title: Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study.
abstract: BACKGROUND
  In the UK and other high-income countries, life expectancy in people with schizophrenia is 20% lower than in the general population.
  
  
  OBJECTIVE
  To examine the quality of assessment and treatment of physical health problems in people with schizophrenia. Method Retrospective audit of records of people with schizophrenia or schizoaffective disorder aged ⩾18. We collected data on nine key aspects of physical health for 5091 patients and combined these with a cross-sectional patient survey.
  
  
  RESULTS
  Body mass index was recorded in 2599 (51.1%) patients during the previous 12 months and 1102 (21.6%) had evidence of assessment of all nine key measures. Among those with high blood sugar, there was recorded evidence of 53.5% receiving an appropriate intervention. Among those with dyslipidaemia, this was 19.9%. Despite this, most patients reported that they were satisfied with the physical healthcare they received.
  
  
  CONCLUSIONS
  Assessment and treatment of common physical health problems in people with schizophrenia falls well below acceptable standards. Cooperation and communication between primary and secondary care services needs to improve if premature mortality in this group is to be reduced.
authors.affiliation: Mike J. Crawford, MD, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK and Centre for Mental Health, Imperial College London, UK; Simone Jayakumar, BSc, Suzie J. Lemmey, MSc, Krysia Zalewska, BSc, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK; Maxine X. Patel, BSc, MBBS, MSc, MD, FRCPsych, Institute of Psychiatry, King's College London, UK; Stephen J. Cooper, MD, David Shiers, MBChB, MRCGP, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
authors.forename: Mike J
authors.initials: MJ
authors.lastname: Crawford
authors.affiliation: Mike J. Crawford, MD, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK and Centre for Mental Health, Imperial College London, UK; Simone Jayakumar, BSc, Suzie J. Lemmey, MSc, Krysia Zalewska, BSc, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK; Maxine X. Patel, BSc, MBBS, MSc, MD, FRCPsych, Institute of Psychiatry, King's College London, UK; Stephen J. Cooper, MD, David Shiers, MBChB, MRCGP, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
authors.forename: Simone
authors.initials: S
authors.lastname: Jayakumar
authors.affiliation: Mike J. Crawford, MD, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK and Centre for Mental Health, Imperial College London, UK; Simone Jayakumar, BSc, Suzie J. Lemmey, MSc, Krysia Zalewska, BSc, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK; Maxine X. Patel, BSc, MBBS, MSc, MD, FRCPsych, Institute of Psychiatry, King's College London, UK; Stephen J. Cooper, MD, David Shiers, MBChB, MRCGP, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
authors.forename: Suzie J
authors.initials: SJ
authors.lastname: Lemmey
authors.affiliation: Mike J. Crawford, MD, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK and Centre for Mental Health, Imperial College London, UK; Simone Jayakumar, BSc, Suzie J. Lemmey, MSc, Krysia Zalewska, BSc, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK; Maxine X. Patel, BSc, MBBS, MSc, MD, FRCPsych, Institute of Psychiatry, King's College London, UK; Stephen J. Cooper, MD, David Shiers, MBChB, MRCGP, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
authors.forename: Krysia
authors.initials: K
authors.lastname: Zalewska
authors.affiliation: Mike J. Crawford, MD, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK and Centre for Mental Health, Imperial College London, UK; Simone Jayakumar, BSc, Suzie J. Lemmey, MSc, Krysia Zalewska, BSc, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK; Maxine X. Patel, BSc, MBBS, MSc, MD, FRCPsych, Institute of Psychiatry, King's College London, UK; Stephen J. Cooper, MD, David Shiers, MBChB, MRCGP, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
authors.forename: Maxine X
authors.initials: MX
authors.lastname: Patel
authors.affiliation: Mike J. Crawford, MD, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK and Centre for Mental Health, Imperial College London, UK; Simone Jayakumar, BSc, Suzie J. Lemmey, MSc, Krysia Zalewska, BSc, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK; Maxine X. Patel, BSc, MBBS, MSc, MD, FRCPsych, Institute of Psychiatry, King's College London, UK; Stephen J. Cooper, MD, David Shiers, MBChB, MRCGP, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Cooper
authors.affiliation: Mike J. Crawford, MD, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK and Centre for Mental Health, Imperial College London, UK; Simone Jayakumar, BSc, Suzie J. Lemmey, MSc, Krysia Zalewska, BSc, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK; Maxine X. Patel, BSc, MBBS, MSc, MD, FRCPsych, Institute of Psychiatry, King's College London, UK; Stephen J. Cooper, MD, David Shiers, MBChB, MRCGP, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
authors.forename: David
authors.initials: D
authors.lastname: Shiers
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006301:Health Services Needs and Demand; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D057240:Patient Preference; D011618:Psychotic Disorders / Q000097:blood / Q000453:epidemiology / Q000503:physiopathology; D058996:Quality Improvement; D011787:Quality of Health Care / Q000592:standards / Q000706:statistics & numerical data; D012559:Schizophrenia / Q000097:blood / Q000453:epidemiology / Q000503:physiopathology; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D006113:United Kingdom / Q000453:epidemiology
chemical_list: D001786:Blood Glucose; D002784:Cholesterol