NB Hot Topics Podcast

Welcome to the latest Hot Topics Podcast from NB Medical with Dr Neal Tucker. In this episode, we look at two new papers on the drugs de jour: GLP1 receptor agonists and SGLT2 inhibitors. Can the former reduce pain in knee osteoarthritis and can the latter prevent recurrent renal stones? Our third paper is a consensus paper published in the BJGP on optimising PSA testing for the early detection of prostate cancer in asymptomatic men. Sponsored by Prostate Cancer UK, Neal is joined by Dr Alex Norman, a GP, and Dr Oliver Hulson, a consultant radiologist who undertakes prostate biopsy, to discuss the outcomes of this paper and the latest research in this area. For further information from Prostate Cancer UK including educational resources and webinars see the links below.ReferencesNEJM Semaglutide & knee OABMJ SGLT2i & renal stonesBJGP Consensus Paper on PSA Testing in Asymptomatic MenNB Podcast on role of DRE in identifying prostate cancerPCUK Prostate Cancer Education for Health ProfessionalsPCUK Consensus Paper Webinarwww.nbmedical.com/podcast

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three exciting new papers. Firstly, in the BMJ a network meta-analysis on acute migraine treatments - can the new GEPANTs drugs beat existing therapies? Secondly, a paper in NEJM does screening for prostate cancer using MRI actually help? Finally in the BJGP can first contact physio be better than a GP appointment? Listen on! ReferencesBMJ Acute migraine therapiesNEJM Prostate cancer screening with MRIBJGP First contact physio in GPwww.nbmedical.com/podcast

Welcome to Season 6 of the Hot Topics podcast with Dr Neal Tucker. The summer holidays are over and it’s back to work so time for a new podcast. In this episode, we look at research on whether SGLT2i might prevent dementia, on if it is safer to de-escalate sooner rather than later from dual anti-platelet therapy post-MI, and how effective is the new RSV vaccine at preventing hospitalisation in older people.ReferencesBMJ - SGLT2i & dementiaLancet - De-escalation of DAPT post-MIJAMA - RSV Vaccination Efficacy in Older Peoplewww.nbmedical.com/podcast

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. Have you ever walked into a pharmacy and wondered whether those nasal sprays suggesting they can stop the common cold actually do anything? Ahead of the inevitable coughs and colds of the autumn, the Lancet Respiratory provides some answers and they won’t be the ones you think... Still, right now it's the summer and time to get outside and active - especially if you have recurrent back pain. We look at a paper in the Lancet exploring whether just simply walking can be the problem. Finally, from the BJGP we examine a paper looking at what being a "full-time GP" means and how, sometimes, definitions can be REALLY important. ResourcesBJGP Trends in Full-Time Working in GPLancet Effectiveness of Walking for Back PainLancet Resp Nasal Sprays for URTIswww.nbmedical.com/podcast

Explore the complex factors that lead patients to stop taking antidepressants, shedding light on their experiences and the stigma they face. Discover how effective communication between clinicians and patients can significantly enhance the discontinuation process. Dive into innovative strategies for managing persistent symptoms in healthcare and take a deep look at the trends in cardiovascular disease in the UK over the past twenty years, revealing both progress and persistent challenges.

Welcome to the Hot Topics Podcast from NB Medical with Dr Neal Tucker. It's election time but we're going to put aside politics and focus on the latest medical research! In this episode, we look at an important BJGP paper highlighting the rates of follow-up after a significant asthma attack, a paper in the Journal of Infection showing the high rates of second antibiotic prescription in ongoing cough, and a RCT in JAMA examining if, as suggested by observational data, aspirin can truly prevent recurrence or metastasis of breast cancer.ReferencesBJGP Post-hospitalisation asthma management in primary careBJGP  Editorial Asthma Deaths in ChildrenJ of Infection Repeat Antibiotics for CougheCancer Aspirin for CancerJAMA Aspiring & Breast Cancer Recurrencewww.nbmedical.com/podcast

The podcast dives into the impact of GP workforce shortages on patient life expectancy and health inequalities. It discusses the role of Primary Care Networks in mitigating these issues. Consistency in patient care is examined, revealing its importance in managing chronic illnesses like diabetes. The effectiveness of SGLT2 inhibitors as a treatment option after metformin is also scrutinized, highlighting the need for better-informed healthcare policies. Get ready for a blend of humor and insightful analysis on crucial healthcare topics!

Head of Improving Care at Prostate Cancer UK and a GP discuss the effectiveness of digital rectal exams for prostate cancer screening, along with the implications of atrial fibrillation and hypertension on future cardiac events. They explore the limitations of DRE in detecting prostate cancer and the shift towards MRI for more accurate diagnosis.

Welcome back to the Hot Topics podcast from NB Medical with host Dr Neal Tucker. In this episode, we start by thinking about the news. Firstly, the overwhelming consensus from GPs in England to not support the imposed contract. Secondly, the ongoing discussion around physician associates in general practice, where we touch on an interesting report from South Mississippi around the costs and other outcomes of non-doctor-led primary care. Thirdly, NHS patient satisfaction - is important to take note but why does staff satisfaction never hit the headlines?In research, we look at two papers. First, the rate of familial hypercholesterolaemia coded in practices - how far are we away from what we should expect? And in those with a diagnosis, how good are we at optimally treating them? Second, a paper on which interventions might help people maintain their independence. After an estimated £1.15 billion pounds of research in this area, what does this new systematic review and network meta-analysis tell us?ReferencesAMA Report on PA/NA from South MississippiNHS Staff Survery ResultsBJGP Familial Hypercholesterolaemia rates in GPNICE Guideline FHSimon Broome Diagnostic Criteria for FHBMJ Community Interventions to Maintain Independencewww.nbmedical.com/podcast

Welcome back to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode we think about another year of imposed GP contract on practices in England, the BMA response and where it may lead. In research, we have three fascinating new papers. Firstly, a paper examining how to maintain weight loss after a low-calorie diet – is structured exercise, liraglutide or both better than usual care? Secondly, in the BMJ a systematic review exploring whether exercise should be considered a genuine treatment for depression. And finally, in the NEJM, a study looking at the link between microplastics in carotid arterial plaques and subsequent risk of cardiac vascular events (hint: it’s not good news…).ReferencesBMA GP Contract Changes 2024/25Pulse EditorialLancet Discovery Science paper on weight loss maintenanceWeight maintenance author interviewBMJ Exercise and DepressionNEJM Micro/nanoplastics in your arteriesNEJM Microplastics editorialwww.nbmedical.com/podcast