{"id":33844,"date":"2015-04-07T10:47:46","date_gmt":"2015-04-07T09:47:46","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=33844"},"modified":"2015-04-07T10:54:18","modified_gmt":"2015-04-07T09:54:18","slug":"the-bmj-today","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/07\/the-bmj-today\/","title":{"rendered":"The BMJ Today: Lucentis vs Avastin, teenagers with back pain, and a maternal blood test for Down&#8217;s syndrome"},"content":{"rendered":"<p><em>\u2022 <a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/amd.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-33845\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/amd-300x194.jpg\" alt=\"amd\" width=\"182\" height=\"118\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/amd-300x194.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/amd.jpg 540w\" sizes=\"auto, (max-width: 182px) 100vw, 182px\" \/><\/a>The BMJ<\/em>&#8216;s <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1654\">investigation looking at why UK doctors have had difficulty prescribing the drug Avastin<\/a> to treat wet age related macular degeneration rather than the more expensive Lucentis has provoked <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1654\/rapid-responses\">some interesting responses<\/a>, including ones <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1654\/rr\">from Niall Dickson, chief executive of the General Medical Council<\/a>, and <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1723\/rr\">Stephen JW Evans, professor of pharmacoepidemiology<\/a> at the London School of Hygiene and Tropical Medicine.<\/p>\n<p>\u2022 In research news,\u00a0<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1797\">a large multi-centre, prospective study<\/a> published in the <em>New England Journal of Medicine<\/em> has found that taking a blood sample from women at 10 to 14 weeks of pregnancy and analysing cell-free foetal DNA for an extra chromosome is more effective than standard non-invasive screening tests in diagnosing Down\u2019s syndrome.<!--more--><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/back_pain_teen.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-33846\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/back_pain_teen-300x247.jpg\" alt=\"back_pain_teen\" width=\"137\" height=\"113\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/back_pain_teen-300x247.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/back_pain_teen.jpg 422w\" sizes=\"auto, (max-width: 137px) 100vw, 137px\" \/><\/a>\u2022 In his 10 minute consultation, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1275\">Adam D Jakes explains how &#8220;back pain in teenagers is common,&#8221;<\/a> and that &#8220;characterising the pain and identifying the presence of red flags are vital to ensuring that potentially serious conditions are identified.&#8221;<\/p>\n<p>\u2022 And finally, <a href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/02\/jeffrey-aronson-when-i-use-a-word-phonemes-shmonemes\/\">take a look at Jeffrey Aronson&#8217;s blog.<\/a> An interaction with a patient\u2014&#8221;That specialist registrar you referred me to was totally useless,\u201d said Pat. \u201cWhat an insolent shmuck. Doc, don\u2019t ever become a registrar\u201d\u2014caused him to look closely at the &#8220;sh&#8221; phoneme. I learnt a lot and had a good giggle.<\/p>\n<p><em><strong>Sally Carter<\/strong> is lead technical editor for the education section.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2022 The BMJ&#8216;s investigation looking at why UK doctors have had difficulty prescribing the drug Avastin to treat wet age related macular degeneration rather than the more expensive Lucentis has [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/07\/the-bmj-today\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-33844","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Lucentis vs Avastin, teenagers with back pain, and a maternal blood test for Down&#039;s syndrome - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/07\/the-bmj-today\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: Lucentis vs Avastin, teenagers with back pain, and a maternal blood test for Down&#039;s syndrome - The BMJ\" \/>\n<meta property=\"og:description\" content=\"\u2022 The BMJ&#8216;s investigation looking at why UK doctors have had difficulty prescribing the drug Avastin to treat wet age related macular degeneration rather than the more expensive Lucentis has [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/07\/the-bmj-today\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2015-04-07T09:47:46+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-04-07T09:54:18+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/amd-300x194.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/07\\\/the-bmj-today\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/07\\\/the-bmj-today\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"The BMJ Today: Lucentis vs Avastin, teenagers with back pain, and a maternal blood test for Down&#8217;s syndrome\",\"datePublished\":\"2015-04-07T09:47:46+00:00\",\"dateModified\":\"2015-04-07T09:54:18+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/07\\\/the-bmj-today\\\/\"},\"wordCount\":236,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/07\\\/the-bmj-today\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/amd-300x194.jpg\",\"articleSection\":[\"The BMJ today\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/07\\\/the-bmj-today\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/07\\\/the-bmj-today\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/04\\\/07\\\/the-bmj-today\\\/\",\"name\":\"The BMJ Today: Lucentis vs Avastin, teenagers with back pain, and a maternal blood test for Down's syndrome - 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