Here are what the editors at HealthDay consider to be the most important developments in Family Practice for November 2019. 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.
Practice Organization Not Tied to Family Physician Burnout
WEDNESDAY, Nov. 27, 2019 (HealthDay News) — Burnout among family physicians should not be attributed solely to practice organization, according to a study published in the November/December issue of the Annals of Family Medicine.
Continuous PPI Use May Increase Risk for Acute Gastroenteritis
WEDNESDAY, Nov. 27, 2019 (HealthDay News) — Continuous use of proton pump inhibitor (PPI) therapy is associated with an increased risk for acute gastroenteritis (AGE) during winter epidemic periods with peak circulation of enteric viruses, according to a study published online Nov. 27 in JAMA Network Open.
Exposure to Psychoactive Substances Up From 2000 to 2017
WEDNESDAY, Nov. 27, 2019 (HealthDay News) — From 2000 to 2017, the overall rate of exposure to psychoactive substances of natural origin increased, according to a study published online Nov. 25 in Clinical Toxicology.
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Asthma Exacerbations May Worsen Pregnancy Outcomes
WEDNESDAY, Nov. 27, 2019 (HealthDay News) — For women with asthma, asthma exacerbation (AE) during pregnancy is associated with an increased risk for pregnancy complications, adverse perinatal outcomes, and early childhood respiratory disorders, according to a study published online Nov. 26 in the European Respiratory Journal.
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Diet Pill, Laxative Use in Women Tied to Later Eating Disorder Dx
WEDNESDAY, Nov. 27, 2019 (HealthDay News) — Diet pill and laxative use for weight control are associated with increased odds of subsequent first eating disorder diagnosis, according to a study published online Nov. 21 in the American Journal of Public Health.
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Household Environment Plays Role in MRSA Acquisition
WEDNESDAY, Nov. 27, 2019 (HealthDay News) — The household environment plays a key role in the acquisition of methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infection, according to a study published online Nov. 26 in The Lancet Infectious Diseases.
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U.S. Adults With ASCVD Report Skipping Meds Due to Costs
WEDNESDAY, Nov. 27, 2019 (HealthDay News) — More than 12 percent of patients with atherosclerotic cardiovascular disease (ASCVD) report nonadherence to medications due to costs, according to a study published online Nov. 25 in Circulation.
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Object-Related Aspiration Deaths Decreased Among Children
WEDNESDAY, Nov. 27, 2019 (HealthDay News) — From 1968 to 2017, there was a decrease in object-related aspiration deaths in children and adolescents, according to a research letter published in the Nov. 26 issue of the Journal of the American Medical Association.
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U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults
TUESDAY, Nov. 26, 2019 (HealthDay News) — U.S. life expectancy increased from 1959 to 2016 but has been decreasing since 2014, according to research published in the Nov. 26 issue of the Journal of the American Medical Association.
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Death Toll in Samoa Measles Epidemic Reaches 25
TUESDAY, Nov. 26, 2019 (HealthDay News) — The death toll in a measles epidemic sweeping Samoa has reached 25, and all but one of the victims have been young children, an official said Monday.
Potentially Tainted Marijuana Sold in Colorado
TUESDAY, Nov. 26, 2019 (HealthDay News) — A warning about possibly contaminated and moldy recreational and medical marijuana has been issued by Colorado officials.
Changes in Metabolic Syndrome Status Linked to MACE Risk
TUESDAY, Nov. 26, 2019 (HealthDay News) — Recovery from metabolic syndrome (MetS) is associated with a decreased risk for major adverse cardiovascular events (MACE), while increased risk is seen in association with MetS development, according to a study published online Nov. 26 in the Annals of Internal Medicine.
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Alarm Settings of CGM Systems Impact Glucose Control in T1DM
TUESDAY, Nov. 26, 2019 (HealthDay News) — Adjusting glucose thresholds for hypoglycemia and hyperglycemia alarms in continuous glucose monitoring (CGM) can help achieve better glucose control in patients with type 1 diabetes mellitus, according to a study published online Nov. 19 in the Journal of the Endocrine Society.
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Taking Multiple Fracture-Linked Meds Ups Risk for Hip Fracture
TUESDAY, Nov. 26, 2019 (HealthDay News) — The addition of a second and third fracture-associated drug (FAD) is associated with an increase in hip fracture risk, according to a study published online Nov. 13 in JAMA Network Open.
Large BP Variation Tied to Greater Long-Term Risk for Dementia
TUESDAY, Nov. 26, 2019 (HealthDay News) — Large variation in blood pressure is associated with an increased long-term risk for dementia, according to a study published online Nov. 12 in PLOS Medicine.
New Screening Criteria Help Better ID Retinopathy of Prematurity
TUESDAY, Nov. 26, 2019 (HealthDay News) — A new screening method accurately predicts retinopathy of prematurity (ROP) and reduces the number of infants undergoing eye exams, according to a study published online Nov. 14 in JAMA Ophthalmology.
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Longer PAP Therapy for Apnea Reduces Medical Visits, Costs
TUESDAY, Nov. 26, 2019 (HealthDay News) — In patients with moderate-to-severe obstructive sleep apnea, positive airway pressure (PAP) therapy reduces acute and inpatient care visits as well as health care costs, according to a study recently published in the Journal of Clinical Sleep Medicine.
Cancer Patients With Obesity Show Poorer Psychosocial Health
TUESDAY, Nov. 26, 2019 (HealthDay News) — Patients with breast or prostate cancer who are obese score higher in psychosocial problem-related distress than nonobese patients, according to a study recently published in Psycho-Oncology.
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Nutritional Deficiencies ID’d in Teens After Bariatric Surgery
MONDAY, Nov. 25, 2019 (HealthDay News) — Teens who undergo bariatric surgery may be at increased risk for nutritional deficiencies years later, according to a study published online Nov. 6 in Clinical Gastroenterology and Hepatology.
