NDLI: Opioids for low back pain

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Year: 2017 Volume: 356

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Year: 2016 Volume: 353

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Year: 2015 Volume: 350

Pharmacists react angrily to government plans requiring them to check prescription exemptions.

Type 2 diabetes and cancer: umbrella review of meta-analyses of observational studies

Type 2 diabetes and risk of cancer

The pioneers of transparency.

New year brings new transparency for drug company payments to doctors in UK.

I would scrap the internal market.

The evidence base for orthopaedics and sports medicine.

Meta-analysis: testing for reporting bias

New US rules ban aggressive debt collection by charitable hospitals.

India cuts health budget by 20%

Children whose parents attempted suicide are at raised risk of similar behaviour, study finds.

Opioids for low back pain

Flu is now widespread in 43 US states, CDC reports

Intensive treatment for type 1 diabetes is associated with lower risk of death

The unknown risks of youth rugby.

Type 1 diabetes still shortens life span, Scottish study finds

Comparison of two dose and three dose human papillomavirus vaccine schedules: cost effectiveness analysis based on transmission model

Assisted reproductive technology has low complication risk, US data show.

More than a third of people with abnormal bowel cancer screening results avoid later screening.

Automated alerts for acute kidney injury warrant caution.

The BMJ should not take the law into its own hands on competing interests.

A vomiting baby.

Two or three doses of human papillomavirus vaccine?

Critical state of NHS could worsen, leading economist warns.

Authors' reply to Smith, Forsyth, Coffey and Prendergast, and Soskolne.

NHS will not pay for drugs that offer little clinical benefit, says cancer fund boss.

Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): the TRIPOD statement

Cerebral near infrared spectroscopy oximetry in extremely preterm infants: phase II randomised clinical trial

Competing interests in epidemiology.

US Republicans will attack individual provisions of health reform law as repeal is unlikely.

The political determinants of health—10 years on

Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods

Google, doctors, and the 'right to be forgotten'.

Margaret McCartney: Jeremy Hunt should follow his own advice on emergency care.

Reasons to be cautious about competing interests.

Improving diabetes care: six simple suggestions.

'By the way doctor, I've booked an African safari after my next chemo'.

US cancer mortality continues to fall.

Should doctors encourage patients to record consultations?

Paul McMaster: At times a real pain.

Six doctors are charged with taking kickbacks for sending patients to Chicago hospital for no reason.

Should children be evacuated during times of war?

Most known fossil fuel reserves must remain unused to meet climate change targets.

Intravenous fluid therapy in adult inpatients.

Multiple biopsies improve cervical cancer detection in colposcopy.

A compassionate complaint about hospital care made a difference.

Waits for emergency care are worst for 10 years, figures show

Doctors increasingly practise 'defensive' medicine for fear of litigation, says regulator.

Adding radiotherapy to hormone treatment improves survival in older men with prostate cancer.

Increasing number of cancer survivors is putting pressure on NHS, says charity.

Newborns in England are screened for four extra genetic conditions.

Heparin induced thrombocytopenia.

Working miracles for the NHS.

Former paediatrician thought he was 'bomb proof' against sex charges, court hears.

Nurse with Ebola virus remains in critical condition.

Libel law reform: a new era of free speech in science?

Public healthcare systems should not pay for private profit.

Six people in US die each day from alcohol poisoning, CDC reports.

Government must produce 'credible evidence' to support seven day working, BMA says.

Long term mental health outcomes of Finnish children evacuated to Swedish families during the second world war and their non-evacuated siblings: cohort study

Terence Stephenson: Ready to navigate stormy waters once again?

Florida violated federal law by underfunding healthcare for needy children, judge rules.

Headache is often over-investigated and overtreated, US study shows

Private company says it can no longer run NHS hospital.

CQC rates 43 of 50 GP practices good or outstanding in its latest report

Researchers say they will send unpublished alteplase data to UK drug regulator on request.

Study supports link between injectable hormonal contraceptive and HIV risk.

The NHS lacks cardiovascular screening tools suitable for patients of South Asian descent.

India plans to track use of toilets in rural areas to encourage their use.

Trials of Ebola vaccine set to begin in west Africa.

Prevention of multiple pregnancies in couples with unexplained or mild male subfertility: randomised controlled trial of in vitro fertilisation with single embryo transfer or in vitro fertilisation in modified natural cycle compared with intrauterine insemination with controlled ovarian hyperstimulation

Which treatment option for couples with unexplained or mild male subfertility?

Trial results raise hope for dengue fever vaccine.

Government proposes changes to hospital doctors' overtime.

Funding allocations for patients across England are far from fair, says MPs' report.

Cancer survivors report array of unmet needs many years after diagnosis.

Millions of Americans would drop insurance if exchange subsidies didn't exist, studies find.

What is the best glomerular filtration marker to identify people with chronic kidney disease most likely to have poor outcomes?

Clinical trials: outcome measures.

Privately run trust is first in England to be rated 'inadequate' on patient care.

Regulator of devices investigates complaints about multifocal lens.

Russia bans transsexuals and people with personality disorders from driving.

UK trainee doctors are still unsure about how to treat anaphylaxis.

UN cannot be sued for alleged role in Haitian cholera outbreak, US judge rules.

Self referral for cancer tests is to be piloted in England.

Without mandatory regulation, clinical physiologists put patients at risk.

Is widespread screening for hepatitis C justified?

Long working hours and alcohol use: systematic review and meta-analysis of published studies and unpublished individual participant data

Long working hours are linked to risky alcohol consumption.

GPs rarely use interventions for weight management in obese and overweight patients, study finds.

US court cannot force tobacco companies to say they are 'unscrupulous villains,' claims industry appeal.

Psychological treatments are effective for depression in primary care, study shows.

Scotland's evidence based outcomes framework for problem drug use.

From exaggeration to silence in health related science news and academic press releases: mindful bias?

Crowdfunding: from startup businesses to startup science.

How much is too much breast screening?

NHS England pulls funding from 25 cancer treatments

Ethical issues in isolating people treated for Ebola.

Many older people may be overtreated for diabetes, US study finds.

Is exaggeration in academic press releases related to investigators' conflicts of interests?

John Appleby: hoping for the 'Appleby paradox'.

Sexual health is another commissioning crisis.

Doctors are sceptical about Indian Medical Association's new code of conduct for hospitals.

Deaths after Fluad flu vaccine and the epidemic of panic in Italy.

Sharing clinical trial data should become the 'expected norm,' US panel says.

Tackling fears about exercise is important for ME treatment, analysis indicates.

Dermatology has been decimated by political meddling.

The prevention and management of rabies.

GPs are advised to cut back on extra work to defend core services.

We are all accountable for our professional actions.

Patients are being discharged to die in care homes, conference hears.

NHS can perform well against the private sector without compromising its core values.

Many cancer deaths could be eliminated by greater awareness and access to latest treatments, report says.

Art tells the story of vaccines.

Gastro-oesophageal reflux disease in children: NICE guidance

Margaret McCartney: Combination of exercise and social interaction is why I love parkrun.

Is it a stroke?

Extra money targeted at emergency services may not have been used for frontline care, say experts.

Most screening tests do not save lives, researchers argue.

Ban management consultants.

GPs are told to treat with scepticism advice on anti-flu drugs from Public Health England

England continues to lag behind Europe in cancer survival, despite £6.7bn budget

Labour promises healthier food for children and standardised tobacco packaging.

Fewer colon cancer patients have surgery but survival is increasing, US study shows.

Signs of depression and apathy precede memory problems in Alzheimer's disease, study shows.

Head of Cancer Drugs Fund regrets its establishment, conference hears.

Doctors facing complaints have severe depression and suicidal thoughts, study finds.

Firm action needed on predatory journals.

Patients admitted to hospital from care homes are at higher risk of dehydration, study finds.

Evidence to back dementia screening is still lacking, committee says.

Two drugs show promising results for treating hyperkalemia in US study.

China to stop using organs from executed prisoners for transplantations.

Treatment effects and placebo effects.

Hospital acquired infections are falling, CDC reports.

US health secretary calls on Republicans to move on from Obamacare debate.

Three men infected with hepatitis C through contaminated blood start legal proceedings against UK government.

Most countries will fail to meet targets on non-communicable diseases, says WHO

Chief architect of Obamacare sparks furore over wish to “die at 75”

Healthy diet markedly reduces type 2 diabetes risk in ethnic minority women, study finds

More doctors should be trained in identifying female genital mutilation in children, says judge.

An elderly woman with chest pain and constipation.

As number of uninsured falls, more US people report they can afford care, survey finds.

Why there's no point telling me to lose weight.

At least 80 people have died in Crimea since Russian law banned opioid substitutes, says UN special envoy

India's private medical colleges and capitation fees.

Walking groups improve cardiovascular and general health, study shows.

Treatment of whistleblowers is 'stain on reputation of NHS,' say MPs.

Recommendations for physical activity in older adults.

Outcomes improve in babies conceived by assisted reproduction, Nordic study shows.

Which oral hypoglycaemic for gestational diabetes?

Global health agenda on non-communicable diseases: has WHO set a smart goal for physical activity?

We need to discuss India's reliance on private medical colleges.

Abdul Ghafur: Adventurous, emotional, outspoken.

An adolescent with an altered state of mind.

High sensitivity cardiac troponin and the under-diagnosis of myocardial infarction in women: prospective cohort study (Journal: BMJ (British Medical Journal) Volume: 350)

Kidney lite: four doctors with only four kidneys.

Indian government outlines plans to tighten tobacco control laws.

No more top-down reorganisation in mental health but much more funding, experts urge

Complementary medicine centres should be more critical, says Ernst.

Glibenclamide, metformin, and insulin for the treatment of gestational diabetes: a systematic review and meta-analysis

Obama promises to defend health law and promote 'precision medicine'.

A single blood test to rule out myocardial infarction?

Sleeping on stomach is associated with sudden death in epilepsy, study finds.

Pressure on NHS hospitals is 'spreading beyond emergency departments,' King's Fund warns.

Release clinicians from the four walls of the hospital or practice.

Boston heart surgeon shot and killed at Harvard teaching hospital.

GP pilots are 'last chance saloon' for care.data scheme.

Margaret McCartney: Don't be bullied into prescribing Tamiflu.

Going gently into that good night: what is the best death?

End of life care services are in limbo after phasing out of Liverpool Care Pathway, MPs hear.

NHS needs another £65bn by 2030-31, think tank says

Reduced blood pressure and cholesterol are main factors in fall in deaths from coronary heart disease.

Quantifying treatment effects in randomised controlled trials.

Ebola vaccine to be tested on 30 000 volunteers

UK moves to legislate on standardised cigarette packaging before election.

Less than a 10th of China’s couples apply to have second child

Measles outbreak linked to Disney theme parks reaches five states and Mexico.

University silenced student's concerns about research, memo suggests.

Margaret McCartney: Direct to consumer genetic testing—is all knowledge power?

New campaign to raise awareness of oesophago-gastric cancer may lead to over-investigation, expert warns

Opioids are commonly prescribed to women of reproductive age despite birth defect risk, US CDC study shows.

Skin surgeon who obtained false reference from GP friend is struck off.

Don't dismiss the little notes that patients bring.

India's tuberculosis officers call for action on 'alarming' crisis.

GPs' initial enthusiasm for clinical commissioning groups is waning, report says.

WHO's crisis handling to be overhauled after slow response to Ebola.

Completeness of main outcomes across randomized trials in entire discipline: survey of chronic lung disease outcomes in preterm infants

NHS England announces £10m plan to expand GP workforce

A core set of trial outcomes for every medical discipline?

Are soaring US malpractice rates just a memory now?

People evaluated for chest pain in emergency departments have low future risk of myocardial infarction, study finds.

Doctors should refuse to assess Saudi blogger's fitness for flogging, human rights group says.

What will MSF do with your £47 000 Christmas gift?

Obama administration sets goals for Medicare's shift to 'value based' payment.

Saatchi bill passes in Lords but faces opposition and time pressure in Commons.

India's growing problem of injecting drug misuse.

Departing from guidelines in patients' best interest is defensible, says negligence expert.

Labour unveils 10 year plan to end “perilous” state of NHS

Ineffective treatment of sex offenders fails victims.

Financial incentives for smoking cessation in pregnancy: randomised controlled trial

Postmenopausal weight change and incidence of fracture: post hoc findings from Women’s Health Initiative Observational Study and Clinical Trials

Netherlands remains top of European health index.

Nine English hospital trusts had higher than expected mortality in 2013-14

Weight change and risk of fracture in postmenopausal women.

Research on youth rugby injuries in Northern Ireland.

Doctors less likely than patients to report toxicity of cancer treatments, study shows.

Posterior shoulder dislocations.

Targeted biopsy with MRI and ultrasound improves detection of high risk prostate cancer.

Martin McKee: 'Never bloody here'.

The Professional Standards Authority watches the GMC, apparently.

Changes in professional rugby and risk of injury in the youth game.

Track patients' BMI and tackle harmful weight gain, says Canadian task force.

The true lorcainide story.

Clinicians have grasped the need to do more to tackle female genital mutilation, MPs are told.

Available evidence on risk of injury in youth rugby.

Financial rewards for pregnant smokers who quit.

The problem with using number of primary care consultations before cancer diagnosis.

Association between randomised trial evidence and global burden of disease: cross sectional study (Epidemiological Study of Randomized Trials—ESORT)

Youth rugby injuries need to be prioritised by funding bodies.

The truth about cash for referrals.

Authors' reply to Taylor.

The General Medical Council and doctors' financial interests.

Authors' reply to Chitnavis.

Investigating sepsis with biomarkers. (Journal: BMJ (British Medical Journal) Volume: 350)

Is the evidence base for popular knee operations really scandalously poor?

Details of doctors' registration status on the GMC website.

Requiring anonymised raw data as a condition for publication.

The drooling child.

GP is struck off for imposing his religious views on a vulnerable patient.

Use clinical tests to diagnose asthma and to avoid overdiagnosis, says NICE.

Ban sale of cigarettes to people born after 2000

Should vitamin D supplements be recommended to prevent chronic diseases?

Public health marketing campaigns: who profits?

