Latest evidence updates from NICE
High-sensitivity cardiac troponin tests for diagnosis of heart attack
A meta-analysis and UK cohort study found that thresholds lower than those generally applied could be used with high-sensitivity cardiac troponin T or I tests to rule out myocardial infarction in people with chest pain.

First-line treatments for Helicobacter pylori
A systematic review and network meta-analysis of studies from more than 35 countries found differences in eradication rates for various Helicobacter pylori treatment regimens. However, differing levels of antibiotic resistance in the included studies may have influenced the efficacy of treatments.

Comprehensive care for older people after hip fracture
A randomised controlled trial in Norway of people aged 70 or over with hip fracture found that providing comprehensive geriatric assessment and care led to better mobility after surgery than standard orthopaedic care.

Experiences of carers for people with long-term conditions
A small UK qualitative study found that some carers of people with diabetes, kidney or heart disease did not consider their work legitimate caring and were reluctant to identify as a carer, which limited their ability to access support.

Personal financial incentives to change health-related behaviours
A meta-analysis reported that personal financial incentives helped people to achieve behavioural targets relating to smoking cessation or a healthy lifestyle, but any effects waned 3 months after the incentive stopped.

Evidence summaries from NICE’s Medicines and Prescribing Programme
NICE has recently published summaries on:

• Type 1 diabetes mellitus in adults: high-strength insulin glargine 300 units/ml (Toujeo)
• Coronary revascularisation: cangrelor
• Atrial fibrillation and chronic heart failure: systematic review suggests digoxin is not associated with increased mortality
• Type 2 diabetes: study finds empagliflozin reduces adverse cardiovascular outcomes

Contraception: reduced risk of endometrial cancer associated with combined oral contraceptives

 

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