Podcasts from The Cochrane Library
Closed-system drug-transfer devices for reducing exposure to infusional hazardous medicines in healthcare staff
The Cochrane Work Group has produced many reviews relevant to occupational health and some of these relate directly to the health of healthcare workers. In March 2018, they published a new review doing just that, examining the evidence on the handling of medicines that might be dangerous to staff. Kurinchi Selvan Gurusamy, from UCL Medical School in London England, tells us what they found.
How effective are pelvic floor muscle exercises undertaken during pregnancy or after birth for preventing or treating incontinence?
Many women suffer from incontinence during or after pregnancy, and pelvic muscle exercises are one way to help. In an updated Cochrane Review in December 2017, Stephanie Woodley and Jean Hay-Smith from the University of Otago in New Zealand, and colleagues present the evidence from nearly 40 trials; and they tell us the findings in this podcast.
The Cochrane Pain, Palliative and Supportive Care Group is producing a series of reviews on drugs for the treatment of people with fibromyalgia. One of these, published in March 2018, examines the effects of a class of antidepressants called serotonine noradrenaline reuptake inhibitors. In this podcast, one of the co-authors, Brian Walitt, from the National Institute of Nursing Research in the USA, describes the findings.
The Cochrane Developmental, Psychosocial and Learning Problems Group covers a wide range of topics relevant to the mental health of both adults and children in the more than 140 Cochrane Reviews it has produced to date. In March 2018, it added to these with a new review of cognitive-behavioural interventions for attention deficit hyperactivity disorder in adults. We asked one of the authors, Pablo Lopez from INECO Foundation and Favaloro University in Buenos Aires, Argentina, to tell us more in this podcast.
Cochrane Diagnostic Test Accuracy reviews bring together the evidence that should help practitioners to choose the most appropriate way to diagnose an illness or condition. This is now the case for the stomach bug, Helicobacter pylori, and we asked Lawrence Best from the UCL Medical School in London England to tell us about the findings of this March 2018 review.
As well as the problems with blood sugar control that are caused by diabetes, the condition can lead to a variety of other problems. One of these is an eye problem called diabetic retinopathy and it’s important that people with diabetes are checked for this. A January 2018 Cochrane Review looks at how to increase attendance at these screening visits and lead author, John Lawrenson from the City University of London in the UK, tells us more in this podcast.
Heart attack and stroke are the most common causes of death, illness, disability and reduced quality of life in industrialised countries, and several Cochrane Reviews look at ways to prevent these cardiovascular events. A new review from June 2017 looks at the evidence for a B-vitamin called niacin. One of the reviews' authors, Matthias Briel from Basel Institute for Clinical Epidemiology and Biostatistics in Switzerland, outlines the findings in this podcast.
The Cochrane Tobacco Addiction Group has produced dozens of reviews of the effects of a wide variety of interventions to help smokers quit. The reviews are updated periodically to incorporate new evidence and the second update of the review focusing on interventions for young people was published in November 2017. Lead author, Tom Fanshawe from the Nuffield Department of Primary Care Health Sciences in the University of Oxford in the UK bring us up to date with the findings.
The Cochrane Drugs and Alcohol Group has produced several reviews of the effects of interventions intended to reduce heavy drinking. The collection was extended in September 2017 with an investigation of the use a computer to provide personalised advice. We asked one of the authors, Fiona Beyer from Newcastle University in the UK, to tell us what they found.
Many people suffer from chronic pain and it’s a challenging condition to treat. A group of drugs, known as opioids are widely used, but these can have harmful side effects. In a new Cochrane overview in October 2017, Sebastian Straube, from the University of Alberta in Canada, and colleagues brought together the findings from 14 Cochrane Reviews to summarise the evidence. He tells us what they found in this podcast.
The co-authors of this review were Charl Els, Tanya D Jackson, Diane Kunyk, Vernon G Lappi, Barend Sonnenberg, Reidar Hagtvedt, Sangita Sharma, and Fariba Kolahdooz.
