Here are what the editors at HealthDay consider to be the most important developments in Hematology & Oncology for July 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.

Learning to Change Important for Improving Practice

TUESDAY, July 31, 2018 (HealthDay News) — Although physicians typically struggle with change, relying on habits created in their practice, learning to change is important in order to improve practices and better deal with the changes sweeping through medicine, according to an article published in Medical Economics.

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FDA Approves Azedra for Rare Adrenal Tumors

TUESDAY, July 31, 2018 (HealthDay News) — Azedra (iobenguane) has been approved by the U.S. Food and Drug Administration to treat people 12 and older with rare adrenal gland tumors (pheochromocytoma or paraganglioma) that can’t be surgically removed and have spread beyond the original site.

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Front Desk Staff Can Set Up a Practice for Successful Billing

TUESDAY, July 31, 2018 (HealthDay News) — Allowing front desk staff adequate time and an uninterrupted environment to focus on billing can prevent problems later on, according to an article published in Physicians Practice.

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Lay Health Workers Can Improve End-of-Life Cancer Care

TUESDAY, July 31, 2018 (HealthDay News) — Incorporating lay health workers (LHWs) into cancer care increases documentation of goals of care, and can improve patient satisfaction and reduce health care use at the end of life, according to a study published online July 26 in JAMA Oncology.

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Few Published Programs Address Medical Trainee Mistreatment

TUESDAY, July 31, 2018 (HealthDay News) — There are very few published descriptions of programs that address the mistreatment of medical trainees, according to a review published online July 27 in JAMA Network Open.

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Demonstrating Clinical Use Will Speed Genomic Screening

TUESDAY, July 31, 2018 (HealthDay News) — Introduction of genomic screening (GS) into routine health care is dependent on demonstration of clinical utility, which will be quicker with use of more data, according to an Ideas and Opinions piece published online July 31 in the Annals of Internal Medicine.

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Medical Boards May Contribute to Mental Health Stigma for Doctors

MONDAY, July 30, 2018 (HealthDay News) — Existing policy has been amended to encourage licensing boards to require disclosure of physical or mental health conditions only when these would negatively impact a physicians’ ability to practice medicine, according to an article published in the American Medical Association’s AMA Wire.

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Four Strategies Help Doctors Make Personal, Professional Gains

MONDAY, July 30, 2018 (HealthDay News) — In an article published in Physicians Practice, four strategies are presented to help physicians make personal and professional gains.

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Acupuncture May Cut Arthralgia From Aromatase Inhibitors

MONDAY, July 30, 2018 (HealthDay News) — Acupuncture may cut joint pain among postmenopausal women with early-stage breast cancer and aromatase inhibitor-related pain, according to a study published in the July 10 issue of the Journal of the American Medical Association.

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Young Cancer Survivors Have High Risk of Endocrine Diseases

MONDAY, July 30, 2018 (HealthDay News) — Adolescent and young adult cancer survivors have a 73 percent higher risk of endocrine diseases, according to a study published online June 29 in JAMA Network Open.

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Aldehydes Dominant Carcinogen in Tobacco Smoke

FRIDAY, July 27, 2018 (HealthDay News) — Aldehydes are the major carcinogens in tobacco smoke, according to a study published online June 18 in the Proceedings of the National Academy of Sciences.

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Assessing, Improving Patient Satisfaction Cuts Malpractice Risk

THURSDAY, July 26, 2018 (HealthDay News) — Assessing and improving patient satisfaction can help physicians avoid being sued for malpractice, according to an article published in Physicians Practice.

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Insurers May Be Underpaying Doctors

THURSDAY, July 26, 2018 (HealthDay News) — Insurance companies sometimes underpay doctors the contracted amount for a service or procedure, according to an article published in Medical Economics.

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FDA Approves Magnetic System for Guiding Lymph Node Biopsies

WEDNESDAY, July 25, 2018 (HealthDay News) — A magnetic system for guiding lymph node biopsies in patients with breast cancer undergoing mastectomy has been approved by the U.S. Food and Drug Administration.

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Many U.S. Adults View Marijuana Use Positively

WEDNESDAY, July 25, 2018 (HealthDay News) — Most U.S. adults believe that marijuana has at least one benefit, according to a study published online July 24 in the Annals of Internal Medicine.

