This month in Eyes on Evidence

HIV testing in healthcare settings other than specialist clinics
A systematic review and meta-analysis reported a low rate of HIV testing in at-risk populations in settings other than genitourinary medicine, sexual health and antenatal clinics in the UK.

Allopurinol for chronic gout
A Cochrane review found limited evidence from randomised controlled trials to support the efficacy and safety of allopurinol over placebo and other urate-lowering medicines in chronic gout. Significantly more adverse events were reported with allopurinol than febuxostat, but there was no difference in serious adverse events or withdrawal due to adverse events.

Genetic testing for fetal chromosome abnormalities
A US multicentre observational study found that non-invasive genetic prenatal testing was more accurate than standard prenatal screening at identifying fetuses with chromosome abnormalities.

Child safeguarding in acute healthcare services
A cross-sectional audit at a single UK hospital reported that asking adults who presented with mental health problems, drug or alcohol misuse, or problems related to violent behaviour, about children at home identified a considerable number of child safeguarding cases.

Local food environment and diet in children and young people
A systematic review found some evidence that the availability and accessibility of food outlets and the local availability and cost of specific foods affected diet in children and young people.

New NICE Evidence Search
NICE Evidence Search is now mobile friendly and links more closely to key NICE guidance topics and pathways.

Case study from the Quality and Productivity collection
We highlight 1 new example from the Quality and Productivity collection demonstrating how NHS organisations have implemented new local practices that have both cut costs and improved quality.

• Pharmacist-led repeat prescription management: ensuring appropriate prescribing and reducing wastage

Evidence Updates
NICE has recently published an Evidence Update on:

• Feverish illness in children

Changes to NICE evidence awareness products
NICE has announced some changes to 2 of its evidence awareness products: Evidence Updates and Eyes on Evidence. Evidence Updates are being replaced by new guideline surveillance reports, and Eyes on Evidence has moved to a new home on the NICE website.

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