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[Correspondence] Safety of intranasally administered etripamil: RAPID trial update

Published: May 10, 2025 00:00

We are writing to provide further detail on adverse event findings presented in our Lancet publication on the RAPID trial.1 Etripamil is a fast-acting, intranasally administered calcium-channel blocker in development for on-demand therapy outside of a…

[Correspondence] Isotretinoin-associated cervical osteophytosis – Authors' reply

Published: May 10, 2025 00:00

We thank Huang Chang-Quan for his interest in our recent Clinical Picture1 and the relevant points raised. As suggested, we did indeed consider diffuse idiopathic skeletal hyperostosis (DISH) as one of the main differential diagnoses because our patient…

[Correspondence] Triple crisis among refugee youth resettled in high-income countries

Published: May 10, 2025 00:00

In the past 10 years, youth from refugee families resettled in high-income countries, including the USA, Canada, and Australia, have been dying at unprecedented rates from the triple crisis of suicide, drug and alcohol overdose, and youth violence.1–3…

[Correspondence] USA–China tariffs on pharmaceuticals affect global health equity

Published: April 29, 2025 22:30

US President Donald Trump's decision to impose punitive tariffs of 145% for pharmaceutical imports from China,1 effective since April 10, 2025, will pose substantial challenges towards global health security, marking an evolution in the trade tiff between…

[Correspondence] Cholera risk in Goma, DR Congo, after forced clearing of relief camps

Published: April 29, 2025 22:30

The emerging crisis in eastern DR Congo and especially around the city of Goma, in the province of North Kivu, has worrying implications for cholera in the region. The area around Goma has been tumultuous since 2021 because of a volcanic eruption, followed…

[Correspondence] Research at the centre of UK health-care delivery to fix clinical academia

Published: April 26, 2025 00:00

Clinical academia is on a steep decline globally. In the UK, a 6% reduction in the number of clinical academics since 2012 has been reported, with the number of senior lecturer level researchers having decreased by 24%.1 Research is key to evidence-based…

[Correspondence] Pretransplantation optimisation for unresectable colorectal liver metastases: the TransMet trial

Published: April 26, 2025 00:00

We read the Article on the TransMet trial by René Adam and colleagues with great enthusiasm.1 The results are unprecedented, with a staggering 5-year overall survival of 56·6% (95% CI 43·2−74·1) in the liver transplantation plus chemotherapy group compared…

[Correspondence] Pretransplantation optimisation for unresectable colorectal liver metastases: the TransMet trial – Authors' reply

Published: April 26, 2025 00:00

We thank Akhil Santhosh and colleagues, Dimitrios Moris and colleagues, and Shouhui Yi and colleagues for their positive comments and relevant questions about the practice-changing TransMet trial.1

[Correspondence] Pretransplantation optimisation for unresectable colorectal liver metastases: the TransMet trial

Published: April 26, 2025 00:00

We read with great interest the results of the TransMet trial1 by René Adam and colleagues showing that the combination of liver transplantation and chemotherapy prolongs survival in patients with colorectal liver metastases and, in some cases, can provide…

[Correspondence] Ticagrelor monotherapy for acute coronary syndromes – Authors' reply

Published: April 26, 2025 00:00

We thank our colleagues for their interest in our Article.1 Chunguang Guo and colleagues state that a non-inferiority margin of 1·15 means that the study would deem ticagrelor monotherapy acceptable even if it increased the major adverse cardiovascular or…

[Correspondence] Pretransplantation optimisation for unresectable colorectal liver metastases: the TransMet trial

Published: April 26, 2025 00:00

We read with great interest the Article on the TransMet trial by René Adam and colleagues.1 This multicentre randomised controlled trial provides robust evidence supporting the benefits of liver transplantation for patients with unresectable colorectal…

[Correspondence] Taiwan's national health care on the brink of systemic collapse

Published: April 26, 2025 00:00

In early 2025, Taiwan's health-care system faced an unprecedented crisis due to simultaneous outbreaks of influenza and norovirus. The emergency departments had severe overcrowding, which was exacerbated by a shortage of ward beds. A patient died of septic…

[Perspectives] My autistic meltdown: the impact of autistic sensory needs

Published: April 19, 2025 00:00

As an autistic adult, even the word meltdown is humiliating. A shameful part of my past, no longer relevant to a senior doctor, or so I would like to think. And yet the reality is different. Some 2 years on, tears threaten when I recall what happened. It…

[Comment] Safety and immunogenicity of a virus-like particle Chikungunya virus vaccine

Published: April 19, 2025 00:00

Chikungunya virus epidemics can be explosive and unpredictable, such as the 2015 outbreak in Brazil, which led to an estimated 1 million cases.1 Although only 620 000 cases were reported worldwide last year, approximately 4 billion people live in areas at…

[Correspondence] The need for expansion of global collaborations on AI in oncology

Published: April 19, 2025 00:00

Over the past decade, artificial intelligence (AI) has made great progress in addressing unmet clinical needs in oncology and has emerged as a potential game changer.1 High-dimensional datasets, advances in high-performance computing, and innovative deep…

[Correspondence] Irrigation efficacy in CSDH surgery: the FINISH trial

Published: April 19, 2025 00:00

The FINISH trial by Rahul Raj and colleagues offers key insights into the surgical management of chronic subdural haematoma (CSDH) by evaluating the efficacy of irrigation during burr-hole drainage.1 This study shows that irrigation can reduce reoperation…

[Correspondence] Medical research funding cuts will save money and spend lives

Published: April 19, 2025 00:00

Recent budget cuts to organisations central to US and international health—for example, the National Institutes of Health (NIH), the Food and Drug Administration (FDA), and the Centers for Disease Control and Prevention (CDC)—threaten medical research and…

[Correspondence] Population health and a representative US health-care workforce

Published: April 19, 2025 00:00

Programmes to build a more representative US health-care workforce are under attack, despite the long-standing under-representation of health-care providers from racially and ethnically minoritised groups and evidence that a representative health-care…

[Correspondence] Need for VA-ECMO after heart transplantation with HOPE

Published: April 19, 2025 00:00

We have read with interest the Article by Filip Rega and colleagues1 on the use of hypothermic oxygenated perfusion (HOPE) for the donor heart in heart transplantation. This trial provides evidence of the benefits of HOPE compared with static cold storage…

[Correspondence] Finalising the WHO Pandemic Agreement for a safer future

Published: April 19, 2025 00:00

In December, 2021, all 194 Member States of WHO decided to establish the Intergovernmental Negotiating Body (INB) to draft and negotiate a convention, agreement, or other international instrument on pandemic prevention, preparedness, and response under…

[Correspondence] Need for VA-ECMO after heart transplantation with HOPE – Authors' reply

Published: April 19, 2025 00:00

We thank Jose Gonzalez-Costello and colleagues for reviewing our trial report1 and appreciate the opportunity to address their comments. We acknowledge the observation regarding venoarterial extracorporeal membrane oxygenation (VA-ECMO) use in the…