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A closer look at cervical smear uptake and results pre-and post- introduction of the national screening programme: Gallagher and Gallagher point out that the national cervical screening programme was established in Sept 2008. Women aged 25-44 years are tested every 3 years and those aged 45-60 years every 5 years. The paper is an audit of cervical screening uptake in a 4 doctor practice before and after the introduction of screening. There was an increased uptake from 148 to 386 women in two corresponding periods. The uptake was greater in the 25-44 year group 78.5% vs 68%.
The role of thyrotropin suppression in patients with differentiated thyroid carcinoma: Deasy et al state that there is debate about the best post-surgical management of patients with differentiated thyroid cancer. Suppression of TSH is practiced but its long-term use increases the risk of sub-clinical thyrotoxicosis. In a series of 101 patients with thyroid cancer, 88 had differentiated thyroid cancer. Their treatment consisted of surgical excision, radio-iodine ablation and long-term TSH suppression. The findings show that while TSH suppression was achieved, two thirds of patients had a raised free T4 at 2 years. The authors conclude that individual treatment plans based on risk stratification is the best approach.
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