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December 2017 Briefing – Geriatrics

December 2017 Briefing – Geriatrics
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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for December 2017. 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.

More Daily Steps Associated With Thicker Brain Sub-Regions

THURSDAY, Dec. 28, 2017 (HealthDay News) — In older adults with memory complaints but no dementia, higher physical activity (PA) levels are associated with thicker medial temporal lobe (MTL) sub-regions and better cognitive skills, according to a study published online Dec. 12 in the Journal of Alzheimer’s Disease.

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Tips Offered for Patient-Provider Opioid Tapering Talks

THURSDAY, Dec. 28, 2017 (HealthDay News) — Helping patients understand individualized reasons for opioid tapering and encouraging them to provide input into the process are key for patient-provider communications, according to a study published in the November issue of the Journal of Pain.

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Guidelines Developed for Optimizing Treatment of HFrEF

THURSDAY, Dec. 28, 2017 (HealthDay News) — Guidelines have been developed to help optimize treatment of heart failure with reduced ejection fraction (HFrEF), according to an Expert Consensus Decision Pathway published online Dec. 22 in the Journal of the American College of Cardiology.

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Out-of-Pocket Costs Correlate With Receipt of Cancer Care

THURSDAY, Dec. 28, 2017 (HealthDay News) — Across cancers, higher out-of-pocket (OOP) costs are associated with higher rates of oral prescription abandonment and delayed initiation, according to a study published online Dec. 20 in the Journal of Clinical Oncology.

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Variation Seen in Hospice Use for Malignant Glioma

THURSDAY, Dec. 28, 2017 (HealthDay News) — There are noticeable differences in hospice utilization among patients with malignant glioma (MG), with older age, female sex, and urban residence predicting longer length of stay, according to a study published recently in Neuro-Oncology.

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Robot Training Improves Gait Stability in Parkinson’s

THURSDAY, Dec. 28, 2017 (HealthDay News) — Training with a cable-driven robot is associated with improved response to perturbations and increased gait stability among patients with Parkinson’s disease (PD), according to a study published online Dec. 19 in Scientific Reports.

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Three-Quarters Receiving ‘End of Life Option Act’ Drugs Take Them

THURSDAY, Dec. 28, 2017 (HealthDay News) — About three-quarters of patients in California who receive End of Life Option Act (EOLOA) drugs ingest them and die, according to a research letter published online Dec. 26 in JAMA Internal Medicine.

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Calcium, Vitamin D Don’t Seem to Reduce Fracture Risk in Seniors

WEDNESDAY, Dec. 27, 2017 (HealthDay News) — For community-dwelling older adults, supplementation with calcium, vitamin D, or both does not reduce the incidence of fractures, according to a review published in the Dec. 26 issue of the Journal of the American Medical Association.

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Exposure to PM2.5, Ozone at Low Levels Linked to Mortality

WEDNESDAY, Dec. 27, 2017 (HealthDay News) — Short-term exposure to ambient fine particulate matter (PM2.5) and warm-season ozone at levels below current national air quality standards is associated with increased risk of mortality in the U.S. Medicare population, according to a study published in the Dec. 26 issue of the Journal of the American Medical Association.

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Intensive Lifestyle Intervention Linked to Cerebral Blood Flow

WEDNESDAY, Dec. 27, 2017 (HealthDay News) — A long-term intensive lifestyle intervention (ILI) in overweight and obese adults with type 2 diabetes mellitus is associated with greater cerebral blood flow (CBF), according to a study published recently in the Journal of the American Geriatrics Society.

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Multicomponent Strategies Most Effective for BP Control

TUESDAY, Dec. 26, 2017 (HealthDay News) — For patients with hypertension, multilevel, multicomponent strategies, followed by patient-level strategies, are the most effective for blood pressure (BP) control, according to a review published online Dec. 26 in the Annals of Internal Medicine.