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Tools, Methods of RCTs Can Be Adapted to Real-World Settings

WEDNESDAY, July 25, 2018 (HealthDay News) — Use of appropriate statistical methodology can allow for the synthesis of data collected as part of traditional clinical trials with real-world data, according to an Ideas and Opinions piece published online July 24 in the Annals of Internal Medicine.

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HerbList App Launched to Provide Information on Herbal Products

WEDNESDAY, July 25, 2018 (HealthDay News) — The National Institutes of Health’s National Center for Complementary and Integrative Health (NCCIH) has announced the launch of an app for easy access to research-based information on the safety and effectiveness of herbal products.

NIH Press Release
Herbs at a Glance

Physicians and Practices Should Prepare for Emergencies

TUESDAY, July 24, 2018 (HealthDay News) — Practices and physicians should prepare for emergency situations, such as natural disasters, network communications failures, and active shooter situations, according to an article published in Medical Economics.

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FDA Grants First Approval for CA Drug Under New Pilot Programs

TUESDAY, July 24, 2018 (HealthDay News) — The U.S. Food and Drug Administration has approved ribociclib (Kisqali) in combination with an aromatase inhibitor (AI) as an initial endocrine-based therapy for the treatment of pre/perimenopausal or postmenopausal women with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer.

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HPV Vaccine Eliminates Advanced Skin Cancer in 97-Year-Old

TUESDAY, July 24, 2018 (HealthDay News) — The 9-valent human papillomavirus (HPV) vaccine could be a therapeutic option for patients with cutaneous squamous cell carcinoma when surgical management is not an option, according to a case report published online July 3 in JAMA Dermatology.

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VA MISSION Act May Up Costs, Lower Vet Health Care Quality

TUESDAY, July 24, 2018 (HealthDay News) — The Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act may increase costs and reduce quality of health care for veterans, according to an Ideas and Opinions piece published online July 24 in the Annals of Internal Medicine.

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Alcohol, Tobacco Consumption Tied to Cancer Mortality

TUESDAY, July 24, 2018 (HealthDay News) — Alcohol consumption per capita is positively associated with overall cancer mortality among older men and women over a 20-year period, according to a study published online July 13 in JAMA Network Open.

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Monthly Vitamin D Supplement May Not Cut Cancer Risk

MONDAY, July 23, 2018 (HealthDay News) — Monthly high-dose vitamin D supplementation may not prevent the risk of cancer among adults aged 50 to 84 years, according to a study published online July 19 in JAMA Oncology.

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Walmart Generic Drug Discounts Often Offer More Patient Savings

MONDAY, July 23 2018 (HealthDay News) — Walmart’s Generic Drug Discount Program (GDDP), which sells many commonly used generic medications for $4 per 30-day supply, offers savings over Medicare for some generic cardiovascular medications, according to a research letter published online July 24 in the Annals of Internal Medicine.

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FDA Approves Tibsovo for Acute Myeloid Leukemia

MONDAY, July 23, 2018 (HealthDay News) — Tibsovo (ivosidenib) tablets have been approved by the U.S. Food and Drug Administration to treat relapsed or refractory acute myeloid leukemia (AML) among people with a defective IDH1 gene.

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Medical Organizations Must Address Sexual Harassment

MONDAY, July 23, 2018 (HealthDay News) — Medical institutions and organizations need to ensure there are proactive interventions to transform the workplace in order to address sexual harassment and discrimination, according to an article published in the American Medical Association’s AMA Wire.

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FDA Warns Against Risks of Contaminated Synthetic Cannabis

MONDAY, July 23, 2018 (HealthDay News) — Users of synthetic marijuana products and health care providers should be aware of the risk of bleeding associated with contamination of synthetic cannabinoid products with brodifacoum, according to the U.S. Food and Drug Administration.

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Embezzlement Not Uncommon in Medical Practices

MONDAY, July 23, 2018 (HealthDay News) — Embezzlement occurs frequently in medical practices and steps should be taken to prevent it, according to an article published in Medical Economics.

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Guidelines Conflict for Long-Term Opioid Tx in Cancer Survivors

MONDAY, July 23, 2018 (HealthDay News) — Evidence is lacking about the need for and outcomes of long-term opioid therapy in cancer survivors, and contemporary guidelines offer conflicting recommendations, according to a viewpoint article recently published online in JAMA Oncology.

