3.09 COVID-19 Risk, Financial Toxicity, & HALT-IT for Journal Club with Fellow Dr. Justine Ryu

Plenary Session

Vinay Prasad, MD MPH

Health, Medicine, Policy, Oncology, Science & Medicine

4.7 • 789 Ratings

🗓️ 29 August 2020

⏱️ 84 minutes

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Summary

We start this week's episode by revisiting our discussion from last week on the PNAS study on racial concordance and birthing mortality. We continue our theme of critical appraisal by then tearing apart the recent paper published in BMJ titled "Two metres or one: what is the evidence for physical distancing in covid-19?" and its inability to support its colorful figures. We end the monologue with a few thoughts on academics who somehow author one paper a week. Finally, we turn to the last two segments of the show: the first is a discussion with Dr. Bishal Gyawali on his new paper out now in The Lancet Haematology titled "A survey in Nepalese patients with acute leukaemia: a starting point for defining financial toxicity of cancer care in low-income and middle-income countries" and the second is Journal Club with a Fellow, where we interview Dr. Justine Ryu on a paper published in The Lancet titled "Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial". Racial Concordance: doi.org/10.1073/pnas.1913405117 COVID-19 Risk: doi.org/10.1136/bmj.m3223 Financial Toxicity: doi.org/10.1016/S2352-3026(20)30258-1 HALT-IT: doi.org/10.1016/S0140-6736(20)30848-5 Back us on Patreon! www.patreon.com/plenarysession Check out our YouTube channel: www.youtube.com/channel/UCUibd0E2kdF9N9e-EmIbUew

Transcript

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0:00.0	Welcome. I'm Dr. Vinay Prasad. I'm a hematologist, oncologist, and I'm associate professor of medicine at the University of California, San Francisco. In my professional life, I see patients, I teach trainees, and I do research in health care policy. This is Plenary Session.
0:22.9	Plenary Session is a podcast at the intersection of medicine, oncology, and health policy,
0:27.5	and you're listening to Season 3.
0:30.6	On this week's episode.
0:33.3	Bashal Gaywali has a new paper out this week, and he's here to unveil his findings.
0:37.9	You won't want to miss that discussion.
0:39.5	And I'm joined via Zoom by Dr. Justine Ryu.
0:41.8	She's a classical hematology and oncology fellow at Beth Israel Deaconess Hospital,
0:45.5	and she's going to talk about a new paper about upper GI bleeding and TXA.
0:49.1	You won't want to miss this discussion.
0:51.6	And first, I have a monologue on several topics.
0:54.0	So, stay tuned.
0:58.0	If you like this podcast and want more content, follow me on Twitter at V-Prasad MD-M-PH.
1:04.5	Check out the YouTube channel, Vinayprasad MD-M-PH. Patreon backers will get access to the slides
1:10.5	for lectures I give on plenary session.
1:13.3	Want to hear from us?
1:14.5	Email us your question at plenary session podcast at gmail.com.
1:23.9	All right, topic one this week.
1:26.1	Some final thoughts on the PNAS paper. Well, just as a quick
1:30.5	recap, this was a paper that came out in the proceedings of the National Academy of Science. And it
1:34.4	basically made a bold claim that doctors who were listed as the physician of record in Florida
1:40.3	impacted the mortality outcomes of neonates. Specifically, if a black baby had a white
	...

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