JAMA Clinical Reviews: Interviews about ideas& innovations in medicine, science& clinical practice. Listen& earn CME credit.

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Author interviews that explore the latest clinical reviews.

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Website
http://jama.jamanetwork.com/journal.aspx
Description
Author interviews that explore the latest clinical reviews.
Language
🇬🇧 English
last modified
2018-10-17 06:50
last episode published
2017-01-30 19:00
Contributors
The JAMA Network author  
American Medical Association owner  
Explicit
false
Number of Episodes
85
Rss-Feeds
Detail page
Categories
Science & Medicine Health Medicine

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Episodes

Date Thumb Title & Description Contributors
16.10.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

An Update on the Diagnosis and Treatment of Venous Thromboembolic Disease

Venous thromboembolic disease is common. There are many steps necessary to establish a diagnosis or treat this disease. These are summarized in this JAMA Clinical Reviews podcast and interview with Philip S. Wells, MD, from the Department of Medicine, ...
2.10.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Alcohol Withdrawal Syndrome

Alcohol withdrawal is a serious problem that can lead to mortality. How to predict if it will occur when a patient who is misusing alcohol is admitted to the hospital is challenging. This Rational Clinical Examination article reports results of a syste...
25.09.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Treating Appendicitis Without Surgery – 5-Year Follow-up From a Randomized Clinical Trial of Antibiotic Treatment

In 2015, JAMA published results of a randomized clinical trial showing that antibiotic treatment for acute appendicitis was feasible. Doubters of the efficacy of antibiotics for treating appendicitis were concerned about what the long-term recurrence r...
18.09.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Treating Lyme Disease in 2018, Part 2

There are new findings about another form of Borrelia: Borrelia miyamotoi. This form of Borrelia causes a relapsing fever but is spread in the same way that Lyme disease is. To help understand these new findings we spoke with Eugene Shapiro, MD, from t...
11.09.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Treating Lyme Disease in 2018, Part 1

In this JAMA Clinical Reviews podcast, we talk to Eugene D. Shapiro, MD, from Yale University School of Medicine for an update on Lyme disease, including new ideas about its diagnosis and treatment.
4.09.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

What you need to know about syphilis in 2018

Syphilis is on the rise despite prior successful efforts to control it. Why is it coming back and what needs to be done about it? Dr Charles Hicks from UC San Diego explains. This podcast coincides with updated syphilis screening recommendations from t...
28.08.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Treating Alcohol Use Disorder

Up to 7% of the entire US population has alcohol use disorder. It’s important for every clinician to understand how to approach patients to question them about their use of alcohol and to establish a diagnosis when alcohol use disorder is present. Dr H...
14.08.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Saving Lives by Stopping Bleeding

Bleeding is one of the most common preventable causes of death. It is common, yet most people don't know what to do about it when they see it. The Stop the Bleed campaign is an effort to educate the public should they encounter people who are bleeding....
1.08.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Working on the Precipice: On the Frontlines of the AIDS Epidemic at the CDC, Part II

As the AIDS crisis unfolded, each discovery seemed to lead to a new mystery. Who was at risk? Why was this disease of immune activation so hard for the body to fight? Most important, what could be done to stop it? In the conclusion of this JAMA Clinica...
24.07.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Working on the Precipice: On the Frontlines of the AIDS Epidemic at the CDC, Part I

When AIDS first appeared in the gay community in 1981, it was terrifying for patients and clinicians alike. Nobody knew exactly what was going on. But using basic epidemiologic methods, a small team of public servants at the CDC raced against the clock...
6.07.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Return of the IUD: Long-acting Reversible Contraception Is Safe and Effective

Misplaced fears about IUDs have caused them to be avoided by many women, despite the fact that they are very safe and among the most effective means for contraception. In this JAMA Clinical Reviews podcast, we review long-acting reversible contraceptio...
23.06.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Health Care Spending Gone Wild: Using Expensive Insulin Analogs With Few Clinical Advantages

Health care spending in the United States is out of control. The most significant aspect of medical care driving this spending is pharmaceuticals; within pharmaceuticals the greatest increases have been in spending for diabetes medications. The cost of...
19.06.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

A Goal Too Far: Rethinking HbA1c Targets for Diabetes Treatment

The American College of Physicians just changed its guidance for how aggressively to treat type 2 diabetes, relaxing the HbA1c goal to something below 8 rather than 6.5 or 7 as other organizations recommend. This has stirred up substantial controversy....
12.06.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

When Will It Stop? Clinicians Are Still Ordering Routine ECGs Despite Recommendations to the Contrary

For many years guidelines have recommended against obtaining ECGs for low-risk patients undergoing routine health examinations. Yet about a fifth of all patients having these exams get an ECG. Why? Are clinicians just stubborn or uninformed or are the ...
20.05.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Replacing the Trachea: An Exciting New Procedure; But How Do We Know It Really Works?