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Poll: Adults Who Vape Often Buy From Unauthorized Sellers
MONDAY, Nov. 25, 2019 (HealthDay News) — Nearly one in 10 Americans who vape purchase their products from an unauthorized seller, according to the results of a survey released Nov. 18 by the American Osteopathic Association.
Decline in Primary Care Visits Continued After ACA
MONDAY, Nov. 25, 2019 (HealthDay News) — The long-term decrease in primary care contact was not interrupted following implementation of the Affordable Care Act (ACA), according to a study published in the November/December issue of the Annals of Family Medicine.
Polio Vaccines Causing Polio Cases
MONDAY, Nov. 25, 2019 (HealthDay News) — More children worldwide are being paralyzed by polio viruses from vaccines than from viruses in the wild, according to new data.
AP News Article
More Information: WHO
Most Toddlers Exceed Screen Time Guidelines
MONDAY, Nov. 25, 2019 (HealthDay News) — Most children aged 2 and 3 years do not meet screen time guidelines, and 26.7 percent of children have an increasing screen time trajectory from age 1 to 3 years, according to two reports published online Nov. 25 in JAMA Pediatrics.
Abstract/Full Text – Madigan (subscription or payment may be required)
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Elevated Risk for CVD Mortality Observed in U.S. Cancer Patients
MONDAY, Nov. 25, 2019 (HealthDay News) — Cancer patients have elevated cardiovascular disease (CVD) mortality risk, with the highest risk seen in the first year after cancer diagnosis, according to a study published online Nov. 24 in the European Heart Journal.
Overall Rate of Pediatric Nonpowder Firearm Injuries Down
MONDAY, Nov. 25, 2019 (HealthDay News) — From 1990 to 2016, there was a decrease in nonpowder firearm injuries treated in emergency departments among children but an increase in the rate of eye injuries, according to a study published online Nov. 25 in Pediatrics.
Maternal Efavirenz May Up Risk for Microcephaly Among Offspring
MONDAY, Nov. 25, 2019 (HealthDay News) — In utero exposure to efavirenz is associated with an increased risk for microcephaly among children who are HIV-exposed but uninfected, according to a study published online Nov. 15 in The Lancet HIV.
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Expansion of Diagnostic Criteria Proposed for COPD
MONDAY, Nov. 25, 2019 (HealthDay News) — An integrated approach using data from the Chronic Obstructive Pulmonary Disease (COPD) Genetic Epidemiologic study (COPDGene®) could identify individuals with possible or probable COPD as well as definite COPD, according to a study published in a special issue of Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation.
Risk for Skin Infections, Diabetes Increase With Statin Use
MONDAY, Nov. 25, 2019 (HealthDay News) — Using statins for as short a time as three months can put patients at risk for developing diabetes and skin and soft tissue infections (SSTIs), according to a study published in the November issue of the British Journal of Clinical Pharmacology.
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Rates of Joint Surgery Higher With Psoriatic Arthritis
MONDAY, Nov. 25, 2019 (HealthDay News) — The five-year incidence rate of joint surgery in psoriatic arthritis (PsA) patients is twice as high as in the general population, and this rate has remained steady over time, according to a study published in the November issue of Annals of the Rheumatic Diseases.
Electronic Health Record Usability Graded F by Physicians
FRIDAY, Nov. 22, 2019 (HealthDay News) — The usability of current electronic health records (EHRs) is classified as unacceptable, with physician-rated EHR usability independently linked to the odds of burnout, according to a study published online Nov. 14 in the Mayo Clinic Proceedings.
Hypertension During Pregnancy May Up CV Risk in Middle Age
FRIDAY, Nov. 22, 2019 (HealthDay News) — Hypertension during pregnancy heightens women’s cardiovascular risk during middle age, according to a study published online Nov. 11 in the Journal of the American College of Cardiology.
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Most Teens Worldwide Are Not Exercising Enough
FRIDAY, Nov. 22, 2019 (HealthDay News) — The majority of adolescents worldwide do not meet current physical activity guidelines, according to a study published online Nov. 21 in The Lancet Child & Adolescent Health.
Parental Marijuana Use Ups Risk for Substance Use in Offspring
FRIDAY, Nov. 22, 2019 (HealthDay News) — Parental marijuana use is associated with an increased risk for substance use among adolescent and young adult offspring living in the same household, according to a study published online Nov. 22 in JAMA Network Open.
Obesity Prevalence Decreased Modestly for Children in WIC
FRIDAY, Nov. 22, 2019 (HealthDay News) — During 2010 to 2016, there were modest decreases in obesity prevalence among children aged 2 to 4 years enrolled in 73 percent of 56 Special Supplemental Nutrition Program for Women, Infants and Children (WIC) state or territory agencies, according to research published in the Nov. 22 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Massachusetts Passes Bill to Ban All Flavored Vaping Products
FRIDAY, Nov. 22, 2019 (HealthDay News) — A bill banning flavored vaping and tobacco products was passed by the Massachusetts Senate on Thursday and could become the first such statewide legislation in the United States.
COPD Mortality Rates Decreasing in Many Countries
FRIDAY, Nov. 22, 2019 (HealthDay News) — In many countries, chronic obstructive pulmonary disease (COPD) rates are decreasing, although the absolute number of deaths is increasing, according to a research letter published online Nov. 19 in the European Respiratory Journal.
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New Medicare Online Drug Plan Finder Might Lead to Higher Cost
THURSDAY, Nov. 21, 2019 (HealthDay News) — The newly overhauled Medicare prescription plan finder can direct unsuspecting users to coverage that is much more expensive than necessary, experts say.
Inducing Labor at 41 Weeks May Cut Stillbirth Rates
THURSDAY, Nov. 21, 2019 (HealthDay News) — In women with a low-risk pregnancy, induction at 41 weeks of gestation may be safer than a wait-and-see approach to 42 weeks, according to a study published online Nov. 20 in The BMJ.
Recommendations Developed for Multidrug-Resistant Tuberculosis
THURSDAY, Nov. 21, 2019 (HealthDay News) — In a new clinical practice guideline, published online Nov. 15 in the American Journal of Respiratory and Critical Care Medicine, recommendations are presented for the treatment of multidrug-resistant tuberculosis (MDR-TB).
