Clinical decision support in cardiovascular medicine
ABSTRACTDespite considerable progress in tackling cardiovascular disease over the past 50 years, many gaps in…
Category: BMJ
A man with a cavitating lung lesion
A renal inpatient, a man in his 70s, was referred to respiratory medicine with abnormal…
What is the role of minimally invasive surgical treatments for benign prostatic enlargement?
What you need to knowNew minimally invasive surgical treatments for benign prostatic enlargement that do…
NICE allows immunotherapy treatment for small group of patients with advanced triple negative breast cancer
The National Institute for Health and Care Excellence (NICE) has now ruled that pembrolizumab (Keytruda)…
The NHS in England should use horizontal networks rather than vertical structures to improve health and care
The NHS passed a landmark on 19 May 2022 when its national leaders in England…
General practice needs “rebuttal unit” to counter inaccurate media stories, conference hears
General practice has been targeted by a “hideous” and inaccurate campaign by some sections of…
Catalysing the patient revolution: work with communities for real change
With increasing inequalities in life expectancy, and especially healthy life expectancy,1 it’s necessary but not…
Covid-19: Vaccine effectiveness wanes more rapidly for cancer patients, study finds
Covid-19 vaccination is effective for cancer patients but protection wanes much more rapidly than in…
Short term, relative effectiveness of four doses versus three doses of BNT162b2 vaccine in people aged 60 years and older in Israel: retrospective, test negative, case-control study
AbstractObjectiveTo examine the relative effectiveness of a fourth dose of the Pfizer-BioNTech mRNA (BNT162b2) vaccine…
Advanced diagnosis and personalised treatment: the clinical geneticist
Clinical genetics was not the obvious choice for Lynn Greenhalgh when she was deciding which…
Partha Kar: Racism in the medical workforce—five initial steps
It’s been 10 months since the initial report of the Medical Workforce Race Equality Standard1…
The dentistry crisis “lapping at the doors of primary care”
Over one week this spring, 20 patients presented at GP Abbie Brooks’ York surgery with…
Helen Salisbury: Living under the long shadow of covid
The number of patients with acute covid-19 is falling, says the weekly survey from the…
Formalising triage in general practice towards a more equitable, safe, and efficient allocation of resources
In response to the covid-19 pandemic, general practices in England were advised to implement the…
Validation of prediction models in the presence of competing risks: a guide through modern methods
Prediction models are pivotal for counselling patients about their prognosis and for risk stratification.1 Interest…
The BMJ, look to your laurels to catalyse the patient revolution
In the print issue of 30 April, The BMJ published an excellent article highlighting the…
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Racism is “at the root” of inequities in UK maternity care, finds inquiry
Urgent action must be taken to tackle systemic racism in UK maternity services.That is the…
A cautionary tale for potentially dishonest doctors
There is a scene in episode three of the BBC series “This is Going to…
Clinicians caring for migrants need more support
Recent political events, including the conflict in Ukraine, the Taliban takeover in Afghanistan, and the…
US must urgently correct ethnic and racial disparities in clinical trials, says report
Underrepresentation of ethnic and racial groups in US research and clinical trials compounds the disparities…
Covid-19: Doctors’ wellbeing must be “critical priority” after pandemic mistakes, says BMA
On 19 May the BMA published the first two reports of its five part review…
Covid-19—How Europe’s vaccine donations went tragically wrong
On 21 December 2021, a truck piled with brown cardboard boxes drove to the Goja…
Transplant surgeon who lied about academic achievements is suspended for 12 months
A consultant transplant surgeon who lied about his academic achievements and was dismissed for dishonesty,…
Private screening and general practice
Salisbury describes the problems that private consultations can create for general practitioners.1 A potentially more…
When do people with abdominal symptoms need a fast track referral?
The studyHerbert A, Rafiq M, Pham TM, et al. Predictive values for different cancers and…
Taskforce calls for targeted primary care interventions to tackle maternity inequalities
The UK’s Maternity Disparities Taskforce has called for more targeted interventions from primary care to…
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Pandemic treaty: a chance to level up on equity
The Intergovernmental Negotiating Body (INB) is in the midst of developing a blueprint for the…
Monkeypox: What do we know about the outbreaks in Europe and North America?
How many cases have been confirmed?Case numbers seem to be rising daily though are still…
Covid-19: Sexually transmitted diseases surged in US during pandemic
US cases of gonorrhoea, syphilis, and congenital syphilis declined at the beginning of the covid-19…
The government’s U-turn on ȷunk food ban, won’t save families money
The headline in the Daily Mail was, as always, illuminating: “Boris Johnson ditches nanny state…
When part time means full time: the GP paradox
Recent workforce data from NHS digital once again show a decline in GP numbers. The…
Insomnia: NICE recommends digital app as treatment option
GPs should consider offering patients with insomnia the Sleepio app as an effective and cost…
“Doctors ask me to feed my kids—but how?” The Russia-Ukraine war hits Syrian refugees in Lebanon
Foza Cheikho, a 35 year old Syrian mother of eight children crammed in a makeshift…
Data sharing measures in the Health and Care Bill exclude children
The new Health and Care Bill received royal assent in April 2022.1 One key aspect…
Doctors wrongly told they owe tax on NHS pensions after systems error
Thousands of doctors have been wrongly told by NHS Pensions that they have exceeded their…
Reporting reference ranges specific to trans and non-binary people on hormone therapy
I disagree with Cheung and colleagues’ call for both male and female reference ranges to…
Covid-19: Second boosters may benefit at-risk groups but have “minimal” impact for others, says WHO
Short term benefits are seen after a second covid-19 vaccine booster—normally a fourth vaccine dose—in…
NHS trust is fined {pound}1.3m over deaths of two patients linked to safety failings
Shrewsbury and Telford Hospital NHS Trust has been fined more than £1.3m (€1.5m; $1.6m) at…
Eating disorders: Guidance is issued to doctors after 84% rise in past five years
New guidelines to help doctors spot the signs that someone with an eating disorder is…
Covid-19: US hospitals continued to perform unnecessary surgeries during pandemic
US hospitals continued to perform eight overused and unnecessary surgical procedures for older patients during…
Tom Nolan’s research reviews—19 May 2022
What does winning look like?What would you do for an 18% chance of winning $5…
Caught on film: NHS life during the pandemic
bmj;377/may19_4/o1224/FAF1faSelfless, an exhibition of the work of photographer Jessica van der Weert that captures the…
Benefits of bariatric surgery . . . and other stories
Bariatric surgery in older peopleA study among Medicare beneficiaries in the US shows that bariatric…
Erosion of healthcare for those who need it most
The UK and US differ in healthcare funding models and political structures, but both national…
Empower young people with type 1 diabetes
The guidance on how to tackle the psychosocial challenge that a diagnosis of type 1…
Managing type 1 diabetes: have faith in patients
I share Kar’s frustration at the stalling of the roll-out of non-invasive glucose monitoring for…
Are vaccines a potential treatment for long covid?
Vaccines in the covid-19 pandemic have been a game changer in reducing rates of SARS-CoV-2…
Harmonizing insurance data to compare healthcare across high income countries
Our recent research study, published in The BMJ, found substantial differences in care for patients…
Rising cost of living is damaging people’s health, says royal college
Over half of UK people in a survey commissioned by the Royal College of Physicians…
Reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AI
The prospect of improved clinical outcomes and more efficient health systems has fuelled a rapid…