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FDA Removes Boxed Warning From Certain Asthma Medications

TUESDAY, Dec. 26, 2017 (HealthDay News) — New evidence regarding safety is spurring the U.S. Food and Drug Administration to remove a Boxed Warning from certain inhaled medications used to treat asthma and chronic obstructive pulmonary disease.

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Higher ω-3 Fatty Acid Intake Tied to Lower Glaucoma Risk

TUESDAY, Dec. 26, 2017 (HealthDay News) — Increased daily intake of ω-3 fatty acids is associated with lower odds of glaucoma, but higher levels of total polyunsaturated fatty acid (PUFA) intake are associated with higher odds of developing glaucoma, according to a study published online Dec. 21 in JAMA Ophthalmology.

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Plasma Volume Changes May Mediate Effects of Empagliflozin

TUESDAY, Dec. 26, 2017 (HealthDay News) — The reduction in risk of cardiovascular (CV) death with empagliflozin is most mediated by changes in hematocrit and hemoglobin, according to research published online Dec. 4 in Diabetes Care.

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Dietary Factors May Play Role in Preserving Lung Function

THURSDAY, Dec. 21, 2017 (HealthDay News) — Intake of fruits and tomatoes may delay decline in lung function, especially in former smokers, according to a study published in the Dec. 1 issue of the European Respiratory Journal.

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Varenicline Linked to Reduction in Heavy Drinking in Men

THURSDAY, Dec. 21, 2017 (HealthDay News) — Varenicline is associated with reduced heavy drinking among men and with increased smoking abstinence, according to a study published online Dec. 20 in JAMA Psychiatry.

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CDC: 2015 to 2016 Saw Drop in Life Expectancy in United States

THURSDAY, Dec. 21, 2017 (HealthDay News) — From 2015 to 2016, life expectancy decreased by one-tenth of a year, and there was an increase in the rate of age-adjusted drug overdose deaths, according to two December data briefs published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

Abstract/Full Text – Kochanek
Abstract/Full Text – Hedegaard

Wearing Amber Lenses Before Bed May Help With Insomnia

THURSDAY, Dec. 21, 2017 (HealthDay News) — For individuals with insomnia symptoms, wearing amber versus clear lenses for two hours before bedtime is associated with improved sleep, according to a study published in the January issue of the Journal of Psychiatric Research.

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Findings Support Comprehensive Approach for Seniors With Cancer

THURSDAY, Dec. 21, 2017 (HealthDay News) — Addressing persistent symptoms, managing comorbidities, promoting leisure-time physical activity, and addressing financial challenges are key in optimizing health-related quality of life (HRQOL) in older adults with cancer, according to a study published online Dec. 18 in Cancer.

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Interruption of Apixaban Doesn’t Impact Bleeding in A-Fib

THURSDAY, Dec. 21, 2017 (HealthDay News) — For patients undergoing catheter ablation for nonvalvular atrial fibrillation (AF), both uninterrupted and minimally interrupted apixaban are associated with a very low rate of thromboembolic events, according to a study published online Dec. 20 in JACC: Clinical Electrophysiology.

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Financial Strain, Stress High Among Colorectal CA Survivors

THURSDAY, Dec. 21, 2017 (HealthDay News) — Four in 10 colorectal cancer survivors report cancer-related financial stress or strain, which is significantly associated with low health-related quality of life, according to a study published in the January issue of Diseases of the Colon & Rectum.

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Herpes Zoster Risk Not Up in Systemically Treated Psoriasis

WEDNESDAY, Dec. 20, 2017 (HealthDay News) — For patients with psoriasis, the risk of herpes zoster (HZ) is not significantly increased for systemically treated patients or for those receiving biologics versus nonbiologics, according to a research letter published online Dec. 20 in JAMA Dermatology.