Radiation From CT Scans Linked to Thyroid Cancer, Leukemia
THURSDAY, Nov. 21, 2019 (HealthDay News) — Exposure to medical radiation from computed tomography (CT) scans is associated with an increased risk for thyroid cancer and leukemia, according to a study published online Nov. 19 in JNCI Cancer Spectrum.
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Few Anorexia Nervosa Patients Make Complete Recovery
THURSDAY, Nov. 21, 2019 (HealthDay News) — Caregivers identify distinct components of recovery from eating disorders, although only 20 percent report achievement of full recovery, according to a study published online Nov. 19 in the International Journal of Eating Disorders.
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Employee Premiums, Deductibles Eating Larger Share of Income
THURSDAY, Nov. 21, 2019 (HealthDay News) — During the last decade, health care costs have eaten up a larger share of income for millions of middle-class Americans with employer coverage, according to Trends in Employer Health Care Coverage, 2008-2018, a Nov. 21 report from The Commonwealth Fund.
Most Infants Susceptible to Measles by 3 Months of Age
THURSDAY, Nov. 21, 2019 (HealthDay News) — In an elimination setting, most infants are susceptible to measles by age 3 months, according to a study published online Nov. 21 in Pediatrics.
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Number of Pregnant Women Taking Antidepressants Down
THURSDAY, Nov. 21, 2019 (HealthDay News) — There has been a significant decrease in the use of antidepressants by pregnant women in Denmark, with consumption falling by more than 33 percent since 2011, according to a study published in the November issue of Brain and Behavior.
Vigorous Activity Weekly May Improve Outcomes in Stable CAD
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Performing vigorous physical activity once or twice a week compared with sedentary behavior or light physical activity may improve long-term cardiac health in patients with stable coronary artery disease, according to a study recently published in the European Journal of Preventive Cardiology.
Rheumatoid Arthritis Linked to Comorbidities Before, After Diagnosis
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — There are associations between rheumatoid arthritis (RA) and multiple comorbidities before and after diagnosis, with inflammatory bowel disease, type 1 diabetes, and venous thromboembolism (VTE) occurring more often before RA diagnosis versus controls, according to a study published online Nov. 20 in the Mayo Clinic Proceedings.
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More Appropriate Prostate Cancer Tx Seen at Multidisciplinary Clinic
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Receiving care at a multidisciplinary (MultiD) clinic facilitates adherence to evidence-based national treatment guidelines for prostate cancer, according to a study published online Nov. 19 in Cancer.
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CDC Updates Interim Guidance on Vaping-Linked Lung Illness
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — In an article published in the Nov. 19 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report, interim guidance is provided for health care professionals managing patients with suspected electronic cigarette, or vaping, product use-associated lung injury (EVALI). Another report in the same issue suggests that the characteristics of hospitalized and nonhospitalized EVALI patients are similar.
Abstract/Full Text – Jatlaoui
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Cervical Cancer Screening Remains Low in Women Ages 45 to 65 Years
TUESDAY, Nov. 19, 2019 (HealthDay News) — Cervical cancer screening rates are only about 70 percent among women ages 45 to 65 years, according to a study published online Nov. 1 in Preventive Medicine.
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Cardiovascular Disease Rates Dropping in American Indians
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — New cardiovascular disease is declining among American Indians, according to a study published in the Nov. 5 issue of the Journal of the American Heart Association.
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~25 Percent of Adolescents, Young Adults Use Rx Opioids
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Prescription opioid use among teens and young adults is higher than expected, with most obtaining the drugs from friends and family, according to a study published online Nov. 5 in PLOS Medicine.
Most Infants, Toddlers Consuming Added Sugars
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Most infants and toddlers consume added sugars in their daily diets, according to a study published online Nov. 14 in the Journal of the Academy of Nutrition and Dietetics.
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Poll: Parents Cite Barriers to Recognizing Depression in Adolescents
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Two-thirds of parents acknowledge there are barriers to recognizing depression in their own adolescent child, according to a Mott Poll Report, published Nov. 18 by the University of Michigan.
CDC: 63.5 Percent of 3- to 5-Year-Olds Have Had Vision Tested
WEDNEDAY, Nov. 20, 2019 (HealthDay News) — Overall, 63.5 percent of children aged 3 to 5 years have ever had their vision tested, according to a November data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Incidence of Squamous Cell Carcinoma of the Anus Increasing
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — There has been an increase in the incidence of squamous cell carcinoma of the anus (SCCA) in the United States, according to a study published online Nov. 19 in the Journal of the National Cancer Institute.
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Prenatal Antidepressant Use May Up Risk for Gestational Diabetes
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Taking certain antidepressants while pregnant can increase the risk for developing gestational diabetes, according to a study recently published in The BMJ.
Infection Likely Cause of One in Eight Stillbirths
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Most cases of infection-related stillbirth may be due to bacterial pathogens, according to a study published online Nov. 4 in Obstetrics & Gynecology.
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Ubrogepant Superior to Placebo for Migraine Pain Relief
TUESDAY, Nov. 19, 2019 (HealthDay News) — Acute treatment of migraine with ubrogepant leads to significantly greater rates of pain freedom at two hours than placebo, according to a study published online Nov. 19 in the Journal of the American Medical Association.
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Statin Use Not Linked to Rate of Cognitive Decline in Seniors
TUESDAY, Nov. 19, 2019 (HealthDay News) — Statin therapy is not associated with increased decline in memory or cognition among older adults, according to a study published in the Nov. 26 issue of the Journal of the American College of Cardiology.
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AAP: Emergency Contraception Should be Given to Sexually Active Teens
TUESDAY, Nov. 19, 2019 (HealthDay News) — Pediatricians should provide emergency contraception (EC) to teenagers who have had unprotected or underprotected intercourse, according to a policy statement from the American Academy of Pediatrics published online Nov. 18 in Pediatrics.