Strategies to help doctors change the way they prescribe antibiotics for patients with acute respiratory infections
As the number of Cochrane and other systematic reviews increases, we are seeing a rising need for overviews that bring together the findings from multiple reviews. In September 2017, the Cochrane Acute Respiratory Infections Group did this for eight systematic reviews of ways to influence prescribing behaviour. Chris Del Mar, from the Cochrane group, tells us more in this podcast.
Acute bronchitis is one of the commonest respiratory tract infections seen by general or family practitioners, with several reviews now available in the Cochrane Library and one of these, of the effects of antibiotics, was updated in June 2017. We asked the lead author, Susan Smith, a GP from Dublin, Ireland, based at the Department of General Practice in the RCSI Medical School, to tell us what they found.
The Cochrane Stroke Group has produced nearly 200 systematic reviews over the last two decades and many of these have been updated multiple times. Among these is a review of the effects of early discharge services, which was published first in 2001. It was updated in July 2017 and lead author and one of the Co-ordinating Editors for Cochrane Stroke, Peter Langhorne from the University of Glasgow in Scotland, describes these latest findings in this podcast.
Many potentially life-saving treatments have side effects that can have a substantial negative impact on a patient’s quality of life. Therefore, alongside Cochrane Reviews that look at the potentially beneficial effects of treatments, are those that examine ways to reduce their adverse effects. One such review, newly published in July 2017 looks at ways to protect the salivary glands during radiotherapy. Review authors, Philip Riley and Anne-Marie Glenny from Cochrane Oral Health at the University of Manchester in the UK, tell us what they found.
The Cochrane Musculoskeletal Group is producing a series of reviews of exercise interventions for people with the painful condition, fibromyalgia. One of these, published in June 2017, examines the effects of aerobic exercise training. In this podcast, Hayley Hassan, on behalf of the authors, describes the findings.
Healthcare-associated infection is a major problem for health systems, causing concern, unnecessary illness and death. It is receiving further priority from policy-makers because it contributes to the global threat of antimicrobial resistance. Hand hygiene is regarded as an effective preventative measure and the September 2017 update of a Cochrane Review provides evidence on the effects of various interventions. Lead author, Dinah Gould from the School of Healthcare Sciences at Cardiff University in Wales brings us up to date in this podcast.
Homocysteine-lowering interventions (B-complex vitamin therapy) for preventing cardiovascular events
In August 2017, we published the third update of the Cochrane Review of homocysteine-lowering interventions with B complex vitamins for preventing cardiovascular disease. The review investigates their impact on this common cause of death and we asked one of the authors, Mark Dayer from Taunton and Somerset NHS Trust in the UK, to bring us up to date in this podcast.
What factors influence the delivery of care by skilled birth attendants in low- and middle-income countries?
Despite recent improvements in maternity care, as called for in the Millennium Development Goals, many mothers still die during childbirth in low- and middle-income countries. As part of the efforts to achieve further improvements, a new Cochrane systematic review of qualitative studies from November 2017 looks at the factors that can influence a skilled birth attendant’s ability to provide good quality maternity care. We asked lead author, Susan Munabi-Babigumira from the Norwegian Institute of Public Health to tell us more in this podcast.
The autogenic drainage breathing technique for helping people with cystic fibrosis to clear mucus from their airways Primary tabs
More than 100 Cochrane Reviews of interventions for people with cystic fibrosis are now underway, with nearly ninety published in full. In October 2017, this list was added to with a review of the effects of a breathing technique called autogenic drainage. We asked the lead author, Pamela McCormack from Alder Hey Children's Hospital in Liverpool in the UK, to tell us what they found.
When a patient receives a kidney transplant, there is a possibility that their body will reject this new organ and a variety of treatments are used to try to prevent this. However, these treatments can cause their own unwanted side effects. In a new Cochrane Review in July 2017, Krishna Karpe and colleagues from Canberra Hospital in Australia looked at the evidence for alleviating this for the group of drugs known as Calcineurin inhibitors. Here’s Krishna to tell us what they found.