Intended for healthcare professionals


Seven days in medicine: 1-7 November 2017

BMJ 2017; 359 doi: (Published 09 November 2017) Cite this as: BMJ 2017;359:j5153

Clinical guidelines

NICE advises DNA test for familial hypercholesterolaemia

GP medical records should be systematically examined to identify people at risk of familial hypercholesterolaemia, says updated guidance from the National Institute for Health and Care Excellence (NICE). Some 260 000 people in the UK are thought to have the condition, but only around 15% of cases are diagnosed. NICE recommends that records of patients with total cholesterol concentration above 7.5 mmol/L (age < 30) or 9.0 mmol/L (age ≥ 30) should be scrutinised. (Full story doi:10.1136/bmj.j5112)

Low glaucoma risk should not be referred

People with risk factors for glaucoma should be referred to specialist care only when their inner eye pressure reaches 24 mm Hg, a new NICE guideline says. Current practice is to refer patients with inner eye pressure of over 21 mm Hg. (Full story doi:10.1136/bmj.j5100)

General practice

Care “is worse” at limited company clinics

Patients registered at general practices in England that are owned by limited companies, including large organisations, reported worse experiences of care than other patients, a study showed. Researchers from Imperial College London examined GP patient survey responses from 7949 practices in England. Reporting in the Journal of the Royal Society of Medicine, they examined the frequency of consulting a preferred doctor, the ability to get a convenient appointment, ratings of doctors’ communication skills, ease of contacting the practice by phone, and the patient’s overall experience. (Full story doi: 10.1136/bmj.j506) …

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