Articles matching the ‘guidelines’ Category

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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: […]


June 3rd, 2015

Podcast 175: “Understanding Value-Based Healthcare” — A Discussion with the Authors of an Important New Book

Running time: 26 minutes “Understanding Value-Based Healthcare,” published in April by McGraw-Hill is today’s focus. Drs. Christopher Moriates, of the University of California, San Francisco; Vineet Arora, of the University of Chicago; and Neel Shah of Harvard Medical — the book’s authors — discuss its straightforward approach to valuing patient outcomes foremost. The discussion ranges over their reasons […]


January 13th, 2011

Podcast 112: MRSA guidelines from IDSA

The Infectious Diseases Society of American last week issued clinical practice guidelines on dealing with methicillin-resistant S. aureus infection. We interview the principal author of those guidelines, Dr. Catherine Liu of the University of California, San Francisco. Dr. Liu responds to the criticism leveled earlier this week against all IDSA guidelines, for their apparent lack of […]


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