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dinsdag 25 september 2018

The Lancet: [Articles] Adverse outcomes after arthroscopic partial meniscectomy: a study of 700 000 procedures in t...

[Articles] Adverse outcomes after arthroscopic partial meniscectomy: a study of 700 000 procedures in the national Hospital Episode Statistics database for England
Overall, the risk associated with undergoing arthroscopic partial meniscectomy was low. However, some rare but serious complications (including pulmonary embolism and infection) are associated with the procedure, and the risks have not fallen with time. In view of uncertainty about the effectiveness of arthroscopic partial meniscectomy, an appreciation of relative risks is crucial for patients and clinicians. Our data provide a basis for decision making and consent.
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[Comment] Potential harms of isolated arthroscopic partial meniscectomy
Meniscal tears are common in middle-aged and older adults,1 and most patients with osteoarthritis have concomitant meniscal tears. When a meniscal tear is judged to be a source of symptoms, arthroscopic partial meniscectomy is often done to remove the damaged meniscal tissue. This procedure is the most common orthopaedic surgery in countries with available data.2
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[Comment] Advancing global tuberculosis control after the UNGA-HLM
Data from WHO's Global Tuberculosis Report 20181 indicate that global efforts to control tuberculosis are not on target to achieve the goals of the WHO Strategy to end the global tuberculosis epidemic by 2030.2 According to the WHO report,1 in 2017 an estimated 10 million people (5·8 million men, 3·2 million women, and 1 million children) developed tuberculosis and 4 million people with tuberculosis remained undiagnosed and untreated. Two-thirds of this global tuberculosis case burden of 10 million cases was in eight countries: India (27%), China (9%), Indonesia (8%), the Philippines (6%), Pakistan (5%), Nigeria (4%), Bangladesh (4%), and South Africa (3%).
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[Articles] Measuring human capital: a systematic analysis of 195 countries and territories, 1990–2016
Countries vary widely in the rate of human capital formation. Monitoring the production of human capital can facilitate a mechanism to hold governments and donors accountable for investments in health and education.
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[Articles] Blinded outcomes and angina assessment of coronary bioresorbable scaffolds: 30-day and 1-year results from the ABSORB IV randomised trial
Polymeric BVS implanted with optimised technique in an expanded patient population resulted in non-inferior 30-day and 1-year rates of target lesion failure and angina compared with metallic DES.
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