Doctor jailed for 22 years for abusing boy patients is struck off

Supporters of 'personal budgets' for patients with long term conditions need to proselytise, minister says.

Banned end of life pathway is still in use under another name, MPs hear.

White House proposes doubling spending on combating antibiotic resistance to \$1.6bn in 2016

Ebola vaccine is safe and immunogenic, results show.

California doctors under investigation for prescribing practices.

Cancer induced bone pain.

US budget battle is likely to rekindle fight over drug price negotiations for Medicare prescriptions.

Heavy drinking in middle age increases stroke risk, study of twins shows.

Hospitals reject proposed tariff cuts for 2015-16 over safety fears

Repeated head trauma is linked to smaller brain volume in study of professional fighters.

Tamiflu reduces complications of flu, new review finds.

Women with polycystic ovary syndrome admitted to hospital twice as often, study finds.

People with diabetes have one third higher mortality risk than general population, audit shows.

Bias in observational study designs: case-control studies

Helping Eddie Redmayne to portray motor neurone disease.

Do we need a new approach to making vaccine recommendations?

Health party demands audit to discover full cost to NHS of Hinchingbrooke 'fiasco'.

Making informed choices on co-sleeping with your baby

Row rumbles on over suitability of top Indian doctor for WMA president.

Obama seeks \$213m to fund “precision medicine”

Mitochondrial donation could benefit 150 UK women a year, study says

Headache, flashing lights, and blurred vision.

Tight blood pressure control during pregnancy offers no clear benefits, study finds.

Government defends NHS health checks for people aged 40-74 but promises evaluation

EU to suspend hundreds of drug authorisations after doubts over clinical studies in Hyderabad.

Simple test can determine which patients need endoscopy for Barrett's oesophagus.

New advice to hospitals on declaring 'major incidents' sparks row in parliament.

India needs extra 100 000 doctors a year until 2034 to meet needs of growing population

Margaret McCartney: Meet the Robodocs: resilient automatons who do as they're told.

Indian government proposes quadrupling healthcare spending to 2.5% of GDP in five years

Israeli forces are accused of wide ranging human rights violations in Gaza last summer.

Preterm birth and the role of neuroprotection.

Diagnostic accuracy of single baseline measurement of Elecsys Troponin T high-sensitive assay for diagnosis of acute myocardial infarction in emergency department: systematic review and meta-analysis

'Undiagnosing' dementia.

Hospitals should cap what staff agencies can charge, after some demand £1760 a day

Tuberculosis cases in England will outnumber US in two years unless trends are reversed.

A case of progressive bilateral pitting oedema.

Measles cases exceed 100 in US outbreak

Prolonged sitting increases risk of serious illness and death regardless of exercise, study finds.

Managing patients with multimorbidity in primary care.

Margaret McCartney: Who's measuring the harm caused by the new benefits system?

Partners can help each other make positive health behaviour changes, study says.

Clare Marx: 'No one said to me this is a world you cannot enter'.

Involvement of medical students and junior doctors in research.

Communicating effectively with patients and relatives.

Impact of a behavioural sleep intervention on symptoms and sleep in children with attention deficit hyperactivity disorder, and parental mental health: randomised controlled trial

CQC defends rating of Hinchingbrooke as 'inadequate'.

EU-US investor dispute rules could prevent reversal of decision to outsource NHS services, critics warn

Value of randomised controlled surgical trials.

Can private providers be trusted to run NHS hospitals after Hinchingbrooke?

Health organisations are urged to end investment in fossil fuels.

BMA tells GPs to follow own judgment in prescribing antiflu drugs.

Child immunisation is becoming unaffordable in some countries, charity warns.

The problem with BEAUTY: a medical librarian's perspective.

Need for independent body to consider deaths of all doctors under investigation.

Tougher penalties, including imprisonment, are urged for misuse of personal data.

One in 10 acute heart failure patients is given IV fluids despite evidence, study shows

Circle's NHS failure: where now for the private sector?

Clinical surgical trials need to be encouraged.

Hinchingbrooke Hospital's reply to 'inadequate' rating on patient care.

The association between kidney function and major bleeding in older adults with atrial fibrillation starting warfarin treatment: population based observational study

First successful organ donation from newborn is carried out in UK.

Need for an international health emergency response force for future epidemic outbreaks.

Pain at the base of the thumb.

More than nine in 10 Chinese cities exceeded air pollution targets in 2014, says Greenpeace

A defence of CQC, from an affected practice.

Ambiguous or faulty medical communication is responsibility of doctors to put right.

GMC considers action against doctors after BMJ 'cash for referrals' investigation.

Torture and doctors' dual obligation.

Emergency department pressures need to be tackled through integrated urgent and emergency care.

Some clinical trials are driven by fashion, not science.

More than 400 000 NHS staff sign up to “Hello, my name is” campaign

Why India should worry about a coepidemic of diabetes and tuberculosis.

Concerns about the off-licence use of amiodarone for Ebola

Alternate Healthy Eating Index 2010 and risk of chronic obstructive pulmonary disease among US women and men: prospective study

International donations to the Ebola virus outbreak: too little, too late?

Half of the UK population can expect a diagnosis of cancer.

One in three people would rather risk shorter life than take a daily pill, US study finds.

Saatchi is right to promote medical innovation but his bill is wrong way to do it.

UK is set to allow mitochondrial donation after MPs vote in favour.

James Le Fanu: questioning those with the answers.

Government underestimated complexity of moving people with learning difficulties out of hospital, report says.

Drug makers' adverse event reports are often incomplete, US report finds.

Coalition's changes to NHS were damaging and distracting, says new review.

Initiation and follow-up of treatment for high blood pressure

Surgeon acquitted of carrying out female genital mutilation in a prosecution criticised by obstetricians.

Palliative care for everyone with advanced progressive incurable illness.

Food “responsibility deal” has cost 6000 lives, professor tells meeting

Why data sharing should be the expected norm.

A swollen right eye in a child.

Why aren't the US Centers for Disease Control and Food and Drug Administration speaking with one voice on flu?

Optimal systolic blood pressure target, time to intensification, and time to follow-up in treatment of hypertension: population based retrospective cohort study

Worldwide study links two new genetic variants to breast cancer.

Action is needed to tackle UK's 'astonishing' abundance of food, MPs are told.

Obesity in the US: what is the best role for primary care?

Labour induction with prostaglandins: a systematic review and network meta-analysis

Concerns about cohorting of patients with suspected Ebola.

Will self referral for cancer tests result in better mortality outcomes or yet more activity among the worried well?

Failed phlebotomy? Perhaps it's the site used.

Guidelines on body recontouring after bariatric surgery are available.

Failed phlebotomy? Think universal precautions.

Ebola drug trial is terminated after fall in number of new cases.

Spanish special forces dismantle parallel trade network that caused drug shortages.

Republican leaders scramble to clarify positions on vaccination.

Trajectories of risk after hospitalization for heart failure, acute myocardial infarction, or pneumonia: retrospective cohort study

Former FDA head has become 'hired gun' for plaintiffs in lawsuits, drug company alleges.

Expert questions whether NHS can be transformed without further upheaval.

Half of 'ideal' families are now below poverty line, professor says.

An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial

Woman with IQ of 70 should be sterilised for her own safety, court rules

Headache doctor found guilty of dishonesty in research misconduct case.

Women with type 1 diabetes have significantly higher risk of dying than men

Antibiotic research needs funding to make it more attractive and viable, says report.

The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting.

Pre-exposure prophylaxis in women fails to prevent HIV infection in African study

Intention to treat analysis versus per protocol analysis of trial data.

Frequent eye movements in babies linked to autism, researchers say.

Association of hospital volume with readmission rates: a retrospective cross-sectional study

Margaret McCartney: Cancer strategy should be led by evidence.

Editor in chief of Journal of the Norwegian Medical Association resigns.

Private companies are appointed to provide support to commissioning groups.

China proposes strict antitobacco controls.

India is set to meet target on reducing maternal mortality.

Retired paediatrician found guilty of rapes and indecent assaults in 1970s and 1980s

MPs agree new financial security pledge for general practice.

Inquests into patients who die while under a deprivation of liberty order.

Republican leaders outline plan to replace Affordable Care Act.

Canada's Supreme Court rules in favour of physician assisted suicide.

Hospitals put into special measures in 2013 have cut their mortality

Eight telltale signs are linked to impending death in cancer patients.

New South Wales mounts 'patient based care' challenge.

Patients and staff as codesigners of healthcare services.

Seeing things from the patients' view: what will it take?

The patient is the most important member of the team.

US experience with doctors and patients sharing clinical notes.

Patient reported outcome measures in practice.

From patient centred to people powered: autonomy on the rise.

Commentary: Swedish initiative on person centred care.

Delivering person centred care in long term conditions.

Patient communities reform healthcare in India.

Patient commentary: what I need to self manage my care.

Commentary: Supporting patient independence in long term haemodialysis.

Patient commentary: social media provides patients with support, information, and friendship.

Commentary: UK general practice moves to open notes to patients.

Commentary: Becoming a person centred practice.

Commentary: We need to be better prepared for a technological future.

Commentary: Frameworks for long term conditions must take account of needs of frail older people.

BMJ roundtable debate: How can we get better at providing patient centred care?

Time to deliver patient centred care.

Commentary: Measuring what matters: the case for patient generated PROMS.

Review rejects claim of higher hospital death rates in England than in US.

Avoiding premature death in epilepsy.

Cardiologist is investigated for charging Medicare \$18m in one year

All cause mortality and the case for age specific alcohol consumption guidelines: pooled analyses of up to 10 population based cohorts

Health services outsourced to private sector increased from £6.9bn to £12.2bn in three years to 2013

US panel proposes new name and diagnostic criteria for chronic fatigue syndrome. (Journal: BMJ (British Medical Journal) Volume: 350)

Research misconduct found by FDA inspections of clinical trials is rarely reported in journal studies.

Resuscitating drowned children.

Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study

Alcohol's evaporating health benefits.

Investigating sepsis with biomarkers. (Journal: BMJ (British Medical Journal) Volume: 350)

In defence of one step nucleic acid amplification for intraoperative assessment of axillary lymph nodes in breast cancer.

COPD care has improved but could still be better, audit finds.

Are some diets 'mass murder'? Mediterranean diet is not to blame for increased carbohydrate intake.

Predatory journals are only part of the problem.

Reputable publishers and transparency about profits.

Commentary: Sweet policies.

Deworming programme in India sparks controversy.

Blood pressure targets for type 2 diabetes should be lower, say researchers

Celia Ingham Clark: Enthusiastic, determined, organised.

We still lack patient centered visitation in intensive care units.

Crashes involving young drivers.

Sugar’s web of influence 3: Why the responsibility deal is a “dead duck” for sugar reduction

NICE replies to claim that its guidance on place of birth falls short of neutrality.

Joint pain in hereditary multiple exostoses.

Elephants and scapegoats in the pressures on emergency departments.

Sugar’s web of influence 2: Biasing the science

Can patients use test results effectively if they have direct access?

Guantanamo force feeding trial: the US is wrong to medicalize hunger striking.

Are some diets 'mass murder'? Evidence in support of the Mediterranean diet is strong.

Patient commentary: Direct access would beat receiving test results with the receptionist's interpretation.

Are some diets 'mass murder'? Dietary guidelines worldwide advise limiting saturated fat in favour of monounsaturated and polyunsaturated fats.

Commentary: Sweden rolls out online access to medical records and is developing new e-health services to enable people to manage their care

Italy's austerity measures have led to delays in allocating research funds.

Sugar: spinning a web of influence.

Authors’ reply to editorial linked to their umbrella review of meta-analyses of observational studies on type 2 diabetes and cancer

UK spending on health doubled in past 20 years

Sugar’s web of influence 4: Mars and company: sweet heroes or villains?

Patients are still bewildered by NHS complaints system, say experts.

Francis report recommends a whistleblowing guardian in every NHS organisation.

Support doctors who lead change programmes.

Suicide in doctors while under fitness to practise investigation.

Short term use of HRT increases risk of ovarian cancer, analysis finds.

San Francisco train commuters may have been exposed to measles.

Too much technology.

Integrated primary care for patients with mental and physical multimorbidity: cluster randomised controlled trial of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease

Margaret McCartney: Female genital mutilation: a wise doctor and a foolish prosecution.

New BMA campaign calls on politicians to stop using NHS to score points.

US panel proposes new name and diagnostic criteria for chronic fatigue syndrome. (Journal: BMJ (British Medical Journal) Volume: 350)

Gulp and think of your waistline.

Designing care for people with mixed mental and physical multimorbidity.

Local government funding issues are forcing public health leaders to be 'crafty' with resources.

Standardised packs cut adult smoking as well as discouraging young people, evidence indicates.

Women need warnings about harmful effects of obesity in pregnancy, says European project.

Menopausal hot flushes and sweats persist longer than thought, study finds.

Standard deviation or the standard error of the mean.

UK government is criticised for 'political decisions' in response to Ebola epidemic.

China's ratio of male to female babies remains high despite sixth annual fall.

Results of investigation into statin side effects due by end of year.

Clinical trials of Ebola vaccine must continue despite fall in number of cases.

CQC produces guidance on using hidden cameras to identify abuse.

Self dialysis and video consultations feature in report on innovative care.

Biopsychosocial care for chronic back pain.

NHS doctors' interests in private practice should be declared.

RCGP nutrition group aims at helping GPs talk to patients about weight issues.

Antidepressant use and risk of suicide and attempted suicide or self harm in people aged 20 to 64: cohort study using a primary care database

Pedometers for older people can increase physical activity, research shows.

Professional Standards Authority accredited registers for people who work in health and care occupations that are not regulated.

Royal college calls on hospitals to tackle emergency department 'exit block' to hospital beds.

Corticosteroids reduce treatment failure in severe community acquired pneumonia, trial shows.

Procedures for treating precancerous cervical cancer do not reduce fertility, study shows.

Divorce among physicians and other healthcare professionals in the United States: analysis of census survey data

Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis

Including partners in trials of financial incentives for smoking cessation in pregnancy.

'How can I help you hear?' The transforming power of six little words.

Why I had to resign from my general practice.

