May 8th, 2022
Podcast 290: USPSTF’s new take on aspirin and primary prevention of CVD
The U.S. Preventive Services Task Force recently issued its sixth set of guidelines on using daily aspirin to prevent cardiovascular disease. The guidelines appeared in JAMA — whose editors asked our guest, Dr. Allan Brett, to write an editorial evaluation. This edition carries Brett’s advice on using the new guidelines in daily clinical practice. Brett’s JAMA editorial USPSTF […]
March 10th, 2022
Podcast 285: GERD’s revised guidelines — an internist and a gastroenterologist discuss them.
Gastroesophageal reflux, or GERD, was the focus of a revised set of guidelines issued in January in the American Journal of Gastroenterology. Given the frequency of that condition in primary care clinics, internist and NEJM Journal Watch editor-in-chief Allan Brett proposed a discussion about the practical application of these guidelines with David Bjorkman. Dr. Bjorkman, […]
August 8th, 2019
Podcast 228: Hematuria — should the workup include imaging?
Matthew Nielsen and colleagues found almost 80 diagnostic algorithms for working up a finding of hematuria. From these, they chose five representative approaches, ranging from those based on the patients’ risk factors to more aggressive ones that stress CT imaging for all. Using a 100,000-patient simulated cohort, Nielsen’s group found that more intensive imaging found more […]
August 14th, 2018
Podcast 223: What are the implications of the BP guidelines?
If adopted, last December’s ACC/AHA guidelines on what pressure levels signal hypertension would label almost two thirds of the U.S. population between ages 45 and 75 as having the condition. The number of people who would be candidates for treatment would almost double — from 8 million to about 15 million. What are the implications of […]
January 13th, 2017
Podcast 205: Listen to the patient!
Danielle Ofri has written a new book, “What Patients Say, What Doctors Hear,” that’s full of advice on how best to listen to your patients. She also recounts her own adventures (and misadventures) in patient communication. The book is published by Beacon Press, which offers a free first chapter available for immediate electronic reading. Details are […]
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: […]
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