WEEKLY NEWS FROM THE BMJ

WEEKLY NEWS FROM THE BMJ

This week in The BMJ 27 April 2018 Better care for patients with cancer For many people, cancer is now survivable and has become a long term condition. This week our clinical update reminds us to think about the psychological impact for the growing number of people living with cancer (doi:). As Alexandra Pitman and colleagues... Fiona Godlee Race played no part in Bawa-Garba decision, says GMC The UK General Medical Council’s decision to remove Hadiza Bawa-Garba from the UK medical register was in no way influenced by her race or sex, its chief executive has told The BMJ. Abi Rimmer Women see no benefit from colorectal cancer screening, study finds A single screening test using flexible sigmoidoscopy reduced colorectal cancer incidence and mortality in men but had little or no effect in women, a large randomised controlled trial in Norway has shown. Jacqui Wise Seven days in medicine: 18-24 April 2018 Sixty seconds on . . . the WannaCry cyberattack Although the NHS has learnt lessons from the WannaCry cyberattack on 12 May 2017, trusts need to do more to improve cybersecurity and introduce strategies to take action quickly “when, and not if, there is a further attack.” This was the conclusion of... Susan Mayor Junior doctors lose legal test case over right to have breaks every four hours Junior doctors have lost a High Court test case backed by the BMA over their right to have a 30 minute break every four hours or be paid at a higher rate. Clare Dyer NHS failed to communicate feeding advice to refugee mother, court rules The NHS will have to pay millions of pounds in compensation after a baby was left severely brain damaged because his mother, a refugee, could not understand English. Clare Dyer Collaborative procurement: five minutes with . . . Des Breen The NHS medical director discusses how closer collaboration between seven hospitals helped them save millions on products they use everyday Abi Rimmer NHS hospital drug costs are set to surpass spending in primary care An explosive growth in hospital drug spending is set to overturn the longstanding pattern of the NHS medicine budget, Nigel Hawkes reports Nigel Hawkes Treatment for those with multiple serious illnesses is “ineffective,” warns major review Medicine is poorly equipped to treat people that develop multiple chronic diseases concurrently, and must commit more resources to improving their treatment, a major global report has said. Nigel Hawkes Poorly performing general practices are more likely to prescribe homeopathy General practices in England with the worst prescribing quality scores are more than twice as likely to prescribe homeopathy than those with the best prescribing scores, a study has shown. Gareth Iacobucci Anger as Alfie’s Army protests outside Alder Hey Crowds, rallied by social media postings, try to storm Alder Hey children’s hospital in Liverpool on Monday 23 April, after the parents of Alfie Evans lost a “last ditch” appeal against ending life support for their nearly 2 year old son. Alison Shepherd The rise of ambiguous competing interest declarations Terms such as “unpaid consultancy” should be consigned to the dustbin Barbara Mintzes, Quinn Grundy Clarifying the roles of patients in research Common misunderstandings are a barrier to real progress Kristin Liabo, Kate Boddy et al Should we recommend e-cigarettes to help smokers quit? Smokers want to vape, it can help them quit, and it’s less harmful than smoking, say Paul Aveyard and Deborah Arnott. But Kenneth C Johnson argues that smokers who vape are generally less likely to quit and is concerned about youth vaping as a gateway... Paul Aveyard, Deborah Arnott et al How data protection changes will affect your practice Matthew Limb provides a quick guide to the new responsibilities for GPs and medical researchers after next month’s law change Matthew Limb Fentanyl misuse in the UK: will we see a surge in deaths? The US epidemic of overdose caused by the synthetic opioid could replay here, some commentators have suggested. Ingrid Torjesen investigates Ingrid Torjesen Email continues below advert RESEARCH UPDATE Lifetime risk of atrial fibrillation according to optimal, borderline, or elevated levels of risk factors: cohort study based on longitudinal data from the Framingham Heart Study Laila Staerk, Biqi Wang et al Age and sex of surgeons and mortality of older surgical patients: observational study Yusuke Tsugawa, Anupam B Jena et al Links between age and sex of surgeons and patients’ outcomes Natalie Coburn, Christopher J D Wallis et al Anticholinergic drugs and risk of dementia: case-control study Kathryn Richardson, Chris Fox et al COMMENT Margaret McCartney: AI in medicine must be rigorously tested Patience for patients David Oliver: Tube feeding and deteriorating patients—guidelines can take us only so far Doctors need to give up professional protectionism Narrow terms of reference mean that Jeremy Hunt’s review of gross negligence manslaughter will miss the point NEWS 2 sepsis score is not validated in primary care Effectiveness of antidepressants—should we rethink treatment duration? Mobile phone sign of degenerative cervical myelopathy Arm and leg reflexes in degenerative cervical myelopathy Author’s reply to Williams and Rowe The 100 000 Genomes Project: bringing whole genome sequencing to the NHS Obituary: David Delvin: GMC rebel and bestselling author EDUCATION Exploring low mood in a person with cancer A 54 year old man asks his doctor for a sleeping tablet. He has recently been diagnosed with a Dukes B adenocarcinoma of the rectum and seems low in mood. Although he has been given a good prognosis, has completed neoadjuvant chemotherapy, and is booked... Depression and anxiety in patients with cancer Advances in cancer treatments mean that half of people now diagnosed with cancer can expect to survive for at least 10 years, defining many cancers as long term conditions. Psychiatric illnesses such as depression and anxiety are common, but often neglected,... Recurrent haemoptysis in a child with advanced cystic fibrosis lung disease A 12 year old boy with cystic fibrosis has advanced lung disease (FEV 30%-40% predicted) and needs monthly intravenous antibiotics given through an implanted venous access device (visible in the radiograph in ). He has experienced recurrent life threatening... Finger metastasis from renal cell carcinoma An 83 year old woman presented with painful swelling of the left third finger following minimal trauma. Six months earlier she had noticed spontaneous ecchymosis at the same fingertip. Her medical history included a nephrectomy for metastatic renal cell... Smart monitoring . . . and other stories Smartwatches use photoplethysmographic sensors to measure heart rate. Analysed by a neural network, the same data can be used to identify atrial fibrillation. At the moment, the investigators are calling it proof-of-concept, but it might not be long... CAREERS Lucy Kalanithi: Work, life, grief, love Jobs for you from BMJ Careers   Drivers Medical Panel Member / Chair     Nationwide     Drivers Medical Panel Member / Chair     Nationwide     Clinical Lecturer in Physician Associate Studies     Hertford, Hertfordshire     Clinical Lecturer     Warwick, Warwickshire     Consultant in Public Health     Welwyn Garden City, Hertfordshire     More jobs ▶

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