Douglas Badenoch

I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I've been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it.. Ha! Hence The National Elf service.

Collaborative Care improves outcomes for people with diabetes and depression

Collaborative Care improves outcomes for people with diabetes and depression

Today, our cousin the Mental Elf has posted an important blog about the management of people with diabetes and depression. Around 20% of patients with diabetes meet diagnostic criteria for depression.  NICE guidelines state that Collaborative Care (CC) should form part of a well-developed stepped-care programme for people with moderate to severe depression and a …

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Diabetes education is more effective if it’s culturally sensitive

Diabetes education is more effective if it’s culturally sensitive

Another one to file under “stating the obvious”, you might think. Sadly, it’s not that obvious, as many patients would attest.This is also evidenced by the recent randomised controlled trial (RCT) on giving diet and lifestyle advice to try to prevent diabetes.  The paper in the Lancet reported a reduction in body weight in people …

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RCT finds that screening for type 2 diabetes in primary care did not improve clinical outcomes

RCT finds that screening for type 2 diabetes in primary care did not improve clinical outcomes

If we pick up a disease early, we can treat it early.  So screening tests must be a good thing, right? Not necessarily. Testing is only beneficial if it enables us to provide better care.  There are many examples from clinical practice that demonstrate how earlier is not necessarily better.  Sometimes “lead-time bias” can mislead …

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NHS England: Action for Diabetes

NHS England: Action for Diabetes

NHS England has announced a new strategy document for diabetes care, called Action for Diabetes. The document is for Clinical Commissioning Groups (CCGs), to serve as a reference on the work that is going on across NHS England.It will also be of interest to the wider community interested in diabetes care to see what action …

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More evidence needed for direct telephone support in diabetes care

More evidence needed for direct telephone support in diabetes care

There’s lots of interest in how we can use the increasingly ubiquitous telephone to improve diabetes care.  It’s important that we apply the same rigorous tests to these interventions as we do to others, and Read more on Testing Treatments don’t just assume that “new” means “better“.In resource-poor settings this is all the more important, …

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