Explorez tous les épisodes du podcast Primary Care Update

Join our intrepid primary care experts Kate Rowland, Mark Ebell, Henry Barry and Gary Ferenchick as they tell you about 4 new primary care relevant studies: self-management and manipulation for low back pain, nasal saline for treating adults with URIs, non-gated CT scans and coronary calcium measurement, and statins after age seventy.

Links:

Low back pain: https://pubmed.ncbi.nlm.nih.gov/42223934/

Nasal saline spray for URI: https://pubmed.ncbi.nlm.nih.gov/41136239/

Recipe for spray: https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/saline-sinus-rinse-recipe

Gated vs non-gated CT: https://pubmed.ncbi.nlm.nih.gov/42507772/

Statins after 70: https://pubmed.ncbi.nlm.nih.gov/42670961/

Permanent link to the John Hickner Scholarship Fund: https://give.msu.edu/?sid=17374 

This week, primary care experts Drs. Kate Rowland, Gary Ferenchick, Mark Ebell and Henry Barry discuss 4 new studies: The post-Papanicolau era of HPV self collection, electroacupuncture for post-herpetic neuralgia, AI-based app for melanoma detection, and the onset age of silent atherosclerosis.

Links:

Self-collected HPV: https://pubmed.ncbi.nlm.nih.gov/42509175/

Electroacupuncture: https://pubmed.ncbi.nlm.nih.gov/42189557/

AI skin cancer app: https://pubmed.ncbi.nlm.nih.gov/41701029/

Silent plaques: https://pubmed.ncbi.nlm.nih.gov/42670946/

Primary care physicians Kate, Mark, Henry and Gary discuss 4 new studies that could change your practice: treatments for hyperemesis gravidarum, calcium and vitamin D to prevent falls and fractures in older adults, the first oral PCSK9 inhibitor, and oral semaglutide to treat dementia .

The John Hickner Memorial fund at MSU: https://give.msu.edu/?sid=17374

Hyperemesis gravidarum treatments: https://pubmed.ncbi.nlm.nih.gov/41478546/

Supplementing with calcium or vitamin D: https://pubmed.ncbi.nlm.nih.gov/42161415/

Oral PCSK-9 enlicitide:  https://pubmed.ncbi.nlm.nih.gov/41879224/

Cochrane review of PCSK-9s: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011748.pub3/full

Semaglutide for dementia: https://pubmed.ncbi.nlm.nih.gov/41865758/

This week, Kate, Gary and Mark discuss 3 new studies: whether we can do anything about modifiable risk factors for dementia, whether COVID-19 vaccines are still useful, and how to interpret abnormal shoulder MRIs.

Primary care docs Kate Rowland, Mark Ebell, Henry Barry and Gary Ferenchick talk about 4 new studies: prevention of multimorbidity in people at high risk of diabetes, high-dose vitamin D in healthy older adults, whether screening for skin cancer reduces melanoma mortality, and tirzepatide withdrawal and weight maintenance .

Join primary care professors Mark Ebell, Kate Rowland, Gary Ferenchick and Henry Barry as they discuss 4 new studies: semaglutide for alcohol use disorder, a vibrating cool pack to prevent post vaccination syncope, PCR for 23 respiratory pathogens in primary care to reduce antibiotic use, and fluvoxamine for Long-COVID Fatigue.

Links

Semaglutide for AUD: https://pubmed.ncbi.nlm.nih.gov/42070571/

Vibrating cool pack for vaccine syncope: https://pubmed.ncbi.nlm.nih.gov/41692229/

Point of care PCR for acute RTI: https://pubmed.ncbi.nlm.nih.gov/42149561/

Likelihood that pathogen is commensal vs pathogenic: https://pubmed.ncbi.nlm.nih.gov/39864052/

Fluvoxamine and long COVID: Ann Intern Med. 2026;179(5):621-628  https://pubmed.ncbi.nlm.nih.gov/41911553/

This week primary care physicians Kate Rowland, Mark Ebell, Gary Ferenchick and Henry Barry discuss four new studies: screentime for children, discontinuing levothyroxine, a new mRNA flu vaccine from Moderna, and nicotinamide adenine dinucleotide (NAD) Supplementation for healthy aging.

