Episode 268: 268. New Guidelines For Total Hip and Knee Joint Replacement

Episode 268: 268. New Guidelines For Total Hip and Knee Joint Replacement

  • TJA should not be delayed for trials of physical therapy, anti-inflammatory drug use, bracing, intra-articular steroid injections, or hyaluronic acid injections.

  • For patients with obesity, proceed to TJA without delay, regardless of BMI.

  • For patients with poorly controlled diabetes, recommend delaying TJA to improve glycemic control, but don't define poor control or specific HbA1c requirements.

  • For smokers, recommend delaying TJA for a trial of smoking reduction or cessation.


https://acrjournals.onlinelibrary.wiley.com/doi/10.1002/acr.25175


Jaksot(386)

Episode 327: 326. Should We Prescribe Inhaled Insulin? INHALE-3 TRIAL

Episode 327: 326. Should We Prescribe Inhaled Insulin? INHALE-3 TRIAL

INHALE-3, a randomized trial, 123patients with type 1 dm that compared the efficacy of an inhaled insulin regimen (Afrezza) plus degludec insulin (Tresiba®) against usual care over 17 weeks The study'...

1 Elo 20247min

Episode 326: 325. The Mysterious NNT

Episode 326: 325. The Mysterious NNT

What is a quick and easy way to calculate the NNT

30 Heinä 20247min

Episode 325: 324. METHODS MONDAY

Episode 325: 324. METHODS MONDAY

What is the different between Absolute and Relative risk reduction

29 Heinä 20248min

Episode 324: 323. Is Calcium Bad For You? Calcium Supplementation? Eating Calcium?

Episode 324: 323. Is Calcium Bad For You? Calcium Supplementation? Eating Calcium?

https://heart.bmj.com/content/108/12/964https://www.ahajournals.org/doi/10.1161/JAHA.116.003815We have a study that says leads to increase all cause death with calcium supplementsWe have a study that ...

26 Heinä 202413min

Episode 323: 322. Follow-up to Adolescence after Early Peanut Introduction for Allergy Prevention

Episode 323: 322. Follow-up to Adolescence after Early Peanut Introduction for Allergy Prevention

https://evidence.nejm.org/doi/full/10.1056/EVIDoa2300311Peanut consumption, starting in infancy and continuing to age 5 years, provided lasting tolerance to peanut into adolescence irrespective of sub...

24 Heinä 20245min

Episode 322: 321. Long-Term Outcomes in Patients with Low Risk Prostate Cancer

Episode 322: 321. Long-Term Outcomes in Patients with Low Risk Prostate Cancer

https://jamanetwork.com/journals/jama/article-abstract/2819352Conclusions and Relevance  In this study, 10 years after diagnosis, 49% of men remained free of progression or treatment, less than 2% dev...

23 Heinä 20246min

Episode 321: 320. What is the Association of Blood Lipids, Lipoproteins, and Apolipoproteins With Risk of Coronary Heart Disease

Episode 321: 320. What is the Association of Blood Lipids, Lipoproteins, and Apolipoproteins With Risk of Coronary Heart Disease

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11179824/This study did something smart in that they broke it down by white black Chinese and then also had 36 lab test they were looking at and they then ...

19 Heinä 20248min

Episode 320: 319. President Biden has COVID, Should the First Lady Take Paxlovid?

Episode 320: 319. President Biden has COVID, Should the First Lady Take Paxlovid?

https://www.nejm.org/doi/full/10.1056/NEJMoa2309002In this placebo-controlled trial, postexposure prophylaxis with nirmatrelvir–ritonavir for 5 or 10 days did not significantly reduce the risk of symp...

18 Heinä 20248min

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