The Rounds Table

This week: Changes in incidence and mortality associated with bilateral mastectomy for breast cancer and Neprilysin-inhibition for heart failure Nathan and Amol want you to: 1. Recognize that bilateral mastectomies for breast cancer are increasing in incidence, perhaps because of increased use of MRI, and they are not associated with a reduction in mortality. 2. Understand that ...

The post Heart Success! Bilateral mastectomies in breast cancer, the PARADIGM-HF Heart Failure Trial appeared first on Healthy Debate.

This week: Simvastatin in Secondary Progressive Multiple Sclerosis and Communicating With Patients About Risk Rebecca and Amol want you to: 1. Recognize that simvastatin reduces the rate of whole brain atrophy in secondary progressive MS, which may be a promising new use for statins. 2. Understand that effective strategies to communicate risk include: Using visual aids, speaking ...

The post 100% Bullish: Simvastatin in MS, Communicating Risk appeared first on Healthy Debate.

Perioperative AFib and Long-Term Risk of Ischemic Stroke; Paracetamol not more effective than placebo in acute low back pain Nathan and Amol want you to: 1. Understand that perioperative atrial fibrillation is associated with increased long-term risk of ischemic stroke. 2. Recognize that a high quality Randomized Controlled Trial demonstrates that paracetamol is not more effective than placebo ...

The post We’re Back (pain)!: Perioperative Atrial Fibrillation, Paracetamol and back pain appeared first on Healthy Debate.

Originally aired May 28, 2014: A Randomized Trial of Bariatric Surgery vs. Medical Management; Physical Activity and the Risk of Type II Diabetes in patients with Gestational Diabetes Nathan and Amol want you to: 1. Recognize that bariatric surgery led to superior diabetes control compared to intensive medical management in a single centre randomized controlled trial over a 3 ...

The post All About Diabetes: Bariatric Surgery and Physical Activity appeared first on Healthy Debate.

Originally aired July 9, 2014: Statins for COPD, ARDS and human-bovine Rotavirus vaccine Fahad and Amol want you to: 1. Understand that 2 high quality RCTs demonstrate that statins are not effective in improving clinical outcomes in either COPD or Acute Respiratory Distress Syndrome (ARDS). 2. Recognize that a novel Rotavirus vaccine was developed through an international public-private ...

The post Sorry Sports Analogies: Statins in ARDS and COPD, Rotavirus Vaccine appeared first on Healthy Debate.

Originally aired June 20, 2014: Bionic Pancreas in Type 1 Diabetes and Weekly Dalbavancin for Skin Infections Travis and Amol want you to: 1. Understand the potential role of a novel bionic pancreas in glycemic control in type 1 diabetes. 2. Recognize that dalbavancin is non-inferior to vancomycin/linezolid in treating skin infections and represents a potentially revolutionary once ...

The post Super Cool Stuff: A Bionic Pancreas and Weekly Antibiotics appeared first on Healthy Debate.

Originally aired April 9, 2014: Surgical skill in bariatric surgery and new oral anticoagulants for atrial fibrillation Nathan and Amol want you to: 1. Understand how peer assessed technical skill was found to be associated with complication rates at the individual surgeon level. 2. Recognize that peer rating of technical skill may provide opportunities for ...

The post Like A Surgeon: Surgical skill variation, new oral anticoagulants appeared first on Healthy Debate.

Originally aired April 25, 2014: Air pollution and heart failure, renal denervation for hypertension. Fahad and Amol want you to: 1. Understand the relationship between air pollution and cardiovascular health, and its broader policy implications. 2. Recognize that renal denervation was not an effective treatment for hypertension when studied in a randomized, blinded, sham-controlled trial. ...

The post They’re coming for Fahad: Air pollution and heart failure, renal denervation appeared first on Healthy Debate.

This week: Economic Incentives for Voluntary Medical Male Circumcision, and Lifestyle Counselling for Ischaemic Heart Disease Reena and Amol want you to: 1. Understand that medical male circumcision is effective in reducing transmission of HIV and other sexually-transmitted infections. 2. Recognize that an economic incentive designed to compensate people for ancillary costs and lost wages is modestly ...

The post A Tale of Two Studies: Medical Male Circumcision, Ischaemic Heart Disease appeared first on Healthy Debate.

This week: Physiotherapy in Chronic Hip Osteoarthritis and Whiplash Sara Guilcher and Amol want you to: 1. Recognize that 2 high quality randomized controlled trials showed that a comprehensive physiotherapy intervention did not reduce pain or improve function in chronic hip osteoarthritis or whiplash. 2. Appreciate that although the role of physiotherapy in acute pain ...

The post Physi-Oh My! Physiotherapy for Hip Osteoarthritis and Whiplash appeared first on Healthy Debate.