Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for September 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Pharmaceutical Executive Defends 400 Percent Price Hike
FRIDAY, Sept. 28, 2018 (HealthDay News) — A pharmaceutical executive is defending his company’s 400 percent price hike on an antibiotic, according to a report published in Formulary Watch.
Increased Cardiovascular Risk for Diclofenac Initiators
FRIDAY, Sept. 28, 2018 (HealthDay News) — Diclofenac initiators have increased cardiovascular risk compared with non-initiators, according to a study published online Sept. 4 in The BMJ.
Physicians Often Don’t Address Their Burnout
FRIDAY, Sept. 28, 2018 (HealthDay News) — More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association’s AMA Wire.
Handheld Device Inspired by Star Trek May Allow Rapid Diagnosis
FRIDAY, Sept. 28, 2018 (HealthDay News) — A device inspired by the Star Trek famous tricorder device pairs a handheld sensor with a smartphone app to measure the levels of various metabolites associated with multiple diseases in fluid samples from patients, according to a report published in an upcoming issue of Biosensors and Bioelectronics.
Proton Pump Inhibitor Use Tied to Hip Fracture in Dialysis Patients
FRIDAY, Sept. 28, 2018 (HealthDay News) — Proton pump inhibitor (PPI) use is associated with increased risk of hip fracture among dialysis patients, according to a study published online Sept. 27 in the Clinical Journal of the American Society of Nephrology.
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Implementing EMRs Affects Time Spent With Patients in Clinic
FRIDAY, Sept. 28, 2018 (HealthDay News) — Following a six-month learning period to implement an electronic medical record (EMR) system, outpatient orthopedic clinics return to pre-implementation efficiency, but there may be other lasting effects on productivity, according to a study published in the Sept. 19 issue of The Journal of Bone & Joint Surgery.
Strategies to Cut Cardiovascular Risk Factors Show Mixed Results
FRIDAY, Sept. 28, 2018 (HealthDay News) — Cardiovascular disease (CVD) risk factors remain prevalent despite known, proven strategies to reduce risk, according to research published in the Sept. 7 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
80,000 Americans Died From Influenza Over Last Year
THURSDAY, Sept. 27, 2018 (HealthDay News) — Influenza was deadlier last season than it has been for at least four decades, killing 80,000 Americans. So said the head of the U.S. Centers for Disease Control and Prevention late Tuesday in an interview with the Associated Press.
Final Update on Salmonella-Tainted Honey Smacks Cereal
THURSDAY, Sept. 27, 2018 (HealthDay News) — A total of 135 people across 36 states fell ill with Salmonella after eating Kellogg’s Honey Smacks cereal, according to a final update from the U.S. Centers for Disease Control and Prevention.
Opioid Bill Gets Bipartisan Support
THURSDAY, Sept. 27, 2018 (HealthDay News) — In a rare bipartisan move, both the House and Senate have reached a compromise on legislation to address the opioid epidemic.
Business Degree Increasingly Useful for Doctors
THURSDAY, Sept. 27, 2018 (HealthDay News) — Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice.
Machine Learning Can Improve Chemical Toxicity Prediction
THURSDAY, Sept. 27, 2018 (HealthDay News) — Machine learning of toxological big data can predict the toxicity of chemicals, and may be more reliable than animal testing, according to a study published in the September issue of Toxicological Sciences.
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Newer Hormonal Contraception May Cut Ovarian Cancer Risk
THURSDAY, Sept. 27, 2018 (HealthDay News) — There is a reduction in ovarian cancer risk associated with use of contemporary combined hormonal contraceptives, according to a study published online Sept. 26 in The BMJ.
Guidelines Updated for Adult Congenital Heart Disease
THURSDAY, Sept. 27, 2018 (HealthDay News) — Updated guidelines have been developed for management of adult congenital heart disease (ACHD), according to a report published online Aug. 16 in Circulation.
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Grip Strength Tied to Pulmonary Function in Older Women
THURSDAY, Sept. 27, 2018 (HealthDay News) — For older Korean women, handgrip strength is positively associated with pulmonary function, according to a study published in the July issue of the Journal of the American Geriatrics Society.
Practices Should Set Rules for Staff Social Media Use
THURSDAY, Sept. 27, 2018 (HealthDay News) — Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics.
Burnout, Career Choice Regret Prevalent in U.S. Residents
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.
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HIV Infection Diagnoses on the Rise in Young Homosexual Men
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Among men who have sex with men (MSM), the change in the annual number of HIV diagnoses from 2008 to 2016 varies with age, according to research published in the Sept. 21 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Lawn-Mower-Related Injuries Are Most Often Lacerations
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — From 2006 through 2013, the weighted estimate of lawn-mower-related injuries was 51,151, with the most common injuries being lacerations, fractures, and amputations, according to a study published online Aug. 1 in Public Health Reports.
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Many Countries Failing on Non-Communicable Dz Death Targets
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Many countries are falling short on targets to reduce mortality from non-communicable diseases (NCDs), according to a study published in the Sept. 22 issue of The Lancet.
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Lorcaserin Facilitates Weight Loss in Overweight, Obese
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Lorcaserin facilitates sustained weight loss without increasing the rate of major cardiovascular events among overweight or obese patients, according to a study published in the Sept. 20 issue of the New England Journal of Medicine.
