#GeriMedJC Transcript

Healthcare social media transcript of the #GeriMedJC hashtag.
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GeriMedJC @GeriMedJC
Need links to the article for #GeriMedJC? Starts in 5 mins! https://t.co/odSSAl8pqP https://t.co/DrAaK2GPse
GeriMedJC @GeriMedJC
Looking for an easy way to stream #GeriMedJC tweet chat starting in 3 mins? Try https://t.co/5fOXxIpTKJ @tchatio https://t.co/2NJe5mJ8Du
GeriMedJC @GeriMedJC
#GeriMedJC starting in 2 mins. View by webcast @OTNtelemedicine. Best with IE 9+ or Firefox https://t.co/Mr4B7DGI40 (Choose Live, Public).
GeriMedJC @GeriMedJC
Need a refresher on how to #GeriMedJC? Check out our infographic! https://t.co/0wC4IO0TFh https://t.co/fjHhuOPBza
GeriMedJC @GeriMedJC
.@EricWong_MD starting #GeriMedJC with RCT of thyroid hormone therapy in subclinical hypothyroidism in older adults https://t.co/odSSAlq0Pp
GeriMedJC @GeriMedJC
#GeriMedJC Poll: Do you treat subclinical hypothyroidism in older adults?
Maia E @MaiaE2
RT @GeriMedJC: .@EricWong_MD starting #GeriMedJC with RCT of thyroid hormone therapy in subclinical hypothyroidism in older adults https://…
Maia E @MaiaE2
RT @GeriMedJC: Need links to the article for #GeriMedJC? Starts in 5 mins! https://t.co/odSSAl8pqP https://t.co/DrAaK2GPse
GeriMedJC @GeriMedJC
Even if just lurking, introduce yourself or RT so we know to keep #GeriMedJC going! https://t.co/FVfr5znIc5
GeriMedJC @GeriMedJC
Background reading. Nice figure on development and progression or regression of subclinical hypothyroidism from @TheLancet #GeriMedJC https://t.co/rGw69KZCft
GeriMedJC @GeriMedJC
A nice review on l-thyroxine treatment of subclinical hypothyroidism: risk and benefits https://t.co/PiKyST2uMu #GeriMedJC
GeriMedJC @GeriMedJC
Why care about subclinical hypothyroidism? No increase in dementia, stroke or hip #. Associated with cardiovascular events. #GeriMedJC
Camilla Wong 🇨🇦 @camilla_wong
@GeriMedJC True. Subclinical hypothyroidism is associated with an increased risk of CHD events @JAMA https://t.co/riL8SDIpEy #GeriMedJC
Syed Shahrul Naz @drshahrul80
RT @GeriMedJC: #GeriMedJC Poll: Do you treat subclinical hypothyroidism in older adults?
GeriMedJC @GeriMedJC
Prior evidence (2007) on thyroid hormone for subclinical hypothyroidism from @cochranecollab https://t.co/986AIm5H4r #GeriMedJC
Amanda Gardhouse @AGardhouse
RT @camilla_wong: @GeriMedJC True. Subclinical hypothyroidism is associated with an increased risk of CHD events @JAMA https://t.co/riL8SDI…
Thirumagal Yogaparan @yogathiru1
would you recommend treatment for patients with cognitive concerns #gerimedjc
Camilla Wong 🇨🇦 @camilla_wong
RT @yogathiru1: would you recommend treatment for patients with cognitive concerns #gerimedjc
GeriMedJC @GeriMedJC
Link to TRUST Study Protocol: https://t.co/OiUqnA6Ylv @BMCMedicine #GeriMedJC
Amanda Gardhouse @AGardhouse
Happy to be back & tuning in for #GeriMedJC --> "TRUST" Trial via @EricWong_MD https://t.co/tk4b14BVxb
GeriMedJC @GeriMedJC
Inclusion: 65+, persistent subclinical hypothyroidism https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
RT @AGardhouse: Happy to be back & tuning in for #GeriMedJC --> "TRUST" Trial via @EricWong_MD https://t.co/tk4b14BVxb
Maia E @MaiaE2
RT @camilla_wong: @GeriMedJC True. Subclinical hypothyroidism is associated with an increased risk of CHD events @JAMA https://t.co/riL8SDI…
Maia E @MaiaE2
RT @GeriMedJC: Why care about subclinical hypothyroidism? No increase in dementia, stroke or hip #. Associated with cardiovascular events.…
GeriMedJC @GeriMedJC
