The BMJ Best Practice podcast publishes interviews with clinical experts, aimed at healthcare professionals and students with an interest in keeping up to date with the latest scientific developments, evidence-based medicine and guidelines. BMJ Best Practice is ranked one of the best clinical decision support tools for health professionals worldwide.* Structured around the clinical workflow and updated daily, BMJ Best Practice uses the latest evidence-based research, guidelines and expert opinion to offer step-by-step guidance on diagnosis, prognosis, treatment and prevention. bestpractice.bmj.com *Kwag KH, González-Lorenzo M, Banzi R, Bonovas S, Moja L. Providing Doctors With High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information Summaries The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
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The BMJ Best Practice podcast publishes interviews with clinical experts, aimed at healthcare professionals and students with an interest in keeping up to date with the latest scientific developments, evidence-based medicine and guidelines. BMJ Best Practice is ranked one of the best clinical decision support tools for health professionals worldwide.* Structured around the clinical workflow and updated daily, BMJ Best Practice uses the latest evidence-based research, guidelines and expert opinion to offer step-by-step guidance on diagnosis, prognosis, treatment and prevention. bestpractice.bmj.com *Kwag KH, González-Lorenzo M, Banzi R, Bonovas S, Moja L. Providing Doctors With High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information Summaries The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
It is difficult to say how common factitious disorders are. A review of psychiatric consultations in a tertiary care setting found about 1% of referrals received a diagnosis of factitious disorder. Using an entirely different approach, researchers examined specimens submitted by patients as kidney stones and found that 3.5% were obviously non-physiological.
But whatever the prevalence, the consequences can be serious. They include unnecessary diagnostic procedures or interventions and sometimes self-injury.
To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with James Levenson, Professor of Psychiatry at Virginia Commonwealth University. And importantly James is author of our BMJ Best Practice topic on factitious disorders. Competing interests: None
For more on factitious disorders, visit BMJ Best Practice.
Down's syndrome is the most common genetic cause of intellectual disability, occurring in 1 in about 800 births worldwide. Children and adults with Down's syndrome need high quality care from a wide range of different types of healthcare professionals.
To find out more about this condition, listen to this BMJ Best Practice podcast interview with Kishore Vellody, Professor of Pediatrics, University of Pittsburgh School of Medicine. Competing interests: None
For more on Down's Syndrome, visit BMJ Best Practice.
In 2016, the estimated number of people globally with active epilepsy was 45.9 million. For the US in 2015, this figure was around 3.4 million. So epilepsy is common and generalised seizures are a common type of epilepsy.
And the consequences can be serious - from medication side effects to status to sudden unexpected death.
To find out more about this problem and what we can do about it, listen to this BMJ Best Practice podcast interview with Daniel Winkel, Assistant Professor of Neurology at Emory University School of Medicine.
For more on generalised seizures, visit BMJ Best Practice.
Competing interests: DW receives consulting fees from NextSense, Inc.
Measles, mumps and rubella are all serious illnesses. They are also all preventable.
Vaccination is safe and effective. But take up of the vaccine is not what it should be.
To find out more about this problem and what we can do about it, please do listen to this BMJ Best Practice podcast interview with Helen Bedford, Professor of Children's Health at the UCL Institute of Child Health.
For more on these infections, visit BMJ Best Practice.
Competing interests: None
Insomnia is common and can be serious.
It is estimated that 10% to 30% of the population may have insomnia. Insomnia can cause accidents and poor productivity at work. Psychiatric disorders, particularly anxiety and depression, are common comorbidities.
To find out more about this problem and what we can do about it, please do listen to this BMJ Best Practice podcast interview with John Winkelman, Chief of the Sleep Disorders Clinical Research Program, Department of Psychiatry, Massachusetts General Hospital and Professor of Psychiatry, Harvard Medical School.
To find out more about insomnia, visit BMJ Best Practice.
Competing interests: JWW has received honoraria for consulting to Avadel, CVS, Eisai, and Merck, and research grants from Merck and the RLS Foundation.