Links to articles:

AAP screen time policy

Discontinuing levothyroxine study

mRNA flu vaccine from Moderna

NAD supplements

Quiz: Bixomania study

Primary care docs Mark Ebell, Kate Rowland, Henry Barry and Gary Ferenchick tackle 4 new studies: health benefits of cocoa supplements, the best antibiotic for managing uncomplicated UTIs in women, left atrial appendage closure for AF with high bleeding or stroke risk, and evolocumab for primary (sort-of) prevention of MACE in patients with diabetes.

Essential Evidence Plus: www.essentialevidenceplus.com

https://www.iafp.org/2026ac

Cocoa and health: https://pubmed.ncbi.nlm.nih.gov/35294962/

Antibiotics for UTI: https://pubmed.ncbi.nlm.nih.gov/42026010/

Left atrial appendage closure and AF: https://pubmed.ncbi.nlm.nih.gov/41849741/

https://pubmed.ncbi.nlm.nih.gov/41903215/

This week, primary care doctors Mark Ebell, Kate Rowland, Henry Barry and Gary Ferenchick discuss four new studies: whether water is better than diet drinks in diabetes, a new RCT of Paxlovid for COVID in contemporary patients, to switch or not to switch antiplatelet agents after a stroke, and the latest AHA 2026 dietary advice for heart health.

Drinks for diabetes: ttps://pubmed.ncbi.nlm.nih.gov/41369640/

Antiplatelet agents after stroke on aspirin: https://pubmed.ncbi.nlm.nih.gov/41347302/

New Paxlovid trial: https://pubmed.ncbi.nlm.nih.gov/42019019/

AHA 2026 dietary guidance: https://pubmed.ncbi.nlm.nih.gov/41914202/

This week Kate, Mark and Henry talk about empathetic robots, mother-baby singing groups for postpartum depression, and new American College of Cardiology lipid guidelines.

Indiana AFP POEMs course in French Link: https://www.iafp.org/2026ac

Empathetic robots: https://pubmed.ncbi.nlm.nih.gov/41359230/

Weekly singing groups for postpartum depression: https://pubmed.ncbi.nlm.nih.gov/41087020/

ACC/AHA/etc lipid guidelines: https://pubmed.ncbi.nlm.nih.gov/41824552/

A 2025 study in the journal Family Practice finding that the two most trustworthy lipid guidelines recommended against using CAC, while all five less trustworthy guidelines due to poor methods or COI recommended it. Go figure.

Smartphones in schools: https://pubmed.ncbi.nlm.nih.gov/41489912/

Join primary care faculty Gary Ferenchick, Kate Rowland, Henry Barry and Mark Ebell as they discuss 4 important new studies: the value (?) Of biomarkers in cognitive impairment, toilet training, bleeding risk with apixaban versus rivaroxaban for VTE, and diagnosing volume overload in adults  from the JAMA Rational Clinical Exam series.

This week, primary care doctors Kate, Gary, Mark and Henry discuss high vs low dose inhaled steroids for high risk patients with asthma, click based semaglutide titration to reduce GI problems, zoster vaccine and dementia risk, and whether we are trusting AI too much.  

This week primary care physicians Kate Rowland, Mark Ebell, Gary Ferenchick and Henry Barry tackle 4 new POEM-worthy studies: new therapy for elevated triglycerides, cannabinoids for chronic pain in adults, the best antithrombotic for patients with AF + drug eluting cardiac stent, and lower versus standard LDL targets for patients with heart disease

Essential Evidence Plus: https://www.essentialevidenceplus.com/

Lower triglycerides: https://pubmed.ncbi.nlm.nih.gov/41211918/

Cannabinoids for pain: https://pubmed.ncbi.nlm.nih.gov/41429020/

Antithrombotics for AF + stent: https://pubmed.ncbi.nlm.nih.gov/41211917/

LDL target 55 vs 70 for CAD: https://pubmed.ncbi.nlm.nih.gov/41910315/

This week, primary care physicians Henry Barry, Gary Ferenchick and Mark Ebell discuss several new studies: melatonin for older adults with cognitive impairment, new pulmonary embolism guidelines, and inhaled corticosteroid dosing for children and adults with asthma. Kate has the week off.

This week, primary care docs Mark, Kate, Henry and Gary discuss skin lotions to prevent eczema, adding an opioid to ibuprofen for kids with acute injuries, evolocumab (Repatha) for very high risk persons, and 10 year follow-up of antibiotics vs surgery for uncomplicated appendicitis.

This week, we cover a range of topics: urinary vs cervical HPV collection, the benefits and harms of Tramadol, whether patients need anticoagulation after successful ablation for afib, and the ongoing value of COVID vaccines in the omicron era. Plus a quiz: is TAVR now indicated for everyone with severe aortic stenosis? Stay tuned!

Join primary care faculty Kate Rowland, Gary Ferenchick, Henry Barry and Mark Ebell as they discuss 4 practice changing studies: norethindrone acetate for uterine bleeding with the contraceptive implant, introducing yourself to a new patient, avoiding LPs in febrile infants, and antithrombotic strategies after ischemic stroke with AF and atherosclerosis. And an Olympic quiz!

Join primary care physicians Kate Rowland, Gary Ferenchick, Henry Barry and Mark Ebell as they discuss 4 new POEMs (Patient Oriented Evidence that Matters): cardiovascular outcomes of GIPs (vs GLP), risk-based breast cancer screening (WISDOM Trial), whether a single dose of HPV vaccine is as good as two, and surgery (or not) for shoulder impingement syndrome. Plus Kate has a great Groundhog Day quiz!

Join Mark, Kate, Henry and Gary as they discuss 4 new POEMs (Patient Oriented Evidence that Matters, studies with the potential to change practice): a summary of the evidence on tirzepatide (Zepbound) for weight loss, using the Beers list with your patients, high vs standard dose flu vaccine and the risk of hospitalization, and whether stent or endarterectomy are better than maximal medical therapy for patients with asymptomatic carotid stensosis. Here are the links:

Essential Evidence Plus: www.essentialevidenceplus.com

Tirzepatide systematic review: https://pubmed.ncbi.nlm.nih.gov/41015578/

Tirzepatide vs dulaglutide: https://pubmed.ncbi.nlm.nih.gov/41406444/

Applying the Beers list: https://pubmed.ncbi.nlm.nih.gov/40697073/

High vs standard dose flu vaccine: https://pubmed.ncbi.nlm.nih.gov/41115437/

Another high dose flu trial: https://pubmed.ncbi.nlm.nih.gov/39230284/

Asymptomatic carotid stenosis treatment: https://pubmed.ncbi.nlm.nih.gov/41269206/

This week, primary care physicians Kate Rowland, Mark Ebell, Gary Ferenchick and Henry Barry tackle 4 new practice changing studies (POEMs): bathing frequency for people with eczema, tirzepatide in obese children and adolescents with T2DM, a new flu vaccine, and whether beta-blockers still matter after MI.

Join primary care physicians Kate, Gary, Henry and Mark as they discuss 4 new POEM (Patient Oriented Evidence that Matters), chosen for their potential to change practice and improve patient outcomes: Mediterranean diet to prevent diabetes, an update to the community-acquired pneumonia guideline, coffee or decaf for afib, and safety of meds for acute agitation in the elderly.

North Dakota Academy of Family Physicians Conference in Big Sky: https://www.ndafp.org/cme/big-sky-conference/

Essential Evidence Plus and all the POEMs: www.essentialevidenceplus.com

Med diet to prevent diabetes: https://pubmed.ncbi.nlm.nih.gov/40854218/

Safety of meds for agitation in elderly: https://pubmed.ncbi.nlm.nih.gov/40275439/

Updated pneumonia guidelines from ATS/IDSA: https://pubmed.ncbi.nlm.nih.gov/40679934/

Coffee or decaf with afib:  https://pubmed.ncbi.nlm.nih.gov/41206802/

Join Kate, Gary and Mark (Henry has the day off) as we discuss 3 useful new studies: colorectal cancer screening reminders, aspirin or clopidogrel for secondary prevention of CV events, and lipid lowering drugs and dementia risk

This week primary care physicians Gary, Henry, Kate and Mark discuss the safety of CBD, a new guideline for managing adults with hypertension, whether COVID-19 vaccines are still effective, and a living guideline from the BMJ to help us choose the best diabetes drugs.

Links to stuff

Essential Evidence Plus

Illinois Academy of Family Physicians meeting Dec 6 in Naperville, IL (Kate, Gary and Mark)  

North Dakota Academy of Family Physicians Big Sky Conference Jan 19 in Big Sky, Montana (Gary and Kate)

Safety of CBD

ACC/AHA Hypertension guideline

PREVENT-CVD risk calculator

Efficacy of COVID-19 vaccines

BMJ living guideline for diabetes

BMJ MATCH-IT interactive tool for selecting drugs

Primary care physicians Gary Ferenchick, Kate Rowland, Henry Barry and Mark Ebell want you to know about 4 new studies: the best choice of pharmacotherapy in hypertensive disorders of pregnancy, benefits and harms of intensive BP lowering, elinzanetant for therapy-induced vasomotor symptoms in women with breast cancer, and 23 year follow up of the European Prostate Cancer Screening Trial. Plus a confusing quiz question (thanks Gary!).

Links

Essential Evidence Plus: www.essentialevidenceplus.com

HTN in pregnancy: https://pubmed.ncbi.nlm.nih.gov/40216176/

Intensive BP lowering: https://pubmed.ncbi.nlm.nih.gov/40902616/

Elinzanetant for vasomotor symptoms in patients taking tamoxifen or anastrozole: https://pubmed.ncbi.nlm.nih.gov/40454634/

23 year follow-up of large European prostate cancer study: https://pubmed.ncbi.nlm.nih.gov/41160819/

This week, Gary, Kate, Mark and Henry discuss the optimal duration of anticoagulation after a provoked DVT, using low doses of mirtazapine or amitriptyline in adults with insomnia, whether a lower dose of semaglutide is still effective for weight loss, and adding aspirin for patients with coronary heart disease, a stent and who are also on a DOAC for another indication.

Links:

NICE Barrett Esophagus guideline: https://pubmed.ncbi.nlm.nih.gov/38553042/

Essential Evidence Plus: www.essentialevidenceplus.com

Duration of anticoagulation: https://pubmed.ncbi.nlm.nih.gov/40888734/

Mirtazapine or amitriptyline for insomnia: ttps://pubmed.ncbi.nlm.nih.gov/39814428/

Lower dose semaglutide for obesity: https://pubmed.ncbi.nlm.nih.gov/40934115/

Adding aspirin: N Engl J Med . 2025 Oct 23;393(16):1578-1588https://pubmed.ncbi.nlm.nih.gov/40888725/

This week, primary care physicians Kate Rowland, Mark Ebell, and Henry Barry want to arm our primary care colleagues with the best evidence on whether acetaminophen causes autism, whether MMR causes autism, and whether leucovorin can treat autism. Gary then turns to a study of the value of continuity in primary care, and its association with better health outcomes.

Links:

Henry's essay on Ignaz Semelweis, handwashing, and postage stamps: https://thestampforum.boards.net/thread/13044/current-issue-volume-jul-2025

Essential Evidence Plus and POEMs: www.essentialevidenceplus.com

Acetaminophen in pregnancy and autism: https://www.ncbi.nlm.nih.gov/pubmed/38592388

Leucovorin to treat autism: https://www.ncbi.nlm.nih.gov/pubmed/15781839, https://www.ncbi.nlm.nih.gov/pubmed/34834493

MMR and autism, Wakefield investigation: https://www.bmj.com/content/342/bmj.c5347

MMR and autism, Madsen's Danish study: https://pubmed.ncbi.nlm.nih.gov/12421889/

Value of primary care continuity: https://www.ncbi.nlm.nih.gov/pubmed/40355250

And do NOT eat roadkill. Definitely.

Today Kate, Gary, Mark and Henry discuss influenza vaccines and dementia incidence, therapies for endometriosis-related pain, colchicine for secondary prevention of heart disease, and green tea and drug absorption.

Links:

IgNobel prizes: IgNobel Prizes were recently awarded: https://improbable.com/ig/winners/ 

www.ncbi.nlm.nih.gov/pubmed/40601364 

https://pubmed.ncbi.nlm.nih.gov/40373315/

Colchicine for secondary prevention of CHD: https://pubmed.ncbi.nlm.nih.gov/40314334/

Green tea and drug absorption: https://pubmed.ncbi.nlm.nih.gov/39748104/

https://www.sciencealert.com/a-distinct-new-form-of-diabetes-is-officially-recognized

https://www.medscape.com/viewarticle/malnutrition-related-diabetes-officially-named-type-5-2025a10008pd

This week Gary, Kate, Henry and Mark discuss 4 important new studies that are potential POEMs: A new(ish) rescue therapy for asthma, IV thrombolytics for adults with acute minor stroke, whether exercise reduces cancer mortality, and digitoxin (with a t!) as add-on therapy for adults with heart failure.

Join Kate, Mark, Gary and Henry as they discuss 4 great new POEMs (studies with the potential to change practice): a digital mental health intervention, the risk of DKA in patients using SGLT2 inhibitors, esketamine’s effects on suicidal ideation and unresponsive depression, and whether “one-size-fits-all” thyroid reference ranges misleading.

Links:

Essential Evidence Plus: www.essentialevidenceplus.com

Digital mental health app for depression: https://pubmed.ncbi.nlm.nih.gov/40227715/

RIsk of DKA with SGLT2s: pubmed.ncbi.nlm.nih.gov/40070044/

Esketamine and resistant depression or suicidality: pubmed.ncbi.nlm.nih.gov/39790081/

What is a normal TSH: https://pubmed.ncbi.nlm.nih.gov/40324200/

Joseph O'Connor and the Escape Line Trilogy (2 great novels): https://www.amazon.com/The-Rome-Escape-Line-Trilogy-2-book-series/dp/B0BSNX3C89 

This week, we found 4 great new studies for primary care physicians (and their patients): the health benefits of “incidental” activity, real world data and the amyloid cascade theory for Alzheimer’s disease, a new blood test for colorectal cancer screening, and DORAs for sleep.

Check out Essential Evidence Plus: www.essentialevidenceplus.com

Incidental activity: https://pubmed.ncbi.nlm.nih.gov/40228066/

New Alzheimer's definition in the real world: https://pubmed.ncbi.nlm.nih.gov/40359457/

Blood test for colorectal cancer screening:  https://pubmed.ncbi.nlm.nih.gov/40455622/

"DORAs" for insomnia: https://pubmed.ncbi.nlm.nih.gov/40555730/

Kate, Mark, Gary and Henry discuss 4 important new studies relevant to primary care clinicians: negative pressure wound therapy for wounds healing by secondary intention, comparative effectiveness of acute migraine treatments, contrast enhanced mammography, US, or MRI for women with dense breasts, and metformin for knee pain in patients without diabetes.

Negative pressure wound therapy: https://pubmed.ncbi.nlm.nih.gov/40250455/

Acute migraine treatments: https://pubmed.ncbi.nlm.nih.gov/40096693/

Best enhanced screening for women with dense breasts:  https://pubmed.ncbi.nlm.nih.gov/40412427/

Metformin for knee pain in patients without DM: https://pubmed.ncbi.nlm.nih.gov/40274279/

This week our intrepid primary care docs discuss 4 new POEMs: spironolactone vs amiloride for resistant hypertension, mirtazapine for insomnia in older adults, baloxivir for influenza post exposure prophylaxis, and platelet-rich plasma injections for knee osteoarthritis. We've got opinions!

Show notes:

Spironolactone vs amiloride for resistant hypertension: pubmed.ncbi.nlm.nih.gov/40366680/

Mirtazapine for chronic insomnia: https://pubmed.ncbi.nlm.nih.gov/40135470/

Baloxavir to prevent flu in household contacts: https://pubmed.ncbi.nlm.nih.gov/40267424/

Platelet-rich plasma for knee OA: https://pubmed.ncbi.nlm.nih.gov/39751394/

Join Mark, Kate, Henry and Gary as they discuss 4 new POEMs: a new and very hard to pronounce antibiotic for uncomplicated UTI, the best drugs for relieving pain in adults with fibromyalgia, a clinical trial of a multicancer detection test in asymptomatic persons, and bedtime vs morning administration of antihypertensives.

Gepotidacin for uncomplicated UTI: https://pubmed.ncbi.nlm.nih.gov/38342126/

Drugs for fibromyalgia: https://www.ncbi.nlm.nih.gov/pubmed/39705187

Multicancer detection test trial: https://pubmed.ncbi.nlm.nih.gov/39948555/

TIming of antihypertensives: https://pubmed.ncbi.nlm.nih.gov/40354045/

This week, join Kate, Mark and Henry as they discuss all in one triple inhalers for COPD, the best medication for pain management in children and suzetrigine, a new medicine for acute pain in adults. Gary is off this week, working on his French lessons. And we add intro music! Yay!

