About Clinical Practice Articles
Clinical practice articles for GPs — covering guideline navigation, evidence-based medicine, NICE vs international guideline comparisons, and the practical frameworks GPs need to make defensible clinical decisions when the evidence is uncertain or guidelines conflict.
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NICE vs WHO vs AHA: When the Guidelines Disagree — A GP's Field Guide
NICE says treat at 140/90 mmHg. AHA says 130/80 mmHg. WHO says 140/90 mmHg but with different drug choices. Your patient is sitting in front of you with a BP of 135/85 mmHg. Who do you follow? This guide cuts through the noise — comparing NICE, WHO, AHA, ESC, and other major bodies on the clinical questions that matter most in primary care, explaining why they diverge, and giving you a framework for making defensible, patient-centred decisions when the guidelines don't agree.
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2How to Read a Clinical Trial: RCTs, NNT, Confidence Intervals & the 5 Questions Every GP Should Ask
A trial is published. The headline says "Drug X reduces heart attacks by 25%." Your inbox fills with patient queries. A colleague changes their prescribing. Should you? This guide gives GPs the statistical literacy to read any clinical trial critically — understanding RCT design, absolute vs relative risk, NNT, confidence intervals, p-values, and the five questions that separate practice-changing evidence from noise.
Dr. Marcus Chen14 AprShared Decision Making in 10 Minutes: How to Present Risk, NNT, and Treatment Options to Patients Without a Statistics Degree
Your patient has a 10-year cardiovascular risk of 12%. You want to start a statin. The trial shows a 30% relative risk reduction. You say this. They hear "30% chance of a heart attack." The consultation derails. Shared decision making is not about dumbing down the evidence — it is about translating it into the language of lived experience. This guide gives GPs the specific tools, scripts, and visual frameworks to present risk, NNT, and treatment options in a way that genuinely informs patient choice — in the time available in a real consultation.
Dr. Priya Nair14 Apr