High potency cannabis is associated with tripled risk of psychosis, study indicates.

Doctors' financial interests should be declared to avoid any impression of impropriety.

Getting sedentary people moving through active travel.

Nigel Edwards: Best contribution to medicine—not becoming a doctor

Politicians vie to support access to talking therapies on NHS.

Doctors can depart from guidelines in patients' best interests.

US guideline may drop cholesterol limits but keep link between dietary saturated fats and trans fats and heart disease.

Differentiation between traumatic tap and aneurysmal subarachnoid hemorrhage: prospective cohort study

The General Medical Council responds to the special report in The BMJ on regulating doctors' financial and commercial interests.

The mother of CSI in a nutshell.

How to treat a Pirahã: medical ethics and cultural difference

Ethical codes on drug promotion in UK and Sweden are too weak, say researchers.

Reserving mental health detention for conditions that can be treated.

Canadian paper retreats after vaccine story sparks furor.

Clinical technology specialists.

We need a Public Health Act fit for 21st century

Collaborative tuberculosis strategy for England.

Shaken baby expert must disclose fitness to practise charges when asked to give evidence in new cases.

Improving diabetes prevention with benefit based tailored treatment: risk based reanalysis of Diabetes Prevention Program

NHS will not improve while new models of care delivery remain 'minority interest,' conference hears.

Clinical applications of preimplantation genetic testing

Doctors and divorce.

High fibre diet may be good alternative to complex weight loss regimen, US study finds.

Doctors' antibiotic prescriptions should be scrutinised, says NICE.

Nurture is more important than nature in childhood obesity, study finds.

Outsourcing the NHS.

NICE is too generous in approving drugs, analysis says.

Antidepressants and risk of suicide.

Assessment and management of alcohol use disorders.

Mosquito repellents for travellers.

Countdown begins to seventh annual BMJ Awards.

Ingredients for successful online dating are outlined in evidence based study.

Procedural sedation and analgesia for adults in the emergency department.

Length of hospital stay after hip fracture and short term risk of death after discharge: a total cohort study in Sweden

Smoking in cars carrying children will be illegal in England from October.

Russia faces shortage of lifesaving drugs as rouble halves in value.

Inspectors to investigate baby's death in Sicily after neonatal bed could not be found.

Massachusetts health reform and disparities in joint replacement use: difference in differences study

Canadian professor who taught antivaccine content is put on leave.

Increase general practice funding or risk 'death of the family doctor,' GP leader warns.

Obama is urged to support India in supplying world with generic drugs.

Nearly a fifth of cancer patients in England miss 62 day target for starting treatment

Personalising results from large trials.

Doctors are urged to encourage patients to be more active to reduce chronic ill health.

Better surveillance and vaccine coverage are needed to eliminate measles in India by 2020

Uncertainty over Redditch hospital's emergency department led to mass resignation, say campaigners.

Scene setter: the importance of taking a systems approach to person centred care.

'Meticulous' cleaning of duodenoscopes may not eliminate infection risk, US watchdog warns.

The safety and quality agenda could smother genuine innovation.

First group of CCGs for commissioning GPs' services is announced.

Migraine doctor is suspended for serious breach of professional standards.

Lifestyle changes or metformin reduce type 2 diabetes risk in women with gestational diabetes, US study shows

A 45 year old patient with headache, fever, and hyponatraemia

Authors' reply to Foster and colleagues.

Medical Innovation Bill is fundamentally unworkable.

NHS health checks are a waste of resources.

Support for doctors working in immigration detention centres.

Improving access to specialist palliative care.

Early diagnosis and treatment: the goal of hepatitis C screening.

NICE's recommendation on sofosbuvir for hepatitis C.

Hepatitis C screening of men who have sex with men.

Screening and treatment for hepatitis C: a balanced perspective.

Authors' reply to Selvapatt and colleagues, Matthews and colleagues, Badrinath, and Ward and Lee.

NHS health checks are totally unscientific.

Doctors are free to innovate without fear of litigation.

The FAST tool is effective but not for posterior fossa stroke.

Response from Hepatitis C Trust, BASL, BIA, BVHG, BSG, and BHIVA to article asking whether widespread screening for hepatitis C is justified.

Why would a consultant think of going into management?

Health literacy: towards system level solutions.

GPs battling in “David versus Goliath” over out-of-hours tenders, says RCGP

Private healthcare providers in India are above the law, leaving patients without protection.

Whistleblowing in India: what protections can doctors who raise concerns expect?

India's private healthcare sector treats patients as revenue generators.

Length of hospital stay after hip fracture: how low can we go before patients are at risk?

US medical societies call for action on gun violence.

WHO urges introduction of single use syringes.

California measure would require porn actors to use condoms.

Authors' reply to Huwez.

NHS England and Monitor offer compromise deal to hospitals on payments for procedures.

CCGs were 'queuing up' behind rationing pioneer to implement same policy, conference hears.

Patient controlled analgesia with remifentanil versus epidural analgesia in labour: randomised multicentre equivalence trial

Hundreds of deaths of detainees with mental health conditions were avoidable, inquiry says.

Increased A&E pressure and agency staff costs put foundation trusts further into red.

Margaret McCartney: Politicians: if you love the NHS then set it free from your non-evidence based meddling

Study finds “know-do” gap in treatment of pneumonia and diarrhoea in children in rural areas

Risk of peanut allergy can be reduced by 80% by including peanuts in infant diets, study finds

People with depression are more likely to commit violent crime, study concludes.

Telling stories with images.

David Lloyd: wants to create a 'Kaiser Harrow'.

Is a smoking ban in UK parks and outdoor spaces a good idea?

NSAIDs double risk of bleeding in patients taking antithrombotics after myocardial infarction, study finds.

'Fit note' is linked to fewer people taking long term sick leave, study finds.

Pre-exposure prophylaxis protects against HIV infection in real world setting, study finds

Investigating young adults with chronic diarrhoea in primary care.

Quality assurance of drugs used in clinical trials: proposal for adapting guidelines.

Irritable bowel syndrome in adults in primary care: summary of updated NICE guidance.

A rapidly enlarging swelling of the left orbit.

UK becomes first country to allow mitochondrial donation.

A 72 old woman with a painful leg after a fall

People do not want cuts made to other public services to protect NHS, survey finds.

ADHD is a risk factor for premature death, Danish study shows.

NICE endorses TURis system for prostate surgery.

Manchester authority is set to take control of £6bn worth of health and social care spending

Multidrug resistant tuberculosis.

Medical Council of India orders doctors' suspension for drug industry junket.

Hunt rejects criminal record checks on all NHS volunteers in wake of Savile scandal.

Ebola crisis has alerted politicians to global health threats, debate hears.

Outbreak of swine flu in India is no worse than seasonal flu, say specialists.

We need drones, robots, and autonomous ambulances.

Information on new drugs at market entry: retrospective analysis of health technology assessment reports versus regulatory reports, journal publications, and registry reports

Treatment allocation in trials: stratified randomisation.

Researcher fails in legal bid to halt expression of concern by journal Diabetes.

MPs call for regular scrutiny of Better Care Fund after numerous concerns.

Healthcare outsourcing from NHS to independent sector rose from 4.8% of market in 2009 to 7% in 2014, report shows

Statin use is associated with lower risk of liver cancer, study shows.

Confidence intervals, P values, and statistical significance.

Extra £2m is needed to improve mental healthcare intelligence, conference hears

Hotspots of immune response to tumours can predict breast cancer progression, study shows.

Does paying for performance in primary care save lives?

The evidence base for new drugs.

Assessment and management of behavioral and psychological symptoms of dementia

Most common cause of death in England and Wales in 2013 was heart disease in men and dementia in women

Surgeon who carried out home circumcisions is struck off UK register after 'blatant disregard' for patient safety.

Investigating the relationship between quality of primary care and premature mortality in England: a spatial whole-population study

Supreme Court case could upend Affordable Care Act.

Black men less willing than white men to be investigated for prostate cancer.

Umbilical clamping should be deferred to protect blood flow to newborns, recommends expert review.

Doctors in India plan to launch network against corruption and unethical practices.

True risks of paracetamol may be underestimated, say researchers.

Average length of a flaccid and erect penis is published to help counsellors.

Blood transfusions caused nearly 9000 cases of HIV in India in past five years

Future of Saatchi bill is uncertain after Liberal Democrats' veto.

Estimating overdiagnosis in screening for abdominal aortic aneurysm: could a change in smoking habits and lowered aortic diameter tip the balance of screening towards harm?

Overdiagnosis in mammography screening: a 45 year journey from shadowy idea to acknowledged reality

Doctors form new pressure group to prevent 'marketisation' of NHS.

Diagnosis and management of irritable bowel syndrome in adults in primary care: summary of NICE guidance. (Journal: BMJ (British Medical Journal) Volume: 350)

Substandard care at 'dysfunctional' Morecambe Bay maternity unit led to unnecessary deaths.

Too much medicine is not just a problem of rich countries.

People’s willingness to accept overdetection in cancer screening: population survey

Digital media interventions for sexual health promotion—opportunities and challenges

What hopes for the NHS: the election and beyond?

The BMJ illustrates hazardous co-sleeping

High potency cannabis: a risk factor for dependence, poor psychosocial outcomes, and psychosis.

Adjunctive treatment with quetiapine for major depressive disorder: are the benefits of treatment worth the risks?

Attacking scientists who lead work on reducing sugar intake damages the cause.

Surgeon's case shows misunderstanding of female genital mutilation.

The impact of providing rapid diagnostic malaria tests on fever management in the private retail sector in Ghana: a cluster randomized trial

Too much medicine: the challenge of finding common ground.

Merits of collaboration between industry and academia.

Diagnosis and management of depression in children and young people: summary of updated NICE guidance.

Dharmasena case illustrates what is wrong with complaints procedures.

Scientist-industry partnerships do not constitute a “tangled web”

Surgeon in female genital mutilation case should not have been prosecuted.

Dharmasena case: responsibility takes precedence over accountability.

The challenge of overdiagnosis begins with its definition.

Natriuretic peptide tests in suspected acute heart failure.

The diagnostic accuracy of the natriuretic peptides in heart failure: systematic review and diagnostic meta-analysis in the acute care setting

India’s health ministry bans pioglitazone, metamizole, and flupentixol-melitracen (Journal: BMJ (British Medical Journal) Volume: 350)

Routine use of sedatives before surgery has little benefit, study shows.

Trusts have used part of £700m winter pressures fund to pay off debts, doctors claim

Crowdfunding sought for study that will provide first images of human brain on LSD.

Patrick Vallance: Inquisitive and geeky.

Statins associated with 46% rise in type 2 diabetes risk, study shows

Screening tests for tuberculosis before starting biological therapy.

Diagnosis and management of asthma in children.

GPs should identify and visit people at risk from cold homes, says NICE.

Harness technology to produce real change.

Experts question how India will meet promises on public health after cut in budget for 2015-16

US hospital rating systems rarely agree, study finds.

University of Toronto is criticised for study of homeopathy in ADHD.

Sugar should make up less than 5% of total energy consumption, says WHO

BMA opposes plan to allow patients to refer themselves for cancer tests.

US ophthalmologists plead with drug regulator not to restrict access to Avastin.

Genetic factors are 'substantial' in aetiology of autism, study of UK twins finds.

Germany, the G7, and global health

Online marketing of personalised cancer tests discusses benefits more than limitations, study shows.

Teenagers want schools to give them more information about sex.

MPs raise fears over unfair funding of public health services.

Two fifths of pregnant women in India are underweight.

Bias in observational study designs: cross sectional studies.

Report predicts US physician shortage could exceed 90 000 by 2025

US healthcare kickback schemes come under heavy scrutiny.

Uptake of systematic reviews and meta-analyses based on individual participant data in clinical practice guidelines: descriptive study

WHO records slight blip in downward trend in Ebola incidence.

Goserelin reduces ovarian failure associated with breast cancer chemotherapy, study shows.

More children showing early signs of serious diabetes complications, audit finds.

Setting benchmark revision rates for total hip replacement: analysis of registry evidence

Accessibility of trial reports for drugs stalling in development: a systematic assessment of registered trials

Role of politics in understanding complex, messy health systems: an essay by David J Hunter.

State governments' delays in fund transfer are affecting India's national health mission, report says.

Resistance mounts to Ugandan plan to 'export' hundreds of medical workers.

Rates of caesarean vary widely across Europe. (Journal: BMJ (British Medical Journal) Volume: 350)

Margaret McCartney: Patients and professionals: all in this together?

Author's reply to Sharpe.

Ebola vaccines based on adenovirus vectors and risk of HIV.

HRT increases risk of blood clots and stroke, finds new analysis.

NHS trusts in England agree 2015-16 tariff but face ongoing budget pressure

Cancer researcher fails in court bid to unmask online critics.

UK NHS: Less money (but more bangs per buck)?

Survey find racial and ethnic diversity remains low in US pediatric departments.

Can GPs do more to help patients with facial disfigurement?

Assessing alcohol problems: need for a thorough medication history.

Patients and healthcare conferences: what does true involvement look like?

Force feeding at Guantanamo in first case brought to US federal court.

Not all forms of collaborative care are the same.

Vegetarians have lower risk of colorectal cancers, study finds.

How can we get better at providing patient centred care: does continuity matter?

Four factors predict persistent abdominal pain in children, study finds.

Authors' reply to Kremer and Van de Perre.

Possible harms in sharing patients' clinical notes.

Management of chronic pain: seek symptoms of post-traumatic stress disorder

Speeding up patient flow in rehabilitation.

Author's reply to letter by Trewartha and Stokes on available evidence on risk of injury in youth rugby.

Guidelines, polypharmacy, and drug-drug interactions in patients with multimorbidity

Kartik Modha: Digital health pioneer.

Management of soft tissue defects of the foot.

US health reform law will cost less than projected, says budget office.

Youth suicide rate in rural US is nearly double that of urban areas, study finds.

Surgery is no better than a simple sling for displaced fracture of upper arm, study finds.

NHS England announces 29 sites to spearhead integrated care models

Industry influence moved focus of US dental research away from sugar, documents indicate.

US Supreme Court v Obamacare: round 2

European Commission's proposals on trade secrets.

