Family Medicine
Editorial | Remote by default general practice: must we, should we, dare we?
28 Mar, 2021 | 22:18h | UTC
https://twitter.com/trishgreenhalgh/status/1375408196303650818
Opinion | Understanding of research results, evidence summaries and their applicability—not critical appraisal—are core skills of medical curriculum
28 Mar, 2021 | 22:16h | UTC
Commentaries on Twitter
Excellent 2-pager on prioritising understanding of results over critical appraisal in EBM training. (Note: I want both, but understanding results should be first). @LoaiAlbarqouni @Tammy_Hoffmann have experimented with that. https://t.co/Fd88xaqgOu pic.twitter.com/0LYnmUmD4K
— Paul Glasziou (@PaulGlasziou) March 18, 2021
We argue (with Gordon Guyatt) that evidence based medicine educators should spend much more time & emphasis on understanding of magnitude of effect & applicability of results; less time & emphasis to risk of bias in primary studies. Open access at https://t.co/E7NjzJwFxP #EBM pic.twitter.com/nMXp8hVzHb
— Kari Tikkinen (@KariTikkinen) March 18, 2021
Just published, exhorting the #EBM community to wake up to the fact that our teaching should focus on helping clinicians understand research results, not on conducting critical appraisal. @KariTikkinen https://t.co/07Hm8aSnAI pic.twitter.com/m2RWrBvCVT
— Gordon H. Guyatt (@GuyattGH) March 22, 2021
Really interesting article in BMJ EBM. Are we prioritising the wrong things in critical appraisal training? "Understanding of research results, evidence summaries and their applicability—not critical appraisal—are core skills of medical curriculum" https://t.co/gXk1zLVUX8
— MPFT Library (@library_mpft) March 23, 2021
Junior doctors *usually* rely on guidelines/evidence summaries, NOT primary research studies.
"….notion that most clinicians emerging from professional training will regularly evaluate the risk of bias in methods and results of primary studies is deluded."
Seems fair enough… https://t.co/prv2ZuZ6Yp— David Henshall (@DavidHenshall_) March 22, 2021
Cohort study: Even small amounts of Caffeine consumption in pregnancy were linked to smaller neonatal birth size
28 Mar, 2021 | 22:14h | UTCCommentaries: Even a Little Coffee in Pregnancy Could Impact Newborn’s Weight: Study – HealthDay AND Moderate daily caffeine intake during pregnancy may lead to smaller birth size – NIH News Releases
Commentary on Twitter
Cohort study finds even small amounts of caffeine consumption in pregnancy were associated with smaller birthweight and lean tissue measures, consistent for measured plasma caffeine/paraxanthine, and self-reported caffeine consumption. @NIH https://t.co/YzDVU6ejYO
— JAMA Network Open (@JAMANetworkOpen) March 25, 2021
Covid-19: Middle aged women face greater risk of debilitating long term symptoms
28 Mar, 2021 | 22:49h | UTCCovid-19: Middle aged women face greater risk of debilitating long term symptoms – The BMJ
Linked Opinion: The stigma is real for people living with long covid – The BMJ Opinion
Persistent neurologic symptoms and cognitive dysfunction in non‐hospitalized Covid‐19 “long haulers”
28 Mar, 2021 | 22:48h | UTCCommentary: 85% of COVID-19 long-haulers have multiple brain-related symptoms – LiveScience AND ‘Brain fog’ and other neurologic symptoms can last for months after Covid – NBC News AND Neurologic Symptoms Persistent for Many COVID-19 ‘Long-Haulers’ – Health Day
State of the Art Review | Management of colonic diverticulitis
25 Mar, 2021 | 08:14h | UTCManagement of colonic diverticulitis – The BMJ
Commentary on Twitter
NEW 🔥💥State of the Art Clinical Review @bmj_latest
Management of colonic diverticulitis #IDTwitter https://t.co/aUOGYZ8I4n pic.twitter.com/vYjzQ50LY1— Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 (@ABsteward) March 24, 2021
