Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for June 2015. 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.
Three Issues to Consider Before Selecting EHR
TUESDAY, June 30, 2015 (HealthDay News) — Work flow, features and functionality, and technical infrastructure should all be considered in advance of selecting an electronic heath record (EHR) system, according to an article published in Medical Economics.
Patients Want Online Access to Physicians, Health Records
TUESDAY, June 30, 2015 (HealthDay News) — Internet-savvy Americans would like to add their doctors to their group of Facebook friends or e-mail contacts, according to a study published online June 24 in the Journal of General Internal Medicine.
New Naloxone Capsule Safe for Opioid-Induced Constipation
TUESDAY, June 30, 2015 (HealthDay News) — A new naloxone sustained release (NSR) capsule appears to be safe and efficacious for opioid-induced constipation (OIC), according to a study published online June 24 in Pain Medicine.
Too Few Prostate Cancer Patients Receiving Active Surveillance
TUESDAY, June 30, 2015 (HealthDay News) — A majority of U.S. men with low-risk prostate cancer who are eligible for active surveillance still undergo treatment, according to a new report published online June 29 in JAMA Internal Medicine.
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Citrus Consumption Linked to Increased Risk of Melanoma
TUESDAY, June 30, 2015 (HealthDay News) — Individuals who regularly consume orange juice or grapefruit may have a higher risk of developing melanoma, according to research published online June 29 in the Journal of Clinical Oncology.
Trauma, PTSD May Raise Women’s Odds of CVD
TUESDAY, June 30, 2015 (HealthDay News) — Women who have experienced a traumatic event or develop posttraumatic stress disorder (PTSD) face an increased risk of cardiovascular disease (CVD), a new large study suggests. The report was published online June 29 in Circulation.
Penile Prosthesis Use Decreasing in Erectile Dysfunction
TUESDAY, June 30, 2015 (HealthDay News) — Use of penile prosthesis (PP) insertion has decreased for erectile dysfunction (ED), according to a study published online June 22 in the Journal of Sexual Medicine.
AMA Discusses Pre-Retirement Evaluation for Aging Doctors
MONDAY, June 29, 2015 (HealthDay News) — Issues relating to physician retirement and evaluation of aging physicians before retirement are discussed in a Council on Medical Education report published by the American Medical Association (AMA).
H3N2 Mutation to Blame for Low Efficacy of 2014-15 Flu Vaccine
MONDAY, June 29, 2015 (HealthDay News) — A mutation in the H3N2 virus led to a mismatch between it and the H3N2 strain used to create the 2014-2015 vaccine, according to research published June 25 in Cell Reports.
U.S. Dietary Guidelines Will No Longer Focus on Fat
MONDAY, June 29, 2015 (HealthDay News) — Nutrition experts are supporting a federal decision to drop recommended restrictions on total fat consumption in the forthcoming 2015 Dietary Guidelines for Americans.
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Many Primary Care Physicians Misinformed About Opioids
MONDAY, June 29, 2015 (HealthDay News) — Physicians who are ill-informed about opioids may be unintentionally contributing to their misuse, according to new research published online June 22 in the Clinical Journal of Pain.
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Statin Use Linked to Improved Post-Surgical Outcomes
MONDAY, June 29, 2015 (HealthDay News) — Statin use might help reduce major complications after lung surgery, according to a study published in the June issue of the Journal of Thoracic and Cardiovascular Surgery.
Older Adults Often Use Electronic Devices While Driving
FRIDAY, June 26, 2015 (HealthDay News) — Older adults frequently engage in potentially distracting uses of electronic devices while driving, according to a study published in the June issue of the Journal of the American Geriatrics Society.
SCOTUS Upholds Subsidies for Affordable Care Act
FRIDAY, June 26, 2015 (HealthDay News) — The U.S. Supreme Court upheld on Thursday the legality of tax subsidies for millions of Americans who signed up for health insurance under the Affordable Care Act.
Cognition Tests May Help ID Alzheimer’s Risk Decades Earlier
FRIDAY, June 26, 2015 (HealthDay News) — Changes in cognition and memory that precede obvious symptoms of Alzheimer’s disease may begin decades prior to disease onset, according to a study published online June 24 in Neurology.
Pharmacist-Managed Warfarin Therapy Beats Usual Care
THURSDAY, June 25, 2015 (HealthDay News) — Pharmacist-managed warfarin therapy (PMWT) is superior to a usual medical care (UMC) model for management of warfarin therapy, according to a systematic review published online June 22 in the Journal of Clinical Pharmacology.
Lack of Consistent Supplement Use Documentation for Inpatients
THURSDAY, June 25, 2015 (HealthDay News) — Upon hospital admission, most patients are not asked if they take dietary supplements, according to a study published recently in Patient Education and Counseling.