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Increased Coverage in States With Medicaid Expansion

FRIDAY, July 20, 2018 (HealthDay News) — Coverage rates and access to care are significantly higher in states with Medicaid expansion, compared with non-expansion states, according to a study published in the July issue of Health Affairs.

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Complementary Medicine Use Ups Refusal of Usual Cancer Therapy

FRIDAY, July 20, 2018 (HealthDay News) — Patients with cancer who receive complementary medicine (CM) are more likely to refuse conventional cancer treatment (CCT), according to a study published online July 19 in JAMA Oncology.

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Liver Disease-Related Deaths Up Sharply From 1999 to 2016

THURSDAY, July 19, 2018 (HealthDay News) — Liver disease-related deaths, particularly due to cirrhosis, have been increasing in the United States since 2009, according to a study published online July 18 in The BMJ.

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Same-Day Appointment System Implemented in Health Network

THURSDAY, July 19, 2018 (HealthDay News) — A same-day appointment system can feasibly be introduced, according to the experiences of one health network presented in an article published in Managed Healthcare Executive.

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Both High and Low Uric Acid Levels Tied to Higher Mortality

THURSDAY, July 19, 2018 (HealthDay News) — Both high and low uric acid levels are associated with an increased risk of dying, according to a study published in the July issue of Arthritis & Rheumatology.

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Link for Asbestos-Free Talcum Powder, Cancer Not Clear

THURSDAY, July 19, 2018 (HealthDay News) — Talcum powder, made from talc, which contains asbestos is considered carcinogenic to humans, while the carcinogenicity of talc without asbestos is unclear, according to the American Cancer Society.

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Hand-Holding, Stress Ball Don’t Cut Anxiety in Skin CA Removal

THURSDAY, July 19, 2018 (HealthDay News) — Hand-holding and squeezing a stress ball do not provide anxiety reduction among patients during excisional removal of non-melanoma skin cancer, according to a study published online July 18 in JAMA Dermatology.

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L-Glutamine Reduces Number of Pain Crises in Sickle Cell Disease

THURSDAY, July 19, 2018 (HealthDay News) — For patients with sickle cell-related pain, those receiving oral therapy with L-glutamine have a lower median number of pain crises, according to a study published in the July 19 issue of the New England Journal of Medicine.

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Patients Care About the Clothes Doctors Wear

THURSDAY, July 19, 2018 (HealthDay News) — Patients do in fact care what doctors wear, according to a study recently published in BMJ Open.

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Seven Strategies Can Help Practices Manage Staff Time Off

WEDNESDAY, July 18, 2018 (HealthDay News) — Several strategies can be implemented to help address management of staff time off, allowing mutual respect for the employee and employer requests, according to an article published in Medical Economics.

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Australian Researchers Develop First Blood Test for Melanoma

WEDNESDAY, July 18, 2018 (HealthDay News) — The first blood test to detect melanoma skin cancer in its early stages has been created, according to a study published in the July 17 issue of Oncotarget.

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Overall Cancer Mortality Rates Decreasing for Men and Women

WEDNESDAY, July 18, 2018 (HealthDay News) — Cancer incidence rates have decreased among men but remained stable among women, while cancer death rates are decreasing for both men and women, according to a report published in the July 1 issue of Cancer.

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Risk of CRC, Non-CRC Death Up With Positive Fecal Hb Test

WEDNESDAY, July 18, 2018 (HealthDay News) — Individuals with a positive fecal hemoglobin (f-Hb) test result have an increased risk of dying from colorectal cancer (CRC) and non-CRC causes, according to a study published online July 16 in Gut.

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CDC: ‘Tips’ Campaign Has Helped a Number of Smokers Quit

WEDNESDAY, July 18, 2018 (HealthDay News) — The ongoing Tips from Former Smokers (Tips) campaign, which features stories of former smokers living with smoking-related diseases and disabilities, has had a considerable impact, according to a report from the U.S. Centers for Disease Control and Prevention.

Impact of the Campaign
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Trials Supporting FDA Approval of Breakthrough Drugs Examined

TUESDAY, July 17, 2018 (HealthDay News) — Pivotal trials supporting U.S. Food and Drug Administration approvals granted Breakthrough Therapy designation often lack randomization, double-blinding, and control groups, according to a research letter published in the July 17 issue of the Journal of the American Medical Association.

