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Articles14

Title: Where did the patient quotes come from, and what happened to the Net Promoter Score?

Agreement I do not Agree Body I read this paper with real interest. Building a decision aid around one clear "gist" instead of a page of statistics is a good idea, and testing it across three rounds of interviews with 80 participants is careful work. The acceptability numbers are genuinely encouraging. Two things in the methods caught my attention. First, th

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BMJ Open7d ago

Re: Outcome definition may partly explain the top predictor of ANC dropout

Agreement I do not Agree Body Yoseph and colleagues report a carefully validated machine-learning approach to predicting antenatal care (ANC) dropout in Northern Sidama, and the attention paid to calibration, SHAP interpretation, and avoiding causal overreach is commendable.¹ One aspect of the outcome definition, however, deserves a closer look, since it may

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BMJ Open5d ago

Response to comment on sex-related differences in DKA at T1D diagnosis

Agreement I do not Agree Body We thank the correspondent for their attentive reading and welcome the opportunity to clarify the sex-specific findings, though we respectfully hold that the objection rests on a misreading of what the cited figures denote. The proportions of 52.8% and 47.2% were never presented as the prevalence of DKA within each sex. As state

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BMJ Open9d ago

Waist-based adiposity measures should complement BMI in Cardiometabolic Risk Assessment

Agreement I do not Agree Body Dear Editor, Kueh and colleagues provide timely evidence on the prognostic importance of body weight categories and fat distribution among adults with metabolic dysfunction-associated steatotic liver disease (MASLD), using NHANES 2007–2018 data. Their analysis is important because it reinforces a central issue in cardiometabolic

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BMJ Open8d ago

Results

Agreement I do not Agree Body Abstract Background We aimed to determine whether high-flow nasal oxygen could reduce the incidence of decreased peripheral oxygen saturation (SpO2) compared with standard oxygen in patients at risk of hypoxaemia undergoing gastrointestinal endoscopy under deep sedation. Methods This was a multicentre, randomised controlled tria

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BMJ Open1mo ago

Results of the completed RADIANT trial

Agreement I do not Agree Body We welcome the opportunity to provide an update on the RADIANT study, whose protocol was previously published in BMJ Open. The RADIANT study has now been completed and the results have been published in Osteoarthritis and Cartilage. This internet-based, double-blind, randomised, placebo-controlled trial evaluated the efficacy an

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BMJ Open1mo ago

Published Outcomes of Randomised Contorlled Trial

Agreement I do not Agree Body This rapid response is to highlight the published outcome paper of the described randomised controlled trial protocol. The outcome paper published in “Delrium (Bielef)’ successfully demonstrated the feasibility of implementing a supervised computerised cognitive training (CCT) intervention before and after coronary artery bypass

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BMJ Open1mo ago

Understanding The Medicolegal Risk Among IMGs and CAMGs: Looking Beyond The Litigation Rates

Agreement I do not Agree Body This study presents significant findings, showing that within the Canadian medicolegal system, International Medical Graduates (IMGs) are not sued more often than Canadian/American Medical Graduates (CAMGs), nor do they experience less favourable outcomes in civil legal proceedings. Given persistent stereotypes about IMG perform

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BMJ Open1mo ago

Response to correspondence by Tomoyuki Kawada

Agreement I do not Agree Body We thank Professor Tomoyuki Kawada for his correspondence regarding our study [1]. We recognise that sleep disturbances are more prevalent in advanced heart failure. Equally, we also acknowledge the haemodynamic burden of poor sleep on the heart. To understand the full nature of this complex interaction, we recommend longitudina

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BMJ Open25d ago

Are rising costs a marker of increasing need, or of delayed access to appropriate care?

Agreement I do not Agree Body Dear Editor, Pilvar and colleagues provide an important analysis of the growing economic burden associated with emergency admissions for mental health problems among children and young people (CYP) in England. Their findings demonstrate that costs increased far more rapidly than admission numbers over the study period, highlight

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BMJ Open24d ago

Post-traumatic BPPV after head injury: from missed diagnosis to treatable target

Agreement I do not Agree Body Smith and colleagues provide a timely contribution to post-traumatic vestibular care. Benign paroxysmal positional vertigo (BPPV) is a mechanical vestibular disorder in which displaced otoconia enter the semicircular canals and trigger brief positional vertigo. Post-traumatic BPPV deserves attention because it is common after he

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BMJ Open21d ago

Persistent Gaps in LDL-C Goal Attainment Among High-Risk Patients With Diabetes

Agreement I do not Agree Body We read with great interest the study by Connolly et al. evaluating LDL-cholesterol (LDL-C) management and 1-year goal attainment among high- and very-high cardiovascular-risk patients with diabetes, pre-diabetes, and normoglycaemia in the SANTORINI cohort (1). The authors should be commended for providing contemporary real-worl

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BMJ Open17d ago

The IGISPA Protocol: Methodological Circularity and the Institutionalization of Low-Quality Evidence

Agreement I do not Agree Body To the authors, I read with interest the protocol for the International Guidelines for the Imaging Investigation of Suspected Child Physical Abuse (IGISPA) by Sidpra et al. [1]. While standardising international imaging protocols in cases of suspected physical abuse is a commendable objective, the proposed methodology raises cri

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BMJ Open15d ago

Clarification of sex-related differences in DKA at T1D diagnosis

Agreement I do not Agree Body We read with great interest the study by Niechciał et al. (2025) assessing the risk factors of diabetic ketoacidosis (DKA) at type 1 diabetes (T1D) diagnosis in 2,432 pediatric patients in Greater Poland. However, we would like to highlight a potential misinterpretation of the sex-specific proportions reported in the manuscript.

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BMJ Open15d ago