{"id":34435,"date":"2015-06-15T11:56:00","date_gmt":"2015-06-15T10:56:00","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=34435"},"modified":"2015-06-15T11:56:52","modified_gmt":"2015-06-15T10:56:52","slug":"the-bmj-today-cervical-screening-pyoderma-gangrenosum-and-pay-for-performance","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/15\/the-bmj-today-cervical-screening-pyoderma-gangrenosum-and-pay-for-performance\/","title":{"rendered":"The BMJ Today: Cervical screening, pyoderma gangrenosum, and pay for performance"},"content":{"rendered":"<p><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/cervical_smear_slide.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-34437\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/cervical_smear_slide-150x150.jpg\" alt=\"cervical_smear_slide\" width=\"150\" height=\"150\" \/><\/a>\u2022\u00a0<\/strong><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2729\">Cervical screening programmes<\/a> often stop at around the age of 65 and focus on younger women. In their analysis article, Susan Sherman and colleagues argue that, with an ageing population, the upper age limit for cervical screening needs to reflect this. They also call for awareness campaigns to target older as well as younger women.<!--more--><\/p>\n<p>\u2022\u00a0The validity of the Quality and Outcomes Framework\u2014a pay for performance programme to improve care in UK general practice that constitutes roughly 13% of practice income\u2014is questioned by Martin McShane and Edward Mitchell. In their analysis article, they suggest how it should change in the future.<\/p>\n<p><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/pyoderma-gangrenosum.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-34438\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/pyoderma-gangrenosum-150x150.jpg\" alt=\"pyoderma-gangrenosum\" width=\"150\" height=\"150\" \/><\/a>\u2022\u00a0<\/strong>In research, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2958\">a randomised controlled trial<\/a> involving 112 patients by Anthony D Ormerod and colleagues compares the two most commonly used treatments for the rare and severe skin disease pyoderma gangrenosum\u2014prednisolone and ciclosporin. In <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h3175\">an accompanying editorial<\/a>, Jan Robert Mekkes, dermatologist at the University of Amsterdam, explains how the results for the trial showed both to be of \u201ccomparable effectiveness,\u201d and goes on to say \u201cwe now have documented evidence on the efficacy of these two standard treatments for pyoderma gangrenosum. This paves the way for future trials: new treatments can be compared head to head with prednisolone or ciclosporin.\u201d<\/p>\n<p><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/older_woman1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-34439\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/older_woman1-150x150.jpg\" alt=\"older_woman\" width=\"150\" height=\"150\" \/><\/a>\u2022<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h3253\">\u00a0<\/a><\/strong><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h3253\">In her news story<\/a>, Caroline White reports on Westminster Health Forum\u2019s keynote seminar on improving care for older people in London where one speaker said, \u201cThere has been a very steep decrease in the absolute numbers of people receiving services over the past five years.\u201d He also said, \u201cWhen you control for the demographic effect, where more people are in need of social care, year on year, that decrease is close to 40%.\u201d<\/p>\n<p><strong>\u2022\u00a0<\/strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/12\/jeffrey-aronson-when-i-use-a-word-medical-logos\/\">Jeffrey Aronson\u2019s blog on logos<\/a>, including those of medical institutions, certainly made me look at some symbols differently. As he explains, \u201cthe dictionary definition doesn\u2019t really do justice to the complete range of uses of logos.\u201d<\/p>\n<p><em><strong>Sally Carter<\/strong> is a technical editor, <\/em>The BMJ<em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2022\u00a0Cervical screening programmes often stop at around the age of 65 and focus on younger women. In their analysis article, Susan Sherman and colleagues argue that, with an ageing population, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/15\/the-bmj-today-cervical-screening-pyoderma-gangrenosum-and-pay-for-performance\/\">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-34435","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Cervical screening, pyoderma gangrenosum, and pay for performance - 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\/06\/15\/the-bmj-today-cervical-screening-pyoderma-gangrenosum-and-pay-for-performance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: Cervical screening, pyoderma gangrenosum, and pay for performance - The BMJ\" \/>\n<meta property=\"og:description\" content=\"\u2022\u00a0Cervical screening programmes often stop at around the age of 65 and focus on younger women. 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