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Alternative Payment Models Should Include Precision Medicine

TUESDAY, July 17, 2018 (HealthDay News) — The American Medical Association has committed to working to integrate precision medicine into alternative payment models (APMs), according to an article published in the association’s AMA Wire.

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Higher Risk of In-Situ Breast CA, Ovarian Tumors With Fertility Tx

TUESDAY, July 17, 2018 (HealthDay News) — For women undergoing assisted reproduction, there is no increased risk of corpus uteri or invasive breast cancer, but there is an increased risk of ovarian cancer and in situ breast cancer, according to a study published online July 11 in The BMJ.

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FDA Establishes New Task Force on Drug Shortages

TUESDAY, July 17, 2018 (HealthDay News) — In a recent statement, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced the formation of a new drug shortages task force to thoroughly explore the reasons why drug shortages remain a persistent challenge.

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Adoption of EHR Linked to Reduction in Mortality Rates

MONDAY, July 16, 2018 (HealthDay News) — Adoption of electronic health records (EHRs) is associated with a reduction in mortality rates in U.S. hospitals, according to a study published in the July issue of Health Affairs.

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eCare Plan Set to Improve Doctor/Pharmacist Relationship

MONDAY, July 16, 2018 (HealthDay News) — The Pharmacist eCare Plan is designed to improve communication between pharmacists and physicians by allowing documentation to be available via electronic health records (EHRs), according to an article published online in Drug Topics.

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Physician Burnout Tied to Higher Risk of Medical Errors

MONDAY, July 16, 2018 (HealthDay News) — Physician burnout, fatigue, and work-unit safety grades are independently associated with medical errors, according to a study published online July 9 in the Mayo Clinic Proceedings.

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Jury Awards $4.62B in Johnson & Johnson Talcum Powder Lawsuit

FRIDAY, July 13, 2018 (HealthDay News) — A jury says Johnson & Johnson must pay $4.62 billion to 22 women who allege they developed ovarian cancer after using the company’s Baby Powder and Shower to Shower brand talcum powder as part of their daily feminine hygiene routine.

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Virtual Assistants Not HIPAA Compliant

FRIDAY, July 13, 2018 (HealthDay News) — Virtual assistant programs like Google Assistant, Siri, and Alexa are not yet in compliance with the Health Insurance Portability and Accountability Act (HIPAA), warns an article published in Medical Economics.

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Higher Vitamin D Levels May Lower Breast Cancer Risk

FRIDAY, July 13, 2018 (HealthDay News) — Higher levels of vitamin D may be protective against breast cancer, according to a study published online June 15 in PLOS ONE.

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Gender Bias in Medicine Has Far-Reaching Consequences

FRIDAY, July 13, 2018 (HealthDay News) — Overlooking women in medicine can have far-reaching consequences, according to a perspective piece published in the June 14 issue of the New England Journal of Medicine.

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AMA Aims to Boost Affordability of ACA Marketplace Plans

THURSDAY, July 12, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted policy to increase the number of people who obtain coverage through the Affordable Care Act (ACA) by making marketplace plans more affordable.

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2001 to 2015 Saw Decline in Self-Employment in Health Care

THURSDAY, July 12, 2018 (HealthDay News) — From 2001 to 2015 there was a decrease in the percentage of health care professionals who are self-employed and a decrease in the earning gap between self-employed and employed health care professionals, according to a study published online July 12 in JAMA Network Open.

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Patient Experience Officers Can Play Key Role in Medical Offices

THURSDAY, July 12, 2018 (HealthDay News) — A patient experience officer is an increasingly important new role in physician practices, according to an article recently published in Physicians Practice.

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Polio-Rhinovirus Promising for Malignant Glioma Patients

THURSDAY, July 12, 2018 (HealthDay News) — Intratumoral infusion of recombinant nonpathogenic polio-rhinovirus chimera (PVSRIPO) can be delivered safely and is tied to higher survival rates than those of historical controls, according to a study published in the July 12 issue of the New England Journal of Medicine.

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Peer-Led Education Helps Physicians Save Time With EHRs

THURSDAY, July 12, 2018 (HealthDay News) — A peer-based education program can improve the efficiency of electronic health record (EHR) use, according to an article published in the American Medical Association’s AMA Wire.

