Richard Lehman’s journal review—24 November 2014

NEJM 20 November 2014 Vol 371 1963 The melanoma trials last week got me thinking about how the current model of cancer drug research lets down trial participants and dying patients. Between 2002 and 2014, there have been 71 drug approvals by the Food and Drug Administration (FDA) for the treatment of metastatic and/or advanced and/or […]

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David Zigmond: Payments for diagnosing dementia—what are the hidden costs?

Payment by results in matters of complex welfare can easily subtract from, rather than add to, our greater good. The recent and mooted NHS initiative for payment by results—to pay GPs £55 for each new dementia diagnosis—matches any folly in our contemporary gallery of well intentioned welfare misconceptions. This fresh folly draws from these simplistic […]

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Paul Laboi: Making dialysis care more person centred

It’s increasingly recognised that empowering people to take a greater role in managing their healthcare is beneficial for both patients and healthcare professionals, especially for those living with long term conditions. Evidence shows that many people enjoy taking an active role in their treatment, and that doing so can lead to better outcomes and improved […]

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Chris​ Simms: What can Senegal teach the West about dealing with Ebola?

Ten years ago, Peter Piot (the discoverer of Ebola) wrote the foreword to a collaborative effort on HIV strategies by nearly 200 scientists. He warned that an effective country response to the epidemic requires adherence to the so called “Three Ones” principle: a single national strategy, coordinated by one agency, and supported by one monitoring and […]

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Khaled E Emam: Pseudonymous data is not anonymous data

Recently, efforts have been made to make health data more generally available for secondary purposes, including research. These include the recent policy announcements from the European Medicines Agency (EMA) on making clinical trials data available, industry efforts to do the same, as well as care.data in the UK. All of these are premised on being able […]

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