Tracking the performance of endovascular devices
The linked study by Goodney and colleagues in The BMJ (doi:10.1136/bmj-2022-071452) is an important evaluation…
Category: British Medical Journal
Obesity alone should not rule out knee replacement surgery
The studyEvans JT, Mouchti S, Blom AW, et al. Obesity and revision surgery, mortality, and…
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Use of linked registry claims data for long term surveillance of devices after endovascular abdominal aortic aneurysm repair: observational surveillance study
AbstractObjectiveTo evaluate long term outcomes (reintervention and late rupture of abdominal aortic aneurysm) of aortic…
What should I do if I witness a colleague sexually harassing another member of staff?
Doctors need to know that they will be supportedJo Wren, head of outreach for the…
The NHS is facing the bleakest midwinter
Last week, NHS England warned1 of a worst case scenario in which half of all…
US research coordinators are imprisoned for falsifying studies
Two study coordinators for a Florida based clinical research company have been sentenced to prison…
Treatment strategies for women with WHO group II anovulation: systematic review and network meta-analysis
Since the publication of the systematic review by Wang and colleagues in 2017 (BMJ 2017;356:j138,…
Management of psychiatric and cognitive complications in Parkinson’s disease
AbstractNeuropsychiatric symptoms (NPSs) such as affective disorders, psychosis, behavioral changes, and cognitive impairment are common…
Making better use of natural experimental evaluation in population health
Natural experiments have long been used as opportunities to evaluate the health impacts of policies,…
Reduce unnecessary use of proton pump inhibitors
What you need to knowProton pump inhibitors (PPIs) are effective and widely used, but often…
Sixty seconds on . . . long life livers
Is this like the lettuce that outlasted Liz Truss?Much longer than that. Researchers have found…
Clinical trials: Number started in UK fell by 41% in four years, finds report
The number of industry backed clinical trials started in the UK each year fell by…
Can SAS doctors help tackle the GP workforce crisis?
The General Medical Council has warned that a shortfall of doctors in primary care is…
The end of the rainbow? Preserving a symbol of LGBTQ+ allyship in the NHS
The covid-19 pandemic saw the image of the NHS logo next to a rainbow become…
Staff and patients at risk from underinvestment in health and social care, says England’s regulator
The health and care system in England “is in gridlock and unable to operate effectively,”…
When I use a word . . . . Too much healthcare—Biomarkers
Defining biomarkersThe term “biomarker” is surprisingly new. The earliest instance is from 1973, when it…
Licensing deal for cancer drug will increase access in low and middle income countries
More people in low and middle income countries will have access to nilotinib to treat…
Cholera: WHO rations vaccines to preserve stocks amid rising outbreaks
Countries confronting outbreaks of cholera will have to administer half the recommended doses of vaccines…
Managing a small burn
What you need to knowWhen calculating burn size, 1% of total body surface area (TBSA)…
Medical students—the fight for reproductive healthcare is ours
For US medical students, access to education about abortion is far from guaranteed. Abortion is…
Now auditors understand health better than government
When we find ourselves in times of trouble, might it be worth listening to the…
Pharmacists in England will be able to prescribe antibiotics without GP approval from next year
From next year England’s pharmacists will be allowed to prescribe a wider array of drugs—including…
Restore the doctor-patient relationship in primary care, say MPs
General practices should measure and report on continuity of care for their patients as a…
Tom Nolan’s research reviews—20 October 2022
The first RCT on colonoscopy screeningUntil now, recommendations supporting colonoscopy for colorectal cancer screening have…
East Kent Hospitals: “This cannot go on,” says doctor who found that babies could have survived with standard care
Suboptimal maternity care at two hospitals in Kent led to death or injury for dozens…
An adolescent girl with acute abdominal pain and abdominal mass
A girl in her early teens presented to the general paediatric department with 24 hours…
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Winter waves . . . and other stories
A winter wave of covid-19Waning immunity and the many factors that help respiratory viruses thrive…
What next for covid-19 vaccines?
Will we continue to need annual covid boosters?Eleanor Riley, professor of immunology at the University…
Gynaecomastia
What you need to know20-25% of gynaecomastia cases are attributable to prescription medications or drug…
Authors’ reply to Ward
Ward comments1 on a lack of acknowledgement of functional symptoms in long covid in our…
Homicide is a leading cause of death for pregnant women in US
Women in the US are more likely to be murdered during pregnancy or soon after…
Maternal hypertensive disorder of pregnancy and mortality in offspring from birth to young adulthood: national population based cohort study
AbstractObjectiveTo examine the association of maternal hypertensive disorder of pregnancy (HDP) with overall and cause…
Effect of financial voucher incentives provided with UK stop smoking services on the cessation of smoking in pregnant women (CPIT III): pragmatic, multicentre, single blinded, phase 3, randomised controlled trial
AbstractObjectiveTo examine effectiveness, cost effectiveness, generalisability, and acceptability of financial incentives for smoking cessation during…
Financial incentives for sustained smoking abstinence in pregnancy
Tobacco smoking during pregnancy is associated with an increased risk of stillbirth, low birth weight,…
The government should be honest with the public about its public spending choices
The government’s medium term fiscal plan on 31 October will determine the shape of public…
What will public spending cuts mean for the NHS and social care?
The longest serving health secretary is now the chancellor of the exchequer in search of…
NHS England announces “data driven war rooms” to tackle winter pressures
Control centres that open 24 hours a day will be set up throughout the NHS…
Covid-19 and long covid highlight the need to tackle behavioural health challenges
Greenhalgh and colleagues’ Practice Pointer1 and the Opinion article from Long Covid SOS2 serve as…
Long covid update for primary care should acknowledge functional symptoms
It must be a fraught task, writing about long covid. The list of symptoms is…
We need both quantitative and qualitative data to prove the value of health visiting
Wilkinson’s article highlights the challenges of proving the value of health visiting.1 This is partly…
Dementia and ethnicity: five minutes with . . . Charles Marshall
“If you are black in east London, you are 43% more likely to develop dementia…
John Launer: When outpatient appointments are put on hold
I have a long term medical condition that requires regular hospital review. In theory this…
An eruption of dome-shaped, red papules
These are reactive capillary haemangiomas (RCHs) on the trunk of a man in his 40s…
David Oliver: We’re further than ever from solving the social care crisis
Thérèse Coffey, secretary of state for health and social care and deputy prime minister, has…
Comparative effectiveness of initial computed tomography and invasive coronary angiography in women and men with stable chest pain and suspected coronary artery disease: multicentre randomised trial
AbstractObjectiveTo assess the comparative effectiveness of computed tomography and invasive coronary angiography in women and…
How the US scrapp{-}{-}{-}{-}ing of Roe v Wade threatens the global medical abortion revolution
In 2021, a 20 year old woman in Hyderabad, India, discovered she was pregnant. A…
A return to austerity will further damage the public’s health
UK government policy has changed at such dizzying speed that any comment or prediction is…
Let SAS doctors work in general practice, says GMC
Rules should be relaxed to allow thousands of skilled doctors in non-training posts to work…
Matt Morgan: We all contain multitudes
My fellow BMJ columnist Rachel Clarke has rightly argued recently that we should judge health…
Burnout is bad because if affects staff welfare, not because it’s a risk to patients
Weigl discusses the effects of physician burnout on the quality of care provided to patients.1…