logo
episode-header-image
Jun 2024
29m 30s

#154 Does Invitation To Screening Colono...

CORE IM TEAM
About this episode

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.

Show notes & Transcript

Subscribe to Core IM’s YouTube Channel for more behind the scenes, whiteboard animations and more!

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

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



Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15%
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
* Check out Uncommon Goods for 15% off: https://uncommongoods.com/COREIM
* Check out Washington Red Raspberries: https://redrazz.org


Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy
Up next
Nov 19
#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager
<p>Why is venous congestion not the same as volume overload? How can looking at IVC as well as doppler on the hepatic vein, portal vein, and/or intrarenal vein help? Can venous congestion explain someone&#39;s delirium? Or be at play in septic shock? What are the limitations of t ... Show More
34m 44s
Nov 5
#192 Debate on First-Line Medications for Diabetes
<p>SGLT-2i vs. GLP-1? vs Metformin? How do you balance the cost and coverage of first-line options like metformin, SGLT-2, and GLP-1s? How do you choose between SGLT-2 and GLP-1s for comorbidities like CAD or CKD? And how do you weigh their side effects and practical use?</p><p>< ... Show More
36m 50s
Oct 22
#191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment
<p>What really works when treating HRS? Vasoconstrictors like terlipressin vs. norepinephrine vs. midodrine: how do we decide which to use? Do you give albumin? When do you give Lasix or another diuretic? When is the better choice transplant, dialysis, or even palliative care?</p ... Show More
31m 35s
Recommended Episodes
Nov 2022
Talk Evidence - Diabetes data, colonoscopies, and researchers behaving badly
In this month's Talk Evidence, Helen Macdonald, The BMJ's research integrity editor, is joined again by Juan Franco, editor in chief of BMJ EBM, and Joe Ross, US research editor. They're straying beyond the pages of The BMJ, and discussing an NEJM paper about colonoscopy for co ... Show More
46m 15s
Feb 2024
#289 - AMA #56: Cancer screening: pros and cons, screening options, interpreting results, and more
<p><a href= "https://peterattiamd.com/ama56/?utm_source=podcast-feed&utm_medium=referral&utm_campaign=241224-pod-ama56&utm_content=241224-pod-ama56-podfeed"> View the Show Notes Page for This Episode</a></p> <p><a href= "https://peterattiamd.com/subscribe/?utm_source=podcast-feed ... Show More
20m 44s
Oct 2020
#236 Approach to Shortness of Breath: Physical Exam Series
Learn which exam maneuvers are worthwhile and which ones are worthless in your approach to shortness of breath. In our evidence based series on the physical exam, we discuss the approach to the dyspneic patient with Dr. Brian Garibaldi (Hopkins, SBM), associate professor of pulmo ... Show More
41m 28s
Feb 2024
Dr. Sharon Hausman-Cohen: How to Address Dementia, Autism, and Other Chronic Diseases with Genomic Testing
View the Show Notes For This Episode Get Free Weekly Health Tips from Dr. Hyman Sign Up for Dr. Hyman’s Weekly Longevity Journal Get Ad-free Episodes & Dr. Hyman+ Audio Exclusives Dr. Sharon Hausman-Cohen is the Chief Medical Officer and co-founder of IntellxxDNA and has been in ... Show More
1h 22m
Aug 2023
Looi Ee - The Challenging Colonoscopy: Down Under Edition
<p>In our third international episode, hosts Drs. <a href='https://twitter.com/PLLU'>Peter Lu</a> and <a href='https://twitter.com/DrJSilverman'>Jason Silverman</a> talk to Dr. <a href='https://www.conjoint.org.au/bio-looi-ee.php'>Looi Ee</a> about completing the challenging colo ... Show More
55m 13s
May 2023
Multiparametric MRI for Active Surveillance of Prostate Cancer
How are you managing your prostate cancer patients on active surveillance? Credit available for this activity expires: 5/25/24 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/992384?ecd=bdc_podcast_libsyn_mscpedu 
31m 19s
Jul 2021
#283 CRC Screening: USPSTF Update with Dr. Michael Barry
Review the 2021 USPSTF Guidelines on Colorectal Cancer (CRC) screening with our guest, Dr. Michael Barry (vice-chair of the U.S. Preventive Services Task Force). Topics include a breakdown of testing modalities (stool tests versus direct visualization), screening ages, what to do ... Show More
44m 36s
Jun 2023
#399 Wisely Ordering Autoantibodies - ACP IM2023
The ANA, anti-CCP, RF, and beyond! We all have ‘rheum’ to grow when it comes to making sense of autoantibodies and common markers. We talk through the nuances with rheumatologist Dr. Matthew B. Carroll (biography here!). Our interview covers physical exam tips for inflammatory ar ... Show More
56m 37s