Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on Post-Operative Outcomes


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This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons.

Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Prevention of CIN is attempted through various protocols with wide institutional and provider variability, in part due to inconsistent results of previous trials in this area. Kevin covers the PRESERVE trial, informing this area of care with rigorous design and head-to-head comparisons.

Next, Kieran covers a retrospective cohort study on the effect of surgeon sex on postoperative outcomes. Sex and gender are increasingly identified as important but unrecognized factors impacting all aspects of medicine, from physician salary and promotion to important patient outcomes. This study sought to add to our understanding of these differences by examining the effect of surgeon sex on post-operative outcomes of patients undergoing common surgical procedures.

Finally, the Good Stuff segment. Kieran covers an article on gendered differences in who receives CPR in the community. Kevin shares an article on the importance of the medical humanities.

If you like what you hear, rate us on iTunes! Chat with us on Twitter @roundstable and tweet at Kieran @kieranlquinn and Kevin @venuskev

The Papers

1. PRESERVE: http://www.nejm.org/doi/full/10.1056/NEJMoa1710933#t=article

2. Surgeon Sex and Outcomes: http://www.bmj.com/content/359/bmj.j4366

Good Stuff

1. Gendered CPR: https://mobile.nytimes.com/2017/11/22/well/live/men-more-likely-than-women-to-get-cpr.html?referer

2. Medical Humanities: https://insights.ovid.com/pubmed?pmid=28991847

Music Credits

The Rounds Table Theme Music by Brendan Quinn, Creative Director and Composer, Vapor RMW

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