The cardiac continental divide . . . and other storiesBMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2543 (Published 01 June 2017) Cite this as: BMJ 2017;357:j2543
Heart failure around the world
It’s clear from the INTER-CHF cohort study that heart failure has different trajectories across different continents, and that the greatest need is where the resources are poorest. Most patients diagnosed with heart failure in Africa are in their early 50s, and one third of them die within a year of diagnosis (Lancet Glob Health doi:10.1016/S2214-109X(17)30076-1), whereas in the UK, the average age at diagnosis is 76, and one year mortality is 19% (Fam Pract doi:10.1093/fampra/cmw145).
Subcutaneous is as just as good as IV
Rituximab given intravenously is standard maintenance treatment for B cell non-Hodgkin’s lymphoma. Administering it takes up to six hours, and often means a whole day out for patients, while providers …