Golden Nuggets Library
Here are some of the most popular “Golden Nuggets“ from my newsletter for family doctors (click here for more info). Don’t miss any future Nuggets – subscribe to the newsletter and stay up to date.
80% of Diagnosis is History Taking. Myth or Fact?
Most physicians accept that 80% of diagnosis is history taking, a statistic traced back to a 50-year-old BMJ study. Surprisingly, subsequent research confirms that medical history leads to the final diagnosis in roughly 76% to 79% of cases. Discover why listening to the patient remains the most effective technology in medicine.
The Landmark PSA Study is Back: Benefits are Real, but Worth the Harm?
The long-awaited 23-year results of the European Prostate Cancer Screening Study (ERSPC) are finally here. PSA screening saves about 2 lives per 1,000 men but leads to 27 extra diagnoses—highlighting the tough balance between benefit and harm. This update breaks down the numbers, explains why the debate continues, and offers practical tips for shared decision-making in...
Teach-Back for GPs: An Evidence-Based Communication Tool
The Teach-Back-Method helps Family Doctors to improve patient understanding and recall. It's a simple communication tool, it's evidence-based and it's quick. Here you can read everything you need to know to apply it tomorrow morning.
Paracetamol in Pregnancy and Autism Risk: An Evidence-Based Update
Paracetamol has long been considered the safest pain and fever medication during pregnancy. Recently, questions have been raised about a possible link between prenatal paracetamol exposure and neurodevelopmental disorders such as autism. This article explores the key studies, public health recommendations, and clinical implications behind the ongoing paracetamol–autism debate.
What Does “NNT” Mean and Why Should You Care?
An article explaining the essentials related to the Number Needed to Treat (NNT): how it’s calculated, why it’s crucial for clinical decision-making, the key factors influencing its interpretation, and common pitfalls every GP should recognize.
Monitoring, Surgery, or Radiotherapy for Prostate Cancer
A 15-year RCT found no survival difference between monitoring, surgery, or radiotherapy for localized prostate cancer, but notable trade-offs in disease progression and treatment-related side effects. Careful decision-making and risk communication is essential.
Fishhook Removal Techniques for GPs
Discover four essential fishhook removal techniques, when and how to apply them safely, and crucial aftercare tips. Includes expert advice, practical videos, and evidence-based guidance on antibiotic use.
How to Drain a Subungual Hematoma (Evidence-Based)
When should you drain that subungual hematoma? And what's the best way – needle, hot paperclip, cautery? Get clear indications, step-by-step methods, and essential practical tips right here.
Should We Screen for Atrial Fibrillation? ESC Says Yes (2024), Evidence Says…?
Despite recent trials showing no benefit and other bodies advising against it, new 2024 ESC guidelines recommend widespread atrial fibrillation screening. Let's look at the evidence and other recommendations.
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