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Medicare Costs Associated With Mortality Rates in AMI Patients

WEDNESDAY, Dec. 20, 2017 (HealthDay News) — For patients hospitalized with acute myocardial infarction, Medicare expenditure growth is associated with reduced 180-day case fatality, according to a study published online Dec. 20 in JAMA Cardiology.

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Cognitive Benefits Seen With Leafy Green Vegetable Intake

WEDNESDAY, Dec. 20, 2017 (HealthDay News) — Intake of primary nutrients and bioactives in green leafy vegetables is associated with slower cognitive decline, according to a study published online Dec. 20 in Neurology.

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Rheumatic Diseases Associated With Increased Dementia Risk

WEDNESDAY, Dec. 20, 2017 (HealthDay News) — Patients with various rheumatic diseases have an increased risk of dementia, according to a study published online Dec. 15 in the International Journal of Rheumatic Diseases.

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Self-Reported Symptoms in Elderly Predict Readmission

WEDNESDAY, Dec. 20, 2017 (HealthDay News) — Post-discharge symptoms self-reported by frail, elderly adults may predict 30-day hospital readmission and emergency department visits, according to a study published online Dec. 12 in the Journal of the American Geriatrics Society.

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Oral Care Guidelines Can Improve Quality of Oral Health Care

WEDNESDAY, Dec. 20, 2017 (HealthDay News) — Development and implementation of standardized oral care treatment and referral guidelines can improve the overall quality of oral health practice for older sub-acute patients, according to a study published online Dec. 13 in the Journal of Pharmacy Practice and Research.

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Switching Dual Antiplatelet Therapy Beneficial After ACS

WEDNESDAY, Dec. 20, 2017 (HealthDay News) — Switching dual antiplatelet therapy (DAPT) from aspirin plus ticagrelor or prasugrel to aspirin plus clopidogrel after acute coronary syndrome (ACS) provides benefits regardless of initial platelet reactivity, according to a study published in the Dec. 26 issue of JACC: Cardiovascular Interventions.

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Rx Discrepancies Common in Hospital Discharge Summaries

TUESDAY, Dec. 19, 2017 (HealthDay News) — For older patients discharged from a regional hospital, there are frequently discrepancies between the electronic discharge summaries and the National Inpatient Medication Chart (NIMC) or discharge prescription, according to a study published online Dec. 13 in the Journal of Pharmacy Practice and Research.

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STEMI Patient Perceptions Impact Emergency Medical Services Use

TUESDAY, Dec. 19, 2017 (HealthDay News) — ST-elevation myocardial infarction (STEMI) patient perceptions, including those involving the speed of transport and concerns about resource misuse, are an important factor in determining emergency medical services (EMS) use, according to a study published online Dec. 13 in the Journal of Evaluation in Clinical Practice.

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DBS Safe But Not Beneficial in Parkinson’s Dementia

TUESDAY, Dec. 19, 2017 (HealthDay News) — Low-frequency deep brain stimulation of the nucleus basalis of Meynert (NBM DBS) can be safely conducted in patients with Parkinson’s disease dementia, but it does not result in significant improvements in primary cognitive outcomes, according to a study published online Dec. 18 in JAMA Neurology.

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Gingko Biloba Extract Found Effective in Acute Ischemic Stroke

TUESDAY, Dec. 19, 2017 (HealthDay News) — For acute ischemic stroke, Ginkgo biloba extract (GBE) in combination with aspirin alleviates cognitive and neurological deficits, according to a study published online Dec. 18 in Stroke and Vascular Neurology.

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Intensive BP Goals Reduce Risk of Cardiovascular Events

TUESDAY, Dec. 19, 2017 (HealthDay News) — Intensive blood pressure lowering may similarly decrease cardiovascular events in both patients with and patients without type 2 diabetes mellitus, according to a study published online Dec. 6 in Diabetes Care.