Drug-disease and drug-drug interactions: systematic examination of recommendations in 12 UK national clinical guidelines

Not a tragedy but a tool.

Brain training, exercise, and healthy eating slow cognitive decline in elderly people at risk, study finds.

MPs criticise 'diluted' priority for cancer services over past two years.

Most clinical trials fail to meet FDA requirement to publish results within a year.

Rural West has highest rate of cold related deaths in US, CDC report shows.

Stop trying to integrate organisations.

Trigeminal neuralgia.

Africa launches forum to promote scientific research excellence.

MPs vote for standardised packaging of tobacco products.

England launches programme to prevent type 2 diabetes

Risk of neuropsychiatric adverse events associated with varenicline: systematic review and meta-analysis

Temporomandibular disorders.

Drug treatments for rheumatoid arthritis: looking backwards to move forwards.

GPs to get 1% pay rise for 2015-16

Doctors should not cherry pick what information to give patients, court rules.

Tumour necrosis factor inhibitors versus combination intensive therapy with conventional disease modifying anti-rheumatic drugs in established rheumatoid arthritis: TACIT non-inferiority randomised controlled trial

Genetic project calls for 100 000 volunteers from Pakistani and Bangladeshi communities in east London

Partner loyalty is linked to reduced spread of disease in sex workers and in cattle, computational research shows.

Reasons for longer hospital waiting times need to be understood, says Nuffield Trust.

Pressure on emergency departments is having serious knock-on effect on hospital doctors’ work, conference hears

First drug is approved under scheme that gives patients access to unlicensed medicines.

Many readmissions of patients with severe sepsis for other conditions could be prevented, US study finds.

NICE recommends small improvements to help people stay at healthy weight.

Apple software will allow researchers to gather health data from iPhones.

Major health committee report falls victim to MPs' disagreement.

Private firms enlisted to cut waiting lists for tests and surgery in £780m contract

EU-US trade treaty threatens vital health gains, warn public health experts

Former editor pays \$1m to settle allegations of kickbacks to promote products

Methotrexate use and risk of lung disease in psoriasis, psoriatic arthritis, and inflammatory bowel disease: systematic literature review and meta-analysis of randomised controlled trials

Margaret McCartney: Drugs with anticholinergic side effects and cognitive decline—cause or effect?

Use of GRADE for assessment of evidence about prognosis: rating confidence in estimates of event rates in broad categories of patients.

Homeopathy is not an effective treatment for any health condition, report concludes.

Make social care free at end of life to help more people die at home, say MPs.

Folic acid significantly reduces risk of first stroke, large Chinese study finds.

Meta-analyses: what is heterogeneity?

Surgical team in India calls for mandatory enforcement of WHO safety checklist.

Teenagers in England to be vaccinated against meningitis group W.

Update on the UK law on consent.

First rotavirus vaccine made in India is launched.

How Pakistan's media spreads the message about reproductive and sexual health.

We need a drug formulary for obese people.

Labour promises to abolish competition in NHS and promote 'true integration'.

PCSK9 inhibitors reduce cardiovascular events, preliminary data show

Drug eluting stents match bypass surgery for mortality in registry study, but trial shows higher event rate.

CT coronary angiography clarifies diagnosis in suspected angina, study shows.

Statins and congenital malformations: cohort study

Statins in pregnancy: new safety data are reassuring, but suspension of treatment is still advisable.

US consumer group criticizes proposal to allow drug makers to challenge safety information.

Syphilitic condylomata lata mimicking anogenital warts.

Mental health effects of varenicline.

Diabetes groups call for better regulation of insulin pumps.

Extending opening hours in general practice won't improve access for patients most in need.

Improve reporting of female genital mutilation, MPs tell doctors.

US Republicans' budget would cut Medicaid and Medicare and repeal health reform law.

Sudden cardiac death in athletes.

Youth mental health services will get overhaul and £1.25bn over five years

Preventing, rather than treating, stress in doctors under investigation.

Thrombolysis in acute ischaemic stroke: time for a rethink?

World Bank Group's support to the Ebola virus response effort.

Rosuvastatin: winner in the statin wars, patients' health notwithstanding.

Who should pay for doctor support services?

Doctors' suicides: economic considerations and beyond.

Henrietta Bowden-Jones: Extrovert, optimistic, driven

Preventing overdiagnosis: the myth, the music, and the medical meeting.

Mixed messages from the GMC on disciplinary processes.

Stage III pancreatic cancer and the role of irreversible electroporation

Misunderstanding the meaning of resilience.

Lines on a posteroanterior chest radiograph.

School based education programme to reduce salt intake in children and their families (School-EduSalt): cluster randomised controlled trial

We don't need an 'evidence base' for a smoking ban in outdoor spaces.

Author's reply to Reynolds.

Coffee consumption and bladder cancer are linked, analysis shows.

New drug combination may shorten tuberculosis treatment, study says.

Guidance matches osteoarthritis patients to NSAIDs according to risk of side effects.

Hospitals must take lead on new care models and work better with GPs, think tank says.

A quick ward assessment of older patients by junior doctors.

Only the mother of all reorganisations can save the NHS. (Journal: BMJ (British Medical Journal) Volume: 350)

MPs demand to know full cost of failed Hinchingbrooke trust franchise.

Exercise: not a miracle cure, just good medicine.

Training in communication skills should be integrated with mandatory resuscitation training.

Process evaluation of complex interventions: Medical Research Council guidance.

Health campaigners condemn alcohol price cuts for prioritising business interests.

England's largest hospital trust is put into special measures after catalogue of failings.

Privatisation of cancer and end of life care services in Staffordshire could threaten NHS providers, warn critics.

Insulin has never become a cheap generic drug in the US because of companies' small changes to 'evergreen' the patent.

New treatment approach shows promise for relapsed Hodgkin's lymphoma.

Coronal T2 weighted image of the right iliac fossa from a magnetic resonance enteroclysis study

US healthcare: how losing your job can kill you in the world's richest country.

Axial T1 weighted magnetic resonance image through the upper thorax in a 20 year old woman

India's poor sanitation and hygiene practices are linked to stunting in children, study finds.

No action is taken against anaesthetist who confessed to falsifying patient's records.

'Apps' that harm patients will be hunted down, says regulator.

Margaret McCartney: can doctors fix cold homes?

US cancer care system in 'highly volatile state,' cancer group says.

Outpatient treatment for uterine polyps.

Asymptomatic, low risk adults should not be screened for coronary heart disease, says US guidance.

Queue for drug registrations grows longer in China.

Terminally ill patients could benefit from stopping statins, study says.

Syrian doctors risk arrest and deportation for treating fellow refugees in Lebanon and Jordan. (Journal: BMJ (British Medical Journal) Volume: 350)

NHS trusts' deficits could more than double over next year, leader predicts.

Randomised controlled trials: the importance of sample size.

Outpatient versus inpatient uterine polyp treatment for abnormal uterine bleeding: randomised controlled non-inferiority study

US states consider execution by nitrogen gas as lethal injections grind to a halt.

Only the mother of all reorganisations can save the NHS. (Journal: BMJ (British Medical Journal) Volume: 350)

Politicians set out their stall at health election debate.

Involve children with life limiting conditions in decisions to stop treatment, says new guidance.

Avoidable waste of research related to inadequate methods in clinical trials

Minimising bleeding during percutaneous coronary intervention.

Management of severe acute dental infections.

Red cell transfusions for treating anaemia in the absence of bleeding.

Public anatomy classes return to UK after more than 180 years

A post-traumatic pulsatile nodule in the right pre-auricular region

Where Manchester leads on control of health and social care budget London should follow.

Institutional failure led to Ebola outbreak 'spiralling out of control,' says MSF.

Journal editors must play their part in checking timing of clinical trial registration.

University of Minnesota made 'serious' ethical errors in trial of antipsychotics, finds report.

Problems with using numbers needed to harm.

Severe adverse reactions associated with quetiapine.

Waiting times for x ray results in England are increasing, figures show.

Application of insect repellents to the face.

Amend or repeal? How New Zealand tackled unpopular healthcare legislation.

Authors' reply to Williams.

India plans to improve public health by strengthening primary care.

Precision medicine to improve use of bleeding avoidance strategies and reduce bleeding in patients undergoing percutaneous coronary intervention: prospective cohort study before and after implementation of personalized bleeding risks

Restrictive versus liberal transfusion strategy for red blood cell transfusion: systematic review of randomised trials with meta-analysis and trial sequential analysis

Authors' reply to Rivers.

India may not meet millennium development goal on infant mortality.

Falls in older women are not reduced by exercise or vitamin D, study finds.

Genetic changes likely to predict response to immunotherapy in bowel cancer are identified.

Tuberculosis in India.

India should screen all tuberculosis patients for drug resistant disease at diagnosis.

End stigmatizing language in tuberculosis research and practice.

The relation between past exposure to fine particulate air pollution and prevalent anxiety: observational cohort study

Short term exposure to air pollution and stroke: systematic review and meta-analysis (Journal: BMJ (British Medical Journal) Volume: 350)

UK alcohol industry's 'billion units pledge': interim evaluation flawed.

Brain damage in American Football.

Risks of the unregulated market in human breast milk.

Air pollution, stroke, and anxiety.

GPs should urge patients to focus on physical activity rather than obesity, say MPs.

Stenting increases stroke risk in patients with intracranial stenosis, study shows.

Doctors call for long term solutions to pressure on emergency departments.

Alastair Henderson: Charming theatre enthusiast.

Axial T2 weighted magnetic resonance image at the level of the lateral ventricles

Target for GPs to diagnose two thirds of dementia cases by April 2015 is likely to be missed

GMC is given power to appeal judgments against doctors that it considers too lenient.

Dementia Team award.

Diabetes Team award.

An inconvenient truth: urgent care is not primary care.

Global, regional, and national consumption levels of dietary fats and oils in 1990 and 2010: a systematic analysis including 266 country-specific nutrition surveys (Journal: BMJ (British Medical Journal) Volume: 350)

'Mission Indradhanush' targets India's unvaccinated children.

Allow GPs and consultants to speak to each other again.

Rates of TB across Europe are not falling quickly enough, officials warn.

New scoring system predicts cardiovascular disease risk worldwide.

Doctors must speak out about adverse effects on health of austerity and extremism, conference hears.

Patient care is at risk as NHS faces substantial deficit, says think tank.

Obama chides Republicans as he marks health law's fifth anniversary.

Industry's pledges to limit harms of alcohol are unlikely to work, research finds. (Journal: BMJ (British Medical Journal) Volume: 350)

Speeding new antibiotics to market: a fake fix?

Commentary: Will 20th century patient safeguards be reversed in the 21st century?

Junior doctor is struck off after prescribing errors and 'disgraceful' conduct.

Industry's pledges to limit harms of alcohol are unlikely to work, research finds. (Journal: BMJ (British Medical Journal) Volume: 350)

Accreditation process for clinical trials in India moves a step closer.

Syrian doctors risk arrest and deportation for treating fellow refugees in Lebanon and Jordan. (Journal: BMJ (British Medical Journal) Volume: 350)

UK government apologises for contaminated blood scandal.

Indiana declares health emergency in response to HIV outbreak.

The health coaches from Dunkin' Donuts.

Use of perioperative hydroxyethyl starch 6% and albumin 5% in elective joint arthroplasty and association with adverse outcomes: a retrospective population based analysis

Colloid solutions in the perioperative setting.

Confusion surrounds UK policy on open access publishing, review finds.

Satisfaction with NHS is rising, but funding fears are high.

MPs criticise government for inaction since Winterbourne View scandal.

Call to improve transparency of trials of non-regulated interventions

Ebola mortality is highest among babies, finds study.

Largest set of human genomes from a single population is sequenced.

Randomised controlled trials: understanding effect sizes.

Which whistleblower is more vulnerable: the Indian doctor or nurse?

MPs call for new national patient safety body to lead clinical accident investigations.

Judge suggests steps to prevent employers unfairly referring whistleblowers to GMC.

Whether QOF has reduced premature death rates is still unclear.

Margaret McCartney: General practice is still the best job in the world.

Doctors are warned not to prescribe generic pregabalin for pain control.

Labour will cap private providers’ profits on NHS work at 5%

Assessment of changes to screening programmes: why randomisation is important.

Not all patients with displaced proximal humerus fractures are suitable for sling treatment.

Ban commercial confidentiality clauses from state procurement contracts.

The BMA should apply itself to solving the NHS's productivity problem.

Authors' reply to Honeyford and colleagues and Roland.

Need for a comprehensive national survey of cannabis use.

Study may not be the best approach to assessing link between QOF and premature death.

Use of glyburide to treat gestational diabetes is linked to adverse outcomes in babies, study finds.

Simple education reduces inappropriate blood glucose self monitoring in type 2 diabetes, study shows

Future proofing the NHS: the new care models.

Better use of public health facilities in India could improve kala-azar diagnosis, say researchers

Efficacy and safety of paracetamol for spinal pain and osteoarthritis: systematic review and meta-analysis of randomised placebo controlled trials

Managing back pain and osteoarthritis without paracetamol.

Evidence and rhetoric about access to UK primary care.

Major incidents in England.

US aims to cut antibiotic use in new five year plan to combat antibiotic resistant bacteria.

Nature journal's plan to fast track paper for a fee prompts resignation from editorial board.

GP fails in attempt to reverse decision to suspend his practice.

No vote in US Congress on proposal to create new pathway for approving antibiotics.

Immunogenicity of reduced dose priming schedules of serogroup C meningococcal conjugate vaccine followed by booster at 12 months in infants: open label randomised controlled trial (Journal: BMJ (British Medical Journal) Volume: 350)

How to approach delusional infestation.

Major publisher retracts 43 papers, alleging fake peer review

Minimally invasive surgery for lumbar spinal stenosis.

Fund the service from a hypothecated tax.

Gastroenterology team of the year.

Robin Stott: Focused, rebellious, receptive.

Advancing equity in healthcare.

Effect of Massachusetts healthcare reform on racial and ethnic disparities in admissions to hospital for ambulatory care sensitive conditions: retrospective analysis of hospital episode statistics

Anyone linked with trafficking human organs will be punishable under new convention.

