Talk Evidence - digital clubbing, osteoarthritis & sustainable EBM

We’re back for the December Talk Evidence, and this month we’re being very digital Firstly,(1.20) Helen tells us about arthritic fingers - should we be using prednisolone for treatment when people have painful osteoarthritis of the hand Then (13.30) Carl gets us all to check our fingers for clubbing, and we find out how useful it is as a test for lung cancer (23.10) Minna Johansson GP and Cochrane Sweden researcher explains why EBM needs to take into account sustainability, and why that isn’t just carbon footprint. (33.50) We talk AF and the Apple Watch - and why drop out is going to be a massive problem for the kind of big studies that they’re attempting to do with new consumer smart devices. This month's reading: Results of a 6-week treatment with 10 mg prednisolone in patients with hand osteoarthritis (HOPE) https://www.sciencedirect.com/science/article/pii/S0140673619324894?via%3Dihub Cancer research UK - finger clubbing and mesothelioma https://www.cancerresearchuk.org/about-cancer/mesothelioma/symptoms/finger-clubbing Cochrane launches new Sustainable Healthcare Field, in Lund https://sweden.cochrane.org/news/cochrane-launches-new-sustainable-healthcare-field-lund Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation

https://www.nejm.org/doi/full/10.1056/NEJMoa1901183