Many attempts to replace the trachea have failed in the past. The most spectacular failure was fraudulent research done in Europe by a high-profile surgeon who was eventually charged with scientific misconduct. JAMA now reports a clinical series of suc...
8.05.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Update: New Recommendations for Prostate Cancer Screening

The controversy continues about the efficacy of PSA screening for prostate cancer. New recommendations were just issued from the USPSTF about who should be screened for prostate cancer and when. But not everyone agrees with these recommendations. Balle...
6.03.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Peanut Allergy: The Recommendations Have Changed

Peanut allergy is common. But it is more common in countries that delay the introduction of peanuts into the diets of infants. Guidelines in the United States previously recommended delayed introduction of peanuts for infants, which resulted in an incr...
20.02.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

What Is New in Acute Respiratory Disease Syndrome?

Acute respiratory disease syndrome is characterized by respiratory failure that occurs after someone is acutely ill, usually from a disease that does not primarily involve the lungs. Its cause, diagnosis, and treatment are reviewed in this JAMA Clinica...
14.02.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Medical Findings In U.S. Government Personnel Reporting Symptoms After Exposure To Sensory Phenomena in Havana, Cuba

Douglas H. Smith, MD, of the University of Pennsylvania's Department of Neurosurgery and Center for Brain Injury and Repair, and Randel Swanson II, DO, PhD, of the University of Pennsylvania's Physical Medicine and Rehabilitation department, summarize ...
1.02.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

The Health of Players of American Football

The health risks associated with participation in American football have garnered increasing attention over the past several years. Particular focus has been on concussion and the association of repeated head trauma with chronic traumatic encephalopath...
16.01.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Gastric Sleeve Resection for Obesity: How good Is It?

Why is two-thirds of the US population overweight or obese? Obesity began to increase in 1980, and its incidence is still rising. One reason for this might be that the population has become tolerant of obesity and accepted it as the normal state. On th...
2.01.2018 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Surveillance for Thyroid Cancer

The incidence of thyroid cancer is increasing. Like so many cancers, it is being diagnosed at earlier stages because of more aggressive screening and diagnostic testing. The aggressiveness of very early stage thyroid cancer is unknown and some of these...
19.12.2017 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Diagnosis and First-Line Treatment of Chronic Sinusitis

Sinusitis is one of the most common conditions seen by clinicians. Despite its frequency, it is often misdiagnosed. In this podcast, we review the proper way to establish a diagnosis and treat both acute and chronic sinusitis. Related article
12.12.2017 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Managing Hypertension: Understanding the New AHA/ACC Hypertension Guideline, Part II

In November 2017, new guidelines were issued for hypertension treatment. They are a comprehensive overhaul of recommendations for both the diagnosis and treatment of hypertension. Last week, we discussed the guidelines' specific recommendations with Dr...
5.12.2017 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Matching Drugs to Genetic Abnormalities to Precisely Treat Cystic Fibrosis

Cystic fibrosis is a common autosomal recessive disease. It is caused by any one of many discrete genetic abnormalities that affect chloride transport. Identification of specific genetic abnormalities enables clinicians to identify drugs that counterac...
5.12.2017 http://static.libsyn.com/p/assets/6/7/c/8/67c86ed2fd8cf810/JAMA_ClinicalReviews.png

Managing Hypertension: Understanding the New AHA/ACC Hypertension Guideline

In November 2017, new guidelines were issued for hypertension treatment. The new guideline is a comprehensive overhaul of recommendations for both the diagnosis and treatment of hypertension. Based on years of work by dozens of individuals who generate...
21.11.2017

Mendelian Randomization: How the Natural Assortment of Genes Can Mimic Randomized Clinical Trials

The best evidence for proving cause-and-effect comes from randomized clinical trials. However, they are expensive and difficult to perform. The natural assortment of gene variants at birth can mimic randomization in some circumstances and yield importa...
14.11.2017

Bacteriophage Treatment for Serious Infections Is Back!

Bacteriophages are viruses that infect and kill bacteria. When they were first discovered in the early part of the 20th century, there was great enthusiasm for their potential use to treat all sorts of bacterial infections. They were supplanted by anti...
24.10.2017

Incontinence in Women: How We Talk About It and What Can Be Done

Urinary incontinence in women is common but not often discussed. Linda Brubaker, MD, and Emily S. Lukacz, MD, review the evaluation and management of incontinence in women, including how to broach the topic with patients and when to use treatments rang...
17.10.2017

Managing Transgender Patients: Endocrine Society Guideline Update 2017

An increasing number of transgender patients are being seen in all care settings. Their medical needs are not too different from those for any primary care patient. New guidelines issued by the Endocrine Society in September 2017 are summarized in this...
3.10.2017

Replacing Tissue Biopsies With a Blood Test: The Technique of Liquid Biopsy

Powerful new genetic technologies enable clinicians to detect and sequence tiny amounts of free DNA circulating in blood. DNA gets into blood when cells fall apart. Abnormal DNA from diseased cells can be detected, enabling clinicians to detect cancer ...
26.09.2017

Delirium: Prevention, Diagnosis, and Treatment

Delirium goes unrecognized in approximately 60% of cases. When it is recognized, it can be difficult to treat. Recognizing and treating, as well as preventing, delirium is important because delirium is associated with poor health outcomes and significa...
12.09.2017

