British medical bulletin
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British medical bulletin · Apr 2023
ReviewMethods of assessing value for money of UK-based early childhood public health interventions: a systematic literature review.
Economic evaluation has an important role to play in the demonstration of value for money of early childhood public health interventions; however, concerns have been raised regarding their consistent application and relevance to commissioners. This systematic review of the literature therefore aims to collate the breadth of the existing economic evaluation evidence of these interventions and to identify the approaches adopted in the assessment of value. ⋯ Future resource allocations decisions regarding early childhood public health interventions may benefit from consistency in the evaluative frameworks and health outcomes captured, as well as consistency in approaches to incorporating non-health costs and outcomes, incorporating equity concerns and the use of appropriate time horizons.
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British medical bulletin · Apr 2023
Meta AnalysisDoes femoroacetabular impingement syndrome affect range of motion? A systematic review with meta-analysis.
It is unclear whether femoroacetabular impingement syndrome (FAIS) affect hip range of motion (ROM). ⋯ Further studies are needed to resolve the uncertainty of evidence about ROM restrictions in asymptomatic FAIm compared to healthy controls.
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British medical bulletin · Apr 2023
Meta AnalysisKnee osteoarthritis, joint laxity and PROMs following conservative management versus surgical reconstruction for ACL rupture: a meta-analysis.
Patients whose rupture of the anterior cruciate ligament (ACL) can be managed conservatively or undergo reconstruction surgery. ⋯ ACL reconstruction provides significant improvement in joint laxity compared to conservative management, but is associated with a significantly greater rate of knee osteoarthritis, despite similar results at PROM assessment.
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British medical bulletin · Apr 2023
ReviewChildren and bioethics: clarifying consent and assent in medical and research settings.
The concept of consent in the pediatric setting is complex and confusing. Clinicians and researchers want to know whose consent they should obtain, when a child can provide independent consent and how that is determined. The aim of this article is to establish what produces the justification to proceed with medical or research interventions involving children and the role of consent in that. I clarify concepts such as consent, assent, capacity and competence. ⋯ An account of children's well-being that accommodates children's interests during the transition to adulthood.
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British medical bulletin · Apr 2023
Slowing down or returning to normal? Life expectancy improvements in Britain compared to five large European countries before the COVID-19 pandemic.
Life expectancy is an important summary measure of population health. In the absence of a significant event like war or disease outbreak, trends should, and historically have, increase over time, albeit with some fluctuations. ⋯ While it is clear that Britain is making less progress in health than similar countries, more research is needed to explain why.