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USPSTF Reviews Use of ECG for Preventing A-Fib, CVD Events

TUESDAY, Dec. 19, 2017 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has found that the current evidence is inadequate to assess the benefits and harms of screening with electrocardiogram (ECG) for atrial fibrillation (AF) in older adults; and for low-risk adults, screening with resting or exercise ECG is not recommended for preventing cardiovascular disease (CVD) events. These findings form the basis of two draft recommendation statements published online Dec. 19 by the USPSTF.

Evidence Review – A-FIB
Draft Recommendation Statement – A-FIB
Comment on Recommendation Statement – A-FIB
Evidence Review – CVD
Draft Recommendation Statement – CVD
Comment on Recommendation Statement – CVD

No Magic Bullet for Preventing Late-Life Dementia

MONDAY, Dec. 18, 2017 (HealthDay News) — The evidence of benefit for different types of interventions to prevent late-life dementia is limited, according to four reviews published online Dec. 18 in the Annals of Internal Medicine.

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Male U.S. Doctors Receive Higher Values of Industry Payments

MONDAY, Dec. 18, 2017 (HealthDay News) — Male physicians in the United States received higher values of general payments from industry than females in 2015, according to a research letter published online Dec. 18 in JAMA Internal Medicine.

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Yogurt, But Not Milk, May Lower Hip Fracture Risk

MONDAY, Dec. 18, 2017 (HealthDay News) — High intake of fermented milk products, like yogurt, in combination with a high intake of fruits and vegetables, is associated with lower hip fracture rates in women, according to a study published online Nov. 27 in the Journal of Bone and Mineral Research.

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Year One Results Out for Value-Based Payment Modifier Program

MONDAY, Dec. 18, 2017 (HealthDay News) — Almost 30 percent of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program, according to a report published in the December issue of Health Affairs.

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Payment for Laboratory Tests Set to Reduce Starting Jan. 1, 2018

MONDAY, Dec. 18, 2017 (HealthDay News) — The Centers for Medicare & Medicaid Services (CMS) has released the Clinical Laboratory Fee Schedule, which is set to reduce payments for testing services conducted in physician office-based laboratories, according to a report published by the American Medical Association (AMA).

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Doctors Must Report on at Least 1 Patient, 1 Measure for MACRA

FRIDAY, Dec. 15, 2017 (HealthDay News) — In order to meet the 2017 Medicare and CHIP Reauthorization Act (MACRA) participation reporting deadline and avoid a Medicare payment penalty in 2019, physicians must report on at least one patient and one measure by Dec. 31, and submit to Medicare no later than Feb. 28, 2018, according to a report from the American Medical Association (AMA).

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Pharmacist Participation in Medical Homes Aids Outcomes

FRIDAY, Dec. 15, 2017 (HealthDay News) — A program that integrates clinical pharmacists into established primary care medical home practices helps patients achieve better disease management for high blood pressure (HBP) and diabetes mellitus (DM), compared to usual care, according to a study published recently in the Journal of International Medical Research.

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Flu Vaccine Expected to Protect Against Most U.S. H3N2 Viruses

FRIDAY, Dec. 15, 2017 (HealthDay News) — A novel bioinformatics approach can predict vaccine effectiveness for the influenza season, and indicates that the current vaccines are likely to be effective against H3N2 flu viruses in the U.S. 2017/2018 flu season, according to research published online Nov. 29 in F1000 Research.

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Expanded TIMI Risk Score Deemed Practical in Diabetes

FRIDAY, Dec. 15, 2017 (HealthDay News) — The TIMI (Thrombolysis in Myocardial Infarction) Risk Score for Secondary Prevention (TRS 2°P) is an accurate predictor of atherothrombotic disease among patients with type 2 diabetes, according to a study published online Dec. 1 in Diabetes Care.

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Prevalence of Diabetes Tops 20 Percent Among U.S. Veterans

THURSDAY, Dec. 14, 2017 (HealthDay News) — The overall prevalence of diabetes among U.S. veterans was 20.5 percent in 2013 to 2014, according to a study published online Dec. 14 in the U.S. Centers for Disease Control and Prevention’s Preventing Chronic Disease.