Original outcome included cardiovascular events, but underpowered. https://t.co/0BHYxauJeX #GeriMedJC
Maia E @MaiaE2
RT @GeriMedJC: A nice review on l-thyroxine treatment of subclinical hypothyroidism: risk and benefits https://t.co/PiKyST2uMu #GeriMedJC
GeriMedJC @GeriMedJC
Design: randomized, double-blind, parallel-group, stratifying: country, sex, start dose https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
Intervention: start l-thyroxine at 50 mcg daily then titrate. See schedule: https://t.co/0BHYxauJeX #GeriMedJC
GeriMedJC @GeriMedJC
Two primary outcomes: thyroid-specific quality of life scores - ThyPRO and Tiredness score at 12 months https://t.co/odSSAlq0Pp #GeriMedJC
Amanda Gardhouse @AGardhouse
@GeriMedJC recruitment issues led to substantial reduction of target sample size --> as such not powered for cardiovasc outcomes. #GeriMedJC
GeriMedJC @GeriMedJC
RT @AGardhouse: @GeriMedJC recruitment issues led to substantial reduction of target sample size --> as such not powered for cardiovasc out…
GeriMedJC @GeriMedJC
Statistical analysis: modified intention-to-treat analysis https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
Sensitivity analysis: mixed-effects models and multiple imputations for missing data https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
Figure 1. Study flow diagram. https://t.co/odSSAlq0Pp #GeriMedJC https://t.co/ZdXfk5eLEc
GeriMedJC @GeriMedJC
Table 1. Participant characteristics. Like your patients? Groups balanced? Anything missing? https://t.co/odSSAlq0Pp #GeriMedJC https://t.co/0qYIu145N9
GeriMedJC @GeriMedJC
Results. No difference in mean change at 1 year in the Hypothyroid Symptoms score or the Tiredness score https://t.co/odSSAlq0Pp #GeriMedJC
Amanda Gardhouse @AGardhouse
TRUST trial target TSH was 0.4 - 4.0 & l-thyroxine was adjusted as per protocol q 6-8wks. #GeriMedJC @EricWong_MD ..seems reasonable https://t.co/hMOYJp2qYm
GeriMedJC @GeriMedJC
RT @AGardhouse: TRUST trial target TSH was 0.4 - 4.0 & l-thyroxine was adjusted as per protocol q 6-8wks. #GeriMedJC @EricWong_MD .…
Amanda Gardhouse @AGardhouse
Unfortunately no real difference in extended follow up 4 Rx subclin hypothyroidism aside from getting a nice looking TSH #GeriMedJC https://t.co/vHq78Naphl
Joanne Ho @geridrugho
RT @GeriMedJC: Original outcome included cardiovascular events, but underpowered. https://t.co/0BHYxauJeX #GeriMedJC
GeriMedJC @GeriMedJC
Study looked at the letter digit coding test as an outcome. Can you do this in 90 seconds? https://t.co/odSSAlq0Pp Fun with #GeriMedJC. https://t.co/kcdFmHCUbt
Joanne Ho @geridrugho
RT @AGardhouse: Happy to be back & tuning in for #GeriMedJC --> "TRUST" Trial via @EricWong_MD https://t.co/tk4b14BVxb
GeriMedJC @GeriMedJC
RT @AGardhouse: Unfortunately no real difference in extended follow up 4 Rx subclin hypothyroidism aside from getting a nice lookin…
Amanda Gardhouse @AGardhouse
2/ those values that appear to be statistically significant are not clinically meaningful differences....#GeriMedJC
GeriMedJC @GeriMedJC
Potential bias of results with 14% loss of follow-up. https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
Are these patients like yours? Cognitively well, independent and on average only on 4 medications. https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
RT @AGardhouse: 2/ those values that appear to be statistically significant are not clinically meaningful differences....#GeriMedJC
Thirumagal Yogaparan @yogathiru1
agree, not applicable to our patients #gerimedjc
Amanda Gardhouse @AGardhouse
This is definitely an imp question should we treat subclinical hypothyroidism in the elderly? Will this change my practice? NO #GeriMedJC 1/
GeriMedJC @GeriMedJC
.@EricWong_MD asks why were thyroid antibodies not measured? https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
RT @AGardhouse: This is definitely an imp question should we treat subclinical hypothyroidism in the elderly? Will this change my practice?…
GeriMedJC @GeriMedJC
Disappointed results don't address older of older adults? @EricWong_MD notes IEMO 80-Plus Thyroid Trial (NTR3851) is underway. #GeriMedJC
Amanda Gardhouse @AGardhouse
But what about those with TSH >10? can they glean more benefit from Rx of subclin hypoT? @CanGeriSoc #GeriMedJC
GeriMedJC @GeriMedJC
Hurry up and stand there. Remember in this study 60% of TSH normalizes in 3 months without treatment. https://t.co/odSSAlq0Pp #GeriMedJC
Joanne Ho @geridrugho
RT @AGardhouse: This is definitely an imp question should we treat subclinical hypothyroidism in the elderly? Will this change my practice?…
Joanne Ho @geridrugho
RT @GeriMedJC: .@EricWong_MD asks why were thyroid antibodies not measured? https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
RT @AGardhouse: But what about those with TSH >10? can they glean more benefit from Rx of subclin hypoT? @CanGeriSoc #GeriMedJC
Joanne Ho @geridrugho
RT @AGardhouse: 2/ those values that appear to be statistically significant are not clinically meaningful differences....#GeriMedJC
GeriMedJC @GeriMedJC
Don't forget to retweet or favourite the best tweets from today's #GeriMedJC! https://t.co/CIZOMBehhX
GeriMedJC @GeriMedJC
#GeriMedJC shout out to @AGardhouse in Orillia and @geridrugho in Kitchener-Waterloo! Thanks for tuning in!
Joanne Ho @geridrugho
RT @GeriMedJC: #GeriMedJC shout out to @AGardhouse in Orillia and @geridrugho in Kitchener-Waterloo! Thanks for tuning in!
GeriMedJC @GeriMedJC
Unfortunately, study still doesn't answer whether thyroid replacement reduces cardiovascular events in subclinical hypothyroidism #GeriMedJC
GeriMedJC @GeriMedJC
Unanimous 👏 for @EricWong_MD clarity of presentation on the TRUST trial. https://t.co/odSSAlq0Pp #GeriMedJC
GeriMedJC @GeriMedJC
See the previous #GeriMedJC tweetchats in our archives! https://t.co/78UJdsUiSv https://t.co/WIjPdHpB4v
Amanda Gardhouse @AGardhouse
RT @GeriMedJC: See the previous #GeriMedJC tweetchats in our archives! https://t.co/78UJdsUiSv https://t.co/WIjPdHpB4v
GeriMedJC @GeriMedJC
Now for a special encore presentation on #GeriMedJC. @MaiaE2 presents PGY5 project on 'Goodbye PPI'. @Deprescribing
Amanda Gardhouse @AGardhouse
now up @MaiaE2 presenting the #QI initiative by PGY5s @UofTPGME @1CareQI 'Bye Bye PPI' #GeriMedJC
Eric Wong @EricWong_MD
RT @GeriMedJC: Disappointed results don't address older of older adults? @EricWong_MD notes IEMO 80-Plus Thyroid Trial (NTR3851) is underwa…
GeriMedJC @GeriMedJC
Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Nathan Stall 🇨🇦 @NathanStall
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Canadian Geriatrics @CanGeriSoc
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Canadian Geriatrics @CanGeriSoc
RT @AGardhouse: now up @MaiaE2 presenting the #QI initiative by PGY5s @UofTPGME @1CareQI 'Bye Bye PPI' #GeriMedJC
Canadian Geriatrics @CanGeriSoc
RT @GeriMedJC: Unanimous 👏 for @EricWong_MD clarity of presentation on the TRUST trial. https://t.co/odSSAlq0Pp #GeriMedJC
Amanda Gardhouse @AGardhouse
Are any meds benign ? #GeriMedJC Key = Always looking for opportunities to de-prescribe are essential. @Deprescribing @DeprescribeNet
