This podcast seeks to help family physicians and other clinicians incorporate the best available evidence into their everyday clinical decision making.
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This podcast seeks to help family physicians and other clinicians incorporate the best available evidence into their everyday clinical decision making.
Insomnia is one of the most common conditions encountered in primary care. In this episode, Drs. Scott & Robertson explore the evidence-based management of chronic insomnia, with some surprising revelations along the way!
Additionally, Episode #4 on Probiotics for the Prevention of Antibiotic-Associated Diarrhea provoked a lot of debate, and the What's the Proof team lets you in on the conversation.
Episode Outline:
* Follow-up discussion on probiotics and CDI prevention 00:53
* Cognitive Behavioral Therapy for Insomnia (CBT-I) 08:09
* Review of AASM and ACP clinical practice guidelines for insomnia medications 09:52
* Potential harms of sedative hypnotics 17:16
* How to handle the "Oh, by the way" request for sleep meds 23:00
* New data on dual-orexin receptor antagonists 25:30
Links from this episode:
* Effect of antibiotic stewardship on incidence of CDI https://pubmed.ncbi.nlm.nih.gov/28629876/
* Declining use of medications for insomnia https://pubmed.ncbi.nlm.nih.gov/35818727/
* Hypnotics' associated with mortality or cancer https://pubmed.ncbi.nlm.nih.gov/22371848/
* SUNRISE 2 https://pubmed.ncbi.nlm.nih.gov/32585700/
* Daridorexant for insomnia https://pubmed.ncbi.nlm.nih.gov/35065036/
* AASM Insomnia Guideline https://jcsm.aasm.org/doi/10.5664/jcsm.6470#d45835e1
* ACP Insomnia Guideline https://www.acpjournals.org/doi/10.7326/m15-2175
* Simplified sleep restriction for insomnia https://pubmed.ncbi.nlm.nih.gov/26212846/
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Comments/Questions/Suggestions? Email us at whatstheproofpodcast@gmail.com or find us on Twitter @theproofpodcast!
Credits:
* Hosts: Bobby Scott, MD, FAAFP; Sandy Robertson, PharmD; Dawn Caviness, MD, BSN
* Production & Cover Art: Bobby Scott, MD, FAAFP
* Music: Twisterium, MondayHopes, Muzaproduction, and SergeQuadrado from Pixabay
What's the Proof?
This podcast seeks to help family physicians and other clinicians incorporate the best available evidence into their everyday clinical decision making.
