Resources: Goodfellow GEMS and PEARLS added in June

The Latest Goodfellow GEMS

Goodfellow Gems are chosen by the Goodfellow Unit director Dr Bruce Arroll to be either practice changing or practice maintaining. The information is educational and not clinical advice. The Goodfellow Unit (New Zealand) owns the copyright of the Gems.

- 10 helpful ideas when working with transgender or gender non-conforming patients

- Topical corticosteroids may be a safe alternative to treat phimosis in boys

- Spironolactone; effective but regular serum potassium checks recommended forever

- Beta-blockers no longer first line for simple hypertension

- Stillborn children: photographs may help the healing

- Bronchiolitis- No medication in primary care; just monitor and refer when necessary

- Early gluten exposure probably not associated with an increase in coeliac disease

- Asthma: LABAs, house dust, breathing exercise and pets

- Association between gout and high intakes of fructose – consider reducing it

- Antibiotics – shorter courses (5 days) are better (pneumonia and cellulitis)

- Antibiotics not effective for cough and coloured sputum (acute bronchitis)

- Topical steroids first for scalp psoriasis

 Goodfellow GEMS


PEARLS are an independent product of the Cochrane primary care group and are meant for educational use and not to guide clinical care.

510 Limited evidence for benefits of dietary fibre in cardiovascular disease

509 Motor control exercise similar to other forms of exercise for chronic non-specific low-back pain

508 Little evidence for water precautions in preventing infections in children with grommets

507 Limited evidence for benefits of tricyclics for nocturnal enuresis

506 Over-the-counter analgesics effective for acute postoperative pain

505 Limited evidence to support use of interactive telemedicine

504 Limited evidence for intra-articular corticosteroids in knee osteoarthritis

503 Limited evidence for light therapy as preventive treatment for seasonal affective disorder

502 Interventions to facilitate shared decision-making reduce antibiotic prescribing