JAMA: 2010-04-07, Vol. 303, No. 13, Author in the Room™ Audio Interview
Interview with Roger Chou, MD, author of Will This Patient Develop Persistent Disabling Low Back Pain? Summary Points: 1. A small proportion of patients with acute LBP go on to develop chronic LBP, these patients account for a very high proportion of costs, services, and suffering. 2. The most helpful items to predict persistent disabling low back pain are presence of maladaptive pain coping behaviors, nonorganic signs, functional impairment, general health status, and presence of psychiatric comorbidities. 3. Early identification of patients with these risk factors could help guide early use of psychological therapies and...
Source: JAMA Author in the Room - May 21, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-01-20, Vol. 303, No. 3, Author in the Room ™ Audio Interview
Interview with Mary E. Tinetti, MD, author of The Patient Who Falls. Summary Points: 1. Falls are common health events that cause discomfort and disability for older adults and stress for caregivers. Previous falls; strength, gait and balance impairments; and medications are the strongest risk factors for falling. 2. The most effective strategy for reducing the rate of falling in community-living older adults may be intervening on multiple risk factors including strengthening and balance exercises through physical therapy, medication reduction, environmental modifications to reduce fall hazards, cataract surgery. Vitamin D...
Source: JAMA Author in the Room - April 23, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-01-20, Vol. 303, No. 3, Author in the Room™ Audio Interview
Interview with Mary E. Tinetti, MD, author of The Patient Who Falls. Summary Points: 1. Falls are common health events that cause discomfort and disability for older adults and stress for caregivers. Previous falls; strength, gait and balance impairments; and medications are the strongest risk factors for falling. 2. The most effective strategy for reducing the rate of falling in community-living older adults may be intervening on multiple risk factors including strengthening and balance exercises through physical therapy, medication reduction, environmental modifications to reduce fall hazards, cataract surgery. Vitamin D...
Source: JAMA Author in the Room - April 23, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-12-16, Vol. 302, No. 23, Author in the Room ™ Audio Interview
Interview with Frank Davidoff, MD, author of Heterogeneity Is Not Always Noise. Summary Points: 1. A clinical trial is a powerful tool for showing whether an intervention works, but the heterogeneity of trial participants means it may be a mistake to assume that the overall (or group) benefit of an intervention found in such a trial is the same for every participant. 2. The absolute benefit of an intervention is greater for trial participants-and for patients generally-whose baseline risk for a bad outcome is high than it is for those whose baseline risk is low. 3. A quality improvement program in any one organization is l...
Source: JAMA Author in the Room - March 18, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-12-16, Vol. 302, No. 23, Author in the Room™ Audio Interview
Interview with Frank Davidoff, MD, author of Heterogeneity Is Not Always Noise. Summary Points: 1. A clinical trial is a powerful tool for showing whether an intervention works, but the heterogeneity of trial participants means it may be a mistake to assume that the overall (or group) benefit of an intervention found in such a trial is the same for every participant. 2. The absolute benefit of an intervention is greater for trial participants-and for patients generally-whose baseline risk for a bad outcome is high than it is for those whose baseline risk is low. 3. A quality improvement program in any one organization is l...
Source: JAMA Author in the Room - March 18, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-12-23, Vol. 302, No. 24, Author in the Room ™ Audio Interview
Interview with David Reuben, MD, author of Medical Care for the Final Years of Life. Summary Points: 1. When caring for older patients, the conventional evidence-based approach is modified by 3 important caveats: prognosis, insufficient evidence, and patient goals and preferences. 2. Conceptually, the care of older persons can be divided into 3 time frames: short term, which focuses on remediating the current problems; mid-range, focusing on preventive and foreseeable problems; and long-range, which focus on eventual decline and living arrangements. 3. Individual clinicians need to structure their practices to efficiently ...
Source: JAMA Author in the Room - February 19, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-12-23, Vol. 302, No. 24, Author in the Room™ Audio Interview
Interview with David Reuben, MD, author of Medical Care for the Final Years of Life. Summary Points: 1. When caring for older patients, the conventional evidence-based approach is modified by 3 important caveats: prognosis, insufficient evidence, and patient goals and preferences. 2. Conceptually, the care of older persons can be divided into 3 time frames: short term, which focuses on remediating the current problems; mid-range, focusing on preventive and foreseeable problems; and long-range, which focus on eventual decline and living arrangements. 3. Individual clinicians need to structure their practices to efficiently ...
Source: JAMA Author in the Room - February 19, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-11-25, Vol. 302, No. 20, Author in the Room ™ Audio Interview
Interview with Hussein Hollands, MD, MSc, author of Acute-Onset Floaters and Flashes: Is This Patient at Risk for Retinal Detachment? Summary Points: 1. The most likely cause of acute onset monocular floaters or flashes is posterior vitreous detachment. If left untreated, vitreous detachment complicated by retinal tear can progress to vision-threatening retinal detachment. 2. A minimum approach to evaluating a patient with suspected posterior vitreous detachment should include a history of change in vision or curtain of darkness, measurement of visual acuity, and assessment of confrontational visual fields. 3. High-risk fe...
