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Doing better with everyday clinical problems

BMJ 2002; 325 doi: (Published 14 December 2002) Cite this as: BMJ 2002;325:0-h

Journals are better at stirring up debate than at having an immediate benefit on patient care, but if all BMJ readers were to read all this issue and change what they do, the benefits to patients might be huge.

A fifth of men and one in 20 women experience renal colic. Many are admitted immediately to hospital, but evidence based guidelines suggest that primary care doctors should give patients 75 mg of intramuscular diclofenac and admit them to hospital only if they still have pain after an hour (p 1408). The guidelines give advice on every aspect of care. …

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