CDC: ~20 Percent of U.S. Adults Currently Use Tobacco Products
TUESDAY, Nov. 19, 2019 (HealthDay News) — In 2018, 19.7 percent of U.S. adults reported currently using any tobacco products, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
AMA, AHA Support Refresher Training for Measuring Blood Pressure
TUESDAY, Nov. 19, 2019 (HealthDay News) — Health care professionals (HCPs) should receive consistent and frequent training in measuring blood pressure (BP), according to a report prepared for the American Medical Association and the American Heart Association and released Nov. 18.
HbA1c Variability Linked to Cardiovascular Disease Risk
TUESDAY, Nov. 19, 2019 (HealthDay News) — For patients with newly diagnosed type 2 diabetes, visit-to-visit hemoglobin A1c (HbA1c) variability is associated with increased risks for cardiovascular disease and microvascular complications, according to a study published online Nov. 14 in Diabetes Care.
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Distribution of Self-Test Kits Can Up HIV Awareness
TUESDAY, Nov. 19, 2019 (HealthDay News) — Distribution of HIV self-tests among men who have sex with men (MSM) can increase testing and newly identified infections, according to a study published online Nov. 18 in JAMA Internal Medicine.
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Bipartisan Bill to Curb Drug Costs Backed by White House
MONDAY, Nov. 18, 2019 (HealthDay News) — A bipartisan Senate bill that would curb prescription drug costs is being backed by the Trump administration as a new poll shows that many Americans think the White House has done little to tackle the issue.
White House Wants Hospitals, Insurers to Provide Actual Costs of Care
MONDAY, Nov. 18, 2019 (HealthDay News) — New rules requiring hospitals and insurers to disclose the actual prices for common tests and procedures before they are performed have been proposed by the Trump Administration.
Studies Confirm Safety of 9-Valent HPV Vaccination
MONDAY, Nov. 18, 2019 (HealthDay News) — The safety of the 9-valent human papillomavirus vaccine (9vHPV) has been confirmed, according to two studies published online Nov. 18 in Pediatrics.
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Cannabis Use Disorder Has Declined Among Teens, Young Adults
MONDAY, Nov. 18, 2019 (HealthDay News) — Contrary to expectations, the prevalence of cannabis use disorder (CUD) decreased significantly among individuals reporting daily/almost daily cannabis use between 2002 and 2016, according to a study published in the Dec. 1 issue of Drug and Alcohol Dependence.
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Less Sleep Tied to Lower Bone Mineral Density in Women
MONDAY, Nov. 18, 2019 (HealthDay News) — Short sleep duration is associated with lower bone mineral density (BMD) and a higher risk for osteoporosis among postmenopausal women, according to a study published online Nov. 6 in the Journal of Bone and Mineral Research.
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Common TB Vaccine Associated With Lower Lung Cancer Rates
MONDAY, Nov. 18, 2019 (HealthDay News) — Childhood vaccination with the bacille Calmette-Guérin (BCG) vaccine is associated with a reduced risk for lung cancer, according to a study published online Sept. 25 in JAMA Network Open.
CDC: Number of Vaping-Linked Lung Illnesses Up to 2,172
FRIDAY, Nov. 15, 2019 (HealthDay News) — The number of Americans stricken with a severe respiratory illness tied to vaping has now reached 2,172, the U.S. Centers for Disease Control and Prevention reported Thursday. That is a rise from the 2,051 case total from a week ago.
More Information: CDC
CNN Article
FDA Panel: Expand Use of Fish Oil Drug Vascepa
FRIDAY, Nov. 15, 2019 (HealthDay News) — Approved use of the prescription-strength fish oil drug Vascepa should be widened to include more patients at risk for heart attack and stroke, a U.S. Food and Drug Administration advisory panel recommended Thursday.
FDA Sends Warning Letter About OTC Drugs to Dollar Tree
FRIDAY, Nov. 15, 2019 (HealthDay News) — Dollar Tree has been sent a warning letter for selling over-the-counter (OTC) drugs made by foreign companies with serious, multiple violations of federal manufacturing laws, the U.S. Food and Drug Administration says.
CNN Article
More Information: FDA
Too Few Medicare Beneficiaries With Diabetes Getting Eye Exams
FRIDAY, Nov. 15, 2019 (HealthDay News) — Nationwide, about half of Medicare fee-for-service beneficiaries with diabetes had eye exams in 2017, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Some Progress Made in Slowing Antibiotic Resistance-Linked Deaths
FRIDAY, Nov. 15, 2019 (HealthDay News) — Progress has been made in slowing antibiotic resistance-associated deaths, but more than 2.8 million antibiotic-resistant infections occur each year in the United States, according to a report published by the U.S. Centers for Disease Control and Prevention.
Antibiotic Resistance Threats in the United States 2019
Treatment Response Rates High for Seniors With Hep C Infection
FRIDAY, Nov. 15, 2019 (HealthDay News) — For patients with chronic hepatitis C infection, sustained viral response (SVR) rates are similar for those aged 65 years and older and those younger than 65, according to a study published online Oct. 24 in the Journal of the American Geriatrics Society.
12 Cases of Vaping-Related Lung Injury Described in One Hospital
FRIDAY, Nov. 15, 2019 (HealthDay News) — Twelve cases of electronic cigarette, or vaping, product use-associated lung injury (EVALI) from a single institution have been described in a case series published online Nov. 8 in The Lancet Respiratory Medicine.
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Childhood Episode of Pancreatitis May Up Risk for Diabetes Later
FRIDAY, Nov. 15, 2019 (HealthDay News) — A history of a clinically resolved, single event of acute pancreatitis in childhood is associated with an increased risk for diabetes during young adulthood, according to a study published online Nov. 6 in Diabetes Care.
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Survey of U.S. Registered Nurses Points to Worsening Shortages
THURSDAY, Nov. 14, 2019 (HealthDay News) — The 2019 AMN Healthcare Survey of Registered Nurses raises concerns about the outlook for the nursing profession in the United States.
