things I said RCGP Future vision for General Practice- it has to be evidence based. Otherwise we waste time and resources and do harm. I also want patients to be centre stage: we could be doing far more to resource shared decision making and understanding outside the consultation. GP Forward View report – lots […]
Continue Reading →More or Less 7/9/18 – heart age
Inside Health is off air…and back in a couple of weeks. In the meantime for tonights’ More or Less, here are the main references used for the badly thought out, publicity friendly, potentially harmful screening test that Public Health England didn’t seek advice from the UK National Screening Committee about. No user testing, not […]
Continue Reading →Aspirin Inside Health 1/8/18
https://cks.nice.org.uk/antiplatelet-treatment https://www.ncbi.nlm.nih.gov/pubmed/16490462 https://www.amjmed.com/article/S0002-9343(05)01079-X/fulltext
Continue Reading →Adrenaline and cardiac arrest
https://www.nejm.org/doi/full/10.1056/NEJMoa1806842 https://www.nejm.org/doi/suppl/10.1056/NEJMoa1806842/suppl_file/nejmoa1806842_appendix.pdf stuff I’ve written about this trial before in 2014 Adrenaline and cardiac arrest trial – ethics and evidence and I’d like to know how the ethicists who were so opposed to this trial think now that we have evidence of the harm adrenaline has been doing: would they rather we had kept […]
Continue Reading →Infant feeding 17/7/18 Inside Health
https://jamanetwork.com/journals/jamapediatrics/article-abstract/514762 Click to access Infant-sleep-and-night-feeding-during-infancy-2.pdf Click to access eat-study-final-report-summary.pdf http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD006462.pub4/abstract https://www.sciencedirect.com/science/article/pii/S1389945718303204 https://www.ncbi.nlm.nih.gov/pubmed/25973527 https://journals.lww.com/jpnnjournal/Abstract/2007/07000/Breast_feeding_Increases_Sleep_Duration_of_New.8.aspx https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1995519/ Click to access Statement-on-starting-solids-and-infant-sleep-study-Unicef-UK-Baby-Friendly-Initiative.pdf The benefits of breastfeeding
Continue Reading →Inside Health 9/7/3
Scottish CMO letter
Continue Reading →Tamoxifen to prevent breast cancer – Inside Health 3/7/18
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(02)09962-2/fulltext?code=lancet-site .https://www.nice.org.uk/about/what-we-do/our-programmes/nice-guidance/nice-guidelines/making-decisions-using-nice-guidelines#professional-guidelines https://www.nice.org.uk/guidance/cg164 https://www.nice.org.uk/guidance/cg164/chapter/recommendations#breast-cancer-risk-category
Continue Reading →RCGP council 23/6/18
notes from council please note – there is no point saying something twice, so if other people make the same comment and it’s accepted, it just wastes time to repeat it . This is what I said today Sponsorship review I want the RCGP to stop all sponsorship of the conference and educational modules – […]
Continue Reading →Bowel cancer screening – Inside Health 27/3/18
UK National Screening Committee FOBT versus FIT screening tests and here and here Cochrane review Scottish programme and bowelscope pilot Atkins Lancet paper
Continue Reading →Inside Health 20/3/18 fish oils/adaptive trials
Fish oils: http://www.bbc.co.uk/science/humanbody/mind/articles/intelligenceandmemory/omega_three.shtml http://news.bbc.co.uk/1/hi/england/6991528.stm Fish oil makes children smarter, study claims https://www.telegraph.co.uk/news/health/3083228/Fish-oil-makes-children-smarter-study-claims.html two studies in UK DOLAB 1 and 2 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0043909 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0192909 https://theconversation.com/half-of-biomedical-research-studies-dont-stand-up-to-scrutiny-and-what-we-need-to-do-about-that-45149 Click to access 56314e40aac61.pdf adaptive trials: review https://academic.oup.com/jnci/article-abstract/109/6/djx013/3074379?redirectedFrom=fulltext https://academic.oup.com/jnci/article-abstract/109/6/djx013/3074379?redirectedFrom=fulltext https://clinicaltrials.gov/ct2/show/NCT01042379 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706669/ https://www.ncbi.nlm.nih.gov/pubmed/20595245/ https://www.ncbi.nlm.nih.gov/pubmed/25475878
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