We bring you the latest news from the healthcare about the health care in the United Kingdom.

vrijdag 5 januari 2018

The Lancet: [Department of Error] Department of Error

[Department of Error] Department of Error
Connolly SJ, Eikelboom JW, Bosch J, et al. Rivaroxaban with or without aspirin in patients with stable coronary artery disease: an international, randomised, double-blind, placebo-controlled trial. Lancet 2017; published online Nov 10. http://dx.doi.org/10.1016/S0140-6736(17)32458-3―The TIMI score was calculated incorrectly, without the use of all nine factors that made up the score, which resulted in changes to the composite primary outcome described in the text and shown in figure 4. There were also a few GUSTO bleeds that qualified in one of the categories, which resulted in changes to table 3.
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[Editorial] Personalised medicine in the UK
The future of personalised and genomic medicine in the UK was debated on Dec 14 in a seminar organised by the Westminster Health Forum.
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[Articles] Perioperative patient outcomes in the African Surgical Outcomes Study: a 7-day prospective observational cohort study
Despite a low-risk profile and few postoperative complications, patients in Africa were twice as likely to die after surgery when compared with the global average for postoperative deaths. Initiatives to increase access to surgical treatments in Africa therefore should be coupled with improved surveillance for deteriorating physiology in patients who develop postoperative complications, and the resources necessary to achieve this objective.
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[Comment] A snapshot of surgical outcomes and needs in Africa
It is estimated that two-thirds of the world's population do not have access to safe, affordable, and timely surgical care.1 Around 16・9 million people die from conditions that require surgical care each year, most of them in low-income and middle-income countries (LMICs).2 In 2014, Jim Kim, President of the World Bank, challenged the global community to address this injustice, and to develop targets to measure progress on effective coverage of surgical interventions.3 In response, the global surgery community developed a set of core surgical indicators that measure timely access, provider density, operative volume, surgical safety, and financial effects.
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[Seminar] Hepatocellular carcinoma
Hepatocellular carcinoma appears frequently in patients with cirrhosis. Surveillance by biannual ultrasound is recommended for such patients because it allows diagnosis at an early stage, when effective therapies are feasible. The best candidates for resection are patients with a solitary tumour and preserved liver function. Liver transplantation benefits patients who are not good candidates for surgical resection, and the best candidates are those within Milan criteria (solitary tumour ≤5 cm or up to three nodules ≤3 cm).
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