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IM Journal Club
IM Journal Club
15 episodes
7 months ago

Journal-Clubbing Our Way Through Internal Medicine


Do you also find it hard to follow the medical literature?

Newsletters with tables of contents are hard to get through after having written all your notes and maybe having done a chart dissection.


Welcome to IM Journal Club!

Our mission: to guide you through some of the most interesting internal medicine studies published in the last few weeks and months that you WOULD have liked to or SHOULD have heard about


Target groups: physicians and other clinicians in general internal or family medicine – hospital medicine and primary care – or in an internal medicine subspecialty; biostatisticians, epidemiologists, or data scientists; journal club enthusiasts!


Hidden agenda: to shed some lights on the studies’ methods AND on the context (what was known before, how do the new results change things – so what does this all mean?). We will give you episodes with primers on particularly difficult methods.


We will come out with a new episode every one to two weeks - we'll upload early on Fridays - so you can listen on your commute or on the weekend.


Please subscribe in your favorite podcast app or to our YouTube channel .


Please let us know what we can do better, or what new study we could cover: You can leave a review in your podcasting app, a comment on YouTube, or drop us a line at hello@imjournalclub.com


We are also on social; our email newsletter will be on Twitter: https://twitter.com/IMJournalClub


---

Show Credits

Host: Ben Geisler

Video editor: Fernando Tábora

Methods consultant: Professor Ulrich Mansmann

Advisory group (current): Bijay Acharya, Chang-Berm Kang, Jeffrey L. Greenwald, Jonathan W. Heflin, Kathy May Tran, Marcel Müller, Rahul Ganatra, and Warren Chuang

Supported by LMU Munich’s Institute for Epidemiology, Biometry, and Medical Information Processing



Hosted on Acast. See acast.com/privacy for more information.

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Medicine
Health & Fitness,
Science,
Life Sciences
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All content for IM Journal Club is the property of IM Journal Club and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

Journal-Clubbing Our Way Through Internal Medicine


Do you also find it hard to follow the medical literature?

Newsletters with tables of contents are hard to get through after having written all your notes and maybe having done a chart dissection.


Welcome to IM Journal Club!

Our mission: to guide you through some of the most interesting internal medicine studies published in the last few weeks and months that you WOULD have liked to or SHOULD have heard about


Target groups: physicians and other clinicians in general internal or family medicine – hospital medicine and primary care – or in an internal medicine subspecialty; biostatisticians, epidemiologists, or data scientists; journal club enthusiasts!


Hidden agenda: to shed some lights on the studies’ methods AND on the context (what was known before, how do the new results change things – so what does this all mean?). We will give you episodes with primers on particularly difficult methods.


We will come out with a new episode every one to two weeks - we'll upload early on Fridays - so you can listen on your commute or on the weekend.


Please subscribe in your favorite podcast app or to our YouTube channel .


Please let us know what we can do better, or what new study we could cover: You can leave a review in your podcasting app, a comment on YouTube, or drop us a line at hello@imjournalclub.com


We are also on social; our email newsletter will be on Twitter: https://twitter.com/IMJournalClub


---

Show Credits

Host: Ben Geisler

Video editor: Fernando Tábora

Methods consultant: Professor Ulrich Mansmann

Advisory group (current): Bijay Acharya, Chang-Berm Kang, Jeffrey L. Greenwald, Jonathan W. Heflin, Kathy May Tran, Marcel Müller, Rahul Ganatra, and Warren Chuang

Supported by LMU Munich’s Institute for Epidemiology, Biometry, and Medical Information Processing



Hosted on Acast. See acast.com/privacy for more information.

Show more...
Medicine
Health & Fitness,
Science,
Life Sciences
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Ezetimibe + Statin: RACING w/ Dr. Chris Cannon
IM Journal Club
22 minutes 8 seconds
2 years ago
Ezetimibe + Statin: RACING w/ Dr. Chris Cannon

So, this trial might appear a bit boring and maybe not so relevant – but maybe only at first. What might add to the difficulty reading or interpreting it is the non-inferiority design – and we might to a methods primer on that in the future. However, this trial may be the answer for a very important question: what do we do with patients who are intolerant to higher doses of statins – can a statin-sparing regimen be the answer?