An apple a day does not keep the doctor away, US study finds.

Minimally invasive decompression versus open laminectomy for central stenosis of the lumbar spine: pragmatic comparative effectiveness study

Health professionals call for urgent halt to fracking because of public health concerns.

No increase in Australia's illicit tobacco trade is seen after plain packs are introduced.

Avastin and Lucentis: a guide through the legal maze.

Why have UK doctors been deterred from prescribing Avastin?

Attacks on publicly funded trials: what happens when industry does not want to know the answer.

A licence to cure.

Risk of developing diabetes increases with time spent watching TV, study shows.

Maternal blood test is more effective than standard screening for Down's syndrome, study shows.

Doctors demand apology for UK diplomat's involvement in Pakistan tobacco meeting.

BMA agrees to support legislation to abolish purchaser-provider split

Experimental drug that injured UK volunteers resumes in human trials.

Teenagers with back pain.

Antiphospholipid syndrome. (Journal: BMJ (British Medical Journal) Volume: 350)

GPs in England must report certain patient harms under new rules.

The management of acute testicular pain in children and adolescents.

What doctors have in common with architects—part 1: A manual art

Difficulty in obtaining travel insurance after cancer.

Cochrane reviewers' response to Alper and colleagues' analysis of thrombolysis in acute ischaemic stroke.

Openness and honesty in gaining fully informed consent will benefit both patients and doctors.

The BMJ report on mortality cuts in hospitals put into special measures in 2013 is misleading

Authors' reply to Wardlaw and Berge.

New law on consent will overload seriously ill patients.

Consent forms for 'no surgery' as ramification of landmark ruling.

Major changes to care system need to be properly funded to succeed, warn charities.

Physical therapy is as effective as surgery for lumbar spinal stenosis, study finds.

UK death rates in children's heart surgery have almost halved over past decade.

Pityriasis versicolor.

A curious case of facial swelling in the night-time

Investigation that may have contributed to GP's suicide was carried out correctly, report says.

Evidence for iron deficiency screening 'inadequate,' US panel concludes.

The pilot, depression, and the salacious headlines that feed stigma.

Imaging team of the year.

Austerity, sanctions, and the rise of food banks in the UK.

Early trials of Ebola vaccine show immune response.

US foundation, university, and drug company are sued for alleged role in Guatemala study.

The NHS in Wales: faring worse than the rest of the UK? (Journal: BMJ (British Medical Journal) Volume: 350)

Innovation team of the year.

Clinical leadership team of the year.

Indian government stalls roll-out of universal healthcare plan, report says

In support of assisted dying.

Chronic disease causes more visits to emergency departments while visits for injuries fall, US study finds.

Shorter adult height is linked to raised risk of coronary artery disease, study shows.

Set our talented professionals free.

Chris Butler: Wants to snuggle up to bacteria.

Bureaucracy and budget revision: how spending cuts are affecting India's public health programmes.

Election watch: access to GP services.

Deep cuts to India's health spending will delay universal access to healthcare.

Surgery for melanoma is often delayed in Medicare patients, study finds.

Public involvement in research should be “second nature” by 2025, review concludes

Disease activity guided dose reduction and withdrawal of adalimumab or etanercept compared with usual care in rheumatoid arthritis: open label, randomised controlled, non-inferiority trial

What doctors have in common with architects—part 2: The common good

NHS is “withering away” as result of government policies, open letter from 140 senior doctors says

Woman is sentenced to 20 years in prison for feticide after death of baby

Evaluating the performance of a screening test for depression in primary care.

Facemasks for the prevention of infection in healthcare and community settings

China lays out bold plan to improve healthcare.

Paediatric neurologist’s suspension may affect 50 birth damage cases in which he was an expert witness

What do you think should be the political priorities for the NHS?

Genetic screening could improve breast cancer prevention, study finds.

High INR on warfarin. (Journal: BMJ (British Medical Journal) Volume: 350)

Islamic State executes 10 doctors for refusing to treat its wounded fighters

Is early induction or expectant management more beneficial in women with late preterm pre-eclampsia?

Being underweight in middle age is associated with raised dementia risk, large study finds.

GPs want longer consultations, BMA survey finds.

GMC is reviewing complaint that top NHS boss put patient safety at risk.

Realising the promise of non-invasive prenatal testing

Your chance to quiz a potential future UK health secretary.

Financial incentives help people change health behaviours, review shows.

Uncertainty in sample estimates: sampling error.

Genetic factors play a role in risk of sexual offending, study finds.

Obama warns of climate change threat to public health.

Indian anti-tobacco campaigners plead for larger graphic warnings on products

NHS conference is warned of dangers of Transatlantic Trade and Investment Partnership.

Obama supports ban on therapy to change sexual orientation of youth.

Three quarters of doctors are confident in GMC regulation, researchers say.

Publication bias skewed results of anxiety drug treatment trials, study finds.

Margaret McCartney: Forever indebted to pharma—doctors must take control of our own education

Liverpool CCG rethinks funding of homeopathy.

Smartphones are useful for disease surveillance in rural areas, study finds.

GMC is criticised for refusing to disclose reasons behind its advice to support prescribing for Lucentis rather than Avastin for wet AMD.

UKIP wrong about HIV data and health tourism, say campaigners.

Sperm bank failed to reveal donor's criminal record and schizophrenia, couple alleges.

Relapse in multiple sclerosis.

Even Superdoc can't fix patients' homes.

Ebola remains an international health emergency, WHO warns.

Zoledronic acid increases bone density but does not reduce fractures in frail elderly people, study finds.

From 'special measures' to 'good' in less than a year.

Testing for changes in troponin over first hour speeds up detection of acute myocardial infarction.

Results of all clinical trials should be posted within a year, says WHO.

Car parking is a clinical quality issue.

Example of retrospective dataset publication through Dryad.

How I use health apps.

Sepsis kills, antimicrobial resistance is real.

Can healthy people benefit from health apps? (Journal: BMJ (British Medical Journal) Volume: 350)

Making test results more easily understood by patients.

Drug users should be able to get heroin from the health system.

Focusing on infection prevention to slow antimicrobial resistance rates.

Using metformin in the presence of renal disease.

Spanish children are most affected by the economic crisis, says the Spanish Society of Public Health (SESPAS)

Legal system distorts reality by focusing on a single error in untoward incidents, conference hears.

New breath technology identifies changes that lead to stomach cancer.

Incidence of “never events” among weekend admissions versus weekday admissions to US hospitals: national analysis

Election watch: NHS funding.

Palliative care team of the year.

What the political parties are pledging on the NHS.

A third of GPs are considering retirement, BMA survey finds.

Bee Wee: Determined, resourceful, considerate.

Patients need safer hospitals, every day of the week.

Supporting clinicians after medical error.

Back pain in a young adult.

Mental health team of the year.

Contact with pharmacist can improve adherence to new anticoagulant, study finds.

Odynophagia and vomiting eight years after laparoscopic adjustable gastric banding.

A young soccer player with sudden pain after kicking the ball. (Journal: BMJ (British Medical Journal) Volume: 350)

Associations between active commuting, body fat, and body mass index: population based, cross sectional study in the United Kingdom.

Time to benefit for colorectal cancer screening: survival meta-analysis of flexible sigmoidoscopy trials (Journal: BMJ (British Medical Journal) Volume: 350)

Genomic sequencing of only tumor tissue could be misleading in nearly half of patients, study shows.

Colorectal cancer screening for older adults.

Minister rules out use of Avastin over Lucentis for wet AMD.

Clinical, geographical, and temporal risk factors associated with presentation and outcome of vivax malaria imported into the United Kingdom over 27 years: observational study

It's time to be honest about NHS funding for the next five years.

Plasmodium vivax malaria in the UK.

Ask every job candidate about care.

Party for NHS says it will meet funding gap of £30bn by 2020

Ruptured tendon sidelines Candy Crush gamer after weeks of constant play.

All main political parties' pledges for NHS will prove inadequate, says former chief executive.

Optimal duration of dual antiplatelet therapy after percutaneous coronary intervention with drug eluting stents: meta-analysis of randomised controlled trials (Journal: BMJ (British Medical Journal) Volume: 350)

Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study

Transcranial direct current brain stimulation for chronic pain.

Inhaled measles vaccine is less protective than injected vaccine, study shows.

Mother is awarded £13m compensation after mistakes at births of two children

Effectiveness of transcranial direct current stimulation preceding cognitive behavioural management for chronic low back pain: sham controlled double blinded randomised controlled trial

School based programmes may help children to report sexual abuse, Cochrane review concludes.

September 11 leaves legacy of chronic ill health among US emergency medical workers

A comparison of parametric and non-parametric statistical tests

Selective serotonin reuptake inhibitors and venlafaxine in early pregnancy and risk of birth defects: population based cohort study and sibling design

New drug for hepatitis C contributes to 13% rise in spending on prescription drugs in US

Rise of waterpipe smoking.

Endovascular therapy reduces disability from stroke, studies confirm.

“Alarming” rise in popularity of e-cigarettes is seen among US teenagers as use triples in a year

Top Medicare billing doctor is arrested for fraud.

Impact of smoking and smoking cessation on cardiovascular events and mortality among older adults: meta-analysis of individual participant data from prospective cohort studies of the CHANCES consortium

Margaret McCartney: Stop relying on charity.

Doctors must not accept inducements for referrals, GMC says. (Journal: BMJ (British Medical Journal) Volume: 350)

Plans of the main political parties for the NHS.

Coalition cuts have had toxic effect on UK mental health, say therapists.

US cardiologist offered money and guns to kill rival doctor, prosecutors allege.

Adding vitamin D to standard tuberculosis treatment is not beneficial, finds study.

Acute kidney injury alerts should be used to draw clinicians' attention to severe illness.

The GMC's stance on Avastin.

Promoting dental health among high risk groups.

WHO pledges to tackle failings over handling of Ebola.

Infectious mononucleosis.

The NHS in Wales: faring worse than the rest of the UK? (Journal: BMJ (British Medical Journal) Volume: 350)

Fake medicines are undermining global efforts to combat infectious disease, says US journal.

Doctors must not accept inducements for referrals, GMC says. (Journal: BMJ (British Medical Journal) Volume: 350)

Labour pledges to raise NHS wages in line with inflation.

FC Bayern team doctors resign amid rumours of 'damaged trust' with management. (Journal: BMJ (British Medical Journal) Volume: 350)

The NHS five year forward view: lessons from the United States in developing new care models.

FC Bayern team doctors resign amid rumours of 'damaged trust' with management. (Journal: BMJ (British Medical Journal) Volume: 350)

Women, children, and global public health: beyond the millennium development goals. (Journal: BMJ (British Medical Journal) Volume: 350)

Rugby injury surveillance and prevention programmes: are they effective?

Serotonin and depression.

Teenagers, smoking, and vaping.

GP commissioners are not monitoring private contracts effectively, think tank says.

UK doctors unlikely to be able to repay student loans, study finds.

Dutch doctors withhold and withdraw treatment in many elderly patients, study finds.

A limp with an unusual cause.

Collaboration is needed to promote the good medicine of exercise.

Marketing regulations do not apply to individual clinicians.

Knai and colleagues' response to comments of the Portman Group in news story about their research on the 'responsibility deal' on alcohol.

Perhaps the Avastin debate should be resolved in court.

Tobacco industry is investing in e-cigarette types least likely to help smokers quit

Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study

Drug companies in US spent millions pushing for weight loss drug approvals, investigative report finds.

US panel reaffirms controversial 2009 mammography recommendations

Slaying the dragon: how the tobacco industry refuses to die.

Can mobile phones transform healthcare in low and middle income countries?

Commentary: The emperor's new phone.

Insulin has potential to prevent type 1 diabetes in high risk children, say researchers

Chaand Nagpaul: Happiest at Ronnie Scott's.

A young soccer player with sudden pain after kicking the ball. (Journal: BMJ (British Medical Journal) Volume: 350)

Promises, promises—and common ground: question time for health spokespeople

A 77 year old man with asthma and renal impairment

Mindfulness based therapy is as effective as antidepressants in preventing depression relapse, study shows.

Manifesto pledges: more money for the NHS . . . problem solved?

Primary care team of the year.

Patient safety team of the year.

Should surgical training include involvement in a clinical trial?

NHS trust is charged with corporate manslaughter over woman's death after emergency caesarean.

Cancer vaccines

Integrated care scheme for older people will roll out across England.

NHS faces biggest challenge 'for many years' amid mounting deficits and declining morale.

Why do cancer drugs get such an easy ride?

Ebola and ethics: autopsy of a failure.

PET after chemotherapy identifies Hodgkin's lymphoma patients who can avoid radiotherapy.

Create a clinical chief executive role in hospitals.

A young woman with recurrent perianal sepsis.

Scientists warn that Paris summit is last chance to prevent fatal temperature rise.

UK research paper of the year. (Journal: BMJ (British Medical Journal) Volume: 350)

Rabies kills 59 000 people worldwide each year, study estimates

Drug treatment for adults with HIV infection.

MSF launches lifesaving mission in Mediterranean because Europe 'is not willing'.

Time to benefit for colorectal cancer screening: survival meta-analysis of flexible sigmoidoscopy trials (Journal: BMJ (British Medical Journal) Volume: 350)

Drug firms must cut price of pneumonia vaccine, says MSF. (Journal: BMJ (British Medical Journal) Volume: 350)

Comparative risk of gastrointestinal bleeding with dabigatran, rivaroxaban, and warfarin: population based cohort study

Private hospitals are told to treat acid attack victims free of charge.

The current crisis in the NHS: are we missing the point? An essay by Jan Filochowski.

Surgeon is struck off for punching patient in the face to try to repair fracture.

Ovary removal is linked to lower breast cancer mortality in BRCA1 carriers

How Europe keeps migrants out of its health system. (Journal: BMJ (British Medical Journal) Volume: 350)

Newborn baby is UK's youngest ever organ donor.

Malaria vaccine is partly effective in young children, study shows.

Alternative providers of GP services perform worse than traditional practices.

Risk of gastrointestinal bleeding associated with oral anticoagulants: population based retrospective cohort study

Safety of new oral anticoagulants.

