The Rounds Table

This week: Cardiovascular risk and testosterone supplementation, reducing time to treatment in acute ischemic stroke. Fahad and Amol want you to: 1. Recognize that observational evidence suggests that testosterone supplementation is significantly associated with cardiovascular events and mortality. 2. Understand that a national quality improvement initiative was associated with reduced treatment times for stroke and improved clinical outcomes. Continuing ...

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This week: 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. Continuing Medical Education ...

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This week: Oregon Medicaid Expansion and a systematic review of anti-influenza medications. Janice and Amol want you to: 1. Understand the effect of health care coverage expansion on health care utilization. 2. Understand the utility of randomized control trials in the formulation of causal inferences. 3. Recognize that anti-influenza antiviral medications appear to cause only ...

The post Too Much Tamiflu! Medicaid Expansion and Anti-influenza Medications appeared first on Healthy Debate.

  This week: 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 targeted coaching, ...

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

  This week: Weight loss in colorectal cancer screening, D-dimers in Pulmonary Embolism, and Gene Editing in HIV Nathan, Amol and Travis want you to: 1. Recognize that modifiable lifestyle factors such as inactivity, weight, diet, and alcohol consumption are under-appreciated risk factors for colorectal cancer. 2. Understand how a weight loss and lifestyle improvement ...

The post How I Met Your D-dimer: Weight loss, pulmonary embolism, and HIV appeared first on Healthy Debate.

This week: surgical checklists, statin myalgia and breast cancer radiotherapy Janice, Nathan, and Amol want you to: 1. Understand the effect of surgical safety checklist implementation on surgical complication rates. 2. Understand the use of n-of-1 trials in evaluating the association between statin use and myalgia. 3. Recognize that intraoperative radiotherapy for breast cancer may be ...

The post Fathers and grandfathers of science: checklists, statin myalgia and breast cancer appeared first on Healthy Debate.

This week: prostatectomy, prescription drug costs, exome sequencing for rare mutations Learning objectives – Amol, Nathan, and Travis discuss: 1. Understand that radical prostatectomy improved overall and disease free survival and decreased metastasis compared with watchful waiting in men with localized prostate cancer of intermediate grade. 2. Understand how the cost of prescription drugs is regulated ...

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This week: obesity, palliative care, hepatitis c Learning objectives – Amol, Fahad, and Travis discuss: 1. Understand trends in obesity prevalence in adults and children. 2. Appreciate the effect of early palliative care on quality of life in patients with advanced cancer. 3. Recognize new therapeutic options in chronic Hepatitis C infection and their associated cost implications. Continuing ...

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