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Favourite papers

With such a high volume of academic papers being published daily and increasing open online access, it can be hard to know where to start your reading when you join the training programme, when you are revising for the SCE or when you are updating yourself about an unfamiliar area of practice. A good place to start is wikijournalclub which provides a shortcut into understanding some of the big/landmark trials such as SMARTUPLIFT, TORCH, and PIOPED II, and there’s also an app.

To further help direct your reading we asked some familiar names in Respiratory Medicine to recommend their favourite papers for Respiratory SpRs. If you can’t access one of the papers below through Athens, get in touch and we’ll try to help.

You should of course critically appraise any paper you read, to see if the conclusions are justified, and whether it should lead you to change your practice. Have a look at the Research page for links to helpful resources on improving your critical appraisal skills.

COPD

Smoking

  • Dr Anant Patel, Royal Free Hospital, recommends:
    • Doll, Richard, and A. Bradford Hill. “Smoking and carcinoma of the lung.” BMJ 2.4682 (1950): 739-748. A classic! Some great lessons on epidemiology, causation and the political power of scientific knowledge.

Asthma

Corticosteriods

Inhaled therapies

  • Dr James Goldring, Royal Free Hospital, recommends:
    • “How long should my regular inhaler last?” Not a paper, but a useful guide written by the Islington Responsible Respiratory Prescribing group. For those  inhalers without a dose counter it tells patients when to replace their inhalers as you can’t rely on just shaking the inhaler to tell.

Lung cancer

Pleural disease

Interstitial lung disease

  • x recommends

Palliative care

Pulmonary infection

TB (pulmonary)

TB (latent)

TB (extra-pulmonary)

Sleep disordered breathing and Respiratory Failure

Bronchiectasis and CF

Pulmonary vascular disease

  • Dr Nick Murch, Royal Free Hospital, recommends:
    • Condliffe, R., Elliot, C. A., Hughes, R. J., Hurdman, J., Maclean, R. M., Sabroe, I., … & Kiely, D. G. (2013). Management dilemmas in acute pulmonary embolism. Thorax.  A practical and well-referenced article on dilemmas in all aspects of PE management including when to thrombolyse sub-massive PE, and whether to treat sub-segmental PEs. A godsend in this ‘evidence-light’ area.

Bronchoscopy

Dysfunctional breathing

  • x recommends

Pulmonary disease in the immunocompromised

  • x recommends

Occupational lung disease

  • x recommends

And now for something different

  • Dr Anant Patel, Royal Free Hospital, recommends:
  • Dr Nick Hopkinson, Imperial, recommends:
    • Hopkinson, Joseph A., and Nicholas S. Hopkinson. “The hobbit—an unexpected deficiency.” The Medical Journal of Australia 199.11 (2013): 805-806.  Suggests that vitamin D deficiency in evil characters is a significant factor in the triumph of good over evil in Middle Earth. What more is there to say?

Discussion

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