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Combo Therapy Not Needed If Low RA Disease Activity Achieved
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Once low rheumatoid arthritis (RA) disease activity is achieved with tocilizumab (TCZ) plus methotrexate (MTX), patients can discontinue MTX without significant disease worsening, according to a study published in the August issue of Arthritis & Rheumatology.
Policies Should Encourage Healthy Food Consumption
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Diet is an important component that impacts cardiovascular risk, and policies should be implemented to improve dietary composition, according to an article published in the Aug. 21 issue of the Journal of the American College of Cardiology.
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Initial Abx Feasible Alternative for Uncomplicated Appendicitis
TUESDAY, Sept. 25, 2018 (HealthDay News) — The cumulative incidence of appendicitis recurrence within five years is 39.1 percent among patients with uncomplicated acute appendicitis initially treated with antibiotics, according to research published in the Sept. 25 issue of the Journal of the American Medical Association.
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Education Can Up Emotional Intelligence in Residents
TUESDAY, Sept. 25, 2018 (HealthDay News) — Following an educational intervention, residents from pediatrics and med-ped residency programs have an increase in total emotional intelligence (EI), according to a study published online Sept. 20 in Advances in Medical Education and Practice.
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Cancer-Related Gene Variations Frequently Reclassified
TUESDAY, Sept. 25, 2018 (HealthDay News) — Among individuals undergoing hereditary cancer testing, some variants of uncertain significance are reclassified, with almost one-quarter of those variants reclassified at a single commercial laboratory, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.
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Total Diabetes at 14 Percent in U.S. Adults for 2013-2016
TUESDAY, Sept. 25, 2018 (HealthDay News) — The prevalence of diabetes was 14.0 percent among U.S. adults in 2013 to 2016, with prevalence of undiagnosed diabetes 4.3 percent, according to a September data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.
Physician-Group ACOs Generate Medicare Savings
TUESDAY, Sept. 25, 2018 (HealthDay News) — Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine.
In 2016, Proportion of Uninsured Americans Down to 10 Percent
TUESDAY, Sept. 25, 2018 (HealthDay News) — From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.
Positive Link Between Air Pollution, Diagnosis of Dementia
TUESDAY, Sept. 25, 2018 (HealthDay News) — There is a positive association between residential levels of air pollution and being diagnosed with dementia, according to a study published in the September issue of BMJ Open.
Inflammatory Back Pain Resolves in Many Patients
TUESDAY, Sept. 25, 2018 (HealthDay News) — Inflammatory back pain (IBP) often resolves, while in 30 percent of patients it progresses to spondyloarthritis (SpA) within 10 years, according to a study published in a recent issue of Arthritis & Rheumatology.
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Participation Up With Online Diabetes Prevention Program
MONDAY, Sept. 24, 2018 (HealthDay News) — For overweight/obese veterans with prediabetes, participation is higher for online Diabetes Prevention Programs (DPPs), but weight loss is similar for online and in-person DPPs, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.
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Net Benefit of Anticoagulants for A-Fib Varies With Stroke Rate
MONDAY, Sept. 24, 2018 (HealthDay News) — There is variation in the net clinical benefit of anticoagulants based on variation in published atrial fibrillation (AF) stroke rates, according to a study published online Sept. 25 in the Annals of Internal Medicine.
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New Risk Factors Identified for Varicose Vein Disease
MONDAY, Sept. 24, 2018 (HealthDay News) — New risk factors have been identified for varicose vein disease, including height, according to a study published online Sept. 24 in Circulation.
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Mortality for Unintentional Drug Poisonings Up Since 1979
MONDAY, Sept. 24, 2018 (HealthDay News) — Since at least 1979, there has been an exponential increase in the overall mortality rate for unintentional drug poisonings, according to a research article published online Sept. 21 in Science.
MRI Indicates Sacroiliitis in Some Healthy Individuals
MONDAY, Sept. 24, 2018 (HealthDay News) — Magnetic resonance imaging (MRI) positive for sacroiliitis is seen in a considerable number of healthy individuals without back pain, according to a study recently published in Arthritis & Rheumatology.
Heart Failure Patients Enrolled in Hospice Use Less Health Care
MONDAY, Sept. 24, 2018 (HealthDay News) — Patients with advanced heart failure enrolled in hospice have fewer emergency department visits, hospital days, and intensive care unit (ICU) stays, according to a study published in the September issue of JACC: Heart Failure.
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Simplifying Medicare Plan Finder Improves Plan Selection
MONDAY, Sept. 24, 2018 (HealthDay News) — Simplifying an internet-based decision support tool provided by the Centers for Medicare & Medicaid Services to help older adults make good plan choices in the Medicare prescription drug (Part D) program could result in selection of lower-cost plans, according to a study published in the August issue of Health Affairs.
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Ground Beef Recalled After E. Coli Outbreak
FRIDAY, Sept. 21, 2018 (HealthDay News) — More than 132,000 pounds of ground beef have been recalled by a Colorado company following a suspected outbreak where one person was killed and 17 were sickened by Escherichia coli after eating the meat.
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Prevalence of Alzheimer’s, Related Dementia Set to Double
FRIDAY, Sept. 21, 2018 (HealthDay News) — The burden of Alzheimer’s disease and related dementias (ADRD) is expected to increase to 3.3 percent in the United States by 2060, according to a study published online Sept. 19 in Alzheimer’s & Dementia.