Join Mark, Henry, and Gary (we are Kate-less unfortunately this week) for discussion of epidural steroid injections for adults with radicular back pain, post a fib ablation management, and oral semaglutide for high-risk patients with Type 2 DM

This week, Kate, Mark, Gary and Henry discuss 4 great new POEMs: foot care wipes for patients at risk of diabetic foot infection, resuming DOACS following intracerebral hemorrhage in adults with a fib, treating prediabetes with tirzepatide, and more on intermittent fasting.

Show links

BMJ Magic Evidence interactive review of diabetes medications. A great practice and teaching tool: https://matchit.magicevidence.org/230125dist-diabetes/#!/

https://www.ncbi.nlm.nih.gov/pubmed/31574019

https://pubmed.ncbi.nlm.nih.gov/39964684/

https://pubmed.ncbi.nlm.nih.gov/40023176/

ttps://pubmed.ncbi.nlm.nih.gov/39536238/

https://pubmed.ncbi.nlm.nih.gov/40163873/

This week, Kate, Gary, Mark and Henry chat about the health effects of dance for older adults, POCUS for diagnosing clavicular fractures, treating male partners of women with BV, and prehabilitation  before elective surgery .

Links:

Dance for older adults: https://pubmed.ncbi.nlm.nih.gov/39480190/

POCUS for clavicle fractures: https://pubmed.ncbi.nlm.nih.gov/39626455/

Oral + topical treatment of male partners for BV: https://pubmed.ncbi.nlm.nih.gov/40043236/

Prehabilitation before elective surgery: https://pubmed.ncbi.nlm.nih.gov/39843215/

Case series of avian flu patients: https://www.nejm.org/doi/full/10.1056/NEJMoa2414610

This week join our intrepid primary care physicians Kate, Gary, Henry and Mark as they discuss 4 new studies: an experimental treatment for chronic migraines, safety of albuterol in wheezy kids under 2, oral gepotidacin for uncomplicated UTI, and vitamin K2 and Leg Cramps.

Here are the links:

Lukas' Fund supporting the Piedmont Athens and Grady Atlanta NICUs: https://www.lukasfund.org

Essential Evidence Plus: http://www.essentialevidenceplus.com

Vibrating intranasal balloons for migraine: https://pubmed.ncbi.nlm.nih.gov/39787477/ and Ozilia

Safety of albuterol in infants: https://www.ncbi.nlm.nih.gov/pubmed/39266286

Oral gepotidacin for uncomplicated UTI: https://www.ncbi.nlm.nih.gov/pubmed/38342126

Vitamin K2 for nocturnal leg cramps: https://pmc.ncbi.nlm.nih.gov/articles/PMC11581596/

This week Kate, Gary, Mark and Henry discuss discontinuation of benzodiazepines and treatment of insomnia, the value of baseline cognitive testing of college athletes, vonoprazan vs PPI for preventing and treating ulcers, and whether herpes zoster vaccine reduces dementia risk.

Show links:

Essential Evidence Plus: www.essentialevidenceplus.com

Tapering benzos: https://pubmed.ncbi.nlm.nih.gov/39374004/

Baseline neuro eval for athletes: pubmed.ncbi.nlm.nih.gov/39741470/ 

David Kaufman, “We Need You in the Locker Room” https://thesagergroup.net/books/in-the-locker-room

Vonoprazan vs PPIs for ulcers: https://pubmed.ncbi.nlm.nih.gov/39294424/

Zoster and dementia: https://pubmed.ncbi.nlm.nih.gov/40175543/ 

This week Gary, Mark, Kate and Henry discuss: adverse effects from inhaled steroids in asthma, Italian dementia guideline, fezolinetant for treatment of vasomotor symptoms, and updated USPSTF recommendations for osteoporosis screening.

