Here are what the editors at HealthDay consider to be the most important developments in Pulmonology 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.

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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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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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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Editorial (subscription or payment may be required)

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.

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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.

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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.

Abstract/Full Text

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.

Abstract/Full Text

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.

AP News Article

Treatment Beneficial for Nonagenarians With Lung Cancer

FRIDAY, Nov. 22, 2019 (HealthDay News) — Receiving treatment is associated with better survival for nonagenarians with non-small cell lung cancer (NSCLC), with the greatest survival benefit for stage I patients, according to a study published online Nov. 18 in the Annals of Thoracic Surgery.

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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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CDC: PCV13 No Longer Routinely Recommended for Adults ≥65

THURSDAY, Nov. 21, 2019 (HealthDay News) — The 13-valent pneumococcal conjugate vaccine (PCV13) is no longer recommended for routine use among adults aged ≥65 years, according to research published in the Nov. 22 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

DCNN Software Aids Detection of Malignant Lung Nodules on CXR

THURSDAY, Nov. 21, 2019 (HealthDay News) — Using deep convolutional neural network (DCNN) software can improve detection of malignant pulmonary nodules on chest radiographs, according to a study published online Nov. 12 in Radiology.

Abstract/Full Text

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).

Abstract/Full Text

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.

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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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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
Abstract/Full Text – Chatham-Stephens

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.

Abstract/Full Text

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.

AP News Article

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.

AP News Article

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.

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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

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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Editorial (subscription or payment may be required)

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.

CNN Article

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

Tobacco Cessation Programs May Up Quit Rates in Cancer Patients

THURSDAY, Nov. 14, 2019 (HealthDay News) — Enrolling actively smoking oncology patients into a comprehensive tobacco cessation program may help patients sustain long-term abstinence from smoking and improve their cancer treatment outcomes, according to a study recently published in JAMA Network Open.

Abstract/Full Text
Editorial

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.

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Imaging Rates Continue to Rise Despite Efforts to Reduce

WEDNESDAY, Nov. 13, 2019 (HealthDay News) — Despite initiatives to reduce the use of medical imaging, rates continue to rise in both the United States and Ontario, Canada, according to a study recently published in the Journal of the American Medical Association.

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Editorial (subscription or payment may be required)

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

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.

CNN Article

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.

The New York Times Article

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.

Abstract/Full Text

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.

AP News Article

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.

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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.

Abstract/Full Text

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.

Forbes Article

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.

Abstract/Full Text

Cardiorespiratory Fitness May Improve Lung Cancer Outcomes

WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Higher cardiorespiratory fitness is associated with a lower risk for lung cancer incidence in former smokers and a reduced risk for cancer mortality in current smokers diagnosed with lung cancer, according to a study published in the November issue of the American Journal of Preventive Medicine.

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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.

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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

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.

CNN Article

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

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.

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Many Not Receiving Guideline-Concordant Tx for Lung Cancer

FRIDAY, Nov. 1, 2019 (HealthDay News) — Many lung cancer patients in the United States receive no treatment or less intensive treatment than recommended, according to a study published online Nov. 1 in the Annals of the American Thoracic Society.

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