Paper Chase #3 | Breast Cancer MortalityFrom May 2018, The Buzz That Won't Quit
This simulation modeling study reports that breast cancer mortality reductions in US women were from both advances in screening and adjuvant therapy.4min 57Andrew Buelt, DO and Joe Weatherly, DO
Paperchase #5 - Don't Bother Rechecking Lipids Once You Start That StatinFrom December 2017, Jingle, Jingle
The Objective of this study was to understand clinician rationale for ordering monitoring lipid panels among patients on statin therapy and to determine how often treatment changes occur as a result of testing. For their bottom line, Joe and Andrew conclude that most monitoring of lipid profiles …4min 47Andrew Buelt, DO and Joe Weatherly, DO
A Ghoulish UpdateFrom October 2017, It's Bloody Halloween!
Andrew and Heidi talk about the potential role of ASA in preventing colorectal cancer, compare fracture risks associated with common anticoagulants, and go on a bit of a tirade about lung cancer screening. •12min 13Heidi James, MD and Andrew Buelt, DO
PaperChase Super Duper Deep Dive - HPVFrom August 2017, Diabetes and Whispered Pectorilo….what???
In this Paperchase Super Duper Deep Dive, Joe and Andrew do an exhaustive literature search and conclude that HPV testing ALONE is all we need to be doing for cervical cancer screening. •16min 6Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 4 - Frequency of Retinopathy Screening in Type 1 DiabetesFrom July 2017, Be Kind and Enjoy Life
Finally! An evidence based screening guideline for retinopathy in type 1 diabetes that will save a ton of money AND catch advanced disease sooner.5min 11Andrew Buelt, DO and Joe Weatherly, DO
Cancer Guidelines, Anti-Diarrheal Meds and Codeine in KidsFrom May 2017, Cancer Guidelines, Anti-Diarrheal Meds and Codeine in Kids
Andrew and Vanessa bring us what’s hot in medical news this month: the USPSTF revamps its prostate cancer guidelines, people are overdosing on anti-diarrheal medications (no, we’re not full of it), and the FDA warns against codeine and tramadol use in children.6min 31Andrew Buelt, DO and Vanessa Cardy, MD
Paper Chase 3: Breast Cancer Screening in DenmarkFrom April 2017, Antibiotics in the Lyme-Light
Data from the Danish mammographic screening program suggests that advanced cancers (tumours over 20mm in size) are just as common in screened as in unscreened women. It also found that roughly a third of all tumors found by screening represented “overdiagnosis”, meaning radiographically present …6min 7Andrew Buelt, DO and Joe Weatherly, DO
The Primary Care RAP Hot Sheet: March 2017From March 2017, The Primary Care RAP Hot Sheet: March 2017
This month, Andrew and Joe suffer from some entertaining loosening of associations as they connect obscure March holidays to recent studies on flexible sigmoidoscopy, lung cancer screening, and metformin in chronic kidney disease. (Spoiler: Awkward Moment Day is an actual thing.) •5min 36Andrew Buelt, DO, Joe Weatherly, DO, and Heidi James, MD
Things I Do But Should I? Routine Urinalysis in PregnancyFrom March 2017, The Benzos & Fungus Among Us
Checking for proteinuria and glycosuria is standard of care in many institutions as a means to screen for pre-eclampsia and gestational diabetes. A review of the evidence suggests that we have other, much better screening tests (check blood pressure for pre-eclampsia and oral glucose tolerance …9min 7Vanessa Cardy, MD and Adrien Selim, MD
Paper Chase 1: Prediabetes with All-Cause and Cardiovascular MortalityFrom March 2017, The Benzos & Fungus Among Us
A diagnosis of pre-diabetes was weakly associated with increased risk of cardiovascular disease and all cause mortality. There are some flaws in the study that call these results into question. •6min 1Andrew Buelt, DO and Joe Weatherly, DO
Point of Care CRP in KidsFrom February 2017, Sweat Puddled, Brains Muddled
This randomised trial sought to determine if routine point of care CRP testing in acutely ill pediatric patients would help clinicians rule out serious underlying etiology. Casey Parker dissects the article and concludes CRP is not helpful in this clinical setting. •9min 39Casey Parker, MD
Prostate Cancer Screening in Primary CareFrom June 2016, C Diff Shows No Mercy!
Guidelines give conflicting recommendations on whether or not to use PSA for prostate cancer screening. David Sharkis gives his approach, recommendations, and scripting for shared decision making. •16min 16Dave Sharkis, MD