The video version of this podcast can be found here: · https://youtu.be/hN5JRXItBJ4This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I go through new and updated recommendations published in October 2024 by the National Institute for Health and Care Excellence (NICE), focusing on those that are relevant to Primary Care only. I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The Full NICE News bulletin for October 2024 can be found here:· https://www.nice.org.uk/guidance/published?from=2024-10-01&to=2024-10-31&ndt=Guidance&ndt=Quality+standardThe links to the guidance covered in this episode can be found here: Digital technologies for assessing attention deficit hyperactivity disorder (ADHD):· https://www.nice.org.uk/guidance/dg60Acute kidney injury: prevention, detection and management:· https://www.nice.org.uk/guidance/ng148The 1-page visual summary on assessing the risk of acute kidney injury in adults having iodine-based contrast media: outpatient, non-urgent inpatient and community settings:· https://www.nice.org.uk/guidance/ng148/resources/visual-summary-pdf-13551376429TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I am Fernando, a GP in the UK. Today, we are looking at the NICE updates published in October 2024, focusing on what is relevant in Primary Care only. Although most of the updates do not really relate to Primary Care, there were two areas that I found particularly interesting and relevant to us, ADHD and acute kidney injury.Right, let’s get started. We will start with digital technologies for assessing ADHD. Let’s remember that attention deficit hyperactivity disorder (or ADHD) is a neurodevelopmental condition characterised by a persistent pattern of hyperactivity, impulsivity, and inattention that interferes with daily and occupational functioning.As a result, people with ADHD may make important decisions hastily without considering the long-term consequences.Treatment may be non-pharmacological, including psychoeducation, ADHD coaching, or environmental changes. Pharmacological treatment may include stimulant or non-stimulant medication. There is a perception that recently there has been a huge increase in the demand for ADHD services because of an increased awareness of this condition. The global prevalence of ADHD in children is estimated to be around 5% and, in the UK, the prevalence of ADHD in adults is estimated to be between 3% and 4%, being more commonly diagnosed in males than females.Following the current care pathway, people with suspected ADHD are referred to secondary care for assessment, which is based on clinical judgement, relying on information obtained from a range of sources. However, information from these sources may often be incomplete or contradictory, and the diagnosis may be further complicated due to an overlap with other disorders and mental health conditions, which usually causes an extended delay in reaching a diagnostic decision. This is why, many digital technologies have been developed to assist in the diagnosis, which could reduce patient waiting lists and free up NHS resources. And it is precisely these digital technologies that have been assessed by NICE.And one of these technologies is called the QbTest.What is the QbTest?Well, the QbTest has certain elements comparable to a computer game which measures the core symptoms of ADHD, that is, attention, impulsivity, and hyperactivity. Results from the test are compared with people without ADHD and the results are ...