2019 Survey of Registered Nurses
WHO to Test, Approve Generic Insulin
THURSDAY, Nov. 14, 2019 (HealthDay News) — Testing and approval of generic insulin will be conducted by the World Health Organization in an attempt to combat rising prices and shortages of the drug.
Minimum Age to Buy Tobacco, E-Cigarettes Raised in NY State
THURSDAY, Nov. 14, 2019 (HealthDay News) — The minimum age to buy tobacco and electronic cigarette products in New York State is now 21.
1999 to 2016 Saw Increase in U.S. Adults Trying to Lose Weight
THURSDAY, Nov. 14, 2019 (HealthDay News) — From 1999 to 2016, there were trends for increases in measured body mass index (BMI) and weight among adults in the United States, and there was an increase in the proportion of adults attempting to lose weight, according to a study published online Nov. 13 in JAMA Network Open.
Higher Skeletal Muscle Mass May Lower Long-Term Risk for CVD
THURSDAY, Nov. 14, 2019 (HealthDay News) — Skeletal muscle mass (SMM) is inversely associated with the incidence of cardiovascular disease (CVD) among middle-aged and older adults, according to a study published online Nov. 11 in the Journal of Epidemiology & Community Health.
Four Studies Look at Global Burden of Digestive Diseases
THURSDAY, Nov. 14, 2019 (HealthDay News) — Global burdens of colorectal cancer, pancreatic cancer, inflammatory bowel disease (IBD), and stomach cancer increased from 1990 to 2017, according to four studies published online Oct. 21 in The Lancet Gastroenterology and Hepatology. The studies were published to coincide with the United European Gastroenterology Week, held from Oct. 19 to 23 in Barcelona, Spain.
Abstract/Full Text – Colorectal Cancer
Editorial
Abstract/Full Text – Pancreatic Cancer
Editorial
Abstract/Full Text – IBD
Editorial
Abstract/Full Text – Stomach Cancer
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Surgery for Congenital Heart Disease Tied to Kidney Disease
THURSDAY, Nov. 14, 2019 (HealthDay News) — The risk for mortality and end-stage kidney disease (ESKD) is high in children who undergo surgical repair for congenital heart disease compared with the general population, according to a study published in the October issue of the Clinical Journal of the American Society of Nephrology.
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Few Women With Chronic Health Issues Use Reliable Birth Control
THURSDAY, Nov. 14, 2019 (HealthDay News) — One in three women of reproductive age have a chronic condition that could compromise their health or lead to adverse outcomes during pregnancy, yet few use the most effective forms of contraception, according to a study published online Nov. 7 in the Journal of General Internal Medicine.
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Insomnia Symptoms Associated With Increased Risk of CVD
THURSDAY, Nov. 7, 2019 (HealthDay News) — Individual and coexisting symptoms of insomnia are associated with increased risk for cardio-cerebral vascular diseases (CVD), according to a study published on Nov. 6 in Neurology.
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Smartwatch App Shows Promise for Identifying Atrial Fibrillation
WEDNESDAY, Nov. 13, 2019 (HealthDay News) — For participants without atrial fibrillation, use of a smartwatch application (app) can identify irregular pulse, which may indicate atrial fibrillation with high positive predictive value, according to a study published in the Nov. 14 issue of the New England Journal of Medicine.
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Cannabis Use Disorder Up With Recreational Pot Legalization
WEDNESDAY, Nov. 13, 2019 (HealthDay News) — Cannabis use disorder (CUD) has increased among adolescents and adults (≥26 years) after recreational marijuana legalization (RML) enactment, according to a study published online Nov. 13 in JAMA Psychiatry.
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Invasive Melanoma Incidence Decreasing in Teens, Young Adults
WEDNESDAY, Nov. 13, 2019 (HealthDay News) — Melanoma incidence seems to be decreasing in adolescents and young adults, according to a study published online Nov. 13 in JAMA Dermatology.
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Health Groups Urge President to Ban All Flavored E-Cigarettes
WEDNESDAY, Nov. 13, 2019 (HealthDay News) — An ad campaign urging U.S. President Donald Trump to follow through on a commitment to ban all flavored electronic cigarettes, including mint and menthol, has been launched by a number of public health groups.
Syringe Exchange Program Has Positive Impact on HIV Diagnoses
WEDNESDAY, Oct. 30, 2019 (HealthDay News) — A syringe exchange program (SEP) has averted thousands of injection drug use (IDU)-associated HIV diagnoses over 10 years in Philadelphia and Baltimore, according to a study published in the Dec. 1 issue of the Journal of Acquired Immune Deficiency Syndrome.
Early Childhood High BMI Tied to Maternal Prepregnancy Factors
WEDNESDAY, Nov. 13, 2019 (HealthDay News) — A child’s high and increasing body mass index (BMI) between ages 2 and 6 years is strongly associated with maternal prepregnancy weight, according to a study published online Nov. 5 in Pediatric Obesity.
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Physical Activity After Cancer Diagnosis Improves Survival
WEDNESDAY, Nov. 13, 2019 (HealthDay News) — At least 150 minutes per week of moderate-intensity physical activity is associated with lower all-cause mortality among postmenopausal breast cancer patients, regardless of their levels of physical activity before diagnosis, according to a study published online Nov. 7 in Breast Cancer Research.
U.S. States Can Do More to Prevent, Treat Lung Cancer
WEDNESDAY, Nov. 13, 2019 (HealthDay News) — States can do more to prevent and treat lung cancer, according to a report published online Nov. 13 by the American Lung Association.
Press Release
State of Lung Cancer 2019
Less Weight Regain With EHR-Based Tracking Plus Coaching
TUESDAY, Nov. 12, 2019 (HealthDay News) — An electronic health record (EHR)-based weight maintenance intervention coupled with coaching is associated with less weight regain compared with EHR-based care alone, according to a study published online Nov. 12 in the Annals of Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Pediatric Liver Transplant Recipients Often Undervaccinated
TUESDAY, Nov. 12, 2019 (HealthDay News) — Many pediatric liver transplant recipients are undervaccinated, according to a research letter published in the Nov. 12 issue of the Journal of the American Medical Association.
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Double Lung Transplant Performed for Vaping-Related Illness
TUESDAY, Nov. 12, 2019 (HealthDay News) — What is believed to be the first double lung transplant in the United States for a patient whose lungs were irreparably damaged after vaping was performed by doctors at the Henry Ford Health System in Detroit.
EPA Proposal Would Limit Use of Science in Public Health Rules
TUESDAY, Nov. 12, 2019 (HealthDay News) — Scientists and doctors are sounding the alarm about a Trump administration proposal to significantly limit the use of scientific and medical research in setting public health regulations. They warn that the new Environmental Protection Agency rule would weaken the scientific basis of government policymaking, The New York Times reported.
Testosterone Therapy Tied to Increase in Short-Term VTE Risk
TUESDAY, Nov. 12, 2019 (HealthDay News) — For men with and without hypogonadism, testosterone therapy is associated with an increased short-term risk for venous thromboembolism (VTE), according to a study published online Nov. 11 in JAMA Internal Medicine.
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Cholesterol Levels Have Been Dropping Since 2013 Guidelines
TUESDAY, Nov. 12, 2019 (HealthDay News) — Implementation of guidelines for lipid management in 2013 correlated with a reduction in mean total cholesterol, triglyceride, and low-density lipoprotein cholesterol (LDL-C) levels, according to research published in the Nov. 19 issue of the Journal of the American College of Cardiology.
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High Birth Number May Harm Cardiovascular Health in Women
FRIDAY, Nov. 8, 2019 (HealthDay News) — Multiparity is associated with poorer cardiovascular health, especially among women with five or more live births, according to a study recently published in the American Journal of Obstetrics & Gynecology.
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Sesame-Specific IgE Levels May Help Diagnose Allergies
FRIDAY, Nov. 8, 2019 (HealthDay News) — Sesame immunoglobulin E (IgE) levels may have diagnostic utility for sesame allergy, according to a letter to the editor published online Oct. 28 in Pediatric Allergy and Immunology.
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Crowd Diagnosis of STDs Frequently Sought Online
FRIDAY, Nov. 8, 2019 (HealthDay News) — Crowd diagnosis of sexually transmitted diseases (STDs) is common online, according to a research letter published in the Nov. 5 issue of the Journal of the American Medical Association.
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Patients With Cirrhosis Have Considerable Financial Burden
FRIDAY, Nov. 8, 2019 (HealthDay News) — The considerable financial burden of cirrhosis medical care is associated with lower surveillance for hepatocellular carcinoma (HCC), according to a study presented at The Liver Meeting, the annual meeting of the American Association for the Study of Liver Diseases, held from Nov. 8 to 12 in Boston.
Press Release
More Information
Juul Stops Sales of Mint-Flavored E-Cigarettes
FRIDAY, Nov. 8, 2019 (HealthDay News) — Juul Labs will halt sales of its mint-flavored electronic cigarettes, the company announced Thursday.
Exercising More Often May Lower CVD Risk in Older Adults
FRIDAY, Nov. 8, 2019 (HealthDay News) — Older adults who increase their frequency of moderate-to-vigorous physical activity (MVPA) have a significantly lower risk for cardiovascular disease (CVD) compared with those who are continuously physically inactive, according to a study published online Nov. 7 in the European Heart Journal.
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Lung Cancer Incidence Rates Generally Declined From 2007 to 2016
FRIDAY, Nov. 8, 2019 (HealthDay News) — The incidence rates of lung cancer declined in most age and sex groups from 2007 to 2016, with the smallest decrease seen among women living in nonmetropolitan counties, according to research published in the Nov. 8 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Test of Vascular Function May Predict Solid-Tumor Cancer Risk
THURSDAY, Nov. 7, 2019 (HealthDay News) — Microvascular endothelial dysfunction is associated with an increased risk for solid-tumor cancer, according to a study published online Oct. 31 in the European Journal of Preventive Cardiology.
Poorer Neighborhood Walkability May Increase Cardiovascular Risk
THURSDAY, Nov. 7, 2019 (HealthDay News) — Adults living in less walkable neighborhoods have a higher predicted 10-year cardiovascular disease risk compared with individuals living in highly walkable areas, according to a study published in the Nov. 5 issue of the Journal of the American Heart Association.
SNAP Participation May Reduce Premature Deaths in the U.S.
THURSDAY, Nov. 7, 2019 (HealthDay News) — Participation in the national Supplemental Nutrition Assistance Program (SNAP) reduces the risk for premature mortality among U.S. adults, according to a study published in the November issue of Health Affairs.
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CDC: Number of Vaping-Linked Lung Illnesses Tops 2,000
THURSDAY, Nov. 7, 2019 (HealthDay News) — The number of Americans stricken with a severe respiratory illness tied to vaping has now reached 2,051, the U.S. Centers for Disease Control and Prevention reported Thursday.
Number of Potentially Excess Deaths Up in Nonmetropolitan Counties
THURSDAY, Nov. 7, 2019 (HealthDay News) — During 2010 to 2017, nonmetropolitan counties had higher percentages of potentially excess deaths from five leading causes than metropolitan counties nationwide, according to research published in the Nov. 8 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
PSA Levels No Different With Exposure to Antidiabetes Meds
THURSDAY, Nov. 7, 2019 (HealthDay News) — Men exposed to antidiabetic medications do not have different prostate-specific antigen (PSA) levels, and prostate cancer detection rates at biopsy do not differ regardless of trigger PSA levels, according to a study published online Nov. 6 in JAMA Network Open.
Tx Choice for T2DM in Obese Teens Tied to Later Kidney Disease Risk
THURSDAY, Nov. 7, 2019 (HealthDay News) — For severely obese adolescents with type 2 diabetes (T2D), medical therapy is associated with increased odds of diabetic kidney disease (DKD) at five years compared with metabolic bariatric surgery, according to a study published online Nov. 4 in Diabetes Care.
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Ibuprofen Does Not Increase Postpartum Blood Pressure
THURSDAY, Nov. 7, 2019 (HealthDay News) — Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, do not increase blood pressure among postpartum women with hypertensive disorders of pregnancy, according to a study published online Nov. 4 in Obstetrics & Gynecology.
