Minerva

Minerva

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e2273 (Published 28 March 2012) Cite this as: BMJ 2012;344:e2273

In a small pilot study of tremor, participants who experienced psychogenic tremor reported 65% more tremor than confirmed by objective actigraphy and those with organic tremor reported 28% more tremor than measured by actigraphy. Psychogenic patients reported significantly more tremor during the waking day than patients with organic tremor, despite having almost no tremor recorded by actigraphy (Brain 2012;135:117-23, doi:10.1093/brain/awr292). People with psychogenic tremor fail to perceive accurately that they do not have tremor for most of the day.

A cost-utility analysis of two options for vascular access in patients receiving haemodialysis—arteriovenous fistula or synthetic vascular access—reports that a universal policy of using arteriovenous fistula first doesn’t necessarily optimise clinical outcomes (Annals of Surgery 2012;255:181-6, doi:10.1097/SLA.0b013e31822f4e9b). Synthetic access is often required if the fistula does not mature. The fistula first strategy yields 2.19 quality adjusted life years compared with 2.06 for synthetic access first. Using an arteriovenous fistula …

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