Workers' health protection still poor two years after factory collapse in Bangladesh.

Development of phenotype algorithms using electronic medical records and incorporating natural language processing.

Selective serotonin reuptake inhibitors and venlafaxine in early pregnancy and risk of birth defects: population based cohort study and sibling design.

Physician associates are as good as GPs in treating same day patients but cost less, study finds.

Measuring the benefit of treatment: number needed to treat.

Setting number of decimal places for reporting risk ratios: rule of four.

Fresh pair of eyes may speed up cancer diagnosis.

Will new Indian growth charts help stem the rise in childhood obesity?

India plans to set up central e-health authority to improve healthcare delivery

Danger of generalising findings on paracetamol for low back pain.

Clarifying the Montgomery judgment.

Time to end the political rhetoric on health tourism. (Journal: BMJ (British Medical Journal) Volume: 350)

Generic drug firm settles claim that it was paid to stay out of market.

Can (and should) Africa make its own medicines?

Is the NHS really safe from international trade agreements?

WHO calls for \$5m for earthquake relief

Boston addiction doctor is jailed for defrauding Medicaid.

Margaret McCartney: Rigging the NHS for votes.

Is 'boarding' appropriate to help reduce crowding in emergency departments?

UK government postpones publishing report on sexual health services.

Emergency cooling doesn't improve outcomes in children with cardiac arrest, study shows.

Maternal obesity increases type 1 diabetes risk in offspring, study shows

Monoclonal antibodies are shown to be safe and effective in patients with dyslipidaemia.

Drug firms must cut price of pneumonia vaccine, says MSF. (Journal: BMJ (British Medical Journal) Volume: 350)

Tobacco industry sought to prevent Islamic fatwas against smoking.

Sudden infant death syndrome and advice for safe sleeping.

What the politicians aren't saying about health.

Alcoholic drinks contribute to obesity and should come with mandatory calorie counts.

Limitations of current tuberculosis screening tests in immunosuppressed patients.

Being realistic about travelling when old or sick.

'America's Doctor' Dr Oz fights back against critics.

Primary care is not urgent care, and we need more urgent care.

Paracetamol should remain the first line option for persistent pain.

Author's reply to Clifford and colleagues.

Authors' reply to Adam and to Veal and Thompson.

Food and the responsibility deal: how the salt reduction strategy was derailed.

Autism phenotype versus registered diagnosis in Swedish children: prevalence trends over 10 years in general population samples

Leading academics condemn government undermining of NICE.

Why the Queen’s Speech on 19 May should include a bill to reinstate the NHS in England

NHS is over-reliant on temporary staff, King’s Fund warns

Time to end the political rhetoric on health tourism. (Journal: BMJ (British Medical Journal) Volume: 350)

Type 2 diabetes is more common among Indians who stay in India than in those who migrate to US, study finds

Does the UK civil service code stifle reporting on health and science?

Henry Marsh: Thinking fast and slow.

A letter to the next secretary of state for health.

Swine flu: how well did India respond?

US babies born in withdrawal from opioids quadruples in nine years, study finds.

Characteristics of service users and provider organisations associated with experience of out of hours general practitioner care in England: population based cross sectional postal questionnaire survey

Put more paediatric knowledge into primary care to tackle UK's poor child health outcomes, says report.

Life expectancy gender gap will close in England and Wales, study predicts.

Breast feeding reduces risk of breast cancer recurrence, study finds.

Put all GPs on a salaried contract.

Science academies of G7 nations call for action on antibiotic resistance and neglected tropical diseases

Rates of caesarean vary widely across Europe. (Journal: BMJ (British Medical Journal) Volume: 350)

Spontaneous hypokalaemia in a man with treated hypertension.

India's rural medical practitioners are reluctant to refer in severe cases, study finds.

Women's health team of the year.

Promises of 'jam tomorrow' are not enough for the NHS, two think tank leaders say.

Supreme Court tells UK government to cut nitrogen dioxide levels.

College issues guidance to identify substance misuse among older people.

Countries are ill prepared to fight antimicrobial resistance, WHO says.

Endemic rubella is eliminated from Americas, PAHO announces.

Satisfaction with out of hours primary care.

Women, children, and global public health: beyond the millennium development goals. (Journal: BMJ (British Medical Journal) Volume: 350)

Sustained statin use is associated with lower risk of death in lung cancer patients, study shows.

Orthopaedic surgeon who botched four operations while working as a locum is struck off.

Small changes to diet could bring substantial health and environmental benefits, say researchers.

Whistleblowing in the NHS.

Stop the damaging drive towards a health market, former college president demands.

A herculean task for the Olympics borough.

What are the odds?

A man with rust coloured urine and normocytic anaemia.

How to stop making a crisis out of a drama: towards better portrayal of mental ill health in television and film.

Medical Journal of Australia editor sacked over opposition to Elsevier outsourcing.

Towards a paradigm shift in cancer screening: informed citizens instead of greater participation.

Fishing upstream: health and the social history.

Change in blood protein detects more ovarian cancers than fixed threshold, study finds.

Gene therapy for inherited blindness disorder improves eyesight in short term, study shows.

Private practice is unethical—and doctors should give it up

Doctor should be able to help dying man commit suicide, rules South African judge.

Two psychiatrists who took speaker fees from drug firm resign from Texan hospital.

US insurers are denying women access to care guaranteed by health law, report finds.

The long wait for a breakthrough in chronic fatigue syndrome.

Margaret McCartney: Bad language.

American Psychological Association colluded with US officials to bolster CIA torture program, report alleges.

Primary care workers are given guidance on managing mental health in humanitarian crises.

MEPs call for new alcohol strategy and calorie display on labels.

How Europe keeps migrants out of its health system. (Journal: BMJ (British Medical Journal) Volume: 350)

Never say never about our child.

EMA will restrict experts' role in drug assessment if they plan to work for industry.

Don't mention the P word.

Supporting “second victims” is a system-wide responsibility

Digoxin is linked to raised risk of death in patients with atrial fibrillation.

Hospitalisation leads to functional decline in the over 70s, study finds

Assessment of chest pain in a low risk patient: is the exercise tolerance test obsolete?

“Value based” payment project saves US nearly \$400m in two years, report finds

Nepal earthquake gives rise to fears over poor sanitation.

Ebola: a game changer for vaccines, or a scare that will soon be forgotten?

Patrick Morrison: An aspiring lumberjack.

Health potential of a low glycaemic index diet.

Title of news article on zoledronic acid and bone density was misleading.

Paper on food banks does not justify a link to party politics.

The diagnosis and management of interstitial lung diseases.

Excellence in healthcare is celebrated in The BMJ Awards 2015

Ablation of pulmonary veins works as well as more extensive treatment in persistent atrial fibrillation, study finds.

How to assess eyes and vision in infants and preschool children.

CDC report confirms 'Hispanic paradox'.

Meta consent: a flexible and autonomous way of obtaining informed consent for secondary research.

Transplant surgeon who fast tracked patients is found not guilty of attempted manslaughter.

The BMJ requires data sharing on request for all trials.

GMC's supposedly independent training review included secret meetings with politicians.

Importance of distinguishing between different types of health app.

Must 'second victims' always be in the wrong?

Practitioners should embrace, not ignore, health apps.

The PRECIS-2 tool: designing trials that are fit for purpose

How to read a receiver operating characteristic curve.

National Health Action Party beats Liberal Democrats in three seats and vows to fight on.

Can healthy people benefit from health apps? (Journal: BMJ (British Medical Journal) Volume: 350)

Hospital practice explains variation in outcomes in extremely premature infants, US study finds.

Bureaucracy is forcing GPs to quit under 'euphemism of early retirement'.

It will take up to 31 years to deliver number of GPs promised by political parties, says RCGP

Gates funds surveillance site to prevent next big epidemic.

Evidence is insufficient to recommend e-cigarettes for quitting, US committee concludes

Piece of string can assess cardiovascular risk, study finds.

The role of pathogen genomics in assessing disease transmission

Prospects for the NHS in England in the next parliament.

Duke University settles lawsuits alleging that patients were harmed in chemotherapy trials.

Woman asks court for right to use dead daughter's eggs to produce grandchild.

Research is stifled by 'regulation and conservatism,' conference hears.

Expert criticises report that said UK's maternal death rate was twice that of Belarus.

Margaret McCartney: Daily drug shortages place avoidable pressure on primary care.

Many fixed dose drug combinations for sale in India are not approved.

Report details abuse of mentally ill inmates in US prisons.

Lucentis excluded from WHO list of essential medicines.

Antipsychotic drug use in pregnancy: high dimensional, propensity matched, population based cohort study

UK scientists reject call for moratorium on gene editing.

Problem drinking is rising among England's well educated women.

Tobacco industry lobbying undermines public health in Asia.

Safety of psychotropic drugs in pregnancy.

Doctors in New York 'pill mill' worked under daily threats, court hears.

Public must be made aware of need for research in children, report says.

Report calls for \$2bn global fund to kickstart antibiotic development

Exposure to prescription opioid analgesics in utero and risk of neonatal abstinence syndrome: population based cohort study

Iron deficiency may lead to false diagnosis of diabetes.

The promise of non-invasive prenatal testing needs to be monitored scientifically (Journal: BMJ (British Medical Journal) Volume: 350)

(Journal: BMJ (British Medical Journal) Volume: 350) : Correction.

List predatory journal publications separately from genuine scholarly publications as standard for CVs.

Healy's editorial on serotonin and depression does a disservice to psychiatrists.

Challenges to primary care in diagnosing and managing depression in children and young people.

Author's reply to Langford, Cowen, Chekroud and Krystal.

Personalised pharmacotherapy: an interim solution for antidepressant treatment?

A 'fact of the matter' may not exist in scientific narratives such as serotonin and depression.

CONSORT extension for reporting N-of-1 trials (CENT) 2015: Explanation and elaboration

TripAdvisor for fertility clinics.

Physical activity for smoking cessation in pregnancy: randomised controlled trial

EuroTag rugby league: a semi-contact version of the game

CONSORT extension for reporting N-of-1 trials (CENT) 2015 Statement (Journal: BMJ (British Medical Journal) Volume: 350)

Children's rugby: outdated view that risk of injury is character building.

Laura Piddock: Fights antibiotic resistance.

Many people in UK underestimate their weight.

Policy to improve England's diet has failed, study finds.

Withdrawal of treatment from 'dying' teenager to be reconsidered by court after he defies expectations.

Identifying and managing common childhood language and speech impairments. (Journal: BMJ (British Medical Journal) Volume: 350)

Trimethoprim-sulfamethoxazole versus vancomycin for severe infections caused by meticillin resistant Staphylococcus aureus: randomised controlled trial

Prince Charles delayed regulation of herbal medicines.

Persistent depression doubles stroke risk despite treatment, study finds.

TAS-102 prolongs overall survival in refractory colorectal cancer, study shows

Ending 'corrupt' practices in medicine: Harvard conference report.

Controlled trials: allocation concealment, random allocation, and blinding.

Centers for Disease Control and Prevention: protecting the private good?

Locally run cholera intervention can reduce disease burden, finds study.

A third of Indian women who experience violence during pregnancy have complications.

High Court rejects claim that a GP trainee's sentence was too lenient.

Direct benefit of vaccinating boys along with girls against oncogenic human papillomavirus: bayesian evidence synthesis

Who should be vaccinated against HPV?

A puzzling airway problem.

Choosing Wisely in the UK: the Academy of Medical Royal Colleges' initiative to reduce the harms of too much medicine.

Politics, medical journals, the medical profession and the Israel lobby.

Does long term use of psychiatric drugs cause more harm than good?

Survey reveals poor public awareness of miscarriage.

Dangers of rising indemnity insurance costs.

India records large rise in malaria cases in 2014

Tax processed food to subsidise healthier options and tackle obesity, says think tank.

Study links changes to primary care in England to rise in hospital admissions of children.

New England Journal of Medicine reconsiders relationship with industry.

Tackle shortfall in NHS funding, healthcare leaders tell health secretary.

Lawsuit challenges FDA’s authority to prevent off-label marketing

Field hospital in Kathmandu treated 1500 patients in two weeks

Cheek swab can detect early signs of cancer, study indicates.

Philippines records highest number of new HIV cases since 1984

Migrants' access to healthcare is restricted across Europe, charity warns.

Gentle daily exercise is as good for elderly men as stopping smoking.

Remote districts are still inaccessible five days after second Nepal earthquake.

Prevalence of HPV is high among Indian tribal girls and young women, study finds.

Primary prevention with lipid lowering drugs and long term risk of vascular events in older people: population based cohort study

Prejudice in reports on misconduct cases in The BMJ.

NICE recommendations: why no disinvestment recommendations to offset investment decisions?

Scant evidence on the effectiveness of metformin in type 2 diabetes

The sacred cow status of the NHS.

Whatever happened to the principle of innocent until proved guilty?

Cameron's pledge on seven day working is branded 'empty headline grabbing'.

Antimicrobial resistance is a social problem requiring a social solution.

Drug combination that corrects deficient protein in cystic fibrosis improves lung function.

Lipid lowering for primary prevention of stroke in older adults?

Junior doctors to ask lawyers if the NHS is in breach of human rights legislation.

US navy will not discharge nurse who refused to force feed Guantanamo prisoners.

Not all women with dense breasts need further imaging after normal mammogram, study shows.

US physicians' group releases guidelines for 'high value' cancer screening.

UN implores South East Asian nations to help starving migrants stranded at sea.

New oral anticoagulants: dosing and monitoring.

Preventing sex offences: the Dunkelfeld project.

The ABPI's response to news story on leading academics' condemnation of government undermining of NICE.

Authors of report on cost of visitors and migrants to the NHS reply to letter calling for end to political rhetoric on health tourism.

Worsening disability in older people: a trigger for palliative care.

The promise of non-invasive prenatal testing needs to be monitored scientifically (Journal: BMJ (British Medical Journal) Volume: 350)

Investigating intracerebral haemorrhage.

Tickets to Glyndebourne or the Oval? Big tobacco's bid to woo parliamentarians.

Childhood attention-deficit/hyperactivity disorder

When and how to discuss 'do not resuscitate' decisions with patients.

