Paper Chase #5: E-Visit Use and Outcomes
From July 2021, Gluten-Free SummerIn-person follow-up visits were minimal and the majority of patients received a prescription.
7min 22Steve Biederman, MD and Tom Robertson, MD
Paper Chase #4: Stroke Risk Scores Across All Kidney Function
From July 2021, Gluten-Free SummerModified CHADS2 score performed well and consistently across all kidney function strata.
10min 30Steve Biederman, MD and Tom Robertson, MD
Paper Chase #3: Breastfeeding and Child IQ at Age 5
From July 2021, Gluten-Free SummerThere is an association between breastfeeding and higher IQ scores, but the confounders are complex.
6min 30Steve Biederman, MD and Tom Robertson, MD
Paper Chase #1: DOACs vs Warfarin in Valvular A-Fib
From July 2021, Gluten-Free SummerDOACs had improvement in risk of stroke or embolization and less bleeding compared with warfarin in patients with valvular atrial fibrillation, excluding mechanical valves or mitral stenosis.
5min 42Steve Biederman, MD and Tom Robertson, MD
Paper Chase #2: Semaglutide vs Placebo in Weight Loss Maintenance
From July 2021, Gluten-Free SummerAfter a run-in period of subcutaneous semaglutide, patients who continued semaglutide experienced continued weight loss in contrast to placebo where weight was regained.
6min 16Steve Biederman, MD and Tom Robertson, MD
Paper Chase #5: USPSTF on Low Dose CT for Lung Cancer Screening
From June 2021, Going HomeUSPSTF recommends annual lung cancer screening with low-dose CT in adults aged 50-80 who have 20 pack-year smoking history and currently smoke or quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years.
6min 13Tom Robertson, MD and Steve Biederman, MD
Paper Chase #4: Albumin Infusions in Cirrhosis
From June 2021, Going HomeTreating to an albumin >3.5 did not improve renal dysfunction, infection or mortality.
6min 57Steve Biederman, MD and Tom Robertson, MD
Paper Chase #3: Ablation vs Antiarrhythmics for Initial Treatment of A-Fib
From June 2021, Going HomeAmong patients receiving initial treatment for symptomatic paroxysmal afib, there were lower rates of recurrence of afib with ablation compared to antiarrhythmic drug therapy. The rate of recurrence was very low in both groups.
6min 51Steve Biederman, MD and Tom Robertson, MD
Paper Chase #2: Empagliflozin in Heart Failure with Reduced EF
From June 2021, Going HomeEmpagliflozin improved LVEF and led to significantly greater functional capacity and quality of life scores over placebo
5min 4Steve Biederman, MD and Tom Robertson, MD
Paper Chase #1: CNS-Active Polypharmacy in Adults with Dementia
From June 2021, Going Home14% of older adults with dementia filled prescriptions consistent with CNS-active polypharmacy
7min 5Steve Biederman, MD and Tom Robertson, MD
Top 10 Things We Should Stop Doing
From June 2021, Going HomeDo you like our “Things I do, but should I?” series? Keeping with this spirit, Paul Simmons and Dr. Mark Graber hone in on the top 10 things we should all STOP doing in clinical practice based on the most recent evidence.
29min 13Mark A Graber, MD and Paul Simmons, MD
Paper Chase #5: Physical Activity and BMI Association with CV Risk
From May 2021, PECARN Pie for PCPsPhysical activity improves CV risk, but does not compensated for the negative effects of obesity
7min 7Steve Biederman, MD and Tom Robertson, MD
Paper Chase #4: Epidemiologic Trends in Firearm Injuries in the US
From May 2021, PECARN Pie for PCPsSuicide appears to be the most common cause of firearm injury death in the US, and most people who die from suicide never reach the hospital. Assaults and unintentional injuries account for most nonfatal injuries.
7min 5Steve Biederman, MD and Tom Robertson, MD
Paper Chase #3: Metabolic Surgery vs Medical Therapy in Type 2 Diabetes
From May 2021, PECARN Pie for PCPsBariatric surgery led to significantly more diabetic remission at ten years compared to medical weight loss
5min 16Tom Robertson, MD and Steve Biederman, MD
Paper Chase #2: Individual vs Group Behavioral Therapy for Weight Loss in Rural
From May 2021, PECARN Pie for PCPsAmong obese patients in rural primary clinics, in-clinic group visits resulted in greater weight loss at 2 years, though differences were small
6min 49Tom Robertson, MD and Steve Biederman, MD
Paper Chase #1: Consequences of Inappropriate L-Spine MRI
From May 2021, PECARN Pie for PCPsMRI use for acute LBP was associated with increased amount of surgery, cost, opioid prescriptions and higher pain scores
6min 22Tom Robertson, MD and Steve Biederman, MD
PECARN Pie: Infant Fever Pt 2
From May 2021, PECARN Pie for PCPsThe young febrile infant is at risk for serious infections. Older risk stratification strategies have involved extensive, invasive work-ups. New research from the PECARN group has allowed for a simpler evaluation of the full term, well appearing febrile young infant using only blood and urine …
20min 3Solomon Behar, MD and Nate Kupperman, MD, MPH
Paper Chase #5: Depressive Symptoms and CV Disease
From April 2021, Becoming Trauma InformedBaseline depressive symptoms were associated with CVD incidence
5min 46Steve Biederman, MD and Tom Robertson, MD
Paper Chase #4: Benefits of CPAP on Glycemic Control in DM2 and OSA
From April 2021, Becoming Trauma InformedGlycemic control was statistically reduced, but effects were modest
5min 38Steve Biederman, MD and Tom Robertson, MD
Paper Chase #3: Fluoroquinolones and Risk of Aortic Aneurysm or Dissection
From April 2021, Becoming Trauma InformedFluoroquinolones were not associated with increased aortic aneurysm or aortic dissection risk compared to penicillins or cephalosporins
6min 20Steve Biederman, MD and Tom Robertson, MD
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