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Stay informed of the most relevant medical developments by subscribing to Clinical Conversations (http://podcasts.jwatch.org), from NEJM Journal Watch. This podcast features a round-up of the week's top medical stories, clinically-oriented interviews and listeners’ comments…in 30 minutes or less. Produced by the publishers of the New England Journal of Medicine, NEJM Journal Watch (jwatch.org) delivers independent, practical, and concise information you can trust.
||CleanPodcast 194: Rising middle-age mortality rates are worrying||Ever since Anne Case and Angus Deaton published a paper in the Proceedings of the National Academy of Sciences last November there has been a spate of commentary over their major finding: mortality rates among middle-aged whites in the U.S. are ris[...]||2/3/2016||Free||View In iTunes|
||CleanPodcast 193: Glioma survival lengthened||We usually don’t venture into oncology here, but the approach taken to glioma treatment in a JAMA paper — maintenance therapy with chemotherapy plus alternating electrical fields delivered transdermally via transducers — seems wor[...]||12/20/2015||Free||View In iTunes|
||CleanPodcast 192: Are we too sweet on HbA1c testing?||Over half the patients with Type 2 diabetes have their HbA1c measured too frequently — i.e., at least three times a year. Why is that a bad thing? Dr. Rozalina McCoy, the lead author of a paper in The BMJ explains. Using claims data, her[...]||12/10/2015||Free||View In iTunes|
||CleanPodcast 191: The prostate screening conundrum||[Running time: 13 minutes] The 2008 and 2012 recommendations from the USPSTF regarding PSA-based prostate screening have been accompanied by drops in both the screening and detection rates of prostate cancer, two studies in JAMA find. Our[...]||11/21/2015||Free||View In iTunes|
||CleanPodcast 190: Last line of antibiotic defense breached||The Lancet Infectious Diseases has just published a worrying account from China about a dangerous antibiotic resistance factor carried on plasmids. The factor, called MCR-1, confers resistance to colistin — a last line of defense against mult[...]||11/19/2015||Free||View In iTunes|
||CleanPodcast 189: Blood Pressure Target Should Be 120, SPRINT Data Show||The SPRINT study, suggesting that we aim for a systolic BP target of 120 mm Hg in high-risk hypertensive patients, has been published with much fanfare. Dr. Paul Whelton — one of the SPRINT investigators — is our guest. He warns ag[...]||11/9/2015||Free||View In iTunes|
||CleanPodcast 188: Should “deintensification” be a quality-of-care measure?||The ACCORD trial found dangers in too-strict control of blood pressure and glucose in diabetes. Our guest has just published a study in JAMA Internal Medicine measuring the scope of the problem. Using Veterans Affairs data, his group found that [...]||11/1/2015||Free||View In iTunes|
||CleanPodcast 187: Colorectal adenomas not prevented by calcium and/or vitamin D||We interview John Baron about his recent New England Journal of Medicine study testing the ability of calcium or vitamin D (or both) to prevent recurrences of colorectal adenomas in a population who had lesions found during colonoscopy. On follow-u[...]||10/25/2015||Free||View In iTunes|
||CleanPodcast 186: Stop supplementing calcium!||Two analyses in the BMJ show little or no benefit from loading up older patients with calcium — indeed, the bad side effects of doing so (kidney stones and cardiovascular problems, to name two) outweigh the benefits. Our conversation wit[...]||10/6/2015||Free||View In iTunes|
||CleanPodcast 185: A Spirited Discussion on Medicare’s ‘Doc Fix’ Fix for Reimbursement||A group of physicians, economists, and medical students gathered on Medstro to talk about Medicare’s solution to the decades-old “doc fix” problem — it’s how you get paid for caring for Medicare patients. The chat[...]||9/27/2015||Free||View In iTunes|
||CleanPodcast 184: Ruling out pulmonary embolism in primary care||Pulmonary embolism is a vexing problem in primary care: Does this patient have it? Can I send them home with reassurance? Should I refer them for further testing? A Dutch group has evaluated the tests most likely to be available in the primary[...]||9/22/2015||Free||View In iTunes|
||CleanPodcast 183: An Obesity ‘Switch’ in the Genome Described||There’s a kind of “wall switch” in the human genome that’s been newly described. It seems to be able to turn on and off genes controlling the efficiency with which we burn fat. The study describing the finding in the Ne[...]||8/21/2015||Free||View In iTunes|
||CleanPodcast 182: Dietary fat studies meta-analyzed — trans fat still a bad bet||The BMJ’s meta-analysis of several large cohorts finds no association of saturated fat with all-cause and cardiovascular mortality or total coronary disease. Trans fat, on the other hand, increased risk in all those categories. The first[...]||8/16/2015||Free||View In iTunes|
||CleanPodcast 181: Oral Contraceptives’ Role in Reducing Endometrial Cancers||(Running time: 15 minutes) A study in the Lancet Oncology gathered information from dozens of epidemiological studies to estimate that over 200,000 cases of endometrial cancer have been prevented in the past 10 years as a result of oral contra[...]||8/7/2015||Free||View In iTunes|
||CleanPodcast 180: A sketch of community-acquired pneumonia||How Webster defined it 90 years ago. The CDC’s Seema Jain is our guest, talking about a study she did with her team to characterize the causes of community-acquired pneumonia in U.S. adults. (They don’t mention finding Webster’s[...]||7/18/2015||Free||View In iTunes|
