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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.
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Sepsis is common. In 2018, more than one million US Medicare patients were admitted to hospital with sepsis.
And complications are serious - from renal failure to ARDS to DIC.
So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important questions, have a listen to this podcast with Professor Andre Kalil, from the Department of Internal Medicine at the University of Nebraska Medical Center.
For more on sepsis, visit BMJ Best Practice.
Competing interests: none
Acne is a common condition. The Global Burden of Disease estimates the prevalence of acne to be 8%, ranking it the eighth most prevalent disease worldwide.
And acne can cause complications - from scarring to dyspigmentation to mental health problems.
So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important questions, please have a listen to this podcast interview with Professor John Barbieri, Assistant Professor of Dermatology at Harvard.
For more on acne, visit BMJ Best Practice.
Competing interests: JB has received consulting fees from Dexcel Pharma.
Cervical spine injuries result primarily from motor vehicle accidents, sports activities, and diving into shallow water. These mainly happen with young people. In older people, falls are a common cause. And such injuries can cause a range of complications from pain to radiculopathy to other neurological disability.
So what if anything can we do to ensure that cervical spine trauma is diagnosed and managed correctly?
To answer this and other important questions, listen to this interview with Michael Fehlings, Professor of Neurosurgery at the University of Toronto, and author of our BMJ Best Practice topic on this condition.
Competing interests: MGF served as a consultant for Zimmer, In Vivo Therapeutics, and Pfizer. He receives institutional fellowship grant support from AOSpine, Medtronic, and Depuy-Synthes.
Croup is a frequent cause of acute respiratory distress in young children. Typically, it affects those between six months and three years of age, peaking in the second year of life. And croup can be serious and can cause complications - such as pneumonia.
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 podcast interview with Professor David Johnson who is from the Department of Pediatrics and Physiology and Pharmacology at the University of Calgary, Canada.
For more on croup, visit BMJ Best Practice.
Competing interests: none
As the climate changes, we are getting more diseases associated with extremes of temperature - such as frostbite.
Frostbite is classically associated with mountaineering and winter activities. But it also occurs in armed conflict and of course in homeless people. Frostbite can result in wound infection, gangrene and amputation.
So what if anything can we do to ensure that it is diagnosed and managed correctly? To find the answer to this and other important questions, please have a listen to this podcast interview with Professor Chris Imray, Consultant Vascular and Renal Transplant Surgeon.
For more on frostbite, visit BMJ Best Practice.
Disclosures: CI has been paid for medicolegal work and receives royalties for the Oxford Handbook of Wilderness and Environmental Medicine.
A US study of high-risk drinking patterns suggests that deaths due to alcohol-associated liver disease are expected to double in the next twenty years. And this condition is associated with a range of complications - including hepatic encephalopathy, GI bleeding, and hepatorenal syndrome. So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important questions, please have a listen to this podcast interview with Professor Craig McClain, Chief of Research Affairs and Associate Vice President for Health Affairs and Research at the Division of Gastroenterology, Hepatology and Nutrition, University of Louisville School of Medicine.
For more on alcohol-associated liver disease, visit BMJ Best Practice.
CM acts as a consultant for Nestlé, Durect, Allergan, Intercept, and DISCUS. He works for the Veterans Administration on a part-time basis, has received grants from the NIH and VAMC, and is working on the update of the AGC nutritional guideline.
Benign paroxysmal positional vertigo (BPPV) has an incidence of 64 per 100,000 per year, increasing by 40% with each decade of life. This means about 200,000 new patients per year in the USA. And BPPV can cause problems - including falls and accidents and of course injuries. 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 podcast interview with Professor Lorne Parnes of the Departments of ENT, Head and Neck Surgery and Clinical Neurological Sciences, University of Western Ontario.
For more on BPPV, visit BMJ Best Practice.
Competing interests: none
In 2019, lower respiratory tract infections affected 489 million people worldwide, and were the cause for approximately 2.5 million deaths. Children less than 5 and adults older than 70 were the populations most affected by pneumonia. Mortality was highest in patients aged over 70.
So what if anything can we do to ensure that pneumonia is diagnosed and managed correctly?
To answer this and other important questions, please do have a listen to this podcast interview with Dr Catia Cillóniz, Associate Professor at the University of Barcelona.
For more on community acquired pneumonia, visit BMJ Best Practice.
Competing interests: none
Primary hyperparathyroidism is a common disorder affecting 1 in 500 women and 1 in 2000 men aged over 40 years. It can cause a range of complications from osteoporosis to fractures to nephrolithiasis.
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 podcast interview with Dr John Ayuk, Consultant Endocrinologist at University Hospitals Birmingham NHS Foundation Trust.
For more on primary hyperparathyroidism, visit BMJ Best Practice.
Disclosures: JA declares that he has no competing interests.
Diabetes mellitus is one of the most common chronic diseases worldwide. Diabetic foot disease is an all too common complication. And it can cause a range of problems - including the ultimate complication - amputation. So it is important that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast, Dr. Kieran Walsh talks to Nicole Mottolini about safer management of diabetic foot disease. Nicole is a Podiatrist and Clinical Fellow at NHS Resolution. Competing interests: none
For more on diabetic foot disease, visit BMJ Best Practice.
In the UK, the prevalence rate of type 2 diabetes in children is approximately 2.9 per 100,000. This number is rising and another constant has been the increasing rates of obesity. So it is vital that we get prevention and management of this condition right.
