Richard Lehman’s journal review – 1 August 2011

JAMA 27 July 2011 Vol 306 The management of early invasive breast cancer has evolved gradually though improved understanding of its natural history together with improved deployment of chemotherapy and radiotherapy. We also now have better ways of detecting micrometastases in lymph nodes and bone marrow and this American study reports on their prognostic significance […]

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The COMET Initiative’s second meeting – a truly international affair

The second meeting of the COMET (Core Outcome Measures in Effectiveness Trials) Initiative (COMET-2) was held on 11-12 July 2011 in Bristol and was attended by more than 150 researchers and trialists, systematic reviewers, health service users, healthcare practitioners, journal editors, research funders, policy makers and regulators. […]

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Martin McShane: One small step

Back in May 2010 the professional executive committee and NHS Lincolnshire board agreed to delegate the management of the minor surgery local enhanced service to the practice based commissioning (PBC) Groups.  A lot of discussion and analysis had taken place prior to this decision. Practices had said that the historical budget was insufficient to meet […]

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Domhnall MacAuley: My big fat gypsy wedding

The TV programme My big fat gypsy wedding made me cringe. We cared for a large community of travelling people for many years and I felt embarrassed on their behalf. Some traveller women I spoke to felt let down by these programmes. The cold documentary eye made the lavish weddings and extraordinary dresses look absurd. They […]

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Should it be compulsory for adult cyclists to wear helmets?

Last week the bmj.com poll asked “Should it be compulsory for adult cyclists to wear helmets?” 68% of respondents voted no, out of a total 1,439 votes cast. The question triggered an interesting debate. Below are a selection of the comments posted in response to the poll. Sven Felsby: The idea of forcing cyclists to […]

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