The Reproducibilty Problem / Replication Crisis in Science: a Pervasive Issue in Medicine? (BBC News / Nature / Elife)

Summary

It has been estimated that between 65% and 90% of researchers typically fail to reproduce fellow scientists’ research results. The Reproducibility Project: Cancer Biology has raised awareness of the prevalence of this problem in biomedical science. The issues are presumably more extreme still in the “softer” social science-related fields of medical / dementia research.

Full Text Link

Reference

Feilden, T. (2017). Most scientists ‘can’t replicate studies by their peers’. London: BBC Science & Environment News / BBC News Today Programme, February 22nd 2017.

This relates to:

Full Text Link

Reference

Baker, M. (2016). 1,500 scientists lift the lid on reproducibility. Nature. May 26th 2016; 533(7604): 452-4.

See also:

Full Text Link

Reference

[No authors listed]. The challenges of replication. Elife. January 19th 2017; 6. e23693.

Further:

Full Text Link

Reference

Nosek, BA. [and] Errington, TM. (2017). Making sense of replications. Elife. January 19th 2017; 6. e23383.

Back to Basics?

“The issue of replication goes to the heart of the scientific process”. Professor Malcolm Macleod.

Full Text Link

Reference

Mogil, JS. [and] Macleod, MR. (2017). No publication without confirmation. Nature. February 22nd 2017; 542(7642): 409-411.

Posted in BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Non-Pharmacological Treatments, Pharmacological Treatments, Quick Insights, Standards, Statistics, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Dance Movement Therapy for Dementia (Cochrane Database)

Summary

The authors of this systematic review wanted to assess the effects of dance movement therapy on behavioural, social, cognitive and emotional symptoms of people with dementia, and compare outcomes of such treatment to no treatment, standard care or any other treatment. So far, so promising:

“The latest NICE guideline for dementia highlights the value of diverse treatment options for the different stages and symptoms of dementia including non-pharmacological treatments. Relevant literature also argues for the value of interventions that acknowledge the complexity of the condition and address the person as a whole, including their physical, emotional, social and cognitive processes. At the same time, there is growing literature that highlights the capacity of the arts and embodied practices to address this complexity. Dance movement therapy is an embodied psychological intervention that can address complexity and thus, may be useful for people with dementia”.

As usually happens, this Cochrane Review points to a dearth of well-conducted research and reminds the reader just how much we don’t know.

“The greater the talent, the greater the doubt”? (Robert Hughes, paraphrased).

Full Text Link

Reference

Karkou, V. [and] Meekums, B. (2017). Dance movement therapy for dementia. Cochrane Database of Systematic Reviews. February 3rd 2017; 2: CD011022.

There is also an Executive Summary.

Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Scotland, Systematic Reviews, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Trends in Life Expectancy: International Comparisons (BBC / Lancet)

Summary

Researchers at Imperial College London and the World Health Organization (WHO) have analysed lifespan projections in 35 industrialised countries, partly with a view to informing the debate(s) regarding future challenges for pensions and elderly health and social care. They predict that all countries are likely to have people living longer in 2030. The life expectancy gap between men and women is expected to reduce in most countries. Interesting international health inequalities are exposed, with some surprises.

Full Text Link

Reference

Gallagher, J. (2017). Life expectancy to break 90 barrier by 2030. London: BBC Health News, February 22nd 2017.

This relates to:

Full Text Link

Reference

Kontis, V. Bennett, JE. [and] Mathers, CD. [et al] (2017). Future life expectancy in 35 industrialised countries: projections with a Bayesian model ensemble. The Lancet. February 21st 2017. [Epub ahead of print].

Posted in BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, International, National, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Sustainability and Transformation Plans: Reviewing Details (BBC News / King’s Fund)

Summary

A recent King’s Fund report explores the content of the Sustainability and Transformation Plans (STPs) for reform of health and care services in England. According to BBC News 28 of these 44 proposals involve closures or downgrading of hospital care in one form or another. Planned changes include the centralisation of certain services, such as A&E, trauma and stroke care. The planned advantages of these changes, and the main challenges in implementing STPs, are discussed.

Full Text Link

Reference

Triggle, N. [and] Schraer, R. (2017). Hospital cuts planned in most of England. London: BBC Health News, February 21st 2017.

This relates to:

Full Text Link

Reference

Ham, C. Alderwick, H. Dunn, P. [and] McKenna, H. (2017). Delivering sustainability and transformation plans: from ambitious proposals to credible plans. London: King’s Fund, February 21st 2017.

Posted in BBC News, Commissioning, In the News, Integrated Care, King's Fund, Local Interest, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Health and Social Care Integration: a Tale of Over-Optimism? (NAO / BBC News)

Summary

A recent National Audit Office (NAO) report warns that progress towards the integration of health and social care has been slower and less successful than expected. It has not yet delivered the efficiencies and savings that the Department of Health had been hoping to achieve. It has not yet delivered many of the expected benefits for patients, the NHS or local authorities. The Better Care Fund has not particularly achieved better value for money, better outcomes for patients or reductions in hospital activity. The government’s plans for integration of health and social care services across England by 2020 are in question.

As usual, the problems lie in the implementation rather than the theory. The general idea of more integrated care remains worthy and worthwhile, few would disagree.

“So far, benefits have fallen far short of plans, despite much effort. It will be important to learn from the over-optimism of such plans when implementing the much larger NHS sustainability and transformation plans”.

Full Text Link

Reference

Health and social care integration [Press Release]. London: National Audit Office (NAO), February 8th 2017.

This relates to:

Full Text Link

Reference

The Comptroller and Auditor General of the National Audit Office: Morse, A. (2017). Health and social care integration. Department of Health, Department for Communities and Local Government and NHS England. National Audit Office Report (HC 1011). Session 2016-17. London: The Stationery Office [Department of Health / Department for Communities and Local Government / NHS England / National Audit Office (NAO)], February 8th 2017.

There is also an Executive Summary.

A related BBC News item:

Full Text Link

Reference

Pressure on hospital beds ‘not improved by extra money’. London: BBC Health News, February 8th 2017.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, National Audit Office, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

People With Dementia Living Alone in the Community (Journal of Alzheimer’s Disease)

Summary

Research, based on experiences and outcomes concerning people with dementia living alone (with and without help from an informal caregiver) in Germany, indicates that it is possible – provided adequate support services are available – to survive without significant unduly increased health risks.

Full Text Link

Reference

Eichler, T. Hoffmann, W. [and] Hertel, J. [et al] (2016). Living alone with dementia: prevalence, correlates and the utilization of health and nursing care services. Journal of Alzheimer’s Disease. May 10th 2016; 52(2): pp.619-29.

Posted in Commissioning, Community Care, Depression, Falls Prevention, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Statistics, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment