Episode 41 - July 1, 2017 AFP: American Family Physician

AFP: American Family Physician Podcast

American Academy of Family Physicians

Medicine, Americanfamilyphysician, Afppodcast, Familymedicinepodcast, Afp, Clinicalpodcast, Aafp, Health & Fitness, Primarycarepodcast, Medicinepodcast, Aafppodcast

2.4 • 649 Ratings

🗓️ 5 July 2017

⏱️ 15 minutes

🔗️ Recording | iTunes | RSS

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Summary

Arthroscopic meniscal surgery (1:10), developmental delay (2:10), drug prices (6:00), insomnia (9:50), and acupuncture for migraine prevention (12:10).

Transcript

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0:00.0	Welcome to the American Family Physician podcast for the July 1st 2017 issue. I'm Steve.
0:18.9	I'm Sue. I'm Michelle. I'm Shari. We are residents and faculty, mostly residents from
0:24.2	the University of Arizona College of Medicine Phoenix Family Medicine Residency. This time on the podcast,
0:30.1	we're going to talk about arthroscopic menisical surgery, developmental delay, drug prices,
0:37.0	insomnia, and acupuncture for migraine prevention.
0:41.2	The opinions expressed in the podcast are our own and do not represent the opinions of the American Academy of Family Physicians, the Editor of American Family Physician, or Banner Health.
0:48.2	Do not use this podcast for medical advice. Instead, see your own family doctor for medical care.
1:14.5	We're on. Instead, see your own family doctor for medical care. Okay, season three, this is not a drill, guys.
1:15.6	Are you ready, Sue?
1:19.2	You're going to start us off with a poem.
1:24.4	And as you guys remember, poems are patient-oriented evidence that matters.
1:25.0	All right.
1:26.4	And this poem is entitled,
1:28.7	arthroscopic menisical surgery is equivalent to non-operative management. No matter how many systematic reviews come out,
1:34.6	they all seem to say the same thing. For menisical tears, arthroscopic menisical surgery is
1:39.6	equivalent to non-surgical treatment. The authors identify nine randomized trials and eight systematic reviews, but only a quarter
1:47.0	of the clinical trials compare arthroscopy with sham surgery, and they use a whole host of
1:51.6	outcome assessments.
1:52.8	Who knew that there were so many osteoarthritis index scores?
1:56.2	Yeah, and keep in mind that menisical surgery ends up being not helpful, despite a research base that
2:03.2	is biased towards making the interventions look better. Right. Here's the bottom line.
2:09.0	Arthroscopy is expensive, becoming more common, and of no benefit. This is level of evidence 1A.
	...

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