Dutch government in court for violating international tobacco treaty.

Bullying in childhood may be linked to heart disease risk, study says.

Edzard Ernst: Guiltiest pleasure is research.

Two Indian states promise to enforce act that punishes violent attacks against doctors.

Margaret McCartney: Second use patents—why do we have to prescribe branded Lyrica for pain?

The role of intervening hospital admissions on trajectories of disability in the last year of life: prospective cohort study of older people

Care at end of life isn't being properly managed, says ombudsman.

UK children are more than twice as likely to be obese than previous generations, figures show.

Doctors facing manslaughter charges should not automatically be suspended, High Court rules.

End of the gold rush for China's drugs market?

Ministers must halt 'surreal obsession' with seven day opening, GP leader says.

A woman with upper and lower airway symptoms.

Cold weather kills far more people than hot weather, study shows.

Tests to predict imminent delivery in threatened preterm labour.

Politicians must stop using NHS as 'commodity' to win votes, say GPs.

Finances, targets, and workforce are on NHS agenda for next parliament, hears meeting.

Indian minister denies plan for nurse practitioners to fill doctor gap. (Journal: BMJ (British Medical Journal) Volume: 350)

Pregnant women are advised to seek medical advice if they need paracetamol for more than one day.

We cannot keep ignoring the crisis in social care.

Drinking on special occasions shows huge increase on people's typical drinking estimates.

WHO should be able to impose sanctions on states that ban travel to countries with epidemics, panel says.

Air pollution in UK: the public health problem that won't go away.

Use of mental health services by US children and teens rises.

Scrap NHS 111, and “strangle at birth” any similar proposals, say GPs

A quarter of US adults with health insurance are underinsured, report finds.

Nurse who drove debate on euthanasia in India dies after 42 years in vegetative state

GPs vote to end 'disastrous' out of area scheme.

NICE to advise firms on how to speed up NHS adoption of their drugs.

Measuring the detriment of treatment: number needed to harm.

Identifying and managing common childhood language and speech impairments. (Journal: BMJ (British Medical Journal) Volume: 350)

Drug maker must restart obesity drug study after releasing early data.

Bipolar disorder is often missed in people who misuse alcohol or drugs.

Authors' reply to responses.

The need to regulate non-clinical hospital managers

The real obstacles to collaborative and affordable healthcare in the UK.

Eighth international congress on peer review in biomedical publication.

Public should have been warned of risk of contracting Ebola at healthcare facilities.

Use of coloured overlays and lenses are unlikely to help children with dyslexia, study finds.

No blood pressure lowering agents prolong survival in diabetes and kidney disease, review shows.

Complexities in responding to the Ebola epidemic.

Surgical training and clinical trial involvement—the trainees’ view

It doesn't 'come with the job': violence against doctors at work must stop.

Overdiagnosis of bone fragility in the quest to prevent hip fracture.

Use of combined oral contraceptives and risk of venous thromboembolism: nested case-control studies using the QResearch and CPRD databases

Start of cheaper technique for breast cancer is delayed in UK despite adoption elsewhere.

Optimal duration of dual antiplatelet therapy after drug eluting stent remains unclear.

bmj.com at 20 years (Journal: BMJ (British Medical Journal) Volume: 350)

Fresh evidence confirms links between newer contraceptive pills and higher risk of venous thromboembolism.

Doctors online: 'Like flies to honey'.

Effective antidotes for new anticoagulants.

Psychedelic drugs should be legally reclassified so that researchers can investigate their therapeutic potential.

Does involvement in clinical trials make trainees better surgeons?

Training and trials—building a future

MSF Ebola treatment centres were far from perfect.

Deviation from intention to treat analysis in randomised trials and treatment effect estimates: meta-epidemiological study

Indian rotavirus vaccine concern over intussusception is unfounded, say researchers.

World Health Assembly hears warnings over WHO's relationship with industry.

Doctors should expect to repay state investment with NHS service.

Most people with insurance from US exchanges are satisfied with coverage, survey finds.

Margaret McCartney: Medical journals and their parasitical profit.

Teenage obesity is linked to bowel cancer in later life.

Delaying cord clamping is linked to improvements in fine motor skills.

David Nutt: Champions off-licence prescribing

Are clinical trials units essential for a successful trial?

India's medical council reintroduces ID system to tackle 'ghost faculty' problem in medical colleges.

GP cancer referral delays may explain UK's low cancer survival rates.

Four tobacco companies plan action against UK government over standard packaging.

US guideline may have led to drop in PSA testing among primary care physicians, studies find.

Indian minister denies plan for nurse practitioners to fill doctor gap. (Journal: BMJ (British Medical Journal) Volume: 350)

Is ayurveda the key to universal healthcare in India?

Diagnosis and treatment of cancer using genomics.

Woman with gene for Huntington's disease fails in attempt to sue her father's doctors for failing to alert her.

Paracetamol induced liver failure varies widely across Europe, study finds.

Scottish parliament rejects 'right to die' for terminally ill people.

bmj.com at 20 years (Journal: BMJ (British Medical Journal) Volume: 350)

UK law on consent finally embraces the prudent patient standard.

Refugees: time for moral leadership from the Western democracies.

Reform of medical regulation is left off the Queen's speech for a second time.

WHO condemns attacks on healthcare workers in Yemen.

Management of the unstable shoulder.

Parental smoking puts 400 000 UK children into poverty, researchers say

Many UK patients with gonorrhoea are given outdated antibiotics.

Germany is set to introduce e-health cards by 2018

Sheffield NHS trust and council pay £27 000 in damages after failing to agree patient’s care budget

India's critical care doctors are highly stressed, survey finds.

India is declared free of maternal and neonatal tetanus. (Journal: BMJ (British Medical Journal) Volume: 350)

Campaigners challenge patent applications for hepatitis C drug in five countries.

Surgeon is struck off for behaviour 'fundamentally incompatible' with being a doctor.

Australian doctors face two years in jail for reporting asylum seekers' health.

India's urban middle class has high prevalence of cardiometabolic risk factors, finds study.

Will India's national health policy deliver universal health coverage?

Blood flow conditioning reduces kidney injury in high risk cardiac surgery patients.

Experts plan to recommend immediate antiretroviral therapy for people with HIV.

Smoking ban cuts admissions for child respiratory infections.

Funding cuts threaten US academic medical research, say deans.

Independent general practice follows the same ethical standards as the NHS.

People receiving unnecessary treatments: accurate diagnosis is key.

Patients' right to choose private medicine.

The BMJ was inconsiderate when publishing personal view on private practice.

Government should monitor quality of medical education.

Stand during working day to prevent health risks of sedentary jobs, says guidance.

Justifying conflicts of interest in medical journals: a very bad idea.

Combined immunotherapy improves survival in metastatic melanoma.

More reasons why private practice is unethical.

Use and risks of surgical mesh for pelvic organ prolapse surgery in women in New York state: population based cohort study

Choosing Together: encouraging person centred care and shared decision making.

Challenging behaviour and learning disabilities: summary of NICE guidance.

Author's reply to Tovey and colleagues.

An unusual case of severe anaemia and lymphocytosis.

BMA calls for action over rise in consultant vacancies in Scotland.

What are the risks?

Clinical pharmacists help prescribers and patients make informed decisions.

Statistics Notes: Bootstrap resampling methods.

Revisiting the commercial-academic interface in medical journals

Bronchiolitis in children: summary of NICE guidance.

China's overuse of inpatient treatment and routine preoperative testing.

The diagnosis and management of hypercalcaemia.

Research project will use cervical cells to predict risk of cancers.

Ten ways to be secretary of state for health.

Once a month, or the secret to raising the status of medical ethics.

Varenicline and risk of psychiatric conditions, suicidal behaviour, criminal offending, and transport accidents and offences: population based cohort study

Peer victimisation during adolescence and its impact on depression in early adulthood: prospective cohort study in the United Kingdom

Adolescent bullying linked to depression in early adulthood.

Mesh use in surgery for pelvic organ prolapse.

Guidance is published on sharing data from publicly funded trials.

Staff burnout threatens plans for NHS, says think tank.

Recommendations in debate on psychiatric drugs are insufficiently justified.

Corruption impairs discussion on long term use of psychiatric drugs.

Personalised approach to treating early Hodgkin's lymphoma.

Removing more tissue around breast tumour reduces need for further surgery.

India is urged to make stents essential medicines to help control price.

Health bodies resign from 'charade' of EU alcohol forum.

Sarah Clarke: Determined and convivial.

White House forum promotes responsible use of antibiotics.

Use and risks of surgical mesh for pelvic organ prolapse surgery in women in New York state: population based cohort study.

Outcome of delirium in critically ill patients: systematic review and meta-analysis

The knowledge system underpinning healthcare is not fit for purpose and must change.

Antidepressants in late pregnancy are linked to respiratory disorder in newborns, study finds.

Why don't people exercise, even a little?

Report calls for co-location of primary care with A&E

Listening to the voices of abused older people: should we classify system abuse?

Management of anaemia in chronic kidney disease: summary of updated NICE guidance.

Regulators to take over running of three failing NHS areas in England.

Management of degenerative meniscal tears and the role of surgery.

G7 leaders are urged to commit to health emergency response

Self rated 'health score' can predict risk of death in next five years, researchers say.

Benefits of mammography in women aged 50-69 outweigh risks, says expert panel

US melanoma prevalence has doubled over past 30 years

Canadian tobacco firms are ordered to pay £8bn for damage from smoking

NHS in Scotland needs urgent change for it to survive, say colleges.

More could be done to protect people from heatwave in India, say campaigners.

Comfortable in their bodies: the rise of transgender care.

Even low levels of air pollution are linked to more deaths in over 65s, study finds

GMC proposes single test for all doctors wishing to work in UK.

Preparedness explains some differences between Haiti and Nepal's response to earthquake. (Journal: BMJ (British Medical Journal) Volume: 350)

India is declared free of maternal and neonatal tetanus. (Journal: BMJ (British Medical Journal) Volume: 350)

South Korea scrambles to contain MERS virus.

FDA committee recommends approval for 'female Viagra'.

Hospital treatment targets have been simplified.

US initiatives to boost organ donation have had little effect, study finds.

Wide variation in price paid for basic supplies means NHS wastes millions.

NIH Clinical Center closes its pharmacy after contamination found.

Association between tumour necrosis factor-α inhibitors and risk of serious infections in people with inflammatory bowel disease: nationwide Danish cohort study

EU report shows massive increase in legal highs.

Alcohol—who is paying the price?

Allergy myths lead to underdiagnosis and overdiagnosis, say specialists.

Road traffic fatalities in Greece have continued to fall during the financial crisis.

Blood test for Down's syndrome is safe and effective, say researchers.

Doctor is charged with manslaughter over woman who died after abortion.

India makes strides in some, but not all, health goals, finds WHO.

The complexities of charitable giving.

David Sackett and the birth of Evidence Based Medicine: How to Practice and Teach EBM.

Open access to economic outcome data will help to bridge the gap between clinical trials and clinical guidelines.

Epidemiological surveys might underestimate waterpipe smoking.

Pfizer steps up battle to defend control of pregabalin.

Cluster randomised trials with repeated cross sections: alternatives to parallel group designs.

Gradual loss of vision in adults.

Stroke care after discharge varies widely across UK, audit finds.

Clinical commissioning groups' performance will be formally assessed.

Medical abortions more common than surgery for first time in 2014 in England and Wales

Uncertainty in sample estimates: standard error.

Regression based quasi-experimental approach when randomisation is not an option: interrupted time series analysis

Experts question IARC report saying benefits of mammography in older women outweigh risks.

Doctor told to repay £98 000 to NHS after working as locum while on paid sick leave

Transfer of services from NHS to private provider was 'unmitigated disaster,' report says.

One in four US children exposed to weapon violence, study finds.

Surgery for low grade ductal carcinoma in situ does not improve survival, study finds.

Cognitive behavioural therapy can help chronic insomnia, review finds.

When drugs don't make it to market.

Sepsis in children. (Journal: BMJ (British Medical Journal) Volume: 350)

to 'Author's reply to Tovey and colleagues'. : Correction

Preparedness explains some differences between Haiti and Nepal's response to earthquake. (Journal: BMJ (British Medical Journal) Volume: 350)

Manchester expands seven day general practice to three million people.

Health reform law is the 'new reality,' says Obama.

High INR on warfarin. (Journal: BMJ (British Medical Journal) Volume: 350)

Anatomy classes, but not as we know them.

Margaret McCartney: Trust the patient.

Benzodiazepine prescribing patterns and deaths from drug overdose among US veterans receiving opioid analgesics: case-cohort study

Selective reporting in trials of high risk cardiovascular devices: cross sectional comparison between premarket approval summaries and published reports

Comparison of content of FDA letters not approving applications for new drugs and associated public announcements from sponsors: cross sectional study

Paid for by the NHS, treated privately.

Experts call for tobacco industry to pay for smoking cessation work.

Women are four times less likely to have curative surgery if breast cancer is diagnosed as emergency rather than urgent GP referral.

Time to consider the risks of caesarean delivery for long term child health.

Jocelyn Cornwell: Innovative, sociable would-be foodie

Selective clinical trial reporting: betraying trial participants, harming patients.

CPR before medical services arrive more than doubles survival after cardiac arrest.

MPs will debate assisted dying bill in September.

Single budgets for health and social care are vital for integration, says think tank.

People taking proton pump inhibitors may have increased risk of myocardial infarction, study shows.

Campaigners urge India to resist pressure to change patent laws.

UK vaccine damage scheme must pay £120 000 to boy who developed narcolepsy after swine flu vaccination

Person centred coordinated care: where does the QOF point us?

India's intensive care unit on rails.

G7 leaders offer little commitment to tackle future disease outbreaks

Doctor accused of drugging, experimenting on, and sexually exploiting military trainees.

One dose of HPV vaccine could prevent most cervical cancers, studies show.

Conference urges further consultation on NICE diabetes guidance.

Korean MERS virus is not a mutation, say experts.

College sexual assault defense program for women halved rape risk.

Stronger grip on overheads and increased productivity could save NHS hospitals £5bn a year

Troubled Aberdeen hospital is back in spotlight.

