Posts Tagged ‘guidelines’

December 20th, 2019

Podcast 247: Managing dyspepsia

A “network meta-analysis” (we’ll explain that) finds that “test and treat” is the best way forward in managing this common condition. Patients, paradoxically, prefer immediate endoscopy to test-and-treat, but unless the patient has “alarm symptoms” (such as dysphagia, weight loss, and anemia), endoscopy is likely to add complications and costs without adding further benefit. Our guest is […]


August 30th, 2019

Podcast 231 — The evidence behind VA’s suicide-prevention guidelines

Dr. Eric Caine’s editorial in the Annals of Internal Medicine offers a skeptical, yet respectful, take on the evidence supporting the recent suicide-prevention guidelines from the U.S. Department of Veterans Affairs. What are other countries doing to address suicide? It has increased in the U.S. from about 10.4 per 100,000 residents in the year 2000 to […]


July 9th, 2017

Podcast 209: “The guidelines need to be rewritten” to encourage antibiotic use after incision and drainage of small skin abscesses

The senior author of a paper examining the role of systemic antibiotics after incision-and-drainage in treating small skin abscesses says the results should prompt a rewriting of current guidelines. Henry Chambers of UCSF found a 15-percentage-point advantage in short-term cure rates for antibiotics over placebo. The guidelines don’t encourage systemic antibiotics in these circumstances, but Chambers’ […]


June 9th, 2016

Podcast 203: What’s wrong with guidelines

Download the TRANSCRIPTION_JWPodcast203 We talk with Dr. Margaret McCartney of Glasgow about her essay in The BMJ. She and her three co-authors titled it “Making Evidence-Based Medicine Work for Individual Patients.” Note: We’re going to start including transcripts, and may even add transcripts to earlier podcasts. Let me know your reactions at jelia@nejm.org. BMJ essay Transcript of Podcast 203 Guest: […]


November 12th, 2013

Podcast 169: New guidelines on cardiovascular disease prevention

 Running time: 11 minutes The American Heart Association/American College of Cardiology have released four sets of guidelines — all aimed at the lowering of risk for atherosclerotic cardiovascular disease. For perspective, we’ve asked Harlan Krumholz, editor-in-chief of NEJM Journal Watch Cardiology and CardioExchange to chat. Links: Risk calculator (free) CardioExchange (free) Circulation homepage New York Times piece by Krumholz on […]


May 20th, 2012

Podcast 156: Using low-dose CT screening for lung cancer in defined populations — a conversation with Peter Bach

Dr. Peter Bach is the first author on a new JAMA analysis of the benefits and harms of using low-dose CT screening  for lung cancer. The American College of Chest Physicians and the American Society of Clinical Oncology requested the systematic review to assist them in drawing up a clinical guideline. Join us in discussing who […]


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