In episode 461, James and Mike invite Tina Korownyk to talk about the important question of whether or not virtual visits are as good as face-to-face when it comes to diagnosing undifferentiated presentations.
Show notes
Tools for Practice
Virtual visits versus face-to-face: Diagnostic accuracy in primary care
In episode 460, James and Mike invite Mike Kolber back again to answer the question does advising patients to abstain from alcohol reduce atrial fibrillation recurrence. The results may surprise you!
Show notes
Tools for Practice
Be still my quivering heart: alcohol and atrial fibrillation
In episode 459, James and Mike invite Mike Kolber to talk about whether or not the increased rate of colorectal cancer in people under 50 means we should be screening earlier. We talk about all the numbers and put the risk into the context of the absolute numbers.
Show notes
1) Tools for Practice
Is 45 really the new 50 in colorectal cancer screening?
2) Canadian task force on preventive health care – colorectal cancer 2016
In episode 458, James and Mike finally get back to being PREMIUM and cover a number of new and useful RCTs. We discuss 4 new Vitamin D trials, atrial fibrillation and do you need both rate and rhythm control, swollen legs and cellulitis, and is colchicine the new statin. Check out the PREMIUM podcast for all the answers.
Show notes
1) Handout
2) Early Rhythm-Control Therapy in Patients with Atrial Fibrillation
In episode 457, James and Mike yet again invite Joey Ton to go through the evidence around reaching a target serum urate level in patients with gout. As with many arbitrary thresholds determined from observational studies (sometimes), or just made up, when you properly study if there is a benefit to achieving these levels the theory really crumbles under the weight of the evidence. We also briefly talk about the febuxostat vs allopurinol data and the outcomes that matter.
Show notes
Tools for Practice
Who let the Gout Out? Targeting Uric Acid Levels in Treating Gout
In episode 456, James and Mike and Nic continue to go through all the evidence (primarily RCTs) around the use of masks and reducing the risk for viral illnesses. In this episode we talk about our systematic review and what we found for the public. Please also check out our simplified tool that describes all the information we found.
Show notes
1) Masks for prevention of viral respiratory infections among health care workers and the public – PEER umbrella systematic review
Canadian Family Physician 2020;66:509-17
2) PEER simplified tool: mask use by the general public and by health care workers
3) Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis
In episode 455, James and Mike invite Nic Dugré to go through all the evidence (primarily RCTs) around the use of masks and reducing the risk for viral illnesses for both healthcare workers and the public. In this episode we talk about our systematic review and what we found for healthcare workers – the following episode will be about the general public. Please also check out our simplified tool that describes all the information we found.
Show notes
1) Masks for prevention of viral respiratory infections among health care workers and the public – PEER umbrella systematic review
Canadian Family Physician 2020;66:509-17
2) PEER simplified tool: mask use by the general public and by health care workers
In episode 454, James and Mike invite Adam Keough to go through all the evidence around the impact of long-term running. We find out that recreational running likely does not increase the risk of developing osteoarthritis but high-level elite athletes may have an increased risk. Interestingly, exercise is one of the most effective treatments for reducing osteoarthritic pain. So as with most things in life – it’s all a balance.
Show notes
Tools for Practice
In episode 453, James and Mike invite Jessica Kirkwood to go over all the evidence for transitioning infants to solid foods using a baby-led weaning approach versus traditional spoon feeding. Overall, it really didn’t make much difference which approach was used. But listen to hear us take a bite out of all the nuances and context.
Show notes
Tools for Practice
“Does baby know best?”: Benefits and harms of baby-led weaning for transitioning to solid foods
In episode 452, James and Mike go over 2 recent publications which encapsulate all the important evidence around type 2 diabetes. We talk about the misdirection that occurs with T2DM evidence versus what we do in practice. We now have all the evidence and we know what these medications do or don’t do to important clinical endpoints. Could we please use this information when we treat T2DM.
Show notes
Penn & Teller Give a Lesson in Misdirection Using a Vanishing Chicken
1) Comparative Effectiveness of Glucose-Lowering Drugs for
Type 2 Diabetes – A Systematic Review and Network Meta-analysis
Ann Intern Med. 2020 Jun 30. doi: 10.7326/M20-0864
2) Association of glucose-lowering medications with cardiovascular outcomes: an umbrella review and evidence map
THE NUTRITION PROPOSITION BOOK
Check it out at nutritionproposition.com and think about picking up a copy on Amazon. All the evidence you ever wanted about nutrition and the only nutrition book that won’t tell you what to eat.
This pragmatic trial is now recruiting in BC. Make a difference and get involved with pragmatic trials (www.pragmatictrials.ca)
