Eyes on Evidence: April edition

This month in Eyes on Evidence

E-cigarette awareness and use to quit smoking
A survey suggests that awareness and use of e-cigarettes has increased over the past few years, but a randomised controlled trial indicates that the products are only modestly effective at helping people to quit smoking.

Beta-2 agonists and exercise-induced asthma
A Cochrane review has assessed the effects of short and long-acting beta-2 agonists for the prevention of exercise-induced asthma in adults and children; the majority of included studies assessed the effect of a single dose of a beta-2 agonist. The Medicines and Healthcare Products Regulatory Agency has previously issued advice recommending that long-acting beta-2 agonists should not be prescribed for the relief of exercise-induced asthma symptoms in the absence of regular inhaled corticosteroids.

Blood pressure control with home telemonitoring and pharmacist management
A US-based cluster randomised trial indicates that home telemonitoring with pharmacist medication management provides better blood pressure control than usual primary care, even once telemonitoring has finished.

Risk factors for congenital abnormalities
A prospective study of a UK multi-ethnic birth cohort suggests that consanguinity is a major risk factor for congenital abnormalities, in particular in children of parents of Pakistani origin.

Antidepressant use late in pregnancy and risk of postpartum haemorrhage
A cohort study of women with low income in the USA suggests that use of antidepressants near delivery is associated with an increased risk of postpartum haemorrhage.

CT scans in childhood or adolescence and risk of cancer
A population-based cohort study in Australia suggests that people who undergo CT scans in childhood or adolescence are at increased risk of developing solid, lymphoid and haematopoietic cancers.

Evidence Updates
NICE has recently published an Evidence Update on:
Alcohol-use disorders: preventing harmful drinking

BMJ Clinical Evidence: 2 new reviews

BMJ Clinical Evidence covers a wide range of conditions.  You can view the latest 2 online by following the link above. Make sure you have your Athens account details available.

Fungal toenails and Dystonia.

Updated topic: Dystonia

Dystonia is often a lifelong condition, with persistent pain and disability. A large spectrum of drug, surgical and physical treatments are available for the treatment of dystonia but use of these in practice can be inconsistent. The latest BMJ Clinical Evidence systematic review highlights the evidence base for the treatment of dystonia and where further research is required. 

To sign in or register to ‘My BMJ Clinical Evidence’, click here.

AQuA Bulletin: Issue 80

Issue: 80 of the AQuA Bulletin is exclusively available on the AQuA Portal (click here to log on and download).aqua-logo_

AQuA aims to bring a mixture of tools and publications aimed at improving healthcare services, providing links to more information and resources, highlighting areas for action and participation.

In the current issue:

Top Stories

  • Reducing harm to patients
  • Updated Asthma IOP launched
  • BMJ Quality & Safety: a collection of key articles
  • Horizon Scanning  A new settlement for health and social care
  • Safer Care – New drive to end deliberate face-down restraint
  • Patient Experience – Right to ‘ask’ for personal health budgets begins
  • Innovation – Mental health teams in police stations and courts scheme goes live
  • Patient Experience -Hospital stays improving, finds CQC
  • Innovation -Guidance for unplanned admissions enhanced services
  • Horizon Scanning – Clinical commissioning groups one year on.
  • Safer Care – Professionals divided over hip fracture care
  • Public Health – CMO annual report published on state of the public’s
    health
  • Prevention – NICE recommends tests to help diagnose and manage asthma
  • Horizon Scanning – Update on rising scarlet fever numbers across England
  • Data & Intelligence – Data round up…