Swiss medical weekly
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Swiss medical weekly · May 2010
Review5% lidocaine medicated plaster in painful diabetic peripheral neuropathy (DPN): a systematic review.
Several pharmacological treatments are used to manage painful diabetic peripheral neuropathy (DPN). ⋯ The results suggest that the effects in pain reduction of 5% lidocaine medicated plaster are comparable to those of amitriptyline, capsaicin, gabapentin and pregabalin. Topical agents such as 5%LMP may be associated with fewer and less clinically significant adverse events than is the case for systemic agents. However, the results are limited by the number and size of studies included, and thus further studies are needed.
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Swiss medical weekly · May 2010
Barriers to Swiss guideline-recommended cholesterol management in general practice.
Standard guidelines for the management of dyslipidaemia are often not followed in general practice. The reasons for guideline non-adherence are not known. ⋯ More than half of all patients aged 35-80 years are not screened or treated according to current guidelines. The reasons are to an equal extent patient-related (relevant comorbidity) and physician-related (acceptance and knowledge of guidelines). These reasons should be considered when programmes to improve the quality of GPs' adherence to guidelines are implemented.