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Inside Health

Multi-morbidity, one-shot radiotherapy during surgery for early stage breast cancer

Inside Health

BBC

Health & Fitness, Science

4.4575 Ratings

🗓️ 5 July 2016

⏱️ 29 minutes

🧾️ Download transcript

Summary

David Haslam, chair of NICE, discusses with Mark Porter how doctors should treat patients with 'multi-morbidity', the millions of people receiving many different drugs for many different conditions. There's plenty of trial data for starting treatments, but a dearth of evidence for stopping them!

And one-shot radiotherapy during surgery for breast cancer may help 20,000 women in the UK. Rather than daily hospital visits for radiotherapy over 5 weeks, a dose is given straight to the open wound during the operation. It is quicker, cheaper and much more convenient, so why isn't it more widely available?

Transcript

Click on a timestamp to play from that location

0:00.0

Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very quickly knocked down.

0:23.0

And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Ria Lina.

0:26.9

I'm excited.

0:27.6

You're dead to me, the comedy podcast that takes history seriously.

0:30.9

Listen first on BBC Sounds.

0:33.1

Hello, and thank you for downloading this program, which was first broadcast on the 5th of July 2016.

0:39.3

I hope you enjoy it.

0:40.5

We're back.

0:41.6

And over the next six weeks, we'll be reporting on everything from the latest developments in hip surgery

0:46.8

to how happy accidents have changed the face of modern medicines,

0:51.4

as well as answering your queries about health issues that you find

0:55.0

confusing. Coming up today, breast cancer, a new, quicker, cheaper and more convenient way of

1:01.8

treating the disease, which could benefit as many as 20,000 women in the UK every year.

1:07.8

But if it's really that good, why isn't one-shot radiotherapy more widely available?

1:14.5

First, the subject that's very close to our hearts here at Inside Health. 20% of adults in the UK are now on five or more medicines,

1:25.3

twice as many as in the mid-90s.

1:31.5

It's a trend that's been accelerated by the burgeoning number of guidelines and a population that's living longer and developing multiple health issues,

1:36.4

all of which have their unique treatment pathway.

1:39.7

But how do all these different medicines interact?

1:43.4

To help doctors optimise care for the millions of people receiving different drugs for different health problems,

1:49.8

the National Institute for Health and Care Excellence is about to release yet more guidance.

1:55.9

Only this is a bit different from what's gone before.

...

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