FDA drug summaries: a simplification too far?

State funding of elderly care in England has fallen by 40% in five years

Harms associated with single unit perioperative transfusion: retrospective population based analysis

Comparison of the two most commonly used treatments for pyoderma gangrenosum: results of the STOP GAP randomised controlled trial

Treatment of pyoderma gangrenosum.

Clinician engagement is critical to public engagement with clinical trials.

Thousands of patients in England to get new hepatitis C drugs.

UK funded research on diseases that are a global threat must be made openly available, Cameron tells G7 summit

Naturally occurring genetic variation that prevents prion disease is identified.

GP training should prepare juniors for work as locums, says doctors' association.

Dose-response relation between obesity and breast cancer risk is identified

Cervical cancer is not just a young woman's disease.

The Shape of Training report: fiddled facts, illogical evidence.

GMC had standard secretariat role in independent training review.

Author's reply to Dickson.

Does the GMC think it's immune to its own guidance regarding candour?

GP should have seen child who was being starved within 48 hours of contact, says tribunal

Perioperative blood transfusions.

Some 400 million people lack access to essential health services

Mother fails in bid to use dead daughter's frozen eggs.

England's chief medical officer asks for review of drug evaluation in wake of statins controversy.

Most people with coverage through US health reform law are satisfied, survey finds.

Endometriosis is linked to greater risk of complications in pregnancy and birth, study finds.

New bill on force feeding prisoners poses medical dilemma for Israel's doctors.

Hospital autopsies are on the verge of extinction, study finds.

Dementia: timely diagnosis and early intervention.

Further concerns about the Shape of Training proposals.

Seven day GP access scheme in Yorkshire is abandoned owing to lack of demand.

Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms

Arthroscopic surgery for degenerative knee.

Restricting access to the NHS for undocumented migrants is bad policy at high cost.

Some US hospitals charge 10 times the cost of services, study finds

Dilatation and curettage procedure raises risk of premature birth in subsequent pregnancies, study finds.

Diabetes is rising in OECD countries, report warns.

US gives food manufacturers three years to ban trans fats.

Australia's law to gag doctors with concerns about asylum seekers is a failure of democracy.

Earthquakes lead to boom in Nepal's unregulated surrogacy industry.

Training health workers to educate young women about long acting contraceptive methods reduces pregnancies, study shows.

Routine appendectomy could be abandoned for uncomplicated appendicitis, study finds.

Doctors should boycott working in Australia’s immigration centres and must continue to speak out on mistreatment of detainees—despite the law

Excuse me, doctor: I can still hear you.

Activists welcome Delhi government's ban on 'unscientific' two finger test for rape.

A GRADE Working Group approach for rating the quality of treatment effect estimates from network meta-analysis

Transplanting memories.

Mark Porter: Pet hate is lettuce.

Should we welcome multinational companies' involvement in programmes to improve child health?

Ensure release of all data on alteplase, doctors urge health secretary.

Government objects to publishing how many claimants have died after being found fit for work.

Wollaston beats homeopathy supporter to chair health select committee.

Irritable bowel syndrome: new and emerging treatments

Indian medical education system is broken, Reuters investigation finds.

Randomised controlled trials: understanding power.

Inadequate neurology services undermine patient care in the UK.

Margaret McCartney: Time to give patients informed choice.

Body dysmorphic disorder.

Adult craze for breast milk bought online has health risks, experts warn.

Hunt promises more investment in general practice in return for seven day access.

Puberty timing has profound effect on later health, study finds.

Smoking rates among pregnant women fall to all time low of 11%

Gujurat scheme to pay people to use toilets gets mixed response.

Industry pays women doctors less for research, speaking, and meals, US study finds.

PAin SoluTions In the Emergency Setting (PASTIES)—patient controlled analgesia versus routine care in emergency department patients with non-traumatic abdominal pain: randomised trial

PAin SoluTions In the Emergency Setting (PASTIES)—patient controlled analgesia versus routine care in emergency department patients with pain from traumatic injuries: randomised trial

Patient controlled analgesia in the emergency department.

Superficial thrombophlebitis (superficial venous thrombosis)

BMA annual meeting: Government is run “from cloud 9 rather than number 10,” BMA chief says

Usefulness of data from magnetic resonance imaging to improve prediction of dementia: population based cohort study

Predicting dementia.

High grade cervical lesions decline in young US women.

Regulators seize 6.2 million doses of illegally traded medicines in UK

Insulin pump therapy, multiple daily injections, and cardiovascular mortality in 18 168 people with type 1 diabetes: observational study

Most women with early stage breast cancer are tested for metastases despite advice against it, study finds.

BMA annual meeting: BMA will lobby government over purchaser-provider split

BMA annual meeting: Doctors fear that devolving health spending in Manchester will lead to cuts.

Experts disagree over necessity of hepatitis E vaccine in Nepal. (Journal: BMJ (British Medical Journal) Volume: 350)

Proposed 7.4% cut in public health budget threatens antismoking and antiobesity initiatives, leader says

Margaret McCartney: Medicine is a bit of a giggle.

Drug overdose has become leading cause of death from injury in US.

Generic immunosuppression in solid organ transplantation: systematic review and meta-analysis

Are generic immunosuppressants safe and effective?

BMA demands that health services be excluded from trade treaty.

Help us find and honour the stars of South Asian healthcare.

Steps to combat climate change would also improve human health, commission says.

Suspected cancer (part 2—adults): reference tables from updated NICE guidance (Journal: BMJ (British Medical Journal) Volume: 350)

BMA annual meeting: Public health is threatened by 'wholesale reductions' in staff and 'dumbing down'.

Suspected cancer (part 1—children and young adults): visual overview of updated NICE guidance

Focus on symptoms to improve early diagnosis, new cancer guidance says.

Private firm gets £400m contract to run NHS administrative services in England

Chronic exposure to higher BP in young adults is associated with cardiac dysfunction in middle age.

CT for occult cancer is unnecessary in people with unexpected venous thromboembolism, study finds.

How medicine is broken, and how we can fix it.

China rejects patent on hepatitis C drug sofosbuvir.

Hundreds are arrested for Medicare fraud totalling \$712m

GP leaders unite in calling for inspections of surgeries to be suspended.

Solving the mystery of health inequality.

Prescrire: France's Choosing Wisely initiative.

New study supports MHRA advice on combined oral contraceptives.

Oral contraceptive study omitted several confounders.

Meta-analysis should not be subject to selectivity and imbalance

Reducing the price of new hepatitis C drugs in the Tuscany region of Italy.

Authors' reply to Lin and colleagues.

Why the panic? South Korea's MERS response questioned.

Comparative efficacy trials with no placebo group cannot determine efficacy.

Improving the NHS demands more than just extra money.

US Supreme Court throws out law that forced doctors in North Carolina to deliver antiabortion message.

What is the most effective treatment for severe gastro-oesophageal reflux disease?

Peter Hindley: Warm, energetic, positive.

Experts disagree over necessity of hepatitis E vaccine in Nepal. (Journal: BMJ (British Medical Journal) Volume: 350)

Half of public think weekend access to GPs should be NHS priority.

Why e-cigarettes are dividing the public health community

BMA annual meeting: BMA condemns detention of children in police cells overnight.

Sense About Science charity joins fight against bid to prevent transparency of trials.

How Hong Kong helped Vietnamese refugees in 1979

Multidrug resistant TB is less transmissible than drug susceptible strains, study shows.

Protecting families from recurrent stillbirth.

Risk of recurrent stillbirth: systematic review and meta-analysis

Evidence for primary care services at A&E.

Authors' reply to Zagarella.

Silence of advanced nations on the refugee crisis is shameful.

Excluding the bifid uvula in children with speech impairment.

BMA annual meeting: BMA issues warning over dangerous working patterns.

Researchers' focus on drugs over other treatments ignores doctors' and patients' views.

UK doctors head home from Ebola frontline.

Contribution of behavioural science to antibiotic stewardship.

Progress on eliminating neglected tropical diseases is too slow, report warns.

Private sector must improve customer experience, conference hears.

Smokers are more likely to quit as smoking prevalence decreases, study shows.

Fossil fuel companies and climate change: the case for divestment.

Pakistan authorities trade blame as heatwave deaths exceed 800

Kozhikode doctors plan court action over claims by homeopaths.

Doctors and scientists urge Wellcome Trust to divest from fossil fuels.

Don't ignore home grown medical systems. (Journal: BMJ (British Medical Journal) Volume: 350)

A 56 year old woman with syncope, weakness, and refractory hypotension

India's abortion law puts women at risk.

Quantifying the risks of non-oncology phase I research in healthy volunteers: meta-analysis of phase I studies

An occult cause of dyspnoea.

What is significance?

The secret realm of phase I trials in healthy volunteers.

Anesthetist is sued after sedated patient recorded insults on phone.

Supreme Court rejects challenge to Affordable Care Act.

US Supreme Court's exoneration of the Affordable Care Act.

Syphilis and gonorrhoea increase sharply in England.

Angioplasty with paclitaxel coated balloon reduces restenosis in peripheral artery disease.

Without proper research funding, how can medical education be evidence based?

Man with locked-in syndrome challenges GMC ruling on doctors’ involvement in ending his life

Yemen's health system buckles under Saudi led bombardment and blockade.

Incentives could help delivery of essential health services by frontline workers, study finds.

Margaret McCartney: The ethics of behavioural incentives.

Hamburg's refugee policy is criticised after pregnant woman sent on long train trip miscarries.

MPs table bill to restrict role of commercial companies in NHS.

High rates of false positives are likely in diabetes screening programmes in India.

Providing welfare advice in GP surgeries can benefit patients, says report.

Bangladesh's ignored female sex workers.

Lawsuit seeks access to data from hepatitis C drug trial.

Audit shows shortfall in care for emergency bowel surgery patients.

Pregabalin is only partially effective for neuropathic pain.

HPV testing as a screen for cervical cancer

UK law on consent: broad consent or authorisation for research?

UK law on consent: the need for longer consultations.

Private companies behave differently from NHS providers.

Trials on physical activity for smoking cessation in pregnancy missed a trick or two.

Single test for all doctors: urgent need to expand UK undergraduate medical education.

Misinformation about caesarean sections.

Authors' reply to Braillon and Bewley. (Journal: BMJ (British Medical Journal) Volume: 350)

Seismic shift in policy needed to increase physical activity.

Court judgment on consent provides spur for embracing shared decision making.

Diverting attention from financial conflicts of interest.

Patients may prefer radiation risk to surgical risk in diagnosing appendicitis.

Islamic State creates jihadi health service.

Time for tighter checks on medical schools?

Syria's lost generation of doctors.

Seven UK medical students studying in Sudan may be heading for Syria.

Half of US cardiovascular deaths are due to modifiable risk factors, study finds.

Doctors should refuse to check patients' immigration status, says BMA.

Patients can self monitor oral anticoagulation, study shows.

Liberia confirms Ebola case two months after being declared free of the disease.

'Paedatric sepsis six' requires further validation.

Weekend hospital death rates are not just an English problem.

Mammography detects more small cancers but results in overdiagnosis, researchers warn.

Sepsis in children. (Journal: BMJ (British Medical Journal) Volume: 350)

Circle fully commits to collaborating with NHS on service transformation.

Authors' reply to Hamilton and King.

Authors' reply to Laurent.

Review on sepsis in children did not mention important trial.

Countries hit by Ebola need \$700m to rebuild health systems

Industry paid \$6.5bn to US physicians and hospitals in 2014

Normal lower limb variants in children.

Hearing loss is important in dementia.

Authors' reply to Males.

Study overestimates depression due to victimisation in adolescence.

Even small brain lesions raise risk of stroke and death, study finds.

Problems with the diagnostic algorithm for hypercalcaemia.

Open letter to clinicians and pharmacists from Berkeley Phillips, UK medical director, and Seema Patel, established pharma medical director, Pfizer UK.

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Opioids for low back pain

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Deyo, Richard A. Von Korff, Michael Duhrkoop, David
Spatial Coverage	United States
Description	Author Affiliation: Deyo RA ( Departments of Family Medicine, Internal Medicine, and Public Health and Preventive Medicine and Oregon Institute for Occupational Health Sciences, Oregon Health and Science University, Portland, OR 97239, USA Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA deyor@ohsu.edu.); Von Korff M ( Group Health Research Institute, Seattle, WA, USA.); Duhrkoop D ( American Chronic Pain Association, Rocklin, CA, USA.);
Abstract	Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class. More than half of regular opioid users report back pain. Rates of opioid prescribing in the US and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Randomized controlled trials have high dropout rates, brief duration (four months or less), and highly selected patients. Opioids seem to have short term analgesic efficacy for chronic back pain, but benefits for function are less clear. The magnitude of pain relief across chronic non-cancer pain conditions is about 30%. Given the brevity of randomized controlled trials, the long term effectiveness and safety of opioids are unknown. Loss of long term efficacy could result from drug tolerance and emergence of hyperalgesia. Complications of opioid use include addiction and overdose related mortality, which have risen in parallel with prescription rates. Common short term side effects are constipation, nausea, sedation, and increased risk of falls and fractures. Longer term side effects may include depression and sexual dysfunction. Screening for high risk patients, treatment agreements, and urine testing have not reduced overall rates of opioid prescribing, misuse, or overdose. Newer strategies for reducing risks include more selective prescription of opioids and lower doses; use of prescription monitoring programs; avoidance of co-prescription with sedative hypnotics; and reformulations that make drugs more difficult to snort, smoke, or inject.
ISSN	09598138
Volume Number	350
Journal	BMJ (British Medical Journal)
e-ISSN	17561833
Language	English
Publisher	British Medical Journal Publishing Group
Publisher Date	2015-01-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Analgesics, Opioid Therapeutic Use Chronic Pain Drug Therapy Hypnotics And Sedatives Contraindications Low Back Pain Opioid-Related Disorders Epidemiology Physician's Practice Patterns Disability Evaluation Evidence-Based Medicine Humans Prevalence Randomized Controlled Trials As Topic United States Journal Article Research Support, Non-U.S. Gov't Review Medicine
Content Type	Text
Resource Type	Article

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