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San Francisco Vaping Ban Upheld by Voters
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — A ban on electronic cigarette sales in San Francisco was widely backed by voters despite the city being home to Juul Labs, which dominates the e-cigarette market in the United States.
Many Adult Health Problems Due to Adverse Childhood Experiences
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Preventing adverse childhood experiences could potentially prevent chronic conditions, depression, health risk behaviors, and poor socioeconomic outcomes among adults, according to research published in the Nov. 5 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Those With Mental Illness Die Earlier
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — People living with any mental disorder have a shorter life expectancy than the general population, according to a Danish study published online Oct. 24 in The Lancet.
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Mailing HPV Kits to Underscreened Women Can Up Screening
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Mailing human papillomavirus (HPV) kits to underscreened women is associated with increased screening uptake but does not significantly increase precancer detection or treatment, according to a study published online Nov. 6 in JAMA Network Open.
Weight-Loss Counseling With Group Visits Improves HbA1c
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — The addition of intensive weight management (WM) to group medical visits (GMVs) for diabetes is noninferior for lowering hemoglobin A1c (HbA1c) levels and is associated with clinically important outcomes, according to a study published online Nov. 4 in JAMA Internal Medicine.
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Menopause Occurs at Median Age of 48 in Canadian Women With HIV
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Canadian women with HIV have a median age of menopause of 48 years, with lower education and hepatitis C coinfection independently associated with menopause at <45 years, according to a study published online Nov. 6 in Menopause.
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Women Less Likely to Receive Treatment for Myocardial Infarction
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Use of sex-specific diagnostic thresholds for myocardial infarction identifies more additional women than men with myocardial injury, but women are less likely to receive treatment, according to a study published in the Oct. 22 issue of the Journal of the American College of Cardiology.
Serious Eating Disorder Possible Even at Normal Body Weight
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Large, rapid weight loss is the best predictor of medical and psychological problems in patients with atypical anorexia nervosa (AAN), not their body weight at diagnosis, according to a study published online Nov. 5 in Pediatrics.
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Exercise Mitigates Risk for Depression, Even With Genetic Risk
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Physical activity mitigates the risk for depression, even in the context of genetic vulnerability, according to a study published online Nov. 5 in Depression & Anxiety.
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Few Eligible Patients Receive Rx for Weight-Loss Medications
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Few eligible patients receive prescriptions for weight-loss medications, according to a study published online Oct. 11 in Obesity.
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Exercise Should Be Prescribed to Cancer Survivors
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Exercise should be prescribed for cancer survivors, according to recommendations published in the November issue of Medicine & Science in Sports & Exercise and an article published online Oct. 16 in CA: A Cancer Journal for Clinicians.
Exercise Guidelines for Cancer Survivors
Abstract/Full Text – Schmitz Article
Focus on ED Utilization Misses Whole-Person Perspective
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — There is a need for shared patient-level data across medical, behavioral, and social care systems to meet the medical needs of frequent emergency department users, according to a study published in the November issue of Health Affairs.
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FDA: Biotin Supplements Could Affect Results of Medical Tests
TUESDAY, Nov. 5, 2019 (HealthDay News) — Biotin supplements can interfere with the results of some critical lab tests, the U.S. Food and Drug Administration warned Tuesday.
Prevalence of E-Cigarette Use High Among U.S. Preteens, Teens
TUESDAY, Nov. 5, 2019 (HealthDay News) — The prevalence of self-reported current electronic cigarette use is high among U.S. middle and high school students, according to a study published online Nov. 5 in the Journal of the American Medical Association.
2010 to 2016 Saw Increase in Teens Admitted to ED for Abuse
TUESDAY, Nov. 5, 2019 (HealthDay News) — From 2010 to 2016, there was an increase in the number of adolescents admitted to emergency departments for confirmed sexual abuse, according to a research letter published online Nov. 4 in JAMA Pediatrics.
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Medical Practices Burdened by Regulatory Requirements
TUESDAY, Nov. 5, 2019 (HealthDay News) — The vast majority of group medical practices report that regulatory requirements, including prior authorization and quality payment programs, are burdensome, according to a survey released by the Medical Group Management Association.
Annual Regulatory Burden Survey
Running Participation Linked to Reduced Risk for Mortality
TUESDAY, Nov. 5, 2019 (HealthDay News) — Running participation is associated with a significantly lower risk for all-cause, cardiovascular, and cancer mortality, according to a review and meta-analysis published online Nov. 4 in the British Journal of Sports Medicine.
Effect of Legislation on School Vaccination Rates May Be Limited
TUESDAY, Nov. 5, 2019 (HealthDay News) — Assuming the current rates of medical exemptions persist, the overall exemption rate in California schools is expected to stabilize at 1.87 percent by 2027, according to a research letter published online Nov. 5 in the Annals of Internal Medicine.
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Low-Intensity Warfarin Not Noninferior in Hip, Knee Surgery
TUESDAY, Nov. 5, 2019 (HealthDay News) — Among older patients undergoing hip or knee replacement, low-intensity compared with standard-intensity warfarin prophylaxis did not meet the noninferiority criterion for the composite outcome of risk for venous thromboembolism or death, according to a study recently published in the Journal of the American Medical Association.
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Dietary Patterns May Possibly Be Linked to Prostate Cancer Risk
TUESDAY, Nov. 5, 2019 (HealthDay News) — Plant-based diets are associated with a decreased or unchanged risk for prostate cancer, while animal-based diets, especially those containing dairy products, are associated with an increased or unchanged risk, according to a review published in the November issue of the Journal of the American Osteopathic Association.
CRC Screening Recommended for Average-Risk Adults Age 50 to 75
MONDAY, Nov. 4, 2019 (HealthDay News) — Average-risk adults between the ages of 50 and 75 years should be screened for colorectal cancer, with the screening test selected based on discussion with patients, according to a guidance statement from the American College of Physicians published online Nov. 5 in the Annals of Internal Medicine.