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Making Insurers Participate in Marketplace Could Cut Volatility

THURSDAY, Dec. 14, 2017 (HealthDay News) — Requiring insurers that participate in Medicare or Medicaid to also participate in Marketplaces in the same geographic area could improve access to insurance, according to a study published in the December issue of Health Affairs.

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Telemedicine Facilitates Diabetes Foot Ulcer Care

THURSDAY, Dec. 14, 2017 (HealthDay News) — Telemedicine follow-up enables more comprehensive diabetes foot ulcer care, according to a study published online Nov. 29 in the Journal of Clinical Nursing.

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Serial hsTnT Level IDs Risk of 30-Day Adverse Cardiac Event

WEDNESDAY, Dec. 13, 2017 (HealthDay News) — High-sensitivity troponin (hsTnT) assay can identify patients presenting with suspected acute coronary syndrome at very low risk for 30-day adverse cardiac events (ACE), according to a study published online Dec. 13 in JAMA Cardiology.

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Observation Care Cost Saving in Commercially-Insured Patients

WEDNESDAY, Dec. 13, 2017 (HealthDay News) — Among commercially-insured patients, the cost of observation care has increased, but it is still lower than spending for short-stay hospitalizations, according to a report published in the December issue of Health Affairs.

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Disrupted Sleep Linked to Increased Amyloid-β Production

WEDNESDAY, Dec. 13, 2017 (HealthDay News) — Disrupted sleep is associated with increased amyloid-β production in adults, according to a study published online Dec. 8 in the Annals of Neurology.

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Paramedic-PCP Protocol Can Cut ER Visits for Assisted Living Falls

WEDNESDAY, Dec. 13, 2017 (HealthDay News) — A protocol involving collaboration between paramedics and primary care physicians could help prevent transport to the emergency department for residents of assisted living facilities who have fallen, according to a study published online Dec. 12 in the Annals of Internal Medicine.

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Amount of Opioids Prescribed After Hospital Discharge Varies

WEDNESDAY, Dec. 13, 2017 (HealthDay News) — For postoperative patients there is considerable variation in the amount of opioids prescribed at hospital discharge, according to research published online Dec. 13 in JAMA Surgery.

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Measuring Quality of Life Important With Diabetes Tx

WEDNESDAY, Dec. 13, 2017 (HealthDay News) — Patients with diabetes report worse quality of life (QoL) with more intensified treatment, according to a study published in online Nov. 28 in Diabetes Care.

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C. Difficile + Kidney Injury Admissions Are Up

WEDNESDAY, Dec. 13, 2017 (HealthDay News) — Hospital admissions of patients with Clostridium difficile infection (CDI) and accompanying acute kidney injury (AKI) are increasing, according to a study published online Dec. 4 in the Journal of Gastroenterology and Hepatology.

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Findings Support Individualized Glycemic Control in T2DM

TUESDAY, Dec. 12, 2017 (HealthDay News) — An individualized approach to glycemic control in type 2 diabetes is likely to reduce costs and improve quality of life, according to a study published online Dec. 12 in the Annals of Internal Medicine.

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Atherosclerosis ID’d in Many Without CV Risk Factors

TUESDAY, Dec. 12, 2017 (HealthDay News) — Many individuals without cardiovascular risk factors (CVRFs) have atherosclerosis, with low-density lipoprotein cholesterol (LDL-C) independently associated with the presence and extent of atherosclerosis, according to a study published in the Dec. 19 issue of the Journal of the American College of Cardiology.

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Cognitive Status Doesn’t Impact Cortical Aβ, Tau in Parkinson’s

TUESDAY, Dec. 12, 2017 (HealthDay News) — Patterns of cortical β-amyloid (Aβ) and tau are not different for patients with Parkinson’s disease (PD) who are cognitively normal (PD-CN) or with mild cognitive impairment (MCI) and for healthy adults, according to a study published online Dec. 11 in JAMA Neurology.

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USPSTF Recommends Against Hormone Tx Post Menopause

TUESDAY, Dec. 12, 2017 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends against use of hormone therapy for preventing chronic conditions in postmenopausal women. These findings form the basis of a final recommendation statement published in the Dec. 12 issue of the Journal of the American Medical Association.

Recommendation Statement
Evidence Report
Editorial 1
Editorial 2
Editorial 3

CABG May Be Best Method to Revascularize in Diabetes

TUESDAY, Dec. 12, 2017 (HealthDay News) — In patients with diabetes and multivessel coronary artery disease (MV-CAD), coronary artery bypass grafting (CABG) may be the preferred method of revascularization, with lower rates of major adverse cardiac or cerebrovascular events (MACCE), according to a study published in the Dec. 19 issue of the Journal of the American College of Cardiology.

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CAPABLE Program Saves Money for Seniors With Disability

TUESDAY, Dec. 12, 2017 (HealthDay News) — The five-month Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program is associated with lower Medicaid spending, according to a study published online Nov. 22 in the Journal of the American Geriatrics Society.

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Allopurinol Rx More Likely With Eligibility at Diagnosis

TUESDAY, Dec. 12, 2017 (HealthDay News) — Allopurinol prescribing is more likely if patients meet eligibility criteria at diagnosis, according to a research brief published in the November/December issue of the Annals of Family Medicine.

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In-Hospital Deaths in A-Fib Patients Higher in Rural Areas

MONDAY, Dec. 11, 2017 (HealthDay News) — In-hospital mortality among patients with atrial fibrillation (AF) is higher in rural hospitals than in urban hospitals, according to a study published online Dec. 11 in Heart Rhythm.

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Few Patients, Providers Discuss Costs of Glaucoma Medications

MONDAY, Dec. 11, 2017 (HealthDay News) — Few patients have conversations with providers about the cost of glaucoma medications, according to research published in the December issue of Optometry and Vision Science.

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Deceleration in Health Care Spending Growth in 2016

MONDAY, Dec. 11, 2017 (HealthDay News) — Health care spending growth slowed in 2016 following faster growth in 2014 and 2015, according to research published online Dec. 6 in Health Affairs.

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Dopamine Receptor Antagonist Antipsychotic Tx Can Affect BP

FRIDAY, Dec. 8, 2017 (HealthDay News) — Use of dopaminergic antagonists and agonists can affect blood pressure (BP), according to a review published online Nov. 8 in the Journal of Clinical Pharmacy and Therapeutics.

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ORBIT Bleeding Risk Score Performs Best in A-Fib

FRIDAY, Dec. 8, 2017 (HealthDay News) — Four contemporary clinical bleeding risk scores are able to identify atrial fibrillation (AF) patients at risk for major bleeding and life-threatening bleeding, according to a study published online Nov. 7 in the Journal of Internal Medicine.

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Novel Subcutaneous Furosemide May Be Option in Heart Failure

FRIDAY, Dec. 8, 2017 (HealthDay News) — A novel, pH-neutral furosemide formulation administered subcutaneously (SC) in outpatients with worsening heart failure appears to be safe and effective, according to a study published online Dec. 6 in JACC: Heart Failure.

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Influenza Picking Up in U.S., Predominantly A(H3N2)

FRIDAY, Dec. 8, 2017 (HealthDay News) — Influenza activity was low during October 2017 but started increasing in November, with influenza A, predominantly A(H3N2), most commonly identified, according to research published in the Dec. 8 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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15 Million Americans Expected to Have Alzheimer’s by 2060

THURSDAY, Dec. 7, 2017 (HealthDay News) — A total of 15.0 million Americans are expected to have clinical Alzheimer’s disease (AD) or mild cognitive impairment by 2060, according to a study published online Dec. 7 in Alzheimer’s & Dementia.

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MedDiet Adherence Doesn’t Affect Acute Heart Failure Mortality

THURSDAY, Dec. 7, 2017 (HealthDay News) — For patients with acute heart failure, adherence to the Mediterranean diet (MedDiet) does not influence long-term mortality, according to a study published online Dec. 6 in JACC: Heart Failure.

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Moving More May Match Focused Exercise in Prediabetes

THURSDAY, Dec. 7, 2017 (HealthDay News) — The accumulation of total physical activity (PA) over the day may be as important as achieving the intensity of moderate-to-vigorous PA (MVPA) for improved cardiometabolic health of adults with prediabetes, according to a study published online Nov. 20 in Diabetes Care.

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Metabolic Risk Factors Linked to Severe Liver Disease

THURSDAY, Dec. 7, 2017 (HealthDay News) — Metabolic risk factors are associated with severe liver disease, according to a study published online Nov. 22 in Hepatology.

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Educational Video Helps Hairdressers Better ID Melanoma

WEDNESDAY, Dec. 6, 2017 (HealthDay News) — A brief educational video could be beneficial for increasing hairdresser knowledge of melanoma and self-confidence in skin lesion detection, according to a research letter published online Dec. 6 in JAMA Dermatology.

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Traffic Pollution Prevents Cardiac Benefits of Walking

WEDNESDAY, Dec. 6, 2017 (HealthDay News) — The beneficial cardiopulmonary effects of walking are attenuated when walking in a traffic polluted area, according to a study published online Dec. 5 in The Lancet.

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Program Aids Quality of Life for Older Adults With T2DM

WEDNESDAY, Dec. 6, 2017 (HealthDay News) — A community-based program improves quality of life and self-management in older adults with type 2 diabetes mellitus (T2DM) and comorbidities, according to a study published online Nov. 27 in the Journal of the American Geriatrics Society.

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In CAD With GI Bleeding, Higher Mortality With Triple Therapy

WEDNESDAY, Dec. 6, 2017 (HealthDay News) — For patients with lower gastrointestinal bleeding (LGIB) and coronary artery disease (CAD), triple therapy is associated with increased risk of mortality at 90 days after adjustment for confounding variables, according to a study published online Nov. 20 in the Journal of Gastroenterology and Hepatology.

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30-Day Mortality No Different for Treatment by Locum Tenens

TUESDAY, Dec. 5, 2017 (HealthDay News) — Overall 30-day mortality does not differ for patients treated by locum tenens and non-locum tenens internal medicine physicians, according to a study published in the Dec. 5 issue of the Journal of the American Medical Association.

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More Men Than Women With Parkinson’s Have Caregivers

TUESDAY, Dec. 5, 2017 (HealthDay News) — For patients with Parkinson’s disease (PD), more men than women have a caregiver, and greater strain is reported for caregivers of men, according to a study published online Dec. 1 in Neurology.

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About One in Six Readmitted Post-Revascularization for PAD

TUESDAY, Dec. 5, 2017 (HealthDay News) — For patients with peripheral arterial disease who are discharged following peripheral arterial revascularization, 17.6 percent have 30-day nonelective readmission, according to a study published online Dec. 5 in the Annals of Internal Medicine.

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Lipid-Linked Genetic Risk Tied to Abdominal Aortic Aneurysm

TUESDAY, Dec. 5, 2017 (HealthDay News) — Lipid-associated genetic risk correlates with the risk of abdominal aortic aneurysm (AAA), according to a study published online Nov. 29 in JAMA Cardiology.

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CVS-Aetna Merger Has Implications for Doctors’ Offices

TUESDAY, Dec. 5, 2017 (HealthDay News) — CVS Health’s planned purchase of insurance giant Aetna, a $69 billion deal, was announced Sunday.

