James Cave

Editor in chief of Drug & Therapeutics Bulletin. Tweeting in a personal capacity.

[James Cave @JAHCave]

@Doctors_net_uk news story: Trust conducts 'thorough investigation’ after PAs found to be ordering CT scans What really bugs me is after 30 yrs as a GP i still cant order https://t.co/4RfMbaD8Jx.

[James Cave @JAHCave]

I would have thought somebody that ill would have avoided contact with everyone- tegardless of possible underlying cause- isnt that what COVID taught us? It shouldn’t require a doctor surely

[DTB_BMJ @DTB_BMJ]

Medicines and global warming: a complex problem
Read the editorial by @JAHCave on why it's not just about swapping to dry powder inhalers and the importance of taking a holistic approach to tackling the issue.
https://t.co/IfTHVRkYAv

[James Cave @JAHCave]

Now the session on Real World Data should be interesting. NICE is a founder member of the @GetRealinsti

[James Cave @JAHCave]

#NICEConf23 some rather generic sessions so far in Manchester. Fascinating how X/Twitter has fallen by the wayside at these sorts of conferences. Gone has the live feeds. As said “ innovation has redundancy built in”

[DTB_BMJ @DTB_BMJ]

Redaction at the heart of NICE appraisals
In the September editorial @JAHCave takes NICE to task over the amount of information that is redacted in its technical appraisals.
https://t.co/7REhcPXxqn

[James Cave @JAHCave]

NICE produces technical appraisals of drugs to support clinicians and patients in their choice of the right treatments. Yet in 80% of their appraisals vital evidence and information is redacted. Our editorial in @DTB_BMJ this month https://t.co/iMeXqZTDV7

[James Cave @JAHCave]

NICE’s TA on #mavacamten takes their redactions to a whole new level. Usually its just the less important stuff like the evidence of effectiveness or cost- but in this TA we arent even allowed to know what to use it for?
See https://t.co/UMXJCCRSKn
#MHRA #NICE

[DTB_BMJ @DTB_BMJ]

We are very pleased to learn that Australian Prescriber will resume publishing from its new home with Therapeutic Guidelines Limited. We look forward to reading the next issue.
https://t.co/nfxEcQAKl9

[James Cave @JAHCave]

@rogerthedoctor Mine is “ Im terribly sorry…”

[James Cave @JAHCave]

@adamsonjon More to the point do doctors still really take the oath? Worship Greek Gods? train children of their professors for nothing? never carry out surgery on kidney and gall stones?
No-one qualifying from Barts in the 1980s took it for sure

[DTB_BMJ @DTB_BMJ]

Top 10 Thursday
A countdown of the most accessed articles from 2022
6. What dose of paracetamol for people with low bodyweight? (DTB Select)
https://t.co/DULxajNbRc

[James Cave @JAHCave]

@pash22 @PharmRJ @US_FDA @EMA_News @MHRAgovuk @dariustahir @hnorms @DTB_BMJ @ObserverUK @shanti_das @JonUngoedThomas @NICEComms @bengoldacre @marpinoir Thank you- I’ll have a read…

[James Cave @JAHCave]

@pash22 @PharmRJ @US_FDA @EMA_News @MHRAgovuk @dariustahir @hnorms @DTB_BMJ @ObserverUK @shanti_das @JonUngoedThomas @NICEComms Agree. It seems that our regulatory bodies have forgotten their primary role. @bengoldacre talks of “regulatory capture”.

[DTB_BMJ @DTB_BMJ]

What does the TIME study tell us about morning and evening dosing of antihypertensive medication? Read our commentary on the TIME study.
https://t.co/dGsbmoriOc

[James Cave @JAHCave]

@GPDrYvetteDoc Our DNA rate is very low. I’m prepared to get shot at for saying this but i think the DNA rate can reflect the inflexibility of our appointments system. Pts who DNA possibly were after something else or are struggling with a really difficult issue. Call them?

[James Cave @JAHCave]

@bmj_latest Really important article

[James Cave @JAHCave]

@MFAminGP @LG_NHS @tbugembe @parthaskar @NuffieldTrust A doctor would have been struck off for this ( see “promised laptop case”). What action was taken ?