Evidence
Alert

Male prisoners develop unhealthy hearts at younger ages than people on the outside

The risk of cardiovascular disease (CVD) is higher among male prisoners than among men of the same age who live in the community. CVD affects the heart and blood vessels and increases the risk of heart attacks and strokes. The largest European study of the heart health of prisoners found that more than one in ...

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Screening for lymphoedema after breast cancer surgery could identify women likely to benefit from compression sleeves

Some women having breast cancer surgery would benefit from screening to pick up lymphoedema (swelling of the arm that can become long-term). This can develop as a complication of surgery if lymph nodes are removed. Lymph nodes under the arm normally drain fluid from the breast. They may be removed during breast cancer surgery to ...

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Early warning scores used in hospitals must be based on sound science

Early warning scores have been used in UK hospitals since the late 1990s to minimise harm to patients. They are designed to highlight deterioration of a patient’s health using measurements of temperature, heart rate, blood pressure and other easily-measured signs.  Research has shown that changes in these signs could mean patients are at increased risk ...

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New tool for assessing the severity of type 2 diabetes could help personalise treatment and improve outcomes

A new severity scoring system for type 2 diabetes may be better at identifying patients at risk of declining health than the current commonly used blood test. The Diabetes Severity Score (DISSCO) is a computer algorithm that combines information routinely collected in primary care. Researchers found that a higher DISSCO score was linked to an ...

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Lung health checks in supermarket car parks reach older smokers in deprived communities

Tests carried out on mobile units parked in supermarket car parks were a popular and effective way to check the lungs of at-risk current and former smokers in a study in Manchester.     Simple tests of lung function in these mobile units found more than a third of those screened had evidence of airflow obstruction. This ...

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Damage to kidneys and eyes may start before people are diagnosed with diabetes

One in two people diagnosed with type 2 diabetes already have damage to their eyes, kidneys or heart. That damage is more likely if they had problems with blood sugar control before being diagnosed. Diabetes causes damage to blood vessels, because of poorly-controlled levels of sugar in the blood. These damaged blood vessels can lead ...

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New research supports the move to raise the blood pressure target for frail older people

Frail older people may not benefit from the same tight blood pressure control that has been shown to benefit relatively younger, healthier groups in existing trials. The medical records of more than 400,000 patients in primary care were reviewed. The researchers found that lower than normal blood pressures were associated with a higher death rate ...

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Interactive dashboard identifies patients at risk of unsafe prescribing in a flexible and sustainable way

The Salford Medication Safety Dashboard (SMASH) was successfully used in general practices with the help of on-site pharmacists. SMASH is a web application that flags up a list of patients who are potentially at risk from medicines they have been prescribed.  There was an initial period of increased workload when SMASH was used to review ...

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Public health messages on alcohol need to consider how and why people drink, not just how much

Public health messages about alcohol could be more effective if they reflect how and why patients drink, rather than simply focusing on how much alcohol is being consumed. There may be a need for more relevant public health campaigns to raise awareness of the long-term consequences of heavy drinking.   GPs can help patients reduce their ...

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GPs who make the most urgent referrals for cancer see the fewest cancer deaths among their patients

GP practices across England vary in how frequently they make urgent referrals for suspected cancer. Patients from general practices which make the most urgent referrals are more likely to have their cancer diagnosed at an early stage. A new study found that they are about 4% less likely to die within 5 years. This is ...

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