GP @BBB_health AcademicCL @NIHRresearch @KingsMedicine Assoc Editor @BJGPJournal @rcgp ;exTrustee @Barts_Charity https://xitter.cf/t.co/BWcZwjjGBy
London
Joined October 2010
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Thomas Round 💙 retweeted
Read your article - I’m an NHS GP - the point of your article should have been that increasing access DOES NOT equate to more capacity. With no new funding we can’t employ more Dr’s so no more appointments - rearranging deckchairs on the titanic springs to mind - not GP fault
Thomas Round 💙 retweeted
PowerPoint deadline season in academic medicine, w/ an inbox overflowing with "friendly reminders" to submit slides and other stuff weeks before my talks! Naturally, instead of finishing those slides, I wrote this to complain about it. Free link in replies. @NEJM
Thomas Round 💙 retweeted
Original Article: Effect of Screening with Multicancer Early-Detection Test on Late-Stage Cancer Diagnosis (NHS-Galleri trial) nej.md/4xRZN5L
Editorial: A Step in the Search for the Elusive Holy Grail of Early Detection of Cancer nej.md/4cK3UIy
#Oncology #Genetics
ALT Bar chart comparing detection methods of two groups, Intervention Group (N=3637) and Control Group (N=3400). For the Intervention Group, clinically detected: 2464, MCED-detected: 937, NHS current screening program-detected: 236. For the Control Group, clinically detected: 3110, MCED-detected: 0, NHS current screening program-detected: 290. The colors represent each detection method: green for clinically detected, red for MCED-detected, and yellow for NHS detection.
Thomas Round 💙 retweeted
This randomized trial examined whether adding a multicancer early-detection blood test to usual care reduces late-stage cancer diagnoses in adults 50 to 77 years of age. Research findings from the NHS-Galleri trial are summarized in a new Quick Take video. nej.md/4iZFheW
ALT Illustration of a multi-cancer early-detection blood testing kit with a test tube filled with blood, alongside a magnified view of a cancer cell surrounded by other cells.
Thomas Round 💙 retweeted
Compared with no use of hormone therapy, oral menopausal hormone therapy was associated with increased venous thromboembolic risk regardless of dosage & treatment duration, finds study.
No increased thrombotic risks were observed with transdermal therapy
bmj.com/content/394/bmj-2026…
Thomas Round 💙 retweeted
New studies provide evidence on performance, safety & implementation of the #Galleri multi-cancer early detection test, underscoring the next challenge: demonstrating population-level benefit.
Catherine Marinac & colleagues @DanaFarber discuss the data:
dlvr.it/TVcDl0
Thomas Round 💙 retweeted
Detailed peer-reviewed results from the NHS-Galleri trial are now published in @NEJM and @NatureMedicine, providing clinical utility and performance data.
These results reflect GRAIL’s commitment to setting a high bar for MCED evidence—rigorously demonstrating Galleri’s potential to reduce late-stage diagnoses and find more cancers earlier.
#EarlyCancerDetection #CancerScreening #MCED
Learn more:
New England Journal of Medicine: bit.ly/3Vbd5f8
Nature Medicine: bit.ly/4y9il1j
Rx Only. See Important Safety Information: bit.ly/411L6zk
Thomas Round 💙 retweeted
In a trial of a blood-based multicancer early-detection test added to usual care, the incidence of stage III or IV cancer after three rounds of screening did not differ significantly from that with usual care alone. Full NHS-Galleri trial results: nej.md/4xRZN5L
Editorial: A Step in the Search for the Elusive Holy Grail of Early Detection of Cancer nej.md/4cK3UIy
ALT A bar chart from an Original Article published in the New England Journal of Medicine article titled "Effect of Screening with Multicancer Early-Detection Test on Late-Stage Cancer Diagnosis." The chart shows the distribution of the route to cancer diagnosis according to trial group after three annual screening rounds. The trial name, NHS-Galleri, is in parentheses after the title. The NEJM identity sits at the bottom.
Thomas Round 💙 retweeted
The Royal College of General Practitioners has published its first dedicated research strategy, setting out a three year roadmap for 2026-29.
But patient engagement, early career exposure, and evolving digital environments are lacking prominence
bmj.com/content/394/bmj-2026…
Thomas Round 💙 retweeted
Air pollution stunts children’s lung growth. New Queen Mary research found that improvements in air quality after the introduction of London’s ULEZ are associated with accelerated lung growth in children.
Read more: shorturl.at/Jx86o
Thomas Round 💙 retweeted
NEW: An independent study by @QMUL has found that after the ULEZ was introduced, children’s lungs grew faster in central London, and have now caught up with children outside of the capital.
Incredible news 💚
theguardian.com/environment/…
Thomas Round 💙 retweeted
Plans to slash £16.7m in funding for clinical academics in universities will be “disastrous” for medical education, the doctors’ union has warned @TheBMA
bmj.com/content/394/bmj-2026…
Thomas Round 💙 retweeted
Most of us will face the reality of end-of-life care — yet our healthcare system treats palliative care as an after thought, funded mainly by charities. Why is something so essential still so undervalued and patchy across the UK? What must change?
Full 👇🏻
youtu.be/22BzLBmPL_k?si=mdSI…
Thomas Round 💙 retweeted
Screening for prostate cancer does not save lives
Glad he's feeling well, but this is terrible advice from @JeremyClarkson and will result in many men suffering both physically and psychologically
If you're concerned, speak to your Doctor... But don't lie to them
Thomas Round 💙 retweeted
A new study shows HPV vaccination in England has led to the number of deaths from cervical cancer falling to zero in vaccinated women under 25.
Please encourage all eligible children to get vaccinated.
thelancet.com/journals/lance…
Thomas Round 💙 retweeted
Yet another study shows a 24% reduced risk of dementia after the Shingles vaccine. This one in over 500,000 participants with a recent skilled nursing facility stay, adding to 4 huge natural experiments in 4 countries (US, Canada, Wales, and Australia)
acpjournals.org/doi/10.7326/… @AnnalsofIM
Thomas Round 💙 retweeted
There are no words.
The whole profession feels Dr Kumar’s grief.
We all empathise with this outrageous request. What’s happened to mental health trusts? Where’s the oversight for these failings? It’s happening on a national scale. It’s a silent catastrophe.
@CareQualityComm
Fed up. Just spent 14 weeks at @nottsinquiry didn’t miss a minute as this was all I could do in my daughter Grace’s name against all those who failed.
Get to my desk and this is what I’m greeted with……
Thomas Round 💙 retweeted
Every single day GPs have to face BS like this. Secondary care isn’t living up to its end of hospital contracts. Its endemic. Scandal of workload dumps in plain site. “GP to initiate antipsychotic”, my god man. Bring back shame.
Fed up. Just spent 14 weeks at @nottsinquiry didn’t miss a minute as this was all I could do in my daughter Grace’s name against all those who failed.
Get to my desk and this is what I’m greeted with……
Thomas Round 💙 retweeted
I count 12 abstracts on GLP1s for cancer prevention at ASCO
All of them are observational, and it's clear a proper randomized trial is needed here – two things on that
1. Lilly and Novo are not currently interested in doing it (thanks to @theglpman for helping to figure this out)
2. The first randomized trial is planned (called INSPIRE, from the ECOG-ACRIN research group) – for primary and secondary prevention of breast cancer in 11,000 overweight (non-obese) women, with a 5 year follow-up
