Reny Jean-Luc

[Gordon H. Guyatt @GuyattGH]

Just published #BMJ paper: strong against all interventional procedures for spine pain (joint radio frequency ablation; epidural injections; intramuscular injections, etc.) useless & harmful but lucrative. How to stop clear: stop paying. But can it happen? https://t.co/XDRSrgLgdR

[Gordon H. Guyatt @GuyattGH]

Clinicians and patients increasingly look to chatbots to guide medical decisions. Articles addressing their performance are increasing. Just published survey highlights limitations of evaluations, in particular choice of criterion standard for good advice. https://t.co/8evYz3n3Zh

[Eric Topol @EricTopol]

For the first time in 5 years Covid is relatively quiet during the holiday season. The XEC variant marches on (latest CDC genomic surveillance below) slowly advancing as % of attributable cases. Fortunately, it's not one that poses a big challenge to our now conditioned immune response
https://t.co/loxuX2y4bH

[Eric Topol @EricTopol]

If you like dark chocolate, you'll like this finding from today that it reduces the risk of developing Type 2 diabetes (not seen with milk chocolate)
[in 3 large prospective cohorts, with the usual caveats of epidemiological, observational nutrition studies]🍫🍫

[Gordon H. Guyatt @GuyattGH]

Just published BMJ Rapid Rec SGLT-2 inhibitors patients with chronic kidney disease demonstrated necessity for & provided approach to risk stratified recommendations & used innovative panel survey to arrive efficiently at recommendations for each stratum. https://t.co/Y49wyKdJW2

[Eric Topol @EricTopol]

A systematic review of 24 randomized trials for #LongCovid
https://t.co/LAjDRnRfgG open-access @bmj_latest
No drug, diet, or device intervention has supportive evidence for efficacy. CBT, rehab provided some relief of symptoms (moderate certainty).
We're still in desperate need for a validated treatment!

[Revue Médicale Suisse @revmedsuisse]

Fréquents dans la population générale, les troubles de la personnalité peuvent confronter les médecins à certaines limites dans leur pratique.
Le Pr Paco Prada, des @hug_ge, a tenté de répondre à ces questions lors des Assises de la médecine romande.
https://t.co/bWxgPF9EOZ

[Gordon H. Guyatt @GuyattGH]

Just published review of the evidence that copays and deductibles cause people to skip needed care and result in adverse health outcomes. Good news that some previously misguided health economists finally getting the message.
https://t.co/Zv7Eqs9Tmy

[Revue Médicale Suisse @revmedsuisse]

En Suisse 20% des médecins assistants en formation post-graduée de médecine interne générale rapportent un faible niveau de bien-être et des regrets par rapport à leur choix de carrière.
➡https://t.co/rByBVcW4VI
@RenyLuc @hug_ge

[Gordon H. Guyatt @GuyattGH]

In newly released interview, I highlight problems with current GRADE guidance for certainty of evidence & evidence to recommendation: too complex, poor organization. I highlight a soon-to-arrive solution: Core GRADE that presents essentials for using GRADE
https://t.co/JcUT56vWL2

[Eric Topol @EricTopol]

Be careful out there. The KP.x variants summer wave
https://t.co/RKz1KT3aIW
@ronlin @latimes

[Eric Topol @EricTopol]

Today the first 3-year follow-up of #LongCovid for outcomes @NatureMedicine https://t.co/Pee1HzJUPn
@zalaly and I review the findings along w/ several relevant new reports and current status in the new Ground Truths
+ Ziyad's🧵on the new report
https://t.co/1CMKghlZZl

[Reny Jean-Luc @RenyLuc]

@EricTopol @NatureMedicine @zalaly So in line with what we observe here with GIM hospitalized patients i.e. severity and outcomes

[Reny Jean-Luc @RenyLuc]

https://t.co/JzUdnLSZbV

[Reny Jean-Luc @RenyLuc]

Great work and quite aligned with one of the recent Top 5 list in hospital internal medicine in Switzerland https://t.co/pkhA9xJsNx

[The BMJ @bmj_latest]

Antipsychotic use is associated with a wide range of serious adverse outcomes in people with dementia, with relatively large absolute risks for some outcomes, finds study.

These risks should be considered in future regulatory decisions, say authors
https://t.co/lNU59YvX2j

[Eric Topol @EricTopol]

The how and why loneliness is bad for your health, a new @Nature feature
https://t.co/SFU7JjRXn3

[Gordon H. Guyatt @GuyattGH]

Kahneman’s “Thinking, Fast & Slow” characterizes rapid, intuitive (system 1) with slow deliberative (system 2) decision making. Each has use, but many errors occur when we use 1 but should use 2. Encourage administrative staff in particular to stop & think https://t.co/LHEPtUqmZH

[Reny Jean-Luc @RenyLuc]

Quite an interesting perspective
https://t.co/OwSwVjf64U

[Reny Jean-Luc @RenyLuc]

Paradoxixal indeed