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A new beginning

A new beginning
This month
Internet Bandolier

A new beginning


In cricket we are told that batsmen who reach a century should calm down, take a fresh guard, and re-set their minds so that they start on another hundred. So a new beginning for Bandolier might have been better with issue 101 , but 102 is pretty close.

The good news is that a lot of individuals and organisations have signed up to the new regime, and the Bandolier print run will certainly be healthy, if not quite as large as before. So thank you to all who have subscribed, and helped keep Bandolier running as an independent source of evidence-based information on healthcare. What we also want to continue is the regular flow of questions and queries from readers. We may not be able to answer them all immediately, but they inform our thinking and searching, and keep us relevant.

This month


Studies keep coming out about how much evidence is being used, and sometimes about how much it is not used. This month we were taken with a study indicating that guidelines can be evidence-free zones, or at least limited in the amount of evidence they quote in the form of randomised trials and systematic reviews. Whenever people look at guidelines, problems about the use of evidence arise.

Bandolier is also interested in things we do that don't work. This month a study of arthroscopy for osteoarthric knees shows that, whatever else, lavage and arthroscopy relieve pain no more than a placebo operation. In the USA, that is a $3.5 billion dollar industry. We are also interested in evidence that for-profit hospitals have higher death rates than not-for-profit, the links between smoking and impotence , family interventions for delinquency , depression in advanced disease, and a re-assertion on the efficacy of influenza vaccination in older people.

Internet Bandolier


There is much new, especially on pain. The acute pain ladder has been updated following updates on a number of common analgesics, as has the ladder for migraine treatments . There is also more evidence on paracetamol and coxibs in arthritis . Most of the useful papers on gout that we could find have been put onto the site. And finally, there is a review of reviews on sildenafil for erectile dysfunction .



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