CHEST Journal Podcasts

Pablo Alonso-Coello, PhD, and Gordon Guyatt, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP to discuss the results of a study of 18 asthma clinical practice guidelines. The study found that, although improving, the quality of most guidelines was disappointing. They further consider ways to improve guidelines, their format, and methods of dissemination. Duration 33 min

Earl S. Ford, MD, MPH, and David M. Mannino, MD, FCCP, joint CHEST Podcast Editor D. Kyle Hogarth to discuss updates to surveillance results for chronic obstructive pulmonary disease (COPD) in the United States from 1999 to 2011. Declines in the prevalence of COPD in several categories suggest progress in the treatment of COPD. Duration: 33 min

M. Diane Lougheed, MD, FCCP, and editorialist Kathleen Kreiss, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, in review Dr. Lougheed et al's article in this month's issue, relating the tracking of Flock Worker's Lung, from initial reports of a cluster of interstial lung disease cases among textile workers in Ontario in the early 1990s, to the discovery of additional similar clusters, on to the recognition of it as a specific occupational disease attributable to inhalation of flocked nylon fragments. Dr. Lougheed's group compared and analyzed changes among the same group of employees from 1991 to 2011 to create a profile of longitudinal lung function changes over this period.

Samy Suissa, PhD, of McGill University joins CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, for a conversation on the Commentary that he and Amnon Ariel, MD, FCCP, contributed to the May issue. In response to increased asthma death risks with long acting beta-agonists (LABA) in a number of randomized trials, the FDA recently mandated manufacturers to conduct five large non-inferiority randomized trials of LABA plus inhaled corticosteroids. Dr. Suissa gives his thoughts on the challenges of evaluating data from these upcoming studies. (duration: 26:36 min)

ACCP Diagnosis and Management of Lung Cancer Guidelines Chair W. Michael Alberts, MD, FCCP, and Vice Chair Frank Detterbeck, MD, FCCP, join CHEST podcast editor for an overview of the newly released 3rd edition of the respected guidelines. Their discussion focuses on updates on recommendations for screening, advances in treatment, smoking cessation, and sympotom management and palliative care. (duration 33 min)

Dr. Erik Folch and Dr. Colleen L. Channick join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, for a discussion on whether 50 supervised ultrasound-guided transbronchial needle aspiration procedures are needed to declare competency to assess lung cancer stage. Dr. Folch argues for, noting that although the procedure is safe, the risk of upstaging or downstaging is high in those without more extensive experience. Dr. Channick makes the case that the number 50 is arbitrary and that requiring such a large number of supervised procedures might exclude competent clinicians, thereby denying many patients with lung cancer a vital, non-surgical staging tool

In this month's issue of CHEST, Dr. Peter J. Kahrilas, MD et al. provide a systematic review on the value of acid-suppressive therapy to those with chronic cough. In this month's podcast, Dr. Kahrilas, editorialist Michael F. Vaezi, MD, PhD, and CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, discuss the problems of selecting patients who would benefit, of conducting trials that would provide insight for clinicians into potential theapies, and of determining causality between gastroesphgeal reflux disease and chronic cough.

A new Point/Counterpoint debate: David Jimenez, MD, PhD, takes the "Yes" side and Susan Murin, MD, FCCP, makes the "No" argument as they join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to discuss protocol vs. clinician evaluation in deciding whether to administer lytic therapy to patients. Duration: 40 min.

In this month's podcast, Gaurav Kumar, MD; Don Detmer, MD; and Karen S. Rheuban, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss a systematic review by Dr. Kumar and colleagues on the costs of telemedicine and what is known and not known about the value of telemedicine for hospitals and institutions.

J. Matthias Walz, MD, FCCP, and Kevin C. Doershug, MD, FCCP, join CHEST Podcast Editor D. Kyle Hogarth to discuss this month's Point/Counterpoint Editorials: Should an Anesthiologist Be the Specialist of Choice in Managing the Difficult Airway in the ICU? Duration: 35:33 min