Show notes and links:

Asthma and risk of CV events: https://pubmed.ncbi.nlm.nih.gov/39088770/

GINA 2024 guidelines: https://ginasthma.org/2024-report/

Italian dementia guidelines: https://www.ncbi.nlm.nih.gov/pubmed/39544104 with link to full report in Inglese: https://www.iss.it/documents/d/guest/the-full-guideline-english-version

Fezolinetant for vasomotor symptoms: https://pubmed.ncbi.nlm.nih.gov/39557487/

USPSTF osteoporosis screening guideline: https://pubmed.ncbi.nlm.nih.gov/39808425/

Dietary assessment tool: https://epi.grants.cancer.gov/asa24/

Article on interval for next BMD screening based on initial result: https://pubmed.ncbi.nlm.nih.gov/22256806/

Join Kate, Gary, Mark and Henry as they discuss 4 new POEMs relevant to primary care: bright light therapy for non-seasonal depression, fever control in children, abelacimab for atrial fibrillation, antibiotics vs surgery in children with nonperforated appendicitis. Get all of the POEMs (a new one every day) by going to Essential Evidence Plus and subscribing.

Links from today's podcast:

Bright lights for non-seasonal depression: https://pubmed.ncbi.nlm.nih.gov/39356500/

Controlling fever in children: https://pubmed.ncbi.nlm.nih.gov/39318339/

Abelacimab for anticoagulation in atrial fib: https://pubmed.ncbi.nlm.nih.gov/39842011/ 

Antibiotics vs surgery for appendicitis in kids: https://www.ncbi.nlm.nih.gov/pubmed/39826968

Independent predictors of suicidal ideation: https://pubmed.ncbi.nlm.nih.gov/7966924/

Here is the probability of suicidal ideation by # of risk factors:

0: 0.5%

1: 3.0%

2: 7.4%

3: 23%

4: 46%

This week, Gary, Kate, Henry and Mark discuss 4 new studies relevant to primary care practice: the effectiveness of RSV monoclonals in infants, acupuncture for sciatica associated with disk herniation, zoledronate every 5 years for low risk women, and the effect of arm position on blood pressure readings. Plus a quiz! Please see below for show notes and links:

Learn more about Essential Evidence Plus: www.essentialevidenceplus.com

Real world study of nirsevemab for average risk infants: https://pubmed.ncbi.nlm.nih.gov/39257372/

Acupuncture effective for sciatica: https://pubmed.ncbi.nlm.nih.gov/39401008/

Zoledronate every 5 years for average risk women: https://pubmed.ncbi.nlm.nih.gov/39813642/

Importance of correct arm position for BP: https://pubmed.ncbi.nlm.nih.gov/39373998/

A nice infographic for measuring BP correctly from the AMA and Johns Hopkins: https://targetbp.org/wp-content/uploads/2016/10/MAPHypertension_7StepsInOfficeInfographic_Landscape_English_NoCropsNoBleeds-12.pdf

Join Kate, Mark, Gary and Henry as they discuss 4 new POEMs on treatment of sexual dysfunction, the benefits and harms of GLP-1 agonists, active surveillance vs usual care for ductal carcinoma in situ, and medications to prevent episodic migraine headache.

Henry mentioned AAFP's uncensored resources:

www.aafp.org/family-physician/patient-care/clinical-recommendations.html 

www.aafp.org/family-physician/patient-care/care-resources.html

www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines.html

www.aafp.org/family-physician/patient-care/care-resources/sexually-transmitted-infections.html

www.aafp.org/family-physician/patient-care/care-resources/womens-health.html 

www.aafp.org/family-physician/patient-care/care-resources/reproductive-health.html 

Kate's links on sexual dysfunction:

NEJM review:  https://pubmed.ncbi.nlm.nih.gov/39167808/

ED prevalence:  https://pubmed.ncbi.nlm.nih.gov/38410029/

GLP-1s do everything: www.ncbi.nlm.nih.gov/pubmed/39833406

Active monitoring of DCIS:  https://pubmed.ncbi.nlm.nih.gov/39665585/

Episodic migraines: https://pubmed.ncbi.nlm.nih.gov/39899861/ 

https://www.ncbi.nlm.nih.gov/pubmed/39631943

This week, join Kate, Mark, Gary and Henry as they discuss 4 new studies: prenatal cannabis exposure, fluid resuscitation during acute sickle crises, edoxaban or edoxaban + ASA for afib with CAD, and the impact of aerobic exercise on weight loss in adults

Join Henry, Kate, Mark and Gary as they discuss 4 new POEMs: an RCT of mindfulness for chronic pain, use of methotrexate (huh?) for pain relief in adults with knee DJD, a new way to eradicate H., and oral resveratrol for adults with painful DJD of the knee  (you know, the stuff from red wine). And a quiz: what actually are the benefits of lower BP targets?

