Clinical Podcasts

UpToDate faculty discuss important “What’s New” and “Practice Changing UpDates”, based on recent medical journal articles, in our clinical podcasts. Our contributors are recognized physician leaders in their fields and offer their expertise regarding each update and its impact on clinical practice. Each clinical podcast includes the most current clinical information available as of the release date listed.

Support for UpToDate Talk is provided by UpToDate, Wolters Kluwer. UpToDate is entirely funded by the subscriptions of its users and does not accept advertising or funding unrelated to subscriptions. The opinions in such podcasts are entirely those of the discussants, and these discussants are authors and editors for UpToDate. View the UpToDate conflict of interest policy.

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UpToDate Pathways: Management of anticoagulation for patients with nonvalvular atrial fibrillation

Date Released: Jun 7 2017

This episode features Dr. Mark Estes discussing an approach to optimizing anticoagulation choices for patients with nonvalvular atrial fibrillation. Dr. Nancy Sokol hosts.

Listen to the full podcast by pressing the Play Button below.

Dr. Mark EstesDr. Mark Estes is Professor of Medicine at Tufts University School of Medicine and Director of the New England Cardiac Arrhythmia Center at Tufts Medical Center in Boston.

N A Mark Estes, III, MD Disclosure: Consultant/Advisory Boards: Medtronic [Arrhythmias (pacemakers and ICDs)]; St. Jude Medical [Arrhythmias (pacemakers and ICDs)]; Boston Scientific [Arrhythmias (pacemakers and ICDs)].

Transcatheter aortic valve implantation; Bariatric surgery for patients with diabetes mellitus

Date Released: May 31 2017

In this episode, Dr. Stephen Brecker discusses transcatheter aortic valve implantation for severe aortic stenosis in patients with intermediate surgical risk, and Dr. David McCulloch discusses outcomes of bariatric surgery for patients with diabetes mellitus.

Dr. BreckerDr. Stephen Brecker is Professor of Cardiology at St. George’s University of London, and Chief of Cardiology at St. George’s University Hospitals.
Dr. David McCullochDr. David McCulloch is Clinical Professor of Medicine at the University of Washington in Seattle.

Segment on transcatheter aortic valve implantation (Dr. Brecker):

  1. Reardon MJ, Van Mieghem NM, Popma JJ, et al. Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med 2017; 376:1321.

Segment on bariatric surgery for patients with diabetes mellitus (Dr. McCulloch):

  1. Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric Surgery versus Intensive Medical Therapy for Diabetes - 5-Year Outcomes. N Engl J Med 2017; 376:641.

Stephen JD Brecker, MD, FRCP, FESC, FACC Grant/Research/Clinical Trial Support: Medtronic [Transcatheter valves]. Speaker’s Bureau: Medtronic [Transcatheter valves]. Consultant/Advisory Boards: Medtronic; Boston Scientific [Transcatheter valves].

David K McCulloch, MD Nothing to disclose

Spirometry and asthma diagnosis; Baricitinib for the treatment of rheumatoid arthritis

Date Released: May 17 2017

This episode features Dr. Christopher Fanta, discussing the role of spirometry in the diagnosis of asthma; and Dr. James O’Dell, discussing baricitinib, a promising oral agent for the treatment of rheumatoid arthritis. Dr. Helen Hollingsworth hosts.

Dr. FantaDr. Christopher Fanta is Professor of Medicine at Harvard Medical School and Director of the Partner’s Asthma Center at Brigham and Women’s Hospital in Boston.
Dr. O'DellDr. James O'Dell is Professor of Internal Medicine, Chief of the Section of Rheumatology at the University of Nebraska Medical Center, and Director of the Rheumatoid Arthritis Investigative Network.

Segment on spirometry and asthma diagnosis (Dr. Fanta):

  1. Aaron SD, Vandemheen KL, FitzGerald JM, et al. Reevaluation of diagnosis in adults with physician-diagnosed asthma. JAMA 2017; 317:269.

Segment on baricitinib for the treatment of rheumatoid arthritis (Dr. O'Dell):

  1. Taylor PC, Keystone EC, van der Heijde D, et al. Baricitinib versus placebo or adalimumab in rheumatoid arthritis. N Engl J Med 2017; 376:652.
  2. Fleischmann R, Schiff M, van der Heijde D, et al. Baricitinib, methotrexate, or combination in patients with rheumatoid arthritis and no or limited prior d5isease-modifying antirheumatic drug treatment. Arthritis Rheumatol 2017; 69:506.

Christopher H Fanta, MD Nothing to disclose

James R O'Dell, MD Consultant/Advisory Boards: Abbvie [Rheumatoid arthritis (TNF inhibitor)]; Lilly [Rheumatoid arthritis (JAK kinase inhibitor)]; BMS [Rheumatoid arthritis (abatacept)]; GlaxoSmithKline [Rheumatoid arthritis (anti-IL-6)]; Medac [Rheumatoid arthritis (methotrexate)].

Scalp cooling and alopecia from chemotherapy; Immunotherapy for stinging insect hypersensitivity

Date Released: May 3 2017

This episode features Dr. Hope Rugo, discussing the use of a scalp-cooling device to prevent hair loss after chemotherapy in breast cancer patients; and Dr. David Golden, discussing the joint practice parameter on immunotherapy for stinging insect hypersensitivity. Dr. Nancy Sokol hosts.

Dr. RugoDr. Hope Rugo is Clinical Professor in the Department of Medicine at the University of California, San Francisco, and director of the breast oncology clinical trials program at UCSF.
Dr. GoldenDr. David Golden is Associate Professor of Medicine at the Johns Hopkins University School of Medicine.

Segment on scalp hypothermia (Dr. Rugo):

  1. Rugo HS, Klein P, Melin SA, et al. Association Between Use of a Scalp Cooling Device and Alopecia After Chemotherapy for Breast Cancer. JAMA 2017; 317:606.
  2. Nangia J, Wang T, Osborne C, et al. Effect of a Scalp Cooling Device on Alopecia in Women Undergoing Chemotherapy for Breast Cancer: The SCALP Randomized Clinical Trial. JAMA 2017; 317:596.

Segment on stinging insect hypersensitivity (Dr. Golden):

  1. Golden DB, Demain J, Freeman T, et al. Stinging insect hypersensitivity: A practice parameter update 2016. Ann Allergy Asthma Immunol 2017; 118:28.

Hope S Rugo, MD Nothing to disclose

David B Golden, MD Grant/Research/Clinical Trial Support: Genentech [Asthma (Omalizumab)]. Speaker's Bureau: Genentech [Asthma (Omalizumab)]; Stallergenes/Greer [Allergic rhinitis (Sweet vernal, orchard, perennial rye, Timothy, and Kentucky blue grass mixed pollens allergen extract)].

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