Fun, quick episode this week. https://pubmed.ncbi.nlm.nih.gov/33934725/ Non-fatal senior pickleball and tennis-related injuries treated in United States emergency departments, 2010-2019 Harold Weiss https://pubmed.ncbi.nlm.nih.gov/?term=Weiss+H&cauthor_id=33934725 1 https://pubmed.ncbi.nlm.nih.gov/33934725/#full-view-affiliation-1, Jacob Dougherty https://pubmed.ncbi.nlm.nih.gov/?term=Dougherty+J&cauthor_id=33934725 2 https://pubmed.ncbi.nlm.nih.gov/33934725/#full-view-affiliation-2, Charles DiMaggio https://pubmed.ncbi.nlm.nih.gov/?term=DiMaggio+C&cauthor_id=33934725 3 https://pubmed.ncbi.nlm.nih.gov/33934725/#full-view-affiliation-3
Today's episode is a very complicated topic without clear cut benefits. Expert opinions and modeling data to address a dangerous and serious topic. Let's look at 2 sources: a new study from the Annals of Internal Medicine and an expert opinion from Uptodate. https://www.uptodate.com/contents/selecting-adult-patients-with-lower-extremity-deep-venous-thrombosis-and-pulmonary-embolism-for-indefinite-anticoagulation?search=unprovoked%20dvt§ionRank=1&usage_type=default&anchor=H648618&source=machineLearning&selectedTitle=1~150&display_rank=1#H648618 vs. https://pubmed.ncbi.nlm.nih.gov/37364263/ Indefinite Anticoagulant Therapy for First Unprovoked Venous Thromboembolism : A Cost-Effectiveness Study Faizan Khan https://pubmed.ncbi.nlm.nih.gov/?term=Khan+F&cauthor_id=37364263 1 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-1, Doug Coyle https://pubmed.ncbi.nlm.nih.gov/?term=Coyle+D&cauthor_id=37364263 2 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-2, Kednapa Thavorn https://pubmed.ncbi.nlm.nih.gov/?term=Thavorn+K&cauthor_id=37364263 3 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-3, Sasha van Katwyk https://pubmed.ncbi.nlm.nih.gov/?term=van+Katwyk+S&cauthor_id=37364263 4 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-4, Tobias Tritschler https://pubmed.ncbi.nlm.nih.gov/?term=Tritschler+T&cauthor_id=37364263 5 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-5, Brian Hutton https://pubmed.ncbi.nlm.nih.gov/?term=Hutton+B&cauthor_id=37364263 6 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-6, Grégoire Le Gal https://pubmed.ncbi.nlm.nih.gov/?term=Le+Gal+G&cauthor_id=37364263 7 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-7, Marc A Rodger https://pubmed.ncbi.nlm.nih.gov/?term=Rodger+MA&cauthor_id=37364263 8 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-8, Dean A Fergusson https://pubmed.ncbi.nlm.nih.gov/?term=Fergusson+DA&cauthor_id=37364263 9 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-9
Time restricted eating vs. caloric restriction. Is there a winner in this 1:1:1 12-month trial from Chicago? https://pubmed.ncbi.nlm.nih.gov/37364268/ Time-Restricted Eating Without Calorie Counting for Weight Loss in a Racially Diverse Population : A Randomized Controlled Trial Shuhao Lin https://pubmed.ncbi.nlm.nih.gov/?term=Lin+S&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Sofia Cienfuegos https://pubmed.ncbi.nlm.nih.gov/?term=Cienfuegos+S&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Mark Ezpeleta https://pubmed.ncbi.nlm.nih.gov/?term=Ezpeleta+M&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Kelsey Gabel https://pubmed.ncbi.nlm.nih.gov/?term=Gabel+K&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Vasiliki Pavlou https://pubmed.ncbi.nlm.nih.gov/?term=Pavlou+V&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Andrea Mulas https://pubmed.ncbi.nlm.nih.gov/?term=Mulas+A&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Kaitie Chakos https://pubmed.ncbi.nlm.nih.gov/?term=Chakos+K&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Mara McStay https://pubmed.ncbi.nlm.nih.gov/?term=McStay+M&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Jackie Wu https://pubmed.ncbi.nlm.nih.gov/?term=Wu+J&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Lisa Tussing-Humphreys https://pubmed.ncbi.nlm.nih.gov/?term=Tussing-Humphreys+L&cauthor_id=37364268 2 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-2, Shaina J Alexandria https://pubmed.ncbi.nlm.nih.gov/?term=Alexandria+SJ&cauthor_id=37364268 3 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-3, Julienne Sanchez https://pubmed.ncbi.nlm.nih.gov/?term=Sanchez+J&cauthor_id=37364268 4 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-4, Terry Unterman https://pubmed.ncbi.nlm.nih.gov/?term=Unterman+T&cauthor_id=37364268 5 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-5, Krista A Varady https://pubmed.ncbi.nlm.nih.gov/?term=Varady+KA&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1
