Paper of the Week: The Precision of Evidence Needed to Practice “Precision Medicine”

Hunter D.S. and Dan L. Longo D. L. (2019) newengl j med 380;25;2472-2475

What Are Polygenic Scores and Why Are They Important?

Full reference: JAMA May 14, 2019 Volume 321, Number 18 1820 -1821

The health equity measurement framework: a comprehensive model to measure social inequities in health

Full reference: Dover D.C. and Belon A.P.(2019) International Journal for Equity in Health 18;36

Paper of the Week: Optimality in cancer redefined for the 21st century.

The ROC Curve Redefined—Optimizing Sensitivity (and Specificity) to the Lived Reality of Cancer. New England Journal of Medicine, 2019 380(17), pp.1594-1595.

Walker, S.P. https://www.ncbi.nlm.nih.gov/pubmed/31018068

Knights and Knaves; even with the “wrong” incentives, most clinicians exhibit a culture of stewardship

https://onlinelibrary.wiley.com/doi/pdf/10.1002/hec.3875

Selective laser trabeculoplasty versus eye drops for first-line treatment of ocular hypertension and glaucoma (LiGHT): a multicentre randomised controlled trial

Paper of the Week 17th May 2019: Measuring What Matters in Diabetes

Better payment systems can support, but not replace, culture change

https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.05366

More info can be found at www.3vh.org

To assess the value of an innovation it is essential not only to assess cost effectiveness but to think what else could be done with the money, or with the time of the clinicians who will deliver the service.

Paper of the Week 24th April 2019: Shared Decision Making and the Importance of Time

For many professionals, and almost all patients , the value of time is more precious than money