#154 Does Invitation To Screening Colonoscopy Save lives? Beyond Journal Club with NEJM Group on the NordICC Trial

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 19 June 2024

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

Does colonoscopy prevent colon cancer, and does it save lives? There has never been a randomized controlled trial on screening colonoscopies before NordICC trial, even though it is a guideline based recommendation for everyone over 45! How did this come to be? What do we tell our patients who are on the fence about undergoing screening colonoscopy? To find out, tune into the sixth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group.

Sponsor: At Panacea Financial, you get a personal banker and a competitive high-yield savings account. Learn why its the #1 rated bank on Trustpilot.

Timestamp:

00:00 Introduction
02:28 Pathophysiology of Colorectal Cancer & Why Screening Makes Sense
06:15 General Cancer Screening – Observational Studies
09:17 General Cancer Screening – Randomized Controlled Trials
14:40 NordICC Trial
22:36 Implications for Patient Care

Show notes & Transcript

Tags: IMCore, CoreIM, primary care, gastroenterology, nurse practitioner, pharmacist, physician assistant, sigmoidoscopy, per protocol analysis and intention to treat analysis

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Transcript

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0:00.0	We are thrilled to have Panacea Financial as a sponsor, providing banking built for doctors,
0:05.6	by doctors here with Dr. Michael Jurgens, a med-pede physician and co-founder of Panacea Financial
0:10.9	had to say.
0:11.9	So as a bank, we have checking accounts and high
0:14.1	yield savings accounts it's all accessible on our online banking or
0:18.1	mobile app so we can do your direct deposit there like anything you would do at a normal bank we have
0:23.7	accessible on our online and mobile banking. You have your own personal banker.
0:27.6	We have a high-yield savings account. We actually have a lot of people use it for that
0:31.7	purpose. I see very commonly people build up an
0:34.7	emergency fund. We have a high interest rate. They put in three months of
0:38.8	expenses there kind of set it and forget it and then hopefully they never need it but if they do it was
0:44.5	growing interest that whole time and actually I'm very proud because I think we're
0:49.6	still the number one rated bank on trust pilot and that's all based on our really our
0:56.0	culture and being a mission-driven company that's for doctors by doctors.
0:59.7	I am so impressed with the company and the team and the culture and the features that they've built.
1:05.0	We will link all the info for Panacea Financial in the show notes.
1:08.0	Panacea Financial is a division of Primus member FDIC.
1:11.0	Welcome to the sixth installment of Beyond Journal Club, a collaboration between Core. is a to context, telling the story of how we got to where we are and what it means for how we take care of our patients.
1:25.0	So today we're talking about the widely publicized colonoscopy study, the Nordic trial.
1:30.0	I'm Dr. Shreich-Fetting internist at the IDMC. I'm Dr. Shrache Fedding Internus at the IDM.
1:33.0	I'm Dr. Greg Katz, a cardiologist at NYU.
1:36.0	And I'm Dr. Abby Schubach, and NEEJM,
	...

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