entity1 at baseline were high healthcare resource users. Treatment in both study arms reduced resource use. Routine GP care requires further review for this @entity1 group.

Routine general practice care for XXXX within the lifestyle approach to managing panic study.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'patient', 'Participants'] @entity4697 :: ('MESH:D016584', 'Disease') :: ['PD', 'panic disorder'] @entity146 :: ('MESH:D001523', 'Disease') :: ['Mental Disorders'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol'] @entity8396 :: ('MESH:D000379', 'Disease') :: ['agoraphobia'] @entity1239 :: ('MESH:D009538', 'Chemical') :: ['nicotine'] @entity5834 :: ('MESH:D002110', 'Chemical') :: ['caffeine'] @entity1245 :: ('MESH:D001569', 'Chemical') :: ['Benzodiazepines'] @entity750 :: ('MESH:D012701', 'Chemical') :: ['serotonin']
@entity4697 :: (MESH:D016584,Disease) :: ['panic disorder']