More Information – NYT
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Relevant Health Care Price Info Hard to Find Online

MONDAY, Dec. 4, 2017 (HealthDay News) — Overall, 17 percent of websites provide geographically relevant health care price estimates relating to specific interventions, according to a research letter published online Dec. 4 in JAMA Internal Medicine.

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Risk of Surgical Complications Up for Overlapping Hip Surgery

MONDAY, Dec. 4, 2017 (HealthDay News) — For patients undergoing surgery for hip fracture or total hip arthroplasty (THA), overlapping surgery is associated with increased risk of surgical complications, according to a study published online Dec. 4 in JAMA Internal Medicine.

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Adherence to T2DM Treatment Varies Across Medication Classes

MONDAY, Dec. 4, 2017 (HealthDay News) — There is considerable variation in adherence across medication classes for the treatment of type 2 diabetes (T2D), according to a review published online Nov. 14 in Diabetes, Obesity and Metabolism.

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Specialty Care Tied to Reduced Mortality in New-Onset A-Fib

MONDAY, Dec. 4, 2017 (HealthDay News) — Cardiologist care is associated with a lower rate of death in patients with new-onset atrial fibrillation (AF), according to a study published in the December issue of the Canadian Journal of Cardiology.

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Memory Scores Limited As Alzheimer’s Screening Tool

MONDAY, Dec. 4, 2017 (HealthDay News) — Low memory scores are an early marker of amyloid positivity, but have limited value as a screening measure for early Alzheimer’s disease among persons without dementia, according to a study published online Nov. 29 in JAMA Psychiatry.

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Odds for Carotid Artery Stenting in Seniors Up Post-CREST Era

MONDAY, Dec. 4, 2017 (HealthDay News) — The odds of carotid artery stenting (CAS) have increased in the post-Carotid Revascularization Endarterectomy vs Stenting Trial (CREST) era, despite safety concerns for patients older than 70 years, according to a study published online Dec. 4 in JAMA Neurology.

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Oral Microbiome Composition Linked to Esophageal Cancer Risk

MONDAY, Dec. 4, 2017 (HealthDay News) — Oral microbiome composition is associated with the risk of esophageal adenocarcinoma (EAC) and esophageal squamous cell carcinoma (ESCC), according to a study published online Dec. 1 in Cancer Research.

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Almonds With/Without Chocolate May Improve Lipid Profiles

FRIDAY, Dec. 1, 2017 (HealthDay News) — Eating raw almonds, dark chocolate, and cocoa can significantly improve lipid profiles of overweight and obese people, according to a small study published online Nov. 29 in the Journal of the American Heart Association.

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ACC Guides Treatment of Bleeding With Oral Anticoagulation

FRIDAY, Dec. 1, 2017 (HealthDay News) — A decision pathway has been developed to guide management of acute bleeding in patients treated with oral anticoagulants (OACs); the decision pathway was published online Dec. 1 in the Journal of the American College of Cardiology.

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Differences in Cancer Survival by Type of Insurance

FRIDAY, Dec. 1, 2017 (HealthDay News) — From 1997 to 2014, improvements in cancer survival were mainly limited to patients with private or Medicare insurance, according to a study published online Nov. 30 in JAMA Oncology.

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>40% of Cancers, Cancer Deaths Due to Modifiable Risk Factors

FRIDAY, Dec. 1, 2017 (HealthDay News) — An estimated 42.0 percent of all incident cancers and 45.1 percent of cancer deaths in the United States are attributed to potentially modifiable risk factors, according to a study published online Nov. 21 in CA: A Cancer Journal for Clinicians.

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Storage in Dose Administration Aids Doesn’t Affect Warfarin

FRIDAY, Dec. 1, 2017 (HealthDay News) — The chemical stability of warfarin sodium tablets is not affected by repackaging into dose administration aids (DAAs), according to a study published online Nov. 16 in the Journal of Pharmacy Practice and Research.

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