RCT: Surgical microdiscectomy versus transforaminal epidural steroid injection in patients with sciatica secondary to herniated lumbar disc
25 Mar, 2021 | 08:12h | UTC
Commentary on Twitter
NEW RESEARCH—Surgical microdiscectomy and
transforaminal epidural steroid injection are similarly effective at reducing #pain and disability from #sciatica secondary to herniated lumbar disc https://t.co/xXOr1aOX8K #LancetRheumatology #OpenAccess pic.twitter.com/2CHh1YD2gm— The Lancet Rheumatology (@TheLancetRheum) March 19, 2021
Practice Pointer: Remote management of Covid-19 using home pulse oximetry and virtual ward support
26 Mar, 2021 | 09:05h | UTCRemote management of covid-19 using home pulse oximetry and virtual ward support – The BMJ
Related: Virtual clinics are reassuring but sometimes daunting – The BMJ
Commentary on Twitter
https://twitter.com/trishgreenhalgh/status/1375110854094520322
Experts: 3-foot rule in schools problematic in light of COVID variants
26 Mar, 2021 | 08:56h | UTCExperts: 3-foot rule in schools problematic in light of COVID variants – CIDRAP
Related: CDC Guidance for schools says students can now stay 3 feet apart, rather than 6
Another study shows increased transmissibility of SARS-CoV-2 lineage B.1.1.7 with a 50% to 100% higher reproduction number
26 Mar, 2021 | 08:57h | UTCAssessing transmissibility of SARS-CoV-2 lineage B.1.1.7 in England – Nature
Related: Study confirms higher transmissibility of SARS-CoV-2 lineage B.1.1.7 (study and commentary)
Commentary on Twitter
Just published @nature: Transmissibility of the B.1.1.7 (UK) variant https://t.co/dsMge8bB83 "A substantial transmission advantage with a 50 to 100% higher reproduction number"
Secondary attack rates were 30-40% higher than ancestral strain (non-VOC); no age gradient by modeling pic.twitter.com/870A3PojyF— Eric Topol (@EricTopol) March 25, 2021
USPSTF Statement: Current evidence is insufficient to recommend screening for hearing loss in older adults
24 Mar, 2021 | 08:12h | UTCScreening for Hearing Loss in Older Adults – U.S. Preventive Services Task Force
Editorial: Screening for Hearing Loss in Older Adults: Insufficient Evidence Does Not Mean Insufficient Benefit – JAMA AND United States Preventive Services Task Force Recommendation for Hearing-Loss Screening Among Older Adults: An Opportunity in Insufficient Evidence – AMA Otolaryngology-Head & Neck Surgery AND USPSTF Recommendations for Hearing Loss Screening in Asymptomatic Older Adults—A Case of Missing Evidence and Missing Treatment Options – JAMA Network Open
Evidence Report: Screening for Hearing Loss in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force – JAMA
Author interview: USPSTF Recommendation: Screening for Hearing Loss in Older Adults – JAMA
JAMA Patient Page: Screening for Hearing Loss in Older Adults
WHO Campaign | World Tuberculosis Day 2021: The Clock Is Ticking
24 Mar, 2021 | 08:16h | UTCWorld Tuberculosis Day 2021: The Clock Is Ticking – World Health Organization
Perspective | New SARS-CoV-2 Variants — Clinical, Public Health, and Vaccine Implications
25 Mar, 2021 | 08:34h | UTC
Systematic review: Rapid, point‐of‐care antigen and molecular‐based tests for diagnosis of SARS‐CoV‐2 infection
25 Mar, 2021 | 08:38h | UTCCommentaries: Updated Cochrane review assesses how accurate rapid tests are for detecting COVID-19 – Wiley AND Expert reaction to updated Cochrane review of studies on accuracy of rapid tests (including lateral flow and molecular tests) to detect SARS-CoV-2 – Science Media Centre
NICE publishes single guideline for managing COVID-19
24 Mar, 2021 | 08:42h | UTCNews release: COVID-19 rapid guideline: managing COVID-19 – National Institute for Health and Care Excellence
Commentary on Twitter
Today NICE has published a single guideline for managing COVID-19, which brings together content from previous rapid COVID-19 guidance and evidence summaries. Read more: https://t.co/3O5yzpHK9e pic.twitter.com/DyD7lcLX8v
