Tag Archives: Lucy Pocock

Next GP Journal Club is Sunday 3rd July at 8pm: migraine and CV disease in women

image1The next GP Journal Club will be discussing the BMJ paper:

Migraine and risk of cardiovascular disease in women: prospective cohort study by Kurth et al. 

You can download it here.

Migraine occurs in 15% of the UK adult population and is three times more common in women. This large cohort study from the US suggests that female migraine sufferers are at increased risk of experiencing cardiovascular events. What will this mean for those of us in primary care who have responsibility for managing cardiovascular risk? Should we be advising all female migraine sufferers to take a statin, for instance?

Please read the article and consider your response to the following questions, which will form the basis of our discussion:

  1. Was their PPI strategy appropriate? Would the study have benefited from more patient involvement?
  2. Elevated cholesterol and hypertension were treated as binary variables, is this acceptable
  3. 15.2% of the women reported a diagnosis of migraine at baseline. Is this what you would expect if the cohort was representative?
  4. Does it surprise you that the effects of migraine weren’t modified by other factors such as hypertension and smoking?
  5. Based on this study, should we be paying more attention to assessment of migraine sufferers’ CV risk?

Hope to see you all on Twitter next Sunday at 8pm.

Lucy Pocock

New on Twitter: the GP Journal Club

image1Lucy Pocock is an NIHR Academic Clinical Fellow in Primary Care and is on Twitter @drpoco

I have attended my fair share of journal clubs whilst a junior doctor in hospital jobs. However, as a GP trainee there has been little opportunity to read and discuss new and interesting research with peers. Whilst on maternity leave (looking for something to keep me entertained in the dead of night when I was feeding baby!), I discovered Twitter.

Initially I used it just to have a rant about the proposed changes to the junior doctors’ contract, but I began to see other, perhaps more educational, uses for it. I was introduced to the Geriatric Medicine Journal Club (@GeriMedJC) and the GIM Journal Club (@GIMJClub) and wondered if the same approach would work for primary care.

@GPJournalClub was born on 10th December 2015 and had over 100 followers in the first 24 hours; it seemed there was definitely an appetite! Thankfully, the nice folk at the BJGP have offered their support and so a blog about each month’s tweet chat will be hosted here, along with a link to the transcript of the chat afterwards. I hope that we can have a rotating chair each month, who will choose a recent, primary care related paper or guideline to discuss (please get in touch if you’re interested!).

The first tweet chat

Iliffe S, Kendrick D, Morris R, et al. Promoting physical activity in older people in general practice: ProAct65+ cluster randomised controlled trial. Br J Gen Pract 2015;65(640):e731-8.

The first tweet chat will take place on Sunday 10th January at 8pm. I have chosen the first paper (http://bjgp.org/content/65/640/e731) and will be chairing the chat, along with Dr Liam Farrell from #irishmed. I have an interest in care of older people, so my choice reflects this.

I’m hoping that we can have a lively and engaging debate on Sunday, so please join us (search for #gpjc) and encourage all your colleagues to do the same.