Some Clinicians, Patients Record Clinic Visits for Patient Use
FRIDAY, Sept. 21, 2018 (HealthDay News) — A considerable proportion of clinicians and patients report having recorded a clinic visit for the patient’s personal use, according to a study published in the September issue of the Journal of Medical Internet Research.
Mortality Rate From Heart Failure Higher in Women Than Men
FRIDAY, Sept. 21, 2018 (HealthDay News) — Despite decreases in overall heart failure incidence and mortality in ambulatory patients from 2009 to 2014, mortality rates remain higher in women than in men, according to a study recently published in CMAJ, the journal of the Canadian Medical Association.
HbA1c Variability Is a Strong Predictor of Mortality in T2DM
FRIDAY, Sept. 21, 2018 (HealthDay News) — Hemoglobin A1c (HbA1c) variability may be a more powerful predictor of all-cause mortality with type 2 diabetes than average HbA1c, according to a study published in the August issue of Diabetes, Obesity and Metabolism.
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Dozens of Medical Groups Join Forces to Improve Diagnoses
FRIDAY, Sept. 21, 2018 (HealthDay News) — Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed — resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).
Age, Sex, APOE Genotype Identify Alzheimer’s, Dementia Risk
FRIDAY, Sept. 21, 2018 (HealthDay News) — Age, sex and apolipoprotein E (APOE) genotype can identify groups at high 10-year risk for Alzheimer’s disease and all dementia, according to a study published Sept. 4 in CMAJ, the journal of the Canadian Medical Association.
Low Vitamin D Levels Tied to Interstitial Lung Disease
FRIDAY, Sept. 21, 2018 (HealthDay News) — Vitamin D deficiency is independently associated with subclinical interstitial lung disease (ILD) and its progression, according to a study recently published in the Journal of Nutrition.
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Sensitivity for CRC Detection Up With Decreasing FIT Threshold
FRIDAY, Sept. 21, 2018 (HealthDay News) — Programmatic sensitivity for colorectal cancer (CRC) detection increases modestly with decreasing fecal immunochemical test (FIT) positivity thresholds, according to a study published online Sept. 18 in the Annals of Internal Medicine.
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Research Links Doctor Burnout to Patient Safety Incidents
THURSDAY, Sept. 20, 2018 (HealthDay News) — Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine.
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Study Provides Estimates of U.S. Prevalence of Type 1, 2 Diabetes
THURSDAY, Sept. 20, 2018 (HealthDay News) — The prevalence of type 1 and type 2 diabetes is 0.5 and 8.5 percent, respectively, among U.S. adults, according to a study published online Sept. 4 in The BMJ.
Black Individuals at Highest Risk of Legal Intervention Injury
THURSDAY, Sept. 20, 2018 (HealthDay News) — Black males were at the highest risk of legal intervention injury per capita from 2005 to 2015, according to a study published online Sept. 14 in JAMA Network Open.
>60 Percent of Adults Report Adverse Childhood Experiences
THURSDAY, Sept. 20, 2018 (HealthDay News) — More than 60 percent of adults report having had at least one adverse childhood experience (ACE), and almost 25 percent report three or more, according to a study published online Sept. 17 in JAMA Pediatrics.
Allopurinol Dose Escalation for Gout Doesn’t Improve Mortality
THURSDAY, Sept. 20, 2018 (HealthDay News) — Allopurinol dose escalation is not associated with reductions in mortality risk among patients with gout, according to a study published in the August issue of Arthritis & Rheumatology.
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Few Yogurt Products Qualify As Low-Sugar
THURSDAY, Sept. 20, 2018 (HealthDay News) — There is considerable variability in the sugar content of yogurts, with very few yogurts qualifying as low-sugar, according to a study published in the August issue of BMJ Open.
Combo Physical, Mental Activity Prevents Cognitive Decline
THURSDAY, Sept. 20, 2018 (HealthDay News) — Behavioral activation that increases mental, physical, and social activity may prevent cognitive and functional decline in older black patients, according to a study published online Sept. 10 in JAMA Neurology.
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Hospitals Charge 479 Percent of Cost of Drugs on Average
THURSDAY, Sept. 20, 2018 (HealthDay News) — On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).
Residents Should Take Advantage of Paid Time Off
THURSDAY, Sept. 20, 2018 (HealthDay News) — Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association’s AMA Wire.
Medicaid Expansion Linked to Gains in Insurance Coverage
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Medicaid expansion was associated with gains in insurance among low-income adults with substance use disorders, but corresponding treatment gains were not seen, according to a study published in the August issue of Health Affairs.
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California Lawsuit Claims AbbVie Paid Doctors to Prescribe Humira
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — A lawsuit filed Tuesday in California claims that pharmaceutical company AbbVie used cash, gifts, and services to induce doctors to overprescribe the widely used drug Humira (adalimumab), ignoring the medicine’s potentially lethal side effects.
No Clear Benefit for Rivaroxaban After Hospital Discharge
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Rivaroxaban does not lower risk of symptomatic venous thromboembolism and related death in medical patients after hospital discharge, compared to placebo, according to a study published in the Sept. 20 issue of the New England Journal of Medicine.
Quarterly Canakinumab Reduces Risk for Gout Attacks
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Quarterly canakinumab administration is associated with significantly reduced risk for gout attacks without any change in serum uric acid levels, according to a study published online Sept. 18 in the Annals of Internal Medicine.
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USPSTF Recommends Intensive Behavioral Change for Obesity
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Primary care physicians should offer or refer obese patients to intensive behavioral interventions, according to a U.S. Preventive Services Task Force (USPSTF) final recommendation statement published in the Sept. 18 issue of the Journal of the American Medical Association.
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Global Prevalence of Insufficient Activity 27.5 Percent
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent, according to a study published in the October issue of The Lancet Global Health.
HTN Tx Intensification Common Upon Discharge in U.S. Vets
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Fourteen percent of older adults hospitalized with non-cardiac conditions are discharged with intensified antihypertensive treatment, of whom more than half had previously well-controlled outpatient blood pressure, according to a study published online Sept. 12 in The BMJ.
EPA Plan Will Maintain Carbon Emissions From Power Plants
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The U.S. Environmental Protection Agency (EPA) has formally released its proposal to replace the Clean Power Plan with the Affordable Clean Energy Rule, which will keep carbon emissions from power plants constant, according to a report published by the American Thoracic Society.
Second HPV-Related Primary Cancers Common in Survivors
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The risk of human papillomavirus-associated second primary cancers (HPV-SPCs) among survivors of HPV-associated cancers is significant, according to a study published online Sept. 7 in JAMA Network Open.
Opioid Deaths 1999 to 2015 May Be Dramatically Underestimated
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — States may be greatly underestimating the effect of opioid-related overdose deaths because of incomplete cause-of-death reporting, according to a study recently published in Public Health Reports.
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Patient Health Information Often Shared Electronically
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The most common electronically sent and received types of patient health information (PHI) include laboratory results and medication lists, according to a report published Aug. 15 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.
Socioeconomic Status Lower Among U.S. Sexual Minorities
TUESDAY, Sept. 18, 2018 (HealthDay News) — Sexual minorities, especially females, are of lower socioeconomic status (SES) than their heterosexual counterparts, according to a study published online Sept. 6 in the Journal of Epidemiology & Community Health.
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U.S. Senate Passes Opioids Bill
TUESDAY, Sept. 18, 2018 (HealthDay News) — The Senate on Monday passed on a 99-1 vote legislation aimed at curbing the nation’s ongoing opioid addiction crisis.
Active Choice Intervention Tied to Increase in Flu Shot Rates
TUESDAY, Sept. 18, 2018 (HealthDay News) — An active choice intervention is associated with an increase in influenza vaccination rates, according to a study published online Sept. 14 in JAMA Network Open.
Scribes Improve Physician Workflow, Patient Interaction
TUESDAY, Sept. 18, 2018 (HealthDay News) — Use of medical scribes is associated with decreased physician documentation burden, improved work efficiency, and improved patient interactions, according to a study published online Sept. 17 in JAMA Internal Medicine.
Compliance With Requirement to Report Results on EUCTR Is Poor
TUESDAY, Sept. 18, 2018 (HealthDay News) — Half of trials on the European Union Clinical Trials Register (EUCTR) are non-compliant with the European Commission’s requirement that all trials post results to the registry within 12 month of completion, according to a study published online Sept. 13 in The BMJ.
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Drug Prices Increase More Than Expected After Shortages
TUESDAY, Sept. 18, 2018 (HealthDay News) — Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage, according to a research letter published online Sept. 18 in the Annals of Internal Medicine.
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Tips for Advising Patients Living in Highly Polluted Settings
TUESDAY, Sept. 18, 2018 (HealthDay News) — Clinicians advising families living overseas in highly polluted settings should understand their patients’ concerns and have a network of resources to draw upon for guidance, according to an article published in the Aug. 1 issue of the Annals of the American Thoracic Society.
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Ambient Particulate Matter Linked to Emergency Asthma Care
MONDAY, Sept. 17, 2018 (HealthDay News) — Ambient particulate matter concentrations are associated with emergency/urgent care visits among individuals with asthma, according to a study published in the Aug. 1 issue of the Annals of the American Thoracic Society.
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Drug Prices Seem Not to Be Influenced by Their Value
MONDAY, Sept. 17, 2018 (HealthDay News) — For commonly prescribed cardiovascular drugs, there is no evidence that drug prices are influenced by their value, according to a study published in the August issue of Health Affairs.
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Association Health Plans Can Help Small Businesses Offer Coverage
MONDAY, Sept. 17, 2018 (HealthDay News) — Association health plans (AHPs) will provide small businesses with more choices, access, and coverage options, although critics warn that they may undermine the Affordable Care Act (ACA) marketplace, according to an article published in Managed Healthcare Executive.
Potentially Inappropriate Opioid Prescribing Tied to Overdose
MONDAY, Sept. 17, 2018 (HealthDay News) — Potentially inappropriate prescribing (PIP) of opioids is associated with increased risk of all-cause mortality and fatal and nonfatal overdose, according to a study published in the September issue of the Journal of General Internal Medicine.
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Mercury in Traditional Tibetan Medicine Could Be Harmful
MONDAY, Sept. 17, 2018 (HealthDay News) — The high mercury (Hg) concentration contained in traditional Tibetan medicine (TTM) could be harmful to humans and contribute to the environmental Hg burden in Tibet, according to a study published in the Aug. 7 issue of Environmental Science & Technology.
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Use of Aspirin in Healthy Elderly Questioned in Three Studies
MONDAY, Sept. 17, 2018 (HealthDay News) — Low-dose aspirin appears to have limited effect on healthy life span in older people, according to three studies published online Sept. 16 in the New England Journal of Medicine.
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Patrons of ‘Vampire Facial’ Spa May Have Been Exposed to HIV
FRIDAY, Sept. 14, 2018 (HealthDay News) — Customers of an Albuquerque spa who received a “vampire facial” are being warned that they may have been exposed to HIV, hepatitis B and hepatitis C through human blood used in the controversial procedure.
Final CDC Update on Salmonella Linked to Backyard Poultry
FRIDAY, Sept. 14, 2018 (HealthDay News) — At least 334 people in 47 states have been sickened in Salmonella outbreaks linked to contact with live poultry in backyard flocks, according to the U.S. Centers for Disease Control and Prevention.
FDA Finds Another Carcinogen in Certain Valsartan Heart Meds
FRIDAY, Sept. 14, 2018 (HealthDay News) — The U.S. Food and Drug Administration warns that it has found a second impurity in three lots of Torrent Pharmaceuticals’ valsartan drug products.
Many Older Adults Transition to Long-Term Benzodiazepine Use
FRIDAY, Sept. 14, 2018 (HealthDay News) — More than one-quarter of older adults newly prescribed benzodiazepine by an non-psychiatric clinician transition to long-term use, according to a research letter published online Sept. 10 in JAMA Internal Medicine.
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Extreme Flooding Can Up Exposure to Pathogens
FRIDAY, Sept. 14, 2018 (HealthDay News) — Extreme flooding, such as was seen in Hurricane Harvey, can increase exposure to pathogens, according to a research letter published recently in Environmental Science & Technology.
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Genetic Testing Recommended for Familial Hypercholesterolemia
FRIDAY, Sept. 14, 2018 (HealthDay News) — Genetic testing should become the standard of care for patients with definite or probable familial hypercholesterolemia (FH), according to a statement published in the Aug. 7 issue of the Journal of the American College of Cardiology.
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Sales of Flavored E-Cigarette Products Up Since 2012
FRIDAY, Sept. 14, 2018 (HealthDay News) — Sales of flavored electronic cigarette products have increased dramatically since 2012, according to a study published online Aug. 23 in the U.S. Centers for Disease Control and Prevention’s Preventing Chronic Disease.
Situation Framing, Language Can Influence Decision-Making
FRIDAY, Sept. 14, 2018 (HealthDay News) — How a situation is framed and the language used to describe risks can influence patients’ decision-making, according to an article published in Physicians Practice.
Including Calorie Count on Menus Can Cut Calories Ordered
THURSDAY, Sept. 13, 2018 (HealthDay News) — Including calorie count information on restaurant menus can result in a reduction in calories ordered, specifically in appetizers and entrees, according to a policy paper issued by the National Bureau of Economic Research.
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No Apparent Short-Term Cancer Risk From Recalled Valsartan
THURSDAY, Sept. 13, 2018 (HealthDay News) — Users of valsartan contaminated with N-nitrosodimethylamine (NDMA) seem not to have increased cancer risk, according to a study published online Sept. 12 in The BMJ.
CDC: About One in Five U.S. Adults Have Chronic Pain
THURSDAY, Sept. 13, 2018 (HealthDay News) — About 20.4 percent of U.S. adults have chronic pain and 8.0 percent have high-impact chronic pain, according to research published in the Sept. 14 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Risks Posed by Spreading Oil and Gas Wastewater on Roads
THURSDAY, Sept. 13, 2018 (HealthDay News) — Spreading oil and gas (O&G) wastewaters on roads may pose human and environmental risks, according to a study recently published in Environmental Science & Technology.
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Physicians Need Training for Mass Casualty Incidents
THURSDAY, Sept. 13, 2018 (HealthDay News) — Proper training and post-incident steps can help lessen the secondary trauma health professionals experience providing care during mass casualty incidents (MCIs), according to an article published in the American Medical Association’s AMA Wire.
Pharmacovigilance Needed for Rheumatology Patients
THURSDAY, Sept. 13, 2018 (HealthDay News) — Recommendations have been developed for pharmacovigilance in rheumatology, emphasizing the need for continued monitoring of new drugs, according to a position statement issued by the American College of Rheumatology (ACR).
AHA: Resistant Hypertension Diagnosis, Tx Guidelines Updated
THURSDAY, Sept. 13, 2018 (HealthDay News) — A correct diagnosis of resistant hypertension is necessary to avoid overmedicating, according to a scientific statement from the American Heart Association published online Sept. 13 in Hypertension.
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Gains in Insurance Coverage Seen for Lesbian, Gay, Bisexual Adults
THURSDAY, Sept. 13, 2018 (HealthDay News) — Lesbian, gay, and bisexual (LGB) adults report continued problems affording care despite coverage gains offered by the Affordable Care Act, according to a study published in the August issue of Health Affairs.
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Highest Opioid-Related Mortality Seen in Construction Jobs
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Proportional mortality ratios (PMRs) for heroin-related overdose deaths and methadone-related overdose deaths from 2007 to 2012 were highest among construction workers, according to research published in the Aug. 24 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
At Least 15 Men Near Ground Zero Have Breast Cancer
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — At least 15 men who worked near Ground Zero after the 9/11 attacks have been diagnosed with breast cancer, a New York City law firm claims.
Better Classification of Dry Eye Disease Will Aid Diagnosis, Tx
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Attention to the subtypes of dry eye disease may better equip clinicians to diagnose and treat cases, according to a review article recently published in the New England Journal of Medicine.
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CDC: Tobacco Product Use Varies by Race Among U.S. Teens
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — From 2014 to 2017, ever-use and current use of any tobacco product among U.S. middle and high school students were highest among Native Hawaiian/Other Pacific Islanders (NHOPIs) and American Indian/Alaska Natives (AI/ANs) and lowest among Asians, according to research published in the Aug. 31 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
High-Touch Surfaces at Airports Often Covered in Pathogens
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Many frequently touched surfaces at airports are contaminated with respiratory virus pathogens, according to a study published online Aug. 29 in BMC Infectious Diseases.
Sexual, Physical Abuse Up Odds of Injury for Female Athletes
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Among female athletes, lifetime sexual and physical abuse are associated with increased likelihood of injury, according to a study published online Sept. 6 in the British Journal of Sports Injury.
Residents Working Long Hours Can Increase Alertness
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Medical residents can take steps to maintain their energy and alertness during long shifts, according to an article published in the American Medical Association’s AMA Wire.
Six-Step Analysis Can Help Improve Practice Logistics
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — A six-step analysis can help redesign and improve the outpatient health care process, according to a study recently published in the Journal of Evaluation in Clinical Practice.
Single, Fixed-Dose Combo Pills Improve Hypertension Outcomes
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Single-pill, fixed-dose combination (FDC) treatment may be more effective for improving blood pressure control in older patients, according to a study recently published in PLOS Medicine.
Medicaid Benefits for Addiction Treatment Expanded After ACA
WEDNESDAY, Sept. 12, 2018 (HealthDay News) — The Affordable Care Act (ACA) may have prompted state Medicaid programs to expand addiction treatment benefits in alternative benefit plans, according to a study published in the August issue of Health Affairs.
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AHA: Update on Diagnosis, Tx for Chagas Cardiomyopathy
TUESDAY, Sept. 11, 2018 (HealthDay News) — Health care providers need to be equipped to recognize, diagnose, and treat Chagas disease, which is growing in prevalence in the United States, according to an American Heart Association (AHA) scientific statement published online Aug. 20 in Circulation.
Tai Chi Effective at Reducing Number of Falls in Older Adults
TUESDAY, Sept. 11, 2018 (HealthDay News) — Tai chi is more effective than conventional exercise at preventing falls among high-risk, older adults, according to a study published online Sept. 10 in JAMA Internal Medicine.
One in Five Pot Products Fails Potency, Purity Tests in California
TUESDAY, Sept. 11, 2018 (HealthDay News) — Close to 20 percent of marijuana products in California have failed to pass tests for potency or purity since the state began mandating such testing July 1, a new report finds.
Shift Seen From EDs to Urgent Care for Low-Acuity, Acute Care
TUESDAY, Sept. 11, 2018 (HealthDay News) — From 2008 through 2015, there was a substantial shift in venue in which acute care for low-acuity conditions was sought, according to a study published online Sept. 4 in JAMA Internal Medicine.
Opioids Often Prescribed in the Absence of Pain Diagnosis
TUESDAY, Sept. 11, 2018 (HealthDay News) — Many outpatient opioid prescriptions have no documented medical indication, according to a research letter published online Sept. 11 in the Annals of Internal Medicine.
Medicaid Work Requirements Don’t Impact Many Enrollees
TUESDAY, Sept. 11, 2018 (HealthDay News) — Medicaid work requirements will only impact a small proportion of persons and may only generate minimal savings, according to two research letters published online Sept. 10 in JAMA Internal Medicine.
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Algorithm Can Discriminate Cardiovascular Disease Risk
TUESDAY, Sept. 11, 2018 (HealthDay News) — The Cardiovascular Disease Population Risk Tool (CVDPoRT) algorithm, which includes 12 variables, can discriminate cardiovascular disease risk, according to a study recently published in CMAJ, the journal of the Canadian Medical Association.
Data Age in Clinical Trials Is About Three Years at Publication
TUESDAY, Sept. 11, 2018 (HealthDay News) — The median data age in clinical trials in journals with a high impact factor is about three years at publication, according to a study published in the Aug. 10 issue of JAMA Network Open.
Total of 43,371 New Cases of HPV-Associated Cancers in 2015
TUESDAY, Sept. 11, 2018 (HealthDay News) — A total of 43,371 new cases of human papillomavirus (HPV)-associated cancers were reported in 2015, with oropharyngeal squamous cell carcinoma (SCC) being the most common HPV-associated cancer, according to research published in the Aug. 24 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Many Opportunities for Doctors Using Twitter
MONDAY, Sept. 10, 2018 (HealthDay News) — Doctors can use Twitter to build networks and learn more about research in real time, according to a blog post published by Penn Medicine News.
Chronic Pain May Be Contributor to Suicide
MONDAY, Sept. 10, 2018 (HealthDay News) — Chronic pain may be an important contributor to suicide, with 8.8 percent of suicide decedents having evidence of chronic pain, according to a study published online Sept. 11 in the Annals of Internal Medicine.
Fifteen Genetic Determinants of Fracture Identified
MONDAY, Sept. 10, 2018 (HealthDay News) — Fifteen genetic determinants of fracture, which are also associated with bone mineral density, have been identified, according to a meta-analysis of genome-wide association studies (GWAS) published online Aug. 29 in the BMJ.
Gender Minorities Less Engaged in Health-Promoting Behaviors
MONDAY, Sept. 10, 2018 (HealthDay News) — Lesbian and bisexual women and transgender adults have lower participation in health-related behaviors than heterosexual men and women, according to research published in the Aug. 17 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Naloxone Rarely Administered by Layperson in Opioid Deaths
MONDAY, Sept. 10, 2018 (HealthDay News) — From July 2016 to June 2017, bystanders were documented in 44 percent of opioid overdose deaths, but naloxone was rarely administered by a layperson, according to a study published Aug. 31 in Morbidity and Mortality Weekly Report.
Docs, Consumers Agree on Benefits of Virtual Care
MONDAY, Sept. 10, 2018 (HealthDay News) — Physicians and consumers agree on the benefits of virtual care, but physician adoption of virtual care technologies is low, according to a report on the Deloitte 2018 Survey of U.S. Physicians.
Physician Burnout Rates Vary by Medical Specialty
MONDAY, Sept. 10, 2018 (HealthDay News) — Nearly half of physicians report being burned out, but rates vary substantially by medical specialty, according to an article published in AMA Wire.
Southwest Passengers May Have Been Exposed to Measles
FRIDAY, Sept. 7, 2018 (HealthDay News) — Passengers and crew on four Southwest Airlines flights within Texas in late August are being notified that they may have been exposed to measles. Officials said a passenger who took the four flights over two days was later diagnosed with measles, USA Today reported.
Influenza Caused Emirates Flight to Be Briefly Quarantined at JFK
FRIDAY, Sept. 7, 2018 (HealthDay News) — The mysterious illness that kept a plane away from the terminal after some passengers reported feeling sick has been confirmed as the flu, according to the New York City Department of Health and Mental Hygiene.
Bigger Cut in Smoke Exposure for Immediate Nicotine Reduction
FRIDAY, Sept. 7, 2018 (HealthDay News) — Immediate reduction of nicotine in cigarettes leads to significantly greater decreases in biomarkers of smoke exposure than gradual reductions in nicotine levels, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.
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With New Persistent Opioid Use, Most Early Scripts From Surgeons
FRIDAY, Sept. 7, 2018 (HealthDay News) — Among surgical patients who develop new persistent opioid use, surgeons provide the majority of opioid prescriptions in the first few months after surgery, but by nine to 12 months post-surgery, most prescriptions are from primary care providers, according to a study recently published in the Journal of General Internal Medicine.
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Greater CAD Incidence, Heart Mass in Firefighter Cardiac Arrests
FRIDAY, Sept. 7, 2018 (HealthDay News) — Most cardiac fatalities among firefighters have evidence of coronary heart disease and increased heart mass, according to a study published online Sept. 5 in the Journal of the American Heart Association.
Social Determinants Linked to Provision of Primary Care
FRIDAY, Sept. 7, 2018 (HealthDay News) — Social determinants are associated with provision of primary care services, according to a study recently published in the Annals of Family Medicine.
Personalized Weighting Could Enhance Hospital Rating Tools
FRIDAY, Sept. 7, 2018 (HealthDay News) — The weighting systems that underlie hospital performance rating tools should incorporate the needs, values, and preferences of patients, according to a perspective article published in the Aug. 30 issue of the New England Journal of Medicine.
Better Training Needed to Boost LGBTQ Patient Health Care
THURSDAY, Sept. 6, 2018 (HealthDay News) — High-quality health care needs to be provided to lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, and improved training is necessary to deliver that care, according to a report published in the American Medical Association’s AMA Wire.
Hospital Groups Launch Own Generic Drug Company
THURSDAY, Sept. 6, 2018 (HealthDay News) — Three U.S. health care foundations and seven hospital groups have formed a generic drug company to combat high prices and chronic shortages of medicines.
Hospitals Using Two Strategies to Up Quality, Lower Costs
THURSDAY, Sept. 6, 2018 (HealthDay News) — Hospitals receiving bundled payments are reducing skilled nursing facility (SNF) use and improving care integration to improve quality and control costs, according to a report published in the August issue of Health Affairs.
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Goop Reaches Settlement in False Advertising Lawsuit
THURSDAY, Sept. 6, 2018 (HealthDay News) — A $145,000 settlement will be paid by actress Gwyneth Paltrow’s company, Goop, in a lawsuit over unfounded claims that some of its products improve women’s sexual and emotional health.
Chronic Vaping Exerts Biological Effects on Lung
THURSDAY, Sept. 6, 2018 (HealthDay News) — Chronic vaping exerts biological effects on the lung, some of which are mediated by the propylene glycol/vegetable glycerin (PG/VG) base, according to a study published recently in the American Journal of Respiratory and Critical Care Medicine.
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Psychological Distress Linked to Increased Risk of MI, Stroke
THURSDAY, Sept. 6, 2018 (HealthDay News) — Psychological distress is associated with myocardial infarction (MI) and stroke in men and women, according to a study published online Aug. 28 in Circulation: Cardiovascular Quality and Outcomes.
Physical Activity Not Linked to Natural Early Menopause
THURSDAY, Sept. 6, 2018 (HealthDay News) — Physical activity is not associated with natural menopause before age 45 years (early menopause), according to a study published online Aug. 21 in Human Reproduction.
Publication Characteristics Tied to Treatment Effects
THURSDAY, Sept. 6, 2018 (HealthDay News) — Published trials have larger treatment effects than unpublished trials, while trials published in a language other than English have larger treatment effects versus those published in English, according to research published online Aug. 21 in the Annals of Internal Medicine.
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PSA Testing Not Recommended for Prostate Cancer Screening
THURSDAY, Sept. 6, 2018 (HealthDay News) — Prostate cancer screening with prostate-specific antigen (PSA) testing is not recommended, although certain groups of men are more likely to undergo testing, according to a review and recommendations published online Sept. 5 in The BMJ.
Evidence Review
Rapid Recommendation
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Widespread Statin Use Not Recommended in Old, Very Old
THURSDAY, Sept. 6, 2018 (HealthDay News) — Statin use is not associated with reduced risk of atherosclerotic cardiovascular disease (CVD) or all-cause mortality among older adults without type 2 diabetes, according to a study published online Sept. 5 in The BMJ.
130 Now Sickened by Salmonella-Tainted Honey Smacks Cereal
WEDNESDAY, Sept. 5, 2018 (HealthDay News) — One hundred thirty people across 36 states have now fallen ill with Salmonella after eating Kellogg’s Honey Smacks cereal, according to the U.S. Centers for Disease Control and Prevention.
FDA Outbreak Alert
CDC Press Release
Baloxavir Superior to Placebo for Alleviating Flu Symptoms
WEDNESDAY, Sept. 5, 2018 (HealthDay News) — The selective inhibitor of influenza cap-dependent endonuclease, baloxavir marboxil, is superior to placebo for alleviating influenza symptoms, according to a study published in the Sept. 6 issue of the New England Journal of Medicine.
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Google Search for Cardiovascular Disease Peaks in Winter
WEDNESDAY, Sept. 5, 2018 (HealthDay News) — Google search query volumes related to cardiovascular disease (CVD) follow a strong seasonal pattern, according to a study published in the September issue of the Mayo Clinic Proceedings.
Out-of-Pocket Costs Similar for Infliximab, Infliximab-Dyyb
WEDNESDAY, Sept. 5, 2018 (HealthDay News) — Under Medicare Part D, out-of-pocket costs are similar for infliximab and its biosimilar infliximab-dyyb, according to a research letter published in the Sept. 4 issue of the Journal of the American Medical Association.
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Public Service Loan Forgiveness Program Has Uncertain Future
WEDNESDAY, Sept. 5, 2018 (HealthDay News) — Uncertainty surrounds the future of the Public Service Loan Forgiveness (PSLF) program, according to an Ideas and Opinions article published online Aug. 28 in the Annals of Internal Medicine.
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WHO Issues Recommendations for Tx Intensification in T2DM
WEDNESDAY, Sept. 5, 2018 (HealthDay News) — Recommendations have been developed by the World Health Organization for treatment intensification in type 2 diabetes. The recommendations were published online Sept. 4 in the Annals of Internal Medicine.
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~3,000 Excess Deaths Estimated Due to Hurricane Maria
WEDNESDAY, Sept. 5, 2018 (HealthDay News) — The total excess mortality attributed to Hurricane Maria is estimated at 2,975 deaths, according to a report issued by George Washington University.
Patient Distressed by Overturn of California End of Life Option Act
TUESDAY, Sept. 4, 2018 (HealthDay News) — The decision to overturn the End of Life Option Act has added stress and anxiety to terminally ill patients, including those with amyotrophic lateral sclerosis (ALS), according to a patient testimonial published online Sept. 4 in the Annals of Internal Medicine.
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Enrollment in High-Deductible Health Plans Up From ’07 to ’17
TUESDAY, Sept. 4, 2018 (HealthDay News) — Enrollment in high-deductible health plans (HDHPs) has increased among adults with employment-based insurance coverage, according to an August data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.
Clinicians Should Learn to Engage With Transgender Patients
TUESDAY, Sept. 4, 2018 (HealthDay News) — Clinicians should learn how to engage with transgender patients and be prepared to manage unique clinical issues, according to a review published online Aug. 27 in JAMA Internal Medicine.
FDA: Montelukast Tablet Bottles Recalled
TUESDAY, Sept. 4, 2018 (HealthDay News) — Some bottles of montelukast (Singulair) tablets for asthma have been recalled by Camber Pharmaceuticals because they contain the wrong medication, the U.S. Food and Drug Administration says.
Adding Pharmacist to Team Can Improve Patient Outcomes
TUESDAY, Sept. 4, 2018 (HealthDay News) — Integration of pharmacists into team-based care practice models can improve patient outcome, especially in chronic diseases, such as diabetes, according to a report published in the American Medical Association’s AMA Wire.
Self-Injury Tops Diabetes As Cause of Death in United States
TUESDAY, Sept. 4, 2018 (HealthDay News) — In the United States, self-injury mortality (SIM) exceeded diabetes as a cause of death in 2015, with the gap expanding in 2016, according to a study published online Aug. 27 in Injury Prevention.
CDC: Increase in Rate of STDs for Fourth Consecutive Year in U.S.
TUESDAY, Sept. 4, 2018 (HealthDay News) — Nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis were diagnosed in the United States in 2017, marking a fourth consecutive year of sharp increases in these sexually transmitted diseases (STDs), according to a report published by the U.S. Centers for Disease Control and Prevention.
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