Eyes on Evidence

Latest news roundup from Eyes on Evidence

A cohort study reports that rates of death from both natural and external causes are higher in people who self-harm than would be expected in the general population.
Probiotics in antibiotic-associated diarrhoea
A systematic review suggests that probiotics can reduce antibiotic-associated diarrhoea.

‘Anti-fat’ bias among doctors
Results of a web-based survey, designed to assess attitudes towards weight, reveal implicit and explicit ‘anti-fat’ bias among doctors.

Domestic violence presenting in primary care
A survey examines knowledge, attitudes and clinical skills related to domestic violence in selected UK general practices.
Small benefits of Z drugs over placebo for insomnia
A meta-analysis has found that Z drugs reduce the time taken to fall asleep by 22 minutes compared with placebo. However, this result may not be clinically significant and any benefit of Z drugs must be balanced against their well-documented risks.
Hormone replacement therapy (HRT): cardiovascular outcomes after recent menopause
Data from long-term follow-up of an open-label randomised controlled trial suggest that HRT reduces cardiovascular endpoints in women if started early after menopause. However, limitations of the analysis make interpretation of the results difficult.
Case studies from the Quality, Improvement, Productivity, and Prevention (QIPP) collection
We highlight 2 new examples from the QIPP collection, demonstrating how NHS organisations have implemented new local practices that have both cut costs and improved quality.

Evidence Updates
NICE has recently published Evidence Updates on:

  • Self-harm: longer term management
  • Autism diagnosis in children and young people

Recent Obs and Gynae article

Bully for you: Workplace harassment of obstetrics and gynaecology trainees

K Cresswell, I Ghinai, E Singer, W Lodhi, M Nauta… – … of Obstetrics & Gynaecology, 2013
According to the General Medical Council (GMC), bullying is said to occur when an individual or group abuses a position of power or authority over another person or persons, leaving the victim (s) feeling hurt, vulnerable, angry or powerless (BMA 2012).  Bullying of

Prophylactic Wound Drainage in Orthopaedics

[PDF] Prophylactic Wound Drainage in Orthopaedics:
A Comparative Evaluation of Closed Suction Drainage versus No-Drainage in a Nigerian Teaching Hospital

IA Ikpeme, NE Ngim, IU Ilori, E Oku, AM Udosen – 2013
ABSTRACT :  Surgical wound drainage is practised routinely by many orthopaedic surgeons despite studies that challenge the practice. Among proponents, the  advantages of drainage include prevention of haematoma and/or seroma formation which