Hypercholesterolemia is common condition with serious consequences. It is important that we assess, diagnose and manage it appropriately.
To find out more about this problem and what we can do about it, please do listen to this BMJ Best Practice podcast interview with Thorsten Leucker, Assistant Professor of Medicine, Division of Cardiology, Johns Hopkins University School of Medicine.
For more on hypercholesterolemia, visit BMJ Best Practice.
Competing interests: TL has received grant funding for his university from Amgen and Merck.
The purpose of BMJ Best Practice is to provide knowledge that will help healthcare professionals deliver better care. In this podcast, Dr Clare Mock explains how you can put evidence based knowledge into practice to ensure that we achieve high quality and safe healthcare.
Clare is Clinical Engagement Physician at BMJ and has a great deal of experience in safety, quality improvement and implementation science.
Competing interests: CM works for BMJ.
Hyperkalemia is common and can be serious. It can result in life-threatening cardiac arrhythmias. So it is important that we assess this problem properly, find an underlying diagnosis if there is one, and manage appropriately.
To find out more about this problem and what we can do about it, please do listen to this BMJ Best Practice podcast interview with Sri Yarlagadda, Associate Professor at The University of Kansas Medical Center.
Competing interests: None declared
For more on hyperkalemia, visit BMJ Best Practice.
Hypothyroidism is common. The prevalence of overt hypothyroidism in the general population ranges between 0.2 and 5%. And it can cause a range of complications - from heart to brain problems to problems during pregnancy. So it is important that we get the diagnosis and management of this condition right.
To find out more about this problem and what we can do about it, listen to this interview with Dr Wail Malaty who works as a physician in Houston, Texas. Wail is our BMJ Best Practice author on hypothyroidism. Competing interests: None
For more on hypothyroidism, visit BMJ Best Practice.
Wrist fractures are common. They can occur in older women with osteoporosis and low-impact injury. Or young men with high-impact injuries.
And they can cause complications from malunion to joint stiffness to complex regional pain syndrome.
So it is important that we get the diagnosis and management of this condition right.
To find out more about this problem and what we can do about it, listen to this podcast with Michael Barrett, Consultant Trauma and Orthopaedic Surgeon at Cambridge University Hospitals NHS Foundation Trust and BMJ Best Practice author on wrist fracture.
For more on wrist fractures, visit the BMJ Best Practice topic.
Competing interests: MB is a director of Orthohub.xyz, an online education platform for orthopaedic surgeons. Orthohub.xyz receives sponsorship from the healthcare industry.
Tourette syndrome has a prevalence of 0.6% in children and adolescents ages 6 to 17 years, with about half of patients undiagnosed. And Tourette syndrome is associated with distress, substance abuse, and treatment-related side effects. So it is important that we get the diagnosis and management of this condition right.
To find out more about this problem and what we can do about it, please do listen to his podcast interview with Marco Grados, Clinical Director and Associate Professor of Psychiatry and Behavioral Sciences at the Division for Child and Adolescent Psychiatry, Johns Hopkins.
Marco is the author of our topic on Tourette syndrome on BMJ Best Practice. Competing interests: None
Cervical spine injuries result primarily from car accidents, falls, and sports activities (such as rugby or diving into shallow water).
They can occur in young and old, and can cause considerable complications - from chronic pain to medication dependence.
So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important questions, please do have a listen to this interview with Muhammad Dherijha, Consultant in Complex Spinal Surgery at the Northern Care Alliance in Manchester.
For more on cervical spine injuries, visit BMJ Best Practice.