GeriMedJC @GeriMedJC
The PGY5 team used this @Deprescribing PPI algorithm for their quality improvement project. https://t.co/7RiOIukafy #GeriMedJC @Brian_M_Wong
GeriMedJC @GeriMedJC
RT @AGardhouse: Are any meds benign ? #GeriMedJC Key = Always looking for opportunities to de-prescribe are essential. @Deprescribing @Depr
GeriMedJC @GeriMedJC
And the patient information pamphlet on deprescribing PPIs from @deprescribing was used. https://t.co/JXnKEL2uMp #GeriMedJC
Amanda Gardhouse @AGardhouse
Here is the algorithm for deprescirbing PPIs via @cara_tannenbaum @Deprescribing https://t.co/DktPnEeySP #GeriMedJC
GeriMedJC @GeriMedJC
RT @AGardhouse: Here is the algorithm for deprescirbing PPIs via @cara_tannenbaum @Deprescribing https://t.co/DktPnEeySP #GeriMedJC
Amanda Gardhouse @AGardhouse
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Amanda Gardhouse @AGardhouse
@MaiaE2 mentioned chronic NSAID use w/ bleed risk=indication what about low dose ASA, which often seems to be THE ONLY indication #GeriMedJC
GeriMedJC @GeriMedJC
Help us improve #GeriMedJC by filling out this @Royal_College based form. http://t.co/fMimC4QfU
GeriMedJC @GeriMedJC
Don’t miss another #GeriMedJC. Subscribe to our mailing list for articles and webcast links. https://t.co/Wg3r2vL1UV
Amanda Gardhouse @AGardhouse
Any feedback from GPs? about the 'bye bye ppi' recommendation vs preference to just de-prescibe #GeriMedJC
GeriMedJC @GeriMedJC
RT @AGardhouse: Any feedback from GPs? about the 'bye bye ppi' recommendation vs preference to just de-prescibe #GeriMedJC
Amanda Gardhouse @AGardhouse
RT @GeriMedJC: Help us improve #GeriMedJC by filling out this @Royal_College based form. http://t.co/fMimC4QfU
GeriMedJC @GeriMedJC
Though the live version of #GeriMedJC is complete, keep the conversation coming! Next one will be in July. Articles TBA @GeriMedJC
Geriatric Medicine @westernuGMed
RT @AGardhouse: Here is the algorithm for deprescirbing PPIs via @cara_tannenbaum @Deprescribing https://t.co/DktPnEeySP #GeriMedJC
Geriatric Medicine @westernuGMed
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Geriatric Medicine @westernuGMed
RT @GeriMedJC: Help us improve #GeriMedJC by filling out this @Royal_College based form. http://t.co/fMimC4QfU
Francesc Riba @francescriba
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Pamela Simpson @pamelas66284865
RT @GeriMedJC: Enjoyed #GeriMedJC? Engage with these other Twitter journal clubs @respandsleepjc @NephJC @GPjournalclub @rheumJC @GIMJClub
Dr. Waleed Jasim @whjasim
RT @GeriMedJC: And the patient information pamphlet on deprescribing PPIs from @deprescribing was used. https://t.co/JXnKEL2uMp #GeriMedJC
Richard Armstrong @tbayrichard
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Rohan Elliott @elliott_rohan
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Diana Goubrial @dianagoubrial
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Maia E @MaiaE2
RT @AGardhouse: This is definitely an imp question should we treat subclinical hypothyroidism in the elderly? Will this change my practice?…
Debbie Rigby @drugby56
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Marisa Collins @marisa_only1s
RT @GeriMedJC: Check out this Bye Bye PPI toolkit from @ChooseWiselyCA https://t.co/8NAw0Cklit #GeriMedJC https://t.co/ewzkGMuEz1
Angela M. Cheung @angelamcheung
RT @AGardhouse: TRUST trial target TSH was 0.4 - 4.0 & l-thyroxine was adjusted as per protocol q 6-8wks. #GeriMedJC @EricWong_MD .…
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