In this BMJ Best Practice podcast, Dr Christine Bowen talks to Professor May Ng, OBE, Honorary Professor at Edge Hill University, Hon Associate Professor at University of Liverpool, and Consultant Paediatrician and Paediatric Endocrinologist at Mersey and West Lancashire Teaching Hospitals Trust.
For more on type 2 diabetes in children, visit BMJ Best Practice.
Competing interests: none
Endometriosis is a chronic inflammatory condition defined by endometrial stroma and glands found outside of the uterine cavity. The most common sites affected are the pelvic peritoneum and ovaries.
May present incidentally in asymptomatic women, or more commonly in women of reproductive age who complain of chronic pelvic pain and/or sub-fertility.
M. Jonathon Solnik, Professor of Obstetrics, Gynaecology and Medical Imaging by Cross-Appointment, Temerty School of Medicine at the University of Toronto, gives us an overview of diagnosis and management of the condition.
For more on endometriosis, visit BMJ Best Practice.
Competing interests: MJS is an author of a number of references cited in the Best Practice topic. He acts as a consultant for AbbVie (manufacturer of depot leuprolide and elagolix), Medtronic, Felix Health and Olympus.
1Fibrocystic breasts are common. The incidence peaks at 400 per 100,000 woman-years at the age of 40 to 44.
The condition can cause pain and tenderness that fluctuate with the menstrual cycle. And there is a higher prevalence of cysts as women approach the menopause.
In this BMJ Best Practice podcast, Kieran Walsh talks with Professor Ingrid Lizarraga, Clinical Associate Professor at the Division of Surgical Oncology and Endocrine Surgery, University of Iowa Hospitals and Clinics. Competing interests: None
For more on fibrocystic breasts, visit BMJ Best Practice.
The diagnosis of menopause is clinical, based on the absence of menses for 12 months, and does not require further testing for appropriately presenting patients.
Oestrogen therapy is an effective treatment for the management of menopausal symptoms including hot flushes, night sweats, and urogenital symptoms.
In this podcast, Bradford W. Fenton, Independence Park Medical Services, Anchorage, Alaska, gives us further details of diagnosis and management.
For more on menopause, visit BMJ Best Practice.
Disclosures: BWF declares that he has no competing interests.
There are concerns that junior healthcare professionals do not use decision support as they don’t see senior staff using it. There are concerns that seniors don't use clinical decision support as they worry about looking things up people in front of people. So a complex issue to discuss.
To find out more about this, listen to this interview with Dr Tom Foley, Consultant Child and Adolescent Psychiatrist with expertise in digital health.
Adhesive capsulitis affects 2% to 5% of the population. It is slightly more common in women than in men, and is most common in people between the ages of 40 and 70.
And it can cause a range of problems - including pain, stiffness, and loss of function. So it is important that we get the diagnosis and management of this condition right.
To give us more details about this problem and what we can do about it, Kieran Walsh, Clinical Director at BMJ, speaks with Professor Lance LeClerc, Associate Professor of Orthopedic Surgery at Vanderbilt University Medical Centre in Nashville.
For more on adhesive capsulitis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1043
Competing interests: None
Gastro-oesophageal reflux disease (GORD) is a common condition that affects between 10% and 30% of people in developed countries.
There can be a range of complications from haemorrhage to stricture to Barrett's oesophagus. So it is important that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on GORD, Kieran Walsh talks with Dr Andres Carrion, Associate Professor of Clinical Medicine at The Division of Digestive Health and Liver Diseases in University of Miami Miller School of Medicine.
For more on GORD, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/82
Competing interests: None
Snoring is common. In the 30- to 35-year-old age group, 20% of men and 5% of women snore. By 60, 60% of men and 40% of women will snore habitually.
And snoring can affect the quality of life - of both the patient and their partner.
In this BMJ Best Practice podcast on snoring, Kieran Walsh talks with Dr Showkat Mirza, Consultant in Otorhinolaryngology and Head & Neck Surgery, Sheffield Teaching Hospitals NHS Trust.
For more on snoring, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1035
Competing interests: SM has no competing interests
Age-related macular degeneration is the third most common cause of visual impairment worldwide. The main risk is advanced disease and resultant visual loss.
Prompt diagnosis and treatment can make a big difference to the outcome - so it is vital that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on macular degeneration, Kieran Walsh talks with Dr. Sajjad Mahmood, Consultant Ophthalmic Surgeon, Medical Retina Specialist, and Honorary Clinical Lecturer at the University of Manchester.
For more on age-related macular degeneration, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/554
Competing interests: SM has done consultancy work and received honoraria for lecturing and travel from Bayer Pharmaceuticals and Novartis. He has also been a principal investigator for clinical trials on behalf of Bayer, Novartis, and Roche.
The prevalence of cluster headache is about one in 500. In people coming to a headache clinic, the prevalence is about 10%.
Cluster headaches are excruciating and incapacitating, and affect quality of life. Prompt diagnosis and treatment can make a big difference to the outcome - so it is vital that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on cluster headache, Kieran Walsh talks with Professor Amaal Starling, Associate Professor of Neurology at the Department of Neurology in the Mayo Clinic.
Further resources: clusterbusters.org/.
Competing interests: AS has received consulting fees from AbbVie, Allergan, Amgen, Axsome Therapeutics, Everyday Health, Lundbeck, Med-IQ, Medscape, Neurolief, Satsuma, and WebMD.
We release episodes fortnightly.
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