Competing interests: none
Comorbidities are common and important in all countries around the world. They have a significant impact on patients and healthcare providers. The BMJ Best Practice Comorbidities Manager has been designed to help healthcare professionals better manage patients with common combinations of comorbidities. This BMJ Best Practice podcast is an interview with Professor Neera Ahuja, Professor of Medicine, Associate Chief Medical Officer and Senior Vice President at Stanford Healthcare. Competing interests: NA has received honoraria for editorial work on BMJ Best Practice
Acute severe asthma is common. The global prevalence, morbidity and mortality, and economic burden caused by asthma have progressively increased over the last few decades. About 300 million people worldwide currently have asthma. About 180,000 deaths annually are caused by asthma. And most asthma deaths are preventable. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Richard Russell, Specialty Registrar in Respiratory Medicine, Glenfield Hospital, Leicester, UK. Richard is one of the authors of our topic on acute asthma on BMJ Best Practice. Competing interests: RR has received support from Chiesi.
ST-elevation myocardial infarction is a common and important condition. Myocardial infarction is a leading cause of morbidity and mortality so it is vital that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Mahi Ashwath, Professor of Medicine and Radiology and Inaugural Reuben Jacobs Chair in Internal Medicine at the UHS/UT Heart and Vascular Institute, San Antonio, Texas. Mahi is author of this topic on BMJ Best Practice. Competing interests: MA is a consultant for Tersera.
Panic disorder is common. The prevalence of panic disorder is 2% to 3% in adults and adolescents. And panic disorder can cause distress, substance abuse, and treatment related side effects. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Professor Craig Sawchuk of the Department of Psychiatry and Psychology, Mayo Clinic, Rochester. Craig is the author of our topic on panic disorder on BMJ Best Practice. Competing interests: None
Uterine fibroids are common. They represent the most common solid tumours of the female pelvis and are a leading indication for hysterectomy. And complications are frequent also - from bleeding to obstetric complications. So what can we do to ensure that we get the diagnosis and management of this condition right? To answer this and other important questions, please do have a listen to this podcast interview with Professor Ayman Al-Hendy, Tenured Professor at the Department of Obstetrics and Gynecology, University of Chicago. Competing interests: AAH has served on the external advisory boards of Bayer, AbbVie, Myovant, Pfizer, ObsEva and Allergan, and has received research funding from the National Institutes of Health.
The Darzi report states that “a recurring theme is that the recommendations of previous reviews have not been universally adopted.” So can we do better this time? In this podcast, Professor Martyn Patel discusses how healthcare professionals can use BMJ Best Practice to improve care in areas where Darzi says that it needs to improve. In things like comorbidities, cardiovascular care, and emergency medicine. Martyn works for Norwich Medical School, Norfolk and Norwich University Hospital, and is also an expert panel member of BMJ Best Practice.
Among men aged 15 to 44 years, testicular tumours are the most common cancer diagnosed. And testicular cancer can cause considerable morbidity and mortality. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Corbin Eule, Assistant Professor of Medical Oncology at the University of Colorado Anschutz Medical Campus. And importantly Corbin is BMJ Best Practice author on testicular cancer. Competing interests: None
The prevalence of precocious puberty is difficult to estimate - it is probably between 1 in 500 and 1 in 5000 children. Unfortunately, complications are common - from distress to short stature to psychological problems. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to this podcast interview with Dr Comfort King of BMJ and Dr Talat Mushtaq, Consultant in Paediatric Endocrinology at Leeds Teaching Hospitals. Competing interests: TM has received support from Novo Nordisk and Pfizer to attend overseas conferences. He has also received honoraria from Kyowa Kirin for lectures and educational events.
The BMJ Best Practice podcast publishes interviews with clinical experts, aimed at healthcare professionals and students with an interest in keeping up to date with the latest scientific developments, evidence-based medicine and guidelines. BMJ Best Practice is ranked one of the best clinical decision support tools for health professionals worldwide.* Structured around the clinical workflow and updated daily, BMJ Best Practice uses the latest evidence-based research, guidelines and expert opinion to offer step-by-step guidance on diagnosis, prognosis, treatment and prevention. bestpractice.bmj.com *Kwag KH, González-Lorenzo M, Banzi R, Bonovas S, Moja L. Providing Doctors With High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information Summaries The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