— NICE (@NICEComms) March 23, 2021
RCT: Effect of continued weekly subcutaneous Semaglutide vs. placebo on weight loss maintenance in adults with overweight or obesity
24 Mar, 2021 | 08:05h | UTCEffect of Continued Weekly Subcutaneous Semaglutide vs Placebo on Weight Loss Maintenance in Adults With Overweight or Obesity: The STEP 4 Randomized Clinical Trial – JAMA (free for a limited period)
Commentaries: Continuing Semaglutide Leads to Further Weight Loss – NEJM Journal Watch AND STEP 4: Long-term treatment needed for full semaglutide benefit – MedwireNews
Podcast: Semaglutide for Weight Loss – JAMA
Commentary on Twitter
In this RCT, weekly subcutaneous subcutaneous semaglutide resulted in increased weight loss over 48 weeks vs placebo in adults with #overweight or #obesity https://t.co/Ze6zHCG1Fd
— JAMA (@JAMA_current) March 23, 2021
WHO Guideline: Screening for Tuberculosis Disease
24 Mar, 2021 | 08:13h | UTCSee also: WHO Operational Handbook on Systematic Screening for Tuberculosis – World Health Organization
Fully vaccinated people can visit unvaccinated family and friends, but one household at a time, CDC official says
24 Mar, 2021 | 08:26h | UTCUpdated Guidance: When You’ve Been Fully Vaccinated – Centers for Disease Control and Prevention
Ultra-Processed Foods and Incident Cardiovascular Disease in the Framingham Offspring Study
24 Mar, 2021 | 08:02h | UTCCommentaries: Eating More Ultraprocessed ‘Junk’ Food Linked to Higher CVD Risk – TCTMD AND Ultra-Processed Foods and Incident Cardiovascular Disease – American College of Cardiology
World TB Day | Report: COVID-19 Eliminates Twelve Years of Progress Against Tuberculosis
24 Mar, 2021 | 08:19h | UTCSee also: 1.4 million with tuberculosis, lost out on treatment during first year of COVID-19 – United Nations
Perspective | Don’t Be Surprised When Vaccinated People Get Infected
24 Mar, 2021 | 08:28h | UTCDon’t Be Surprised When Vaccinated People Get Infected – The Atlantic
Opinion | Perfect as the enemy of good: tracing transmissions with low-sensitivity tests to mitigate SARS-CoV-2 outbreaks
24 Mar, 2021 | 08:22h | UTC
Commentary on Twitter
Editor's Pick—How do different contact tracing & testing methods work? What resources are needed for each? How do features of #COVID19 transmission influence their effectiveness?
Read the Personal View by @LeeKShaffer et al. in @LancetMicrobe. https://t.co/ruHV0RW6aY pic.twitter.com/19f7vCrt0I
— The Lancet (@TheLancet) March 18, 2021
Podcast: Things We Do For No Reason in Pediatrics #2
21 Mar, 2021 | 21:37h | UTCThings We Do For No Reason in Pediatrics #2 – Cribsiders
Related episode: Things We Do For No Reason in Pediatrics
[Press release – not published yet] AstraZeneca vaccine 79% effective for preventing symptomatic COVID-19
23 Mar, 2021 | 02:36h | UTCCommentaries: AstraZeneca vaccine is 79% effective against symptomatic Covid-19, company says – CNN AND AstraZeneca’s Covid-19 vaccine shows better-than-expected efficacy in U.S. trial – STAT AND Expert reaction to press release from AstraZeneca announcing interim data on safety and efficacy from the US trial of the Oxford-AstraZeneca COVID-19 vaccine – Science Media Centre AND AstraZeneca Publishes Reassuring Trial Data, But Vaccine Hesitancy Remains Widespread In European Union – Health Policy Watch
Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery
23 Mar, 2021 | 02:33h | UTCSARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery – Anaesthesia
Commentary on Twitter
Our research has underpinned key recommendations in new guidance on SARS-CoV-2 infection & elective surgery from @Assoc_Anaes & @RCoANews & @RCSnews.
This guideline can act as a template for policy makers in other countries!
🆓https://t.co/kKgJXFf0vd pic.twitter.com/mJRasJTJws
— COVIDSurg (@CovidSurg) March 20, 2021