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Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Torjesen I. BMJ

A systematic review, looked at 287 studies involving more than 280 000 older adults. It found that, while screening tools could adequately detect cognitive impairment, “there is no empirical evidence... that screening for cognitive impairment improves patient or caregiver outcomes or causes harm.”. In terms of treatment,“It remains unclear whether interventions for patients or caregivers provide clinically important benefits for older adults with earlier detected cognitive impairment or ...

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Mahase E. BMJ

General practice staff have been forced to waste hours of clinical time by handwriting labels for HPV cervical screening tests because a new IT system was implemented without the ability to print sticky labels. Since the changes came into effect on 2 December 2019 the service has processed over 100 000 cervical screening tests, potentially equating to thousands of unnecessary hours spent writing out labels that were previously automatically printed. Besides, the possibility human error has ...

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Mayor S. BMJ

The NELSON study included 13195 men and 2594 women aged 50-74 from the Netherlands and Belgium. Trial participants were randomly assigned to four rounds of low dose CT screening at baseline and at one, three, and 5.5 years or to a control group with no screening. Results showed that deaths from lung cancer were 24% lower after 10 years of follow-up in men undergoing regular CT screening than in those not screened. Women taking part in the trial showed a 33% reduction in lung cancer deaths at 10 ...

Evidencias COVID-19

Evidenceaid

A systematic Cochrane review has been done in order to check the efficacy of travel-related measures to contain de pandemic of COVID-19. The studies analysed included 40 publications on 36 studies related to COVID-19 (17 modelling studies, 7 observational screening studies and 1 observational ecological study), SARS (4 modelling studies and 6 observational studies) and SARS and MERS (1 modelling study). They rated the certainty of the evidence for most travel‐related control measures as very ...

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Torjesen, I. BMJ

Eye services don´t have the capacity to meet demand for glaucoma services. It is said that capacity could be freed up by introducing mechanisms to ensure appropriate referral to and follow-up by hospital eye services, as well as through new ways of working to free up consultants’ time, such as redesigning pathways so that other members of the multidisciplinary team could take on some tasks and by using virtual appointments.