Breast Cancer Surgery: Less Is More

Every successive major clinical trial of less invasive breast cancer surgery seems to show that less is more--less because less surgery seems to not influence outcomes and more because with less surgery, there are fewer complications, resulting in a ne...
5.09.2017

How Couples With Genetic Disease Can Have Healthy Offspring

Clinicians can now sample DNA from in vitro blastocysts to identify embryos with genetic abnormalities and avoid implanting them. This genetic screening allows couples who carry dangerous genetic diseases to avoid having children with those diseases. I...
15.08.2017

Are they safe? Drugs and devices receiving accelerated approval by the FDA

Some drugs and devices receive accelerated approval from the FDA in order to provide potentially important treatments for patients when effective therapies may not be available. These drugs or devices are supposed to have postmarketing studies to defin...
25.07.2017

How Studying Familial Hypercholesterolemia Resulted in the Discovery of Statins as an Effective Treatment for High Cholesterol

Scott Grundy, MD, PhD, is a professor of medicine at UT Southwestern in Dallas and is one of a small group of investigators who saved statins from being dumped as a potential drug class. Dr Grundy tells the story of how studying patients with familial ...
18.07.2017

How to Diagnose and Manage Adult Asthma

Asthma often develops in childhood but also affects a significant number of adults. It can present in various ways and with varying degrees of severity. William J. Calhoun, MD, of the University of Texas Medical Branch, Galveston, discusses the approac...
11.07.2017

Dual Antiplatelet Therapy: Balancing Ischemic and Bleeding Risk

Following placement of cardiac stents, patients receive dual antiplatelet therapy (DAPT) to prevent stent thrombosis. Prevention of thrombosis is offset by a risk of bleeding. The optimal balance between thrombosis prevention and bleeding risk is not a...
3.07.2017

Penicillin Allergy – It’s Less Common Than You Think

Allergy to penicillin is one of the most commonly reported allergies by patients. In reality, true penicillin allergy is uncommon. Dr. Elizabeth Phillips from Vanderbilt University discusses her experience with testing for penicillin allergy in patient...
27.06.2017

Diagnosing Congenital and Intellectual Abnormalities With Chromosomal Microarray Analysis

Chromosomal microarray technology (CMA) facilitates the genetic diagnosis of intellectual disabilities, autism spectrum disorder, and congenital abnormalities in children. Previously, G-band karyotyping was the test performed for this purpose but it co...
27.06.2017

High-intensity statin therapy–The controversy continues

Multiple guidelines have been issued regarding how aggressively cholesterol should be managed. These guidelines do not agree with one another and the most significant area of disagreement is in recommendations for high intensity statin therapy. In this...
23.05.2017

Treating Depression in Older Patients

Depression is very common in old age. Because it is associated with many issues related to aging such as having diabetes, hypertension, and other diseases and also the general ability to do less than when a person was younger, it is often assumed that ...
9.05.2017

Genomic Sequencing for the Healthy Individual?: Think Smaller

Whole-genome sequencing is now easily done for very little cost. It is not known how to interpret the results of this testing. It is inadvisable for healthy individuals to undergo routine whole-genome sequencing but if someone has a reason to suspect a...
3.04.2017

Diabetes in 2017: Focus Less On HbA1c and More On Cardiovascular Risk Reduction

Much has changed recently in diabetes management. The treatment goal has shifted from rigorous glucose control with HbA1c as the primary target to cardiovascular risk reduction. Risk reduction can be achieved in a variety of ways and does not necessari...
28.03.2017

JAMA Performance Improvement: Retained Foreign Body From a Sheared Off Lumbar Drain

A resident is asked to remove a drain that was placed in the lumbar space during an operation. Having never seen this sort of drain before not having removed one, the resident proceeded to remove the catheter. Several days later, the patient complained...
20.03.2017

Alzheimer Disease Overview and the Possibility That It’s Caused By Infections

Alzheimer disease causes progressive neurologic deterioration and is reasonably common in elderly patients. It is characterized by specific patterns of memory loss, which progressively worsens and for which there is no treatment. Recent drug trials hav...
7.03.2017

Why the New Sepsis Guideline Changed

Recent guidelines for how to best manage septic shock have changed. Gone are recommendations for central venous oxygen saturation monitoring and goal-directed therapy. In is the concept that septic shock be treated as an emergency with rapid administra...
28.02.2017

Updated Guidelines for Sepsis Management

In 2017 the Society for Critical Care Medicine updated its guidelines for sepsis management. These new guidelines differ significantly from ones in the past in that they no longer recommend protocolized resuscitation and emphasize early and aggressive...
16.02.2017

JAMA Professionalism: What Should Students or Residents Do When Abused by Faculty

Approximately one-third of all medical school graduates report having been abused as students. Medical student and resident abuse has long been considered unacceptable behavior but still persists in the teaching environment. In this podcast we discuss ...
9.02.2017

Sarcopenia, Frailty and Risk Prediction in Geriatric Patients

As people age, loss of muscle mass is inevitable, resulting in sarcopenia. Muscle loss contributes to overall weakness, which causes frailty. Frailty, in turn, is the generalized susceptibility to disease and injury, all of which causes loss of autonom...