Links

Mindfulness for chronic pain:  https://pubmed.ncbi.nlm.nih.gov/39158851/

Methotrexate for OA:  https://pubmed.ncbi.nlm.nih.gov/39074374/

Eradicating H. pylori: https://pubmed.ncbi.nlm.nih.gov/38906695/

Resveratrol for OA: https://www.ncbi.nlm.nih.gov/pubmed/39137167

Cochrane Review: Blood pressure targets in adults with hypertension.

This week join our intrepid team of skeptical primary care doctors as Kate, Mark, Henry and Gary discuss a web- and text-based intervention to prevent obesity in babies, the best timing of DOAC initiation after ischemic stroke in adults with atrial fibrillation, using semaglutide for knee osteoarthritis, and the differential diagnosis of thunderclap headaches. Plus the BEST quiz ever.

Links:

Preventing obesity in babies: https://pubmed.ncbi.nlm.nih.gov/39489149/   

https://www.ncbi.nlm.nih.gov/pubmed/39491870

Semaglutide to reduce pain in knee OA: https://pubmed.ncbi.nlm.nih.gov/39476339/

Causes of thunderclap headaches: https://www.ncbi.nlm.nih.gov/pubmed/39303457

This month Kate, Mark, Gary and Henry discuss yoga for treating urinary incontinence in older women, benefits and harms of muscle relaxants for adults with chronic pain, maternal prenatal cannabis use and developmental delays, and bariatric surgery vs. glucagon-like peptide 1 receptor agonists in obese adults with T2DM.

Links:

Yoga for incontinence: https://pubmed.ncbi.nlm.nih.gov/39186785/

Muscle relaxants for painful conditions: https://pubmed.ncbi.nlm.nih.gov/39298168/

Maternal cannabis use and developmental delays: https://pubmed.ncbi.nlm.nih.gov/39422907/

Bariatric surgery vs. GLP-1s: https://www.ncbi.nlm.nih.gov/pubmed/39235379

This week Mark, Kate, Gary and Henry talk about the comparative effectiveness of migraine medications, strategies for adults with plantar fascia pain, whether to continue beta-blocker use after acute MI, and the outcomes of 5-alpha reductase inhibitor use prior to prostate cancer diagnosis.

Links

Migraine: https://www.bmj.com/content/386/bmj-2024-080107

Plantar fasciitis: https://pubmed.ncbi.nlm.nih.gov/38904119/  and https://pubmed.ncbi.nlm.nih.gov/16801514/

Beta-blockers post MI: https://pubmed.ncbi.nlm.nih.gov/39213187/

Prostate cancer: https://pubmed.ncbi.nlm.nih.gov/39190306/

This week listen in as Kate, Mark, Gary and Henry discuss antiviral treatment for infant RSV, colonoscopy competence by specialty, oral minoxidil for hair loss in men, and artificial intelligence performance on interpreting electrocardiograms .

RSV medication:

https://www.nejm.org/doi/full/10.1056/NEJMoa2313551#ap2  and https://pubmed.ncbi.nlm.nih.gov/39321361/ 

Colonoscopy by specialty

https://pubmed.ncbi.nlm.nih.gov/38588561/ 

https://aapce.wildapricot.org/  

Minoxidil:
https://pubmed.ncbi.nlm.nih.gov/38598226/ 

AI for ECGs:
https://www.ncbi.nlm.nih.gov/pubmed/39096711

Join Kate, Gary, Henry and Mark as they discuss a new therapy for dry eye syndrome, antibiotics for suspected UTI in adults with delirium, a new ACG guideline for treating H pylori, and the prevalence of knee pathology in asymptomatic adults. See below for links to the articles and other stuff:

Dry eye treatment

BMJ: https://www.bmj.com/content/386/bmj-2024-080474

Patient instructions: https://www.bmj.com/content/bmj/suppl/2024/09/11/bmj-2024-080474.DC1/liji080474.ww2.pdf

Antibiotics for UTI in delirium: https://pubmed.ncbi.nlm.nih.gov/38895992/

ACG guideline for H. Pylori: https://pubmed.ncbi.nlm.nih.gov/28071659/ MRI of asymptomatic knees: https://pubmed.ncbi.nlm.nih.gov/32060622/

Elections and CVD: https://pmc.ncbi.nlm.nih.gov/articles/PMC9021908/