Three healthily skeptical primary care physicians discuss the latest in primary care medicine. Join Essential Evidence Editor Mark Ebell MD, JFP editor John Hickner MD, and POEMs co-founder Henry Barry MD, for this fast-paced weekly update on evidence-based primary care.
This month Kate, Mark, Gary and Henry discuss yoga for treating urinary incontinence in older women, benefits and harms of muscle relaxants for adults with chronic pain, maternal prenatal cannabis use and developmental delays, and bariatric surgery vs. glucagon-like peptide 1 receptor agonists in obese adults with T2DM.
Links:
Yoga for incontinence: https://pubmed.ncbi.nlm.nih.gov/39186785/
Muscle relaxants for painful conditions: https://pubmed.ncbi.nlm.nih.gov/39298168/
Maternal cannabis use and developmental delays: https://pubmed.ncbi.nlm.nih.gov/39422907/
Bariatric surgery vs. GLP-1s: https://www.ncbi.nlm.nih.gov/pubmed/39235379
This week Mark, Kate, Gary and Henry talk about the comparative effectiveness of migraine medications, strategies for adults with plantar fascia pain, whether to continue beta-blocker use after acute MI, and the outcomes of 5-alpha reductase inhibitor use prior to prostate cancer diagnosis.
Links
Migraine: https://www.bmj.com/content/386/bmj-2024-080107
Plantar fasciitis: https://pubmed.ncbi.nlm.nih.gov/38904119/Ā and https://pubmed.ncbi.nlm.nih.gov/16801514/
Beta-blockers post MI: https://pubmed.ncbi.nlm.nih.gov/39213187/
Prostate cancer: https://pubmed.ncbi.nlm.nih.gov/39190306/
This week listen in as Kate, Mark, Gary and Henry discuss antiviral treatment for infant RSV, colonoscopy competence by specialty, oral minoxidil for hair loss in men, and artificial intelligence performance on interpreting electrocardiogramsĀ .
RSV medication:
https://www.nejm.org/doi/full/10.1056/NEJMoa2313551#ap2Ā and https://pubmed.ncbi.nlm.nih.gov/39321361/Ā
Colonoscopy by specialty
https://pubmed.ncbi.nlm.nih.gov/38588561/Ā
https://aapce.wildapricot.org/Ā Ā
Minoxidil:
https://pubmed.ncbi.nlm.nih.gov/38598226/Ā
AI for ECGs:
https://www.ncbi.nlm.nih.gov/pubmed/39096711
Join Kate, Gary, Henry and Mark as they discuss a new therapy for dry eye syndrome, antibiotics for suspected UTI in adults with delirium, a new ACG guideline for treating H pylori, and the prevalence of knee pathology in asymptomatic adults. See below for links to the articles and other stuff:
Dry eye treatment
BMJ: https://www.bmj.com/content/386/bmj-2024-080474
Patient instructions: https://www.bmj.com/content/bmj/suppl/2024/09/11/bmj-2024-080474.DC1/liji080474.ww2.pdf
Antibiotics for UTI in delirium: https://pubmed.ncbi.nlm.nih.gov/38895992/
ACG guideline for H. Pylori: https://pubmed.ncbi.nlm.nih.gov/28071659/ MRI of asymptomatic knees: https://pubmed.ncbi.nlm.nih.gov/32060622/
Elections and CVD: https://pmc.ncbi.nlm.nih.gov/articles/PMC9021908/
Join Gary, Kate, Mark and Henry as they discuss text messages for adolescent vaping cessation, stopping BP meds in nursing home residents with dementia, the benefits of SGLT-2 inhibitors, and mobile phone appābased artificial intelligence for diagnosing melanoma.
Click here for transcript, notes and links for this episode.
It's biscuit week, oops, I mean flu week here on the Great Primary Care Update. Join our bakers, I mean POETs, as they discuss preventing influenza, treating severe influenza, psychedelics for depression, and GLP-1 agonists to treat sleep apnea of all things.
This week, Gary, Henry, Kate and Mark discuss CV events in children with hypertension, intra-articular steroid injections in adults with hip DJD, the best drug classes for treating adults with T2DM, and AI supported development of practice guideline questions. And a quiz, and two sports stories from Henry!
This week join Kate, Mark, Henry and Gary for a discussion of the cardiovascular benefits of salt substitutes, using virtual reality for cancer-related pain, whether multivitamins reduce mortality, and if and when to recommend vitamin D supplements.
This week, Kate, Mark, Gary and Henry tackle 4 new studies: the updated PREVENT cardiovascular disease risk calculators from the AHA, long-term consequences of UTIs in children, antibiotics for sinusitis in kids, and biomarkers to diagnose Alzheimerās disease
This week, join Kate, Gary, Mark and Henry as they discuss screening asymptomatic people for COPD and asthma, the rate of new onset seizures after COVID vaccination, choosing the best oral antibiotic for mild to moderate CAP, and a trail of melatonin for delirium in older, hospitalized adults
This week, Kate, Mark, Henry and Gary tackle the association between prostate medications and lower dementia risk, the natural history of umbilical hernias in children, differential mortality for flu, RSV and COVID, and what to do about device-detected atrial fibrillation.
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