Abstract/Full Text
Editorial (subscription or payment may be required)
Seriously Ill Medicare Beneficiaries Face Financial Hardship
MONDAY, Nov. 4, 2019 (HealthDay News) — Seriously ill Medicare enrollees experience considerable financial distress, according to a report published in the November issue of Health Affairs.
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Dr. Stephen Hahn Nominated to Head FDA
MONDAY, Nov. 4, 2019 (HealthDay News) — Radiation oncology expert Stephen Hahn, M.D., has been nominated as the new U.S. Food and Drug Administration commissioner.
Type 2 Diabetes Linked to Higher Risk for Vertebral Fractures
MONDAY, Nov. 4, 2019 (HealthDay News) — Individuals with type 2 diabetes (T2D) are at higher risk for sustaining an incident vertebral fracture (VF) compared with individuals without T2D, according to a review published online Oct. 28 in Diabetes Care.
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Risk for Death, Suicide Up in Teens Who Visit ED for Self-Harm
MONDAY, Nov. 4, 2019 (HealthDay News) — Adolescents with emergency department visits for self-harm have increased rates of recurrent self-harm, mortality, and suicide, according to a study published online Nov. 4 in CMAJ, the journal of the Canadian Medical Association.
Dementia Common in Down Syndrome Patients Aged ≥55
MONDAY, Nov. 4, 2019 (HealthDay News) — More than half of individuals with Down syndrome aged 55 years or older have dementia claims and 32.7 percent have Alzheimer disease (AD) claims, according to a research letter published online Oct. 28 in JAMA Neurology.
CDC: 1 Dead, 8 Hospitalized in Salmonella Outbreak Tied to Ground Beef
MONDAY, Nov. 4, 2019 (HealthDay News) — Ground beef tainted with Salmonella has led to 10 known infections across six states, including eight people who were hospitalized, and one death.
Coronary Calcium Score May ID CV Risk in Rheumatoid Arthritis
MONDAY, Nov. 4, 2019 (HealthDay News) — The Coronary Calcium Score (CCS) may be a useful tool in cardiovascular (CV) risk assessment among female patients with rheumatoid arthritis (RA), according to a study published in the October issue of the International Journal of Rheumatic Diseases.
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Religious Exemption Rate for Vaccination Up in 2017 to 2018
MONDAY, Nov. 4, 2019 (HealthDay News) — The rate of religious exemptions for vaccination among kindergartners is associated with the availability of personal belief exemptions, according to a study published online Nov. 4 in Pediatrics.
2007 to 2016 Saw Increase in Child Psychiatrists in U.S.
MONDAY, Nov. 4, 2019 (HealthDay News) — The number of child psychiatrists has increased in the United States, although there is considerable regional variability, according to a study published online Nov. 4 in Pediatrics.
One in Three Young Adults Get Meds for Opioid Use Disorder After Overdose
MONDAY, Nov. 4, 2019 (HealthDay News) — One in three young adults receive medication for opioid use disorder in the 12 months after surviving an overdose, according to a study published online Oct. 4 in the Annals of Emergency Medicine.
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FDA Committee: Makena Should Be Removed From Market
FRIDAY, Nov. 1, 2019 (HealthDay News) — Makena, a drug used to reduce the risk for preterm births, should be taken off the U.S. market, a U.S. Food and Drug Administration advisory committee recommends. The 9-to-7 vote in favor of withdrawing approval of the drug came in response to evidence suggesting it is not effective, CNN reported. Although not required to, the FDA often follows the advice of its advisory committees.
CNN Article
Abstract/Full Text
2007 to 2016 Saw Rise in ADHD Prevalence in Adults, Children
FRIDAY, Nov. 1, 2019 (HealthDay News) — From 2007 to 2016, the prevalence of attention-deficit/hyperactivity disorder (ADHD) increased among adults and children, according to a study published online Nov. 1 in JAMA Network Open.
U.S. Oncologist Shortage May Impact Women’s Health
FRIDAY, Nov. 1, 2019 (HealthDay News) — Anticipated future shortages of oncology providers may have a serious and specific impact on women’s health care, according to Doximity’s 2019 Women’s Health and Oncologist Workforce Analysis.
Recommendations Developed to Address Clinician Burnout
FRIDAY, Nov. 1, 2019 (HealthDay News) — In Taking Action Against Clinician Burnout, a new report published online Oct. 23 by the National Academies of Sciences, Engineering, and Medicine, recommendations are presented to address clinician burnout.
Taking Action Against Clinician Burnout
Borderline Personality Disorder May Raise Cardiometabolic Risk
FRIDAY, Nov. 1, 2019 (HealthDay News) — Middle-aged adults with borderline personality disorder (BPD) seem to have an increased cardiometabolic risk, according to a study published online Oct. 24 in Personality Disorders: Theory, Research, and Treatment.
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Equivalence Seen Between Drug Classes for HTN Monotherapy
FRIDAY, Nov. 1, 2019 (HealthDay News) — Most estimates show no differences in effectiveness between classes of antihypertensive agents, according to a systematic, multinational, large-scale analysis published online Oct. 24 in The Lancet.
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Risk for Second Primary Malignancy Up in CLL Survivors
FRIDAY, Nov. 1, 2019 (HealthDay News) — Survivors of chronic lymphocytic leukemia (CLL) have an increased risk for second primary malignancy (SPM), according to a study published online Sept. 30 in Blood Cancer Journal.
Risk for Birth Defects Not Increased With Adalimumab
FRIDAY, Nov. 1, 2019 (HealthDay News) — Adalimumab exposure in pregnancy does not increase the risk for birth defects, according to a study published online Oct. 18 in PLOS ONE.
Increase Seen in Opioid-, Synthetic Opioid-Involved OD Deaths
FRIDAY, Nov. 1, 2019 (HealthDay News) — From 2015 to 2017, there were increases in opioid-involved and synthetic opioid-involved overdose drug rates in nearly all racial/ethnic groups, according to research published in the Nov. 1 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
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