NICE cannot always allow healthcare professionals to prescribe the best available treatment
Every patient wants the best available treatment. In self-funded systems and insurance based health systems,…
Category: BMJ
NICE guidance: opportunity cost of clinician time needs to be quantified
Michaels is right to refer to the opportunity cost of funding expensive treatments.1 There is,…
Evaluation of clinical prediction models (part 1): from development to external validation
Healthcare decisions for individuals are routinely made on the basis of risk or probability.1 Whether…
When I use a word . . . Medical anniversaries in 2024
Medical anniversaries in 2024For the past eight years I have been charting medical anniversaries year…
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Sixty seconds on . . . green space
New year, new meIt’s that time of the year again—and according to Forbes magazine doing…
Junior doctors’ strike: NHS England to gather information on service impact
NHS England has said it will gather information on whether refusals by the BMA to…
GLP-1 agonist shortage will last until end of 2024, government warns
The supply of glucagon-like peptide-1 (GLP-1) receptor agonists is not expected to return to normal…
Covid-19: Some US states and hospitals recommend masks again
US hospitals and medical centres in some US states have reintroduced requirements to wear facemasks…
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NHS England and trusts are undermining process for recalling striking doctors, says BMA
NHS England and some NHS trusts are undermining the process for recalling striking junior doctors…
How we can solve the crisis in UK gambling policy
We are at a perilous moment in the regulation of gambling in the UK. We…
Growing interest in Korean “postnatal retreats” highlights dearth in maternal care in North America
Over the past 10 years, Hyesook Jeon and her husband Michael have shared their time…
Efficacy and safety of tranexamic acid in acute haemorrhage
What you need to knowTranexamic acid is a synthetic haemostatic drug that inhibits fibrinolysisIt is…
NHS England’s “celebratory” cancer check announcement does not reflect reality, charities say
NHS England’s announcement highlighting record numbers of cancer checks does not reflect the “brutal” reality…
WHO announces committee for guidance on adult trans health
The World Health Organization has announced the members of the committee that will develop a…
A continuum of perfect storms: the winter forecast for urgent care in the NHS remains bleak
The NHS remains under immense pressure.1 Each part of the system is experiencing demand beyond…
The NHS should focus on doing the basics first
Some aspects of artificial intelligence (AI) will clearly come to influence our clinical work, perhaps…
Antimicrobial resistance: MPs call on UK government to maximise potential of bacteriophages
MPs have called on the UK government to invest in research into bacteriophages as an…
The use of wastewater based epidemiology to detect synthetic opioids in the community
Eastwood and Schlossenberg highlight the need to monitor and respond to the influx of nitazene…
December top picks: festive season at The BMJ
Hi Barbie. It turns out that working at The BMJ at Christmas time is really…
The doctors’ doctor: the occupational health consultant
During times of intense work pressure, understanding just how hard practising medicine can be is…
The greying rainbow: We need inclusive care for older LGBTQ+ people
One morning I was sitting in with a GP in a small practice. An older…
Applying global lessons to protect abortion access in the United States
Since the US Supreme Court overturned Roe v Wade in 2022, eliminating the federal constitutional…
Junior doctors in England call for credible pay offer to end strikes
The BMA has called for the health and social care secretary, Victoria Atkins, to make…
Illegal drugs in the UK—we need better screening and surveillance
We agree with the concerns raised by Eastwood and Schlossenberg about the changing drug landscape…
Illicit drug threats, old and new
We commend the suggestions by Eastwood and Schlossenberg around expanding supervised consumption facilities and drug…
How patriarchy and conservatism fuel deadly hesitancy among women with breast cancer
Khoula Mahroof, 43, was barely five months into her marriage when she identified a lump…
Chronic pain: supported self-management
What you need to knowSupported self-management is an approach to chronic pain that involves shared…
UK’s National Screening Committee endorses digital pathology for cancer screening
The UK National Screening Committee (UK NSC) has backed the use of digital pathology as…
Intersectionality in health equity research
The covid-19 pandemic highlighted deep rooted societal inequities and their causes because of its disproportionate…
RSV jab reduced infant hospital admissions by 83%, study reports
The long acting monoclonal antibody nirsevimab (marketed as Beyfortus) reduced respiratory syncytial virus associated hospital…
Authors’ reply to Datta
Datta mentions the association between race or ethnicity and obstetric anal sphincter injury (OASI).12 Several…
Nearly 89 000 appointments in England were lost during ȷunior doctors’ strike in December
Almost 89 000 appointments and procedures were postponed in England because of the latest three…
Understanding injuries during assisted delivery
Muraca and colleagues discuss the important topic of trauma to mother and baby during operative…
Adverse events were higher at US hospitals taken over by private equity firms, study finds
Hospital acquired adverse events such as falls, central line blood infections, and surgical site infections…
Combining high quality data with rigorous methods: emulation of a target trial using electronic health records and a nested case-control design
Summary pointsCase-control studies are efficient designs for studies that require validation of key variables; data…
Falling life expectancy among US men
The gender life expectancy gap is shrinking in much of world, with the current global…
Europe suspends hundreds of generic drugs over serious data concerns
Some 365 generic drugs have had their European Union marketing authorisations suspended after an investigation…
Eliminating cervical cancer as a global public health problem requires equitable action
Imagine nearly eliminating a cancer that almost 350 000 women die from globally every year.1…
Junior doctors: Health secretary urges leaders to call off strikes and re-enter talks
England’s health and social care secretary, Victoria Atkins, has urged junior doctors’ leaders to call…
England and Scotland see sharp rise in covid and flu cases as hospitals struggle
Just over 4% of people in England and Scotland—around one in 24—may have had covid-19…
Natural experiments with sildenafil and stiffness
In August 2020, I found myself being taken by ambulance to the intensive care unit…
Covid-19: WHO adds JN.1 as new variant of interest
The World Health Organization has added a new covid-19 strain, JN.1, to its list of…
The NHS crisis is not an equal crisis
The NHS is in crisis.1 Primary care is creaking at the seams.2 More patients are…
Ideas for a new world
The cover of The BMJ’s Christmas print issue this year (fig 1) shows a respiratory…
Common Healthcare Related Instruments Subjected To Magnetic Attraction Study (CHRISTMAS): prospective in situ experimental study
AbstractObjectiveTo investigate the behaviour of common healthcare related objects in a 3 tesla (T) MRI…
Tribunal was wrong to take no action against junior doctor who sent explicit messages to two nurses
A medical practitioners tribunal erred when it decided to take no action against a junior…
Help women in Gaza and across the globe
bmj;383/dec20_9/p2959/FAF1faAli Jadallah/Anadolu/Getty ImagesA woman and child flee Israeli air strikes on Gaza City’s Ridwan neighbourhood.For…
Gaza: Death toll rises to nearly 20 000 as attacks on hospitals and staff continue
Doctors and healthcare staff are being arrested in Gaza as tanks surround hospitals and heavy…
Doctors must challenge ableism in healthcare
Today, people with disabilities continue to be unfairly overlooked and discriminated against—whether that’s in terms…
Long covid: where are we, what does it say about our pandemic response, and where next?
The UK Office for National Statistics (ONS) Infection Survey was the best estimate that we…