Source: JAMA Author in the Room - January 22, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-11-25, Vol. 302, No. 20, Author in the Room™ Audio Interview
Interview with Hussein Hollands, MD, MSc, author of Acute-Onset Floaters and Flashes: Is This Patient at Risk for Retinal Detachment? Summary Points: 1. The most likely cause of acute onset monocular floaters or flashes is posterior vitreous detachment. If left untreated, vitreous detachment complicated by retinal tear can progress to vision-threatening retinal detachment. 2. A minimum approach to evaluating a patient with suspected posterior vitreous detachment should include a history of change in vision or curtain of darkness, measurement of visual acuity, and assessment of confrontational visual fields. 3. High-risk fe...
Source: JAMA Author in the Room - January 22, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-10-21, Vol. 302, No. 15, Author in the Room ™ Audio Interview
Interview with Laura Esserman, MD, MBA, author of Rethinking Screening for Breast Cancer and Prostate Cancer. Summary Points: 1. The effectiveness of screening depends on the underlying biology of cancer. Routine mammographic screening works best for slow to moderate growth tumors, most common in women 50-74 and explains why the Preventive Services guidelines actually make sense. 2. There are ways that we can improve screening today. Trained mammographers find the most cancers and have the fewest false positives. Offering follow-up as an option for low risk mammographic lesions will decrease false positives. Screening the ...
Source: JAMA Author in the Room - December 17, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-10-21, Vol. 302, No. 15, Author in the Room™ Audio Interview
Interview with Laura Esserman, MD, MBA, author of Rethinking Screening for Breast Cancer and Prostate Cancer. Summary Points: 1. The effectiveness of screening depends on the underlying biology of cancer. Routine mammographic screening works best for slow to moderate growth tumors, most common in women 50-74 and explains why the Preventive Services guidelines actually make sense. 2. There are ways that we can improve screening today. Trained mammographers find the most cancers and have the fewest false positives. Offering follow-up as an option for low risk mammographic lesions will decrease false positives. Screening the ...
Source: JAMA Author in the Room - December 17, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-09-23/30, Vol. 302, No. 12, Author in the Room ™ Audio Interview
Interview with Michael S. Krasner, MD, author of Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians. Summary Points: 1. Burnout is prevalent among physicians, and has untoward effects not only on the physicians themselves but also on the quality of the care they provide to their patients. 2. Mindful Communication training among a group of primary care physicians resulted in not only improvements in burnout and measures of well-being, but also improvements in markers of relationship-centered care to their patients. 3. Mindful Communication shoul...
Source: JAMA Author in the Room - November 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-09-23/30, Vol. 302, No. 12, Author in the Room™ Audio Interview
Interview with Michael S. Krasner, MD, author of Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians. Summary Points: 1. Burnout is prevalent among physicians, and has untoward effects not only on the physicians themselves but also on the quality of the care they provide to their patients. 2. Mindful Communication training among a group of primary care physicians resulted in not only improvements in burnout and measures of well-being, but also improvements in markers of relationship-centered care to their patients. 3. Mindful Communication shoul...
Source: JAMA Author in the Room - November 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-08-19, Vol. 302, No. 7, Author in the Room ™ Audio Interview
Interview with John Iskander, MD, author of Postlicensure Safety Surveillance for Quadrivalent Human Papillomavirus Recombinant Vaccine. Summary Points: 1. Since quadrivalent HPV vaccine was licensed in June 2006, more than 23 million doses have been administered nationally. 2. There were a total of 12,424 reports to the Vaccine Adverse Event Reporting System (VAERS) of adverse events following HPV vaccination through December 2008. The vast majority (94%) of adverse events reported to VAERS after receiving this vaccine have not been considered serious. The findings of this first published post-licensure safety review were...
Source: JAMA Author in the Room - October 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-08-19, Vol. 302, No. 7, Author in the Room™ Audio Interview
Interview with John Iskander, MD, author of Postlicensure Safety Surveillance for Quadrivalent Human Papillomavirus Recombinant Vaccine. Summary Points: 1. Since quadrivalent HPV vaccine was licensed in June 2006, more than 23 million doses have been administered nationally. 2. There were a total of 12,424 reports to the Vaccine Adverse Event Reporting System (VAERS) of adverse events following HPV vaccination through December 2008. The vast majority (94%) of adverse events reported to VAERS after receiving this vaccine have not been considered serious. The findings of this first published post-licensure safety review were...
Source: JAMA Author in the Room - October 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