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Attending Surgeon Influences Genetic Testing in Breast Cancer

WEDNESDAY, July 11, 2018 (HealthDay News) — The attending surgeon is associated with variation in the receipt of genetic testing after breast cancer diagnosis, according to a study published online July 3 in JAMA Surgery.

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Advanced Prostate Cancer Variant More Common Than Thought

WEDNESDAY, July 11, 2018 (HealthDay News) — The incidence of treatment-emergent small-cell neuroendocrine prostate cancer (t-SCNC) is 17 percent among patients with metastatic castration-resistant prostate cancer (mCRPC), and many t-SCNC biopsy specimens have androgen receptor (AR) amplification and protein expression, according to a study published online July 9 in the Journal of Clinical Oncology.

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Apixaban Is Safest Direct Oral Anticoagulant Versus Warfarin

WEDNESDAY, July 11, 2018 (HealthDay News) — Apixaban seems to be the safest direct oral anticoagulant (DOAC) compared with warfarin, according to a study published July 4 in The BMJ.

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Misleading Popular Videos Impact Attitudes About Tobacco

TUESDAY, July 10, 2018 (HealthDay News) — Misleading portrayals of tobacco’s health consequences in popular YouTube videos can increase positivity toward featured products including hookahs and electronic cigarettes (e-cigarettes), according to a study published in the June issue of the Journal of Medical Internet Research.

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International Group Develops Best Practices for Drug Packaging

TUESDAY, July 10, 2018 (HealthDay News) — Nine new drug labeling and packaging guidelines have been developed with an aim of reducing medication errors, according to a report published in Drug Topics.

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AMA Calls for Inclusive Family, Medical Leave Policies

TUESDAY, July 10, 2018 (HealthDay News) — The American Medical Association (AMA) calls for inclusive family and medical leave policies to support lesbian, gay, bisexual, transgender, and queer (LGBTQ) workers who care for relatives, spouses, and partners.

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Error Rate 7.4 Percent in Speech Recognition-Assisted Notes

TUESDAY, July 10, 2018 (HealthDay News) — The error rate in speech recognition (SR)-assisted documentation is 7.4 percent, according to a study published online July 6 in JAMA Network Open.

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Patient Interest Fairly High for Melanoma Genetic Risk Testing

TUESDAY, July 10, 2018 (HealthDay News) — There is moderately high interest in genetic testing for melanoma risk among the general population, according to a study published in the June issue of JAMA Dermatology.

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Transfeminine Persons Have Increased VTE Incidence

TUESDAY, July 10, 2018 (HealthDay News) — Transfeminine individuals have increased rates of venous thromboembolism (VTE) compared with cisgender men and cisgender women, with more pronounced differences for those initiating hormone therapy, according to research published online July 10 in the Annals of Internal Medicine.

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Red Cross Issues Nationwide Call for Blood Donations

MONDAY, July 9, 2018 (HealthDay News) — Following a blood shortage triggered by the Fourth of July holiday week, the American Red Cross has called for donations of all blood types, but especially type O.

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FDA Drops Zika Testing for Blood Donors

MONDAY, July 9, 2018 (HealthDay News) — Individual blood donations will no longer need to be tested for the Zika virus, according to the U.S. Food and Drug Administration.

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UV Protection Methods Low in Individuals With Skin of Color

MONDAY, July 9, 2018 (HealthDay News) — Many individuals with skin of color do not know that they need comprehensive photoprotection to prevent skin cancer and photoaging, according to an article published in Dermatology Times.

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Risk-Stratified Breast Cancer Screening Ups Cost-Effectiveness

FRIDAY, July 6, 2018 (HealthDay News) — Risk-stratified breast screening improves the cost-effectiveness of screening, according to a study published online July 5 in JAMA Oncology.

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IT Solutions for Easier EHRs Save Physicians Time, Burnout

FRIDAY, July 6, 2018 (HealthDay News) — Yale Medicine is effectively targeting electronic health record (EHR) use and functionality as a way to improve physician job satisfaction and reduce burnout, according to an article published in the American Medical Association’s AMA Wire.

