British medical bulletin
-
British medical bulletin · Sep 2022
Meta AnalysisLigament Advanced Reinforcement System (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis.
Several strategies are available for posterior cruciate ligament (PCL) reconstruction. ⋯ LARS for primary isolated PCL reconstruction seems to be effective and safe, with results comparable to the 4SHT autograft.
-
British medical bulletin · Sep 2022
Meta AnalysisAntiresorptive treatments for corticosteroid-induced osteoporosis: a Bayesian network meta-analysis.
Corticosteroid-induced osteoporosis (CIO) is the most common type of secondary osteoporosis, leading to fractures, and increased morbidity and mortality. ⋯ I, Bayesian network meta-analysis of randomized clinical trials.
-
'Assisted dying' is practiced in some European countries and US states. Legislation suggests that there exists an easily prescribed drug which consistently brings about death quickly and painlessly. Evidence from jurisdictions where 'assisted dying' is practiced, however, reveals that hastening patient death is not so simple. ⋯ In order to properly assess the efficacy and safety of 'assisted dying', a more thorough means of data collection regarding the drugs used must be implemented and research is urgently needed into their mode of action.
-
British medical bulletin · Jul 2022
ReviewTackling organ donation among minority ethnic communities in the UK-a whole systems approach.
There are inequalities experienced by minority ethnic groups in the UK in organ donation and transplant services, with significant variation in relation to demand for, access to and waiting times for these services. ⋯ Improved access to transplantation and reduced waiting times can be achieved to increase the number of organ donors from minority ethnic groups if there are concerted and adequately resourced culturally competent interventions with concomitant evaluation programmes.
-
British medical bulletin · Jul 2022
British medical bulletin article: resourcing of palliative and end of life care in the UK during the Covid-19 pandemic.
Covid-19 led to a sustained increase in deaths in all four United Kingdom nations, placing strain on the UK's palliative and end-of-life care sector and raising concerns about the long-term sustainability of the sector's funding and resourcing model in the face of rising demand for these services in the coming decades. ⋯ Although there has been a rapid growth in knowledge during Covid-19, gaps still remain including: the reasons underlying shifts to deaths at home and the implications for family carers; the education needs of the wider healthcare workforce in palliative care; the impact of specialist palliative care services on the wider health system, including hospital admissions and place of death; and inequalities in the experiences of dying, death and bereavement during Covid-19 among groups such as those from lower socioeconomic groups and BAME communities.