||CleanPodcast 179: Pradaxa (dabigatran) reversal near?||Running time: 20 minutes The anticoagulant dabigatran, marketed in the U.S. as Pradaxa, has always had the problem that, although it’s more convenient to use, there’s no sure way to stop its effect if the patient has a major b[...]||7/11/2015||Free||View In iTunes|
||CleanPodcast 178: Why Should Clinicians’ Complicity in CIA Torture Matter to You?||Dr. Scott Allen of Physicians for Human Rights talks about the lessons evident in the complicity of clinicians — physicians, PAs, and psychologists at the very least — in the torture of prisoners. His group published an analysis un[...]||7/4/2015||Free||View In iTunes|
||CleanClinical Conversation 177: Can We Deliver NICEly?||Neel Shah wrote a Perspective essay in the New England Journal of Medicine earlier this month on the U.K.’s NICE recommendation that encourages wider acceptance of home delivery and midwifery. The question is, could it work in the U.S.? [...]||6/22/2015||Free||View In iTunes|
||CleanPodcast 176: HPV Vaccine — How many doses are needed to confer protection?||Running time: 19 minutes We talk with Dr. Cosette Wheeler about a new Lancet Oncology paper that offers follow-up on two major trials of HPV-16/18 vaccines. The analysis adds more data to the suspicion that although three doses of vaccine[...]||6/12/2015||Free||View In iTunes|
||CleanPodcast 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 Univer[...]||6/3/2015||Free||View In iTunes|
||CleanPodcast 174: PARADIGM and Heart Failure||The PARADIGM-HF trial of LCZ696 — a novel compound that both blocks the renin-angiotensin system with an ARB component and blocks neprilysin’s degradation of natriuretic peptides — increased survival in heart failure by some 20% r[...]||9/9/2014||Free||View In iTunes|
||CleanPodcast 173: Sensible Sodium Levels in View at Last||Running time: 9 minutes In the light of the New England Journal of Medicine‘s recent publication three papers on sodium intake and its implications for cardiovascular disease, blood pressure, and excess mortality, we thought we’d s[...]||8/29/2014||Free||View In iTunes|
||CleanPodcast 172: Listening for the Diagnosis, a Conversation with Danielle Ofri||Running time: 15 minutes Dr. Danielle Ofri, author and internist (as well as an aspiring cellist), is writing a book about how patients and clinicians hear each other. Our discussion centers on that, and on her request that you contact her if [...]||7/30/2014||Free||View In iTunes|
||CleanPodcast 171: PTSD Treatment Effects Remain Largely Unmeasured By the Military and the VA||Running time: 10 minutes The Institute of Medicine’s report on treatment for post-traumatic stress disorder finds that active military and veterans with PTSD aren’t always getting evidence-based treatments. And when those treatment[...]||6/25/2014||Free||View In iTunes|
||CleanPodcast 170 — An Emergency Physician Has the Tables Turned On Her and Returns with Lessons for All Clinicians||Dr. Charlotte Yeh was crossing the street in Washington, D.C., on her way to dinner when a car hit her. She ended up in a Level I trauma center, and the experience was sobering for its reminder that in our drive to measure quality indicators, [...]||6/5/2014||Free||View In iTunes|
||CleanPodcast 169: New guidelines on cardiovascular disease prevention||Running time: 11 minutes The American Heart Association/American College of Cardiology have released four sets of guidelines — all aimed at the lowering of risk for atherosclerotic cardiovascular disease. For perspective, we’ve as[...]||11/12/2013||Free||View In iTunes|
||CleanPodcast 168: The Camden Coalition’s work on alleviating the discontinuity of medical care||Running time: 10 minutes The Camden Coalition of Healthcare Providers formed about 10 years ago as a quarterly breakfast club of primary-care providers who were frustrated in their attempts to bring care to comprehensive care to their patients[...]||9/25/2013||Free||View In iTunes|
||CleanPodcast 167 — The polypill: adherence at last?||Running time: 7 min The recent JAMA article examining the effects of the “polypill” on adherence and clinical benefits in patients with (or at high risk for) cardiovascular disease, is our topic. The polypill in this trial containe[...]||9/14/2013||Free||View In iTunes|
||CleanPodcast 166: Delirium and intensive care||Running time: 19:45 This week’s guest is Yoanna Skrobik, a Montreal intensivist and author of an intriguing commentary on a Lancet Respiratory Medicine paper on the (non)effect of haloperidol in influencing the incidence or length of del[...]||8/21/2013||Free||View In iTunes|
||CleanPodcast 165: The Mediterranean diet’s salutary interaction with risk-conferring genes||Running time: 14 minutes. A study in Diabetes Care shows that people at higher genetic risk for diabetes and cardiovascular complications had a relatively lower stroke risk when they adhered to a Mediterranean diet. Dr. Jose Ordovas, the study[...]||8/15/2013||Free||View In iTunes|
Great information! Personally I prefer the original title to "Clinical Conversations" but I can count on high quality review and information in this podcast on a weekly basis. I highly recommend it to any clinician interested in keeping abreast of the current literature.
I really enjoy Joe's voice
Why does he not do the Audio summaries; since the nature of the material is abstruse physicians might not accept him as legit, I like him, but
I tried to figure out why you removed him from the audio summaries and I realize maybe it was because he isn't a physician. Joe Ilea (Ileo's) voice is very nice.; his voice is so pleasant.
Is it coming back?
This is an awesome podcast, is it coming back for 2013?