Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three new pieces of research that affect us in general practice.

First: What interim anti-coagulation would you give your patient with suspected VTE? One common option has 5 times the rate of major bleeding.

Second: How much muscle mass do people lose with weight loss on GLP1s? Is this different from lifestyle-based interventions, and is there anything patients can do about it?

Third: Why don't we use clinical decision support tools for cancer? This research looks at the barriers and then I over-share my own thoughts on the subject...

References

NEJM Apixaban or rivaroxaban bleeding risk with acute VTE

Diabetes, Obesity & Metabolism Lean mass loss with incretin therapies vs lifestyle interventions

BJGP: Why don't we use clinical decision tools

www.nbmedical.com/podcast

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. Three new research papers to help us along our way in general practice this month.

First, how long do modern hip replacements last? How does this new data change our conversation with patients?

Second, it's thought GLP1 agonists could have a role in addiction management, but so far, research has failed to show a definitive benefit. Could new data from the US on veterans with type 2 diabetes show a different picture?

Finally, what analgesia would you recommend for a child in pain? This new paper compared ibuprofen with or without paracetamol or hydromorphone - yes, an extremely potent long-acting opioid for kids. Good idea? We find out.

References

Lancet Hip replacement longevity

Lancet THR Editorial

BMJ GLP1ra and addiction

BJP editorial

JAMA Analgesia and Child

www.nbmedical.com/podcast

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker.Three new pieces of research to talk about in today's podcast.

First, in the NEJM - could patients stop anti-coagulation after ablation for AF? Conventional practice says no. Does this paper change that?

Second, in JAMA - can spinal manipulation, or clinician-guided self-management, or both help with low back pain? This paper is a good crack.

Finally, in the BJGP - what do our patients think about advance care planning? Should we be talking about this more, and, if so, in whom and how?

References

NEJM Anti-coags after ablation in AF

NEJM Editorial

JAMA Low back pain

BJGP Advance care planning

www.nbmedical.com/podcast