This was a randomized controlled trial of a high-intensity statin, rosuvastatin 20mg daily vs a moderate-intensity statin – 10mg of rosuvastatin daily – plus 10mg of ezetimibe or Zetia. The trial recruited 3,780 patients with atherosclerotic cardiovascular disease and followed them for three years. The primary endpoint was the composite of cardiovascular death, major adverse cardiovascular events, or non-fatal stroke, and was reached in 9.9% in the high-intensity statin group vs 9.1% in the combination group.


Our guest is Christopher P. Cannon, M.D. He is a cardiologist at Brigham and Women’s Hospital in Boston and a professor at Harvard Medical School. He has run major trials of statins and other interventions to prevent major adverse cardiovascular (and cerebrovascular) events, including the IMPROVE-IT study.


References:

  • RACING Study: BK Kim et al.: Long-term efficacy and safety of moderate-intensity statin with ezetimibe combination therapy versus high-intensity statin monotherapy in patients with atherosclerotic cardiovascular disease (RACING): a randomised, open-label, non-inferiority trial. Lancet. 2022 Jul 30;400(10349):380-90. https://pubmed.ncbi.nlm.nih.gov/35863366/
  • IMPROVE-IT: CP Canon et al.: Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes. N Engl J Med . 2015 Jun 18;372(25):2387-97. https://pubmed.ncbi.nlm.nih.gov/26039521/
  • DI Swerdlow et al.: HMG-coenzyme A reductase inhibition, type 2 diabetes, and bodyweight: evidence from genetic analysis and randomised trials. Lancet 2015; 385: 351-61. https://pubmed.ncbi.nlm.nih.gov/25262344/
  • SU Khan et al.: Association of Lowering Low-Density Lipoprotein Cholesterol With Contemporary Lipid-Lowering Therapies and Risk of Diabetes Mellitus: A Systematic Review and Meta-Analysis. J Am Heart Assoc. 2019;8:e011581. https://pubmed.ncbi.nlm.nih.gov/30898075/
  • MG Silverman et al.: Association Between Lowering LDL-C and Cardiovascular Risk Reduction Among Different Therapeutic Interventions. A Systematic Review and Meta-analysis. JAMA. 2016;316(12):1289-97. https://pubmed.ncbi.nlm.nih.gov/27673306/
  • PM Ridker et al.: Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease. N Engl J Med. 2017;377(12):1119-1131. https://pubmed.ncbi.nlm.nih.gov/28845751/
  • Y Ouchi et al.: Ezetimibe Lipid-Lowering Trial on Prevention of Atherosclerotic Cardiovascular Disease in 75 or Older (EWTOPIA 75): A Randomized, Controlled Trial. Circulation. 2019.140(12):992-1003. https://pubmed.ncbi.nlm.nih.gov/31434507/


Subscribe to our YouTube Channel and mailing list: https://linktr.ee/imjournalclub



Hosted on Acast. See acast.com/privacy for more information.

IM Journal Club

Journal-Clubbing Our Way Through Internal Medicine


Do you also find it hard to follow the medical literature?

Newsletters with tables of contents are hard to get through after having written all your notes and maybe having done a chart dissection.


Welcome to IM Journal Club!

Our mission: to guide you through some of the most interesting internal medicine studies published in the last few weeks and months that you WOULD have liked to or SHOULD have heard about


Target groups: physicians and other clinicians in general internal or family medicine – hospital medicine and primary care – or in an internal medicine subspecialty; biostatisticians, epidemiologists, or data scientists; journal club enthusiasts!


Hidden agenda: to shed some lights on the studies’ methods AND on the context (what was known before, how do the new results change things – so what does this all mean?). We will give you episodes with primers on particularly difficult methods.


We will come out with a new episode every one to two weeks - we'll upload early on Fridays - so you can listen on your commute or on the weekend.


Please subscribe in your favorite podcast app or to our YouTube channel .


Please let us know what we can do better, or what new study we could cover: You can leave a review in your podcasting app, a comment on YouTube, or drop us a line at hello@imjournalclub.com


We are also on social; our email newsletter will be on Twitter: https://twitter.com/IMJournalClub


---

Show Credits

Host: Ben Geisler

Video editor: Fernando Tábora

Methods consultant: Professor Ulrich Mansmann

Advisory group (current): Bijay Acharya, Chang-Berm Kang, Jeffrey L. Greenwald, Jonathan W. Heflin, Kathy May Tran, Marcel Müller, Rahul Ganatra, and Warren Chuang

Supported by LMU Munich’s Institute for Epidemiology, Biometry, and Medical Information Processing



Hosted on Acast. See acast.com/privacy for more information.