TL
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TL wrote a new post, How safe is your prescribing? 9 years, 2 months ago
We know that there is a large gap between the evidence of how medications should be used, and what happens in practice.It is estimated that between 2 and 3% of hospital admissions in Australia are medication […]
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TL wrote a new post, Arthroscopy for degenerative meniscal tears 9 years, 9 months ago
Arthroscopy for degenerative meniscal tears in middle aged patients is a common procedure. Does it help?
No, not significantly, according to a recent systematic review in the CAMJ.
There was a short term […]
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TL wrote a new post, Shared Decision Making – 30 Years On, What’s Changed? What’s Next? 9 years, 9 months ago
The Evidence Communication Innovation Collaborative (ECIC)’ of the Institute of Medicine has published a paper that explores ways to improve the communication and understanding of evidence important to […]
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TL wrote a new post, Is General Practice good value for money? 10 years ago
Last year taxpayers spent A$6.3 billion on GP services through Medicare, about 6% of the total government health expenditure.The authors of the Bettering the Evaluation and Care of Health (BEACH) program <a […]
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TL wrote a new post, Top 10 Pathology Tests to Avoid 10 years ago
The Royal College of Pathologists of Australasia (RCPA) this month has unveiled new guidelines to reduce Inappropriate Pathology Requesting in Australasia.
The Top 10 recommendations are :
Do not perform […]
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TL wrote a new post, Corticosteroids for acute exacerbations of COPD 10 years, 2 months ago
Oral steroids are effective for treating acute exacerbations of COPD. […]
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TL wrote a new post, Oral or transdermal opioids for osteoarthritis of the knee or hip? 10 years, 2 months ago
Bugger. The benefits of opioids in osteoarthritis are probably outweighed by the […]
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TL wrote a new post, The best diet is the one people will stick to 10 years, 2 months ago
Comparison of weight loss among named diet programs in overweight and obese adults: a meta-analysis.:
More evidence that you can lose weight on any diet. The trick is keeping it off.
“Significant weight loss […]
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TL wrote a new post, Strategies for discontinuation of PPIs 10 years, 2 months ago
Strategies for discontinuation of proton pump inhibitors: a systematic review.
According to this review in ‘Family Practice’, “Discontinuation of PPIs is feasible in a clinical setting, and a substantial number […]
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TL wrote a new post, Do steroid injections help lumbar spinal stenosis? 10 years, 2 months ago
A randomized trial of epidural glucocorticoid injections for spinal stenosis.
Unfortunately, in this trial published in the NEJM recently, at 6 weeks there were no differences between those given steroid […]
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TL wrote a new post, The Art of Deprescribing 10 years, 2 months ago
First do no harm: a real need to deprescribe in older patients | MJA Online Sept 22nd (1)
The benefits and harms of deprescribing | MJA Online Sept 22nd (2)
Emperor Joseph II: My dear young man, don’t take it […]
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TL wrote a new post, Over treatment of Mild Hypertension – Too Much Medicine? | The BMJ 10 years, 2 months ago
Mild hypertension in people at low risk | The BMJ
As the ‘threshold’ level of hypertension has been lowered over the years, more and more people have been diagnosed with hypertension.
A 2012 Cochrane review of […]
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TL wrote a new post, Cholesterol Tests – non fasting is OK 10 years, 2 months ago
Tools for Practice this week confirmed that it is unnecessary (? and cruel) to make our patient fast for a cholesterol test.
The differences between fasting and non fasting levels are not clinically […]
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TL wrote a new post, Safe and effective medicines use by consumers 10 years, 6 months ago
A recent Cochrane review looked at interventions to […]
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TL wrote a new post, Diabetes Follow Up – Three months or six months? 10 years, 7 months ago
Diabetes Obes Metab. 2014 Mar 17. doi: 10.1111/dom.12288. [Epub ahead of print]:
Effectiveness and cost-effectiveness of 3-monthly versus 6-monthly monitoring of well-controlled type 2 diabetes patients: a […] -
TL wrote a new post, Mediterranean Diet wins again! 10 years, 7 months ago
Diabetes Care. 2014 Apr 10. [Epub ahead of print]
The Effects of a Mediterranean Diet on Need for Diabetes Drugs and Remission of Newly Diagnosed Type 2 Diabetes: Follow-up of a Randomized Trial – Esposito K1, […] -
TL wrote a new post, Handbook of Non Drug Interventions 10 years, 8 months ago
The RACGP is collating a series of articles that will together comprise a Handbook of non-drug interventions (“HANDI” ).From the HANDI site:
“Advances in non-drug treatments in the past few decades have been […]
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TL wrote a new post, Continuity of Care reduces the Risk of Preventable Hospital Admissions 10 years, 9 months ago
Continuity of Care and the Risk of Preventable Hospitalization in Older Adults
Nyweide DJ, Anthony DL, Bynum JP, et al. Continuity of care and the risk of preventable hospitalization in older adults. JAMA Intern […] -
TL wrote a new post, Should we use Aspirin with Warfarin? 10 years, 9 months ago
Use and Associated Risks of Concomitant Aspirin Therapy With Oral Anticoagulation in Patients With Atrial Fibrillation
Circulation 2013;128(7):721-728.Should we use Apsirin with Warfarin?
Probably not, as […]
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