Adverse effects of antidepressants in younger adults

  SSRIs might have higher rates of fracture than tricyclic antidepressants but lower mortality and adverse reactions. Carl Heneghan Antidepressants are commonly prescribed. Yet, in those under 65, there is scant evidence on the risks associated with their use. A recent publication in BMC  looked at these risks in a cohort of 20 to 64-year […]

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Do I need the drugs, doc? Heart failure drugs with preserved ejection fraction.

Evidence suggests heart failure patients with preserved ejection fraction could benefit from beta-blocker treatment, guidelines do not. Jack O’Sullivan   There is a well-established list of medications that work in heart failure with a reduced ejection fraction. However, it is unclear if these drugs are clinically effective in patients with heart failure with a preserved […]

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Crystalloids or saline?

  Use of resuscitation fluids has largely been based on physiological principles rather than evidence. Carl Heneghan The debate over when to use crystalloids versus saline in unwell adults shows there has been considerable uncertainty about what to do in practice. Use of resuscitation fluids has largely been based on physiological principles rather than evidence. […]

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Evidence Watch: uncertainties with the evidence for influenza vaccination

  This week’s Evidence Watch highlights serious uncertainties with the current evidence-base for influenza vaccination Carl Heneghan, Editor in Chief  A systematic review of vaccines in the elderly [1] highlights the difference vaccination makes in a single season (lowers risk of influenza from 6% to 2.4%); but adds caution, in that we have very little […]

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Evidence Watch: Carl Heneghan’s view on evidence that impacts practice

  This week’s Evidence Watch highlights preoperative physio, the risk of heart disease in relation to the number of cigarettes smoked per day, use of antipsychotics in hospital and risk of pneumonia, the effect of exercise across 17 countries and the impact of having a large preterm baby.   Carl Heneghan, Editor in Chief Does a single […]

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Evidence Watch: Carl Heneghan’s selection of evidence that impacts on practice

  This week’s Evidence Watch highlights the risk of pre-eclampsia with metformin, the role of repeated influenza vaccination, de-prescribing medications and assessing harms in the elderly at the time of elective surgery. Carl Heneghan, Editor in Chief A meta-analysis evaluating the risk of pre-eclampsia in women taking metformin before, or during pregnancy found that there […]

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EBM library: Systematic reviews in policymaking – part 2

  The EBM library signposts some essential reading for the practice of Evidence-Based Medicine. In this part of the library, we highlight papers that reflect the role of systematic reviews in policymaking. Kamal Mahtani In part 1 of this series two papers highlighted why systematic reviews are important in policymaking, and some challenges this may bring. In […]

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BMJ Evidence-Based Medicine Strategy

  BMJ EBM publishes original evidence-based research, insights and opinions on what matters for health care. Carl Heneghan, Editor in Chief, BMJ EBM The BMJ Evidence-Based Medicine strategy focuses on the tools, methods, and concepts that are basic and central to practising evidence-based medicine.     How we deliver relevant, trustworthy and impactful evidence: By Disseminating relevant research: saving […]

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