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Skin Cancer Risk Higher in Military Personnel

FRIDAY, July 6, 2018 (HealthDay News) — There is an increased risk for skin cancer among U.S. active duty service members and veterans, according to a review published in the June issue of the Journal of the American Academy of Dermatology.

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Decrease in Mean Platelet Counts Seen During Pregnancy

FRIDAY, July 6, 2018 (HealthDay News) — All women have a decrease in mean platelet counts during pregnancy, according to a study published in the July 5 issue of the New England Journal of Medicine.

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Cabozantinib Improves Survival in Advanced Hepatocellular Cancer

FRIDAY, July 6, 2018 (HealthDay News) — Cabozantinib results in significantly longer overall and progression-free survival than placebo among patients with advanced hepatocellular carcinoma, according to a study published in the July 5 issue of the New England Journal of Medicine.

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Health Gains, Cost Savings Projected for Sodium Goals

FRIDAY, July 6, 2018 (HealthDay News) — Substantial health gains and cost savings could be achieved with implementation and achievement of the U.S. Food and Drug Administration sodium reformulation targets, according to a study recently published in PLOS Medicine.

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WHO Calls for Renewed Effort to Combat Chronic Disease

THURSDAY, July 5, 2018 (HealthDay News) — The World Health Organization (WHO) Independent High-Level Commission has proposed six recommendations to address the growing epidemic of non-communicable diseases (NCDs), according to a report published online June 1 in The Lancet.

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Hospitals Face $218B in Federal Payment Cuts From 2010 to 2028

THURSDAY, July 5, 2018 (HealthDay News) — Cumulative reductions in federal payments to hospitals from 2010 to 2028 are estimated to reach $218.2 billion, according to a study commissioned by the Federation of American Hospitals and the American Hospital Association (AHA).

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Patient Complaints Mainly About Rudeness, Rushing, Reproach

THURSDAY, July 5, 2018 (HealthDay News) — Understanding patients’ complaints about practice can be instructive for physicians, according to an article published June 6 in Physicians Practice.

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Patients Comfortable With Doctors Having Tattoos, Piercings

THURSDAY, July 5, 2018 (HealthDay News) — Patients do not appear to mind if doctors have tattoos or piercings, according to a study published online July 2 in the Emergency Medicine Journal.

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22.9 Percent of U.S. Adults Meet Aerobic, Strength Activity Goals

THURSDAY, July 5, 2018 (HealthDay News) — In 2010 to 2015, 22.9 percent of U.S. adults aged 18 to 64 met the guidelines for both aerobic and muscle-strengthening activities during leisure-time physical activity (LTPA), according to a study published in the June 28 issue of the National Health Statistics Reports.

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HPV Cervical CA Screening Cuts Odds of Later CIN3+ Diagnosis

TUESDAY, July 3, 2018 (HealthDay News) — The use of primary human papillomavirus (HPV) testing versus cytology results in reduced likelihood of cervical intraepithelial neoplasia (CIN) grade 3 or worse (CIN3+) at 48 months, according to a study published in the July 3 issue of the Journal of the American Medical Association.

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Automated Bone Scan Index Prognostic for Prostate Cancer

TUESDAY, July 3, 2018 (HealthDay News) — The automated Bone Scan Index (aBSI) is an independent prognostic imaging biomarker of overall survival (OS) in metastatic castration-resistant prostate cancer (mCRPC), according to a study published online May 17 in JAMA Oncology.

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Pembrolizumab Not Better Than PTX for Advanced Gastric Cancer

MONDAY, July 2, 2018 (HealthDay News) — For patients with previously treated advanced gastric cancer or gastro-esophageal junction cancer, pembrolizumab does not result in a significant improvement in overall survival compared with paclitaxel, according to a study published online June 4 in The Lancet.

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Conservative Management Up for Low-Risk Prostate CA in Veterans

MONDAY, July 2, 2018 (HealthDay News) — Among U.S. veterans with low-risk prostate cancer, use of conservative management increased from 2005 to 2015, according to a research letter published online June 5 in the Journal of the American Medical Association.

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Intensive Management Program Benefits High-Risk Patients

MONDAY, July 2, 2018 (HealthDay News) — For high-risk patients, use of an intensive management program is associated with greater receipt of outpatient care with no increase in total costs, according to a study published in the June 19 issue of the Annals of Internal Medicine.

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