Fire Away! Choosing the Right NOAC & How Physician Training Affects Patient Outcomes
This week on The Rounds Table we are trying something different as our first new episode of 2018: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Mike and Kieran break it down for listeners.
Novel oral anticoagulants (NOACs) are everywhere, and they can put patients at increased risk of bleeding. Mike covers a retrospective cohort study examining the risk of major bleeding among patients with non-valvular atrial fibrillation treated with non-vitamin K oral anticoagulants in combination with twelve medications that share metabolic pathways.
Next, Mike keeps listeners in the NOAC headspace and leads the discussion on a systematic review and meta-analysis examining the comparative efficacy, safety, and cost effectiveness of NOACs for prevention of stroke in patients with atrial fibrillation.
Kieran next takes the lead and guides listeners through a retrospective cohort study investigating whether the type of generalist physician caring for a hospitalized patient – the patient’s primary care physician, a hospitalist, or another covering outpatient generalist – affects patient outcomes in and out of the hospital.
Kieran then takes listeners through a retrospective cohort study investigating whether there are systematic differences in the quality of inpatient care provided by locum tenens versus non-locum tenens internal medicine physicians.
Finally, a special Good Stuff segment. Have you heard of the Perioperative Surgical Home? Kieran interviews Dr. Zeev Kain, who breaks it down for listeners.
1. NOACs & Concurrent Meds: https://jamanetwork.com/journals/jama/article-abstract/2656168?redirect=true
2. NOACs & Stroke Prevention: http://www.bmj.com/content/359/bmj.j5058
3. Continuity of Care: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2663254?redirect=true
The Rounds Table Theme Music by Brendan Quinn, Creative Director and Composer, Vapor RMW