Talking about 2 studies released last month: 1. Giving it to 3rd trimester moms and seeing what happens in newborns: https://pubmed.ncbi.nlm.nih.gov/37018474/ 2. Giving it to 60+ yo adults and seeing what happens: https://pubmed.ncbi.nlm.nih.gov/37018468/ What happens when I review these? Listen to find out! Helpful table (Not sure if this will reproduce well or not): NNT Vaccine Efficacy Severe LRI first 90 d 142 81% In 6 mo 75 69% ADULTS 1428 85% non-severe LRI first 90 d 111 57 6mo 55 51% ADULTS 769 66% Any URI ADULTS 500 62%
Hey everyone, on today's episode we are talking about a recent JAMA article on Heterogeneity in Blood Pressure Response to various blood pressure medicines and the idea of individualizing antihypertensive algorithms. https://jamanetwork.com/journals/jama/article-abstract/2803518
Today's episode we look at a study of 60+ year olds who have poorly controlled depression. Is it better to add on medications? Switch medications? Does it matter? Study link: https://pubmed.ncbi.nlm.nih.gov/36867173/
Bempedoic Acid aka Nexletol has a new trial in NEJM that shows MACE reduction in very high risk patients (mostly secondary but some primary prevention). NNT? NNH? Other trials on Bempedoic acid? Tune in and find out.
Interesting study today that looks at High dose ICS inhalers possibly have worse outcomes in patients than medium dose ICS inhalers, leading to more exacerbations and need for antibiotics. Plausible? Let's discuss!
We take a Pre-operative study from the Annals of Surgery and talk about perioperative risk management for patients with low serum creatinine.
Minor changes, but enough that it's probably useful for an update!
Let's review a clinical trial of medical cannabis use in chronic pain patients with the goal of reducing daily MME dose.
Interesting Study out of the Netherlands on different typing speeds in clinical practice by age, gender, medical role, and specialty. Take home - You aren't as fast as a typer as you think!
Kicking 2023 year off with a topic on Motivational Interviewing, and what I'm focusing on to help patients make healthy choices and beneficial lifestyle changes for this year.
Today we discuss a recent study looking at intra-articular steroid injections for knee arthritis vs. IM steroid injections in the glute. Non-inferior???
Apparently, the relationship between HDL and coronary artery disease is much more complicated than previously thought. Low HDL doesn't matter if you are black? Let's read about a November 2022 study from JACC.
Last decade, data has pointed us to prescribe BP meds at night, new study says, maybe it doesn't matter?
SHOCKING! DRAMA! Not really, so let's dig into the details from NEJM October article on colonoscopy RCT in Europe.
I HAVE NOTHING TO PUT IN HERE, JUST LISTEN OK.
Works! How Well? Well, pretty good. Let's get more details!
1. New classifications for your documentation - HFrEF, HFmrEF, HFpEf, HFiEF 2. Medications for HFrEF, HFmrEF 3. Medications for HFpEF. 4. MEMORIZE ALL THE ACRONYMS
Not smoking cessation, but SITTING CESSATION? How a British RCT showed that PCPs can improved hours of sedentary sitting per day, and make changes to patient's overall wellbeing and ? health? Let's discuss!
WELCOME BACK. Let's talk about a recent study last month on treatment options for painful neuropathy in diabetes. Monotherapy or dual therapy? Is More Better? Is this practice changing? Do I like typing questions in here? Find out in this episode!
Let's talk about cfDNA and how a new test is soon to be coming to a PCP office near you to screen healthy patients for all cancers in a single blood test.
On today's episode: Standard opening and joke, but with a new sponsorship from Panacea Financial! Pod Episode is on an interesting study from last month on management of hyperkalemia with patients on ACE/ARBs that I thought was super interesting and very relevant to primary care. Hope you agree!
Let's talk and review research (and future treatments of LpA) on today's episode of the PCP.