Clinical Conversations

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**Clinical Conversations**

From NEJM Journal Watch, this podcast features lively interviews, concise summaries, and expert commentary that busy clinicians need to stay current and improve patient care.

Latest Episodes:

Podcast 111: A look back on the year’s most clinically important developments. Dec 17, 2010

Show notes

Dr. Danielle Scheurer and Joe Elia have a free-form discussion on what’s happened over the past year.

Links to those stories (and, sometimes, interviews) are attached here.

If you’d like to suggest another, or comment on our selection, drop us a note in the comments field.

Discussion-related links (they are all free links):

The post Podcast 111: A look back on the year’s most clinically important developments. first appeared on Clinical Conversations.

Podcast 110: ARBs (and anti-hypertensives, generally) pose no measurable cancer risk, meta-analysis shows. Dec 03, 2010

Show notes

This week’s guest, Dr. Sripal Bangalore, finds no evidence that use of the standard anti-hypertensive drugs increases risks for cancer. His meta-analysis did find, however, an indication that ARBs and ACE inhibitors, when used in combination, increase risks modestly. Even with the short follow-up, Bangalore says clinicians should find reassurance in the results.

Listen in.

Interview-related links:

The post Podcast 110: ARBs (and anti-hypertensives, generally) pose no measurable cancer risk, meta-analysis shows. first appeared on Clinical Conversations.

Podcast 109: An overview of the American Heart Association meeting, with cardiologist Harlan Krumholz Nov 19, 2010

Show notes

We’ve got Dr. Harlan Krumholz, editor of Journal Watch Cardiology and CardioExchange, to guide us through a week’s worth of the top research presented at the American Heart Association in Chicago.

Interview-related links (in the order we discuss them in the interview):

The post Podcast 109: An overview of the American Heart Association meeting, with cardiologist Harlan Krumholz first appeared on Clinical Conversations.

Podcast 108: CT screening for lung cancer Nov 09, 2010

Show notes

We talk with Dr. Denise Aberle, a principal investigator on the CT-for-lung-cancer-screening trial that the National Cancer Institute stopped last week. NCI stopped the trial when the trial’s monitoring committee found a 20% decrease in lung cancer deaths among those randomized to CT screening.

Listen in for a fascinating look at what happens when trials stop — and most especially for the implications of this one.

Please make your comments here on the website.

Interview-related links:

The post Podcast 108: CT screening for lung cancer first appeared on Clinical Conversations.

Podcast 107: Hospital falls and how to reduce them Nov 05, 2010

Show notes

Our conversation is with Dr. Patricia Dykes of Boston’s Partners HealthCare. She’s first author on a paper published in JAMA earlier this week. In her study of fall prevention in hospitals, she and her team randomized eight medical units in four Boston-area hospitals either to their usual standards of fall prevention or to use of the “fall-prevention toolkit” — an intervention customized for each patient. The results are encouraging.

Interview-related links:

News-related links:

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QuantiaMD & Journal Watch National Case Challenge – $2500 Grand Prize

Entering is easy and takes about 15 minutes – simply provide basic information about your case using our one-page entry form. Submissions are due by November 8, 2010. Finalists will be chosen by the editorial boards of QuantiaMD and Journal Watch. We will work with finalists to produce and publish a full 4 to 8 minute interactive case. These cases and their presenters will be widely promoted and the grand prize winner shall be selected by popular vote. We encourage all of you to participate in the contest by voting on these finalist cases and help chose the Grand Prize winner.

Click here to participate: http://quantiamd.com/qmdjwncc_ack

The post Podcast 107: Hospital falls and how to reduce them first appeared on Clinical Conversations.

Podcast 106: The barbershop and hypertension — a little off the top Nov 02, 2010

Show notes

OK, now what can be done to control hypertension among African American men? What about recruiting barbershops to put a shoulder to the wheel? They’re community centers, trusted sources of gossip and advice, and places of relaxation. In Texas, a group of researchers undertook a randomized trial in black-owned barbershops in which barbers took blood pressures and made referrals to clinicians when necessary. Listen in on how it went.

Interview-related link:

Physician’s First Watch coverage

News-related links:

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QuantiaMD & Journal Watch National Case Challenge – $2500 Grand Prize

Click here to participate: http://quantiamd.com/qmdjwncc_ack

The post Podcast 106: The barbershop and hypertension — a little off the top first appeared on Clinical Conversations.

Podcast 105: NSAIDs revisited Oct 22, 2010

Show notes

In the face of scheduling problems we’ve had to postpone this week’s interview and use, instead, one from early this summer. It’s on NSAIDs, and if you missed it, it’s worth a listen. If you didn’t miss it, then join us again next week, but give a listen to the news round-up before you head off to rake leaves….

The pace of suggestions and comments has quickened, and I’m grateful. Please keep them coming to jelia@jwatch.org.

Interview-related link:

First Watch coverage of the NSAIDs article from June 9, 2010

News-related links:

* * *

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QuantiaMD & Journal Watch National Case Challenge – $2500 Grand Prize

Click here to participate: http://quantiamd.com/qmdjwncc_ack

The post Podcast 105: NSAIDs revisited first appeared on Clinical Conversations.

Podcast 104: Reassurance on clopidogrel and omeprazole. Oct 08, 2010

Show notes

We welcome Dr. Danielle Bowen Scheurer to our conversational team this week She’s a hospitalist at the Medical University of South Carolina and an associate editor of Physician’s First Watch.

Our guest is Dr. Deepak Bhatt, who has just published some reassuring results on omeprazole’s putative interaction with clopidogrel in the New England Journal of Medicine.

If you’d like to suggest topics or ways to improve this podcast, we’re all ears. Drop me a line at jelia@jwatch.org — thank you.

Interview-related link:

New England Journal of Medicine article (free)

News-related links:

Vaccine matchup looks good — MMWR article (free)
Low Apgar scores and cerebral palsy risk — BMJ article (free)
Screening survivors of childhood cancer — Annals abstract (free)
COG screening guidelines (free)

The post Podcast 104: Reassurance on clopidogrel and omeprazole. first appeared on Clinical Conversations.

Podcast 103: eGFR and cardiovascular risk assessment Oct 01, 2010

Show notes

Welcome back. We take a look this week at a study from Iceland that looks at whether estimated glomerular filtration rates have a role in estimating cardiovascular risk. Our interview is with Cambridge University’s Dr. Emanuele Di Angelantonio.

Your comments are welcome, both here and to my email address: jelia@jwatch.org.

Interview-related links:

BMJ study (free)
BMJ meta-analysis (free)
BMJ editorial (subscription needed)

News-related links:

ADHD story in Physician’s First Watch
Archives of Disease in Childhood (abstract)
MMWR (free)
Annals of Family Medicine (free full text)

The post Podcast 103: eGFR and cardiovascular risk assessment first appeared on Clinical Conversations.

Podcast 102: Short compression stockings would seem to have no further role clinically. Sep 26, 2010

Show notes

Prof. Martin Dennis chats with us about his latest trial, comparing the utility of thigh- versus below-knee-length stockings for patients immobilized after stroke. The latest results show the superiority of thigh-length stockings, but at the further risk of skin breaks in these vulnerable patients. Taken together with the results of his earlier work, at the very least the use of below-knee-length compression stockings — now widely used in patients undergoing surgery — must be called into question.

Interview-related links:

News-related links:

The post Podcast 102: Short compression stockings would seem to have no further role clinically. first appeared on Clinical Conversations.

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