Age-Adjusted Comorbidity Score Stratifies Mortality in Prostate CA
WEDNESDAY, June 24, 2015 (HealthDay News) — An age-adjusted prostate cancer-specific comorbidity index (PCCI) can stratify the risk of long-term nonprostate cancer-related mortality, according to a study published in the July issue of The Journal of Urology.
Edible Cannabis Products Often Mislabeled
WEDNESDAY, June 24, 2015 (HealthDay News) — Most edible cannabis products sampled in three major U.S. cities are mislabeled, often containing more or less active ingredient than indicated on the packaging, according to a report published in the June 23/30 issue of the Journal of the American Medical Association.
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Moderate-Quality Evidence for Marijuana Rx for Pain, Spasticity
WEDNESDAY, June 24, 2015 (HealthDay News) — Medical marijuana may be useful in treating chronic pain and spasticity, but less effective for other conditions, according to the results of a review published in the June 23/30 issue of the Journal of the American Medical Association.
Low Rate of ICD Implantation in Elderly, Despite Good Results
WEDNESDAY, June 24, 2015 (HealthDay News) — Fewer than one in 10 older myocardial infarction (MI) survivors receive a potentially lifesaving implantable cardioverter-defibrillator (ICD), according to a new study published in the June 23/30 issue of the Journal of the American Medical Association.
Too Much Sitting Linked With Higher Risk of Anxiety
TUESDAY, June 23, 2015 (HealthDay News) — People who spend much of their day sitting may be more likely to feel anxious, a new review suggests. The findings were published online June 19 in BMC Public Health.
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Even Light Activity Can Boost Seniors’ Health
TUESDAY, June 23, 2015 (HealthDay News) — Regular light exercise can be as good for seniors as moderate or vigorous exercise, according to a new study published in the May/June issue of the American Journal of Health Promotion.
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VA/DoD Release Guidelines for Dyslipidemia Management
TUESDAY, June 23, 2015 (HealthDay News) — A joint clinical practice guideline for the management of dyslipidemia for cardiovascular disease risk reduction in adults has been summarized and published online June 22 in the Annals of Internal Medicine.
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Lung Disease Under Radar for Many Long-Term Smokers
TUESDAY, June 23, 2015 (HealthDay News) — Millions of long-term smokers may have undiagnosed lung disease, according to a study published online June 22 in JAMA Internal Medicine.
Visit-to-Visit SBP Variability Not Linked to Major Cardiac Events
TUESDAY, June 23, 2015 (HealthDay News) — Inadequate blood pressure (BP) control, but not visit-to-visit variability of systolic BP, is associated with major adverse cardiac events (MACE) among patients with hypertension and coronary artery disease (CAD), according to a study published in the July 15 issue of The American Journal of Cardiology.
Medical Identity Theft Incidents Increasing
MONDAY, June 22, 2015 (HealthDay News) — Medical identity theft is on the rise, costly to consumers, and challenging to resolve, according to the fifth annual report published by the Ponemon Institute.
Subclinical Hypothyroidism Ups DM Risk Only With Statin Use
MONDAY, June 22, 2015 (HealthDay News) — Hypothyroidism is associated with increased risk of diabetes mellitus (DM); however, subclinical hypothyroidism appears to increase this risk only with statin use, according to research published online June 12 in Diabetes Care.
Caution in Social Media Age: Self-Promotion Can Backfire
FRIDAY, June 19, 2015 (HealthDay News) — In a series of experiments, researchers found that people who self-promote often offend others. The study was published in the June issue of Psychological Science.
Medications Can Increase Risk of Heat-Related Illness
FRIDAY, June 19, 2015 (HealthDay News) — Commonly used medications may increase the risk of dehydration and heat-related illness during hot weather, according to an article published online June 13 in the Journal of Clinical Pharmacy and Therapeutics.
CDC: Narcon Overdose-Reversal Kits Are Saving Addicts’ Lives
FRIDAY, June 19, 2015 (HealthDay News) — Friends and family members have saved the lives of tens of thousands of opioid users from overdoses by using emergency injection kits containing naloxone (Narcan), according to a new federal report. The findings were published in the June 19 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
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FDA Cracks Down on Online Sale of Illegal Medical Products
FRIDAY, June 19, 2015 (HealthDay News) — The U.S. Food and Drug Administration, along with international partners, moved this week against more than 1,050 websites that sell potentially dangerous counterfeit medicines and medical devices, the agency said Thursday.
Hundreds Arrested Nationwide for Medicare/Medicaid Fraud
FRIDAY, June 19, 2015 (HealthDay News) — Hundreds of people have been charged after health care fraud sweeps were made across the United States, the federal government said Thursday.
Health Highlights: June 19, 2015
Osteoarthritis Care Not Lining Up With Recommendations
FRIDAY, June 19, 2015 (HealthDay News) — The quality of osteoarthritis care is inadequate for all treatment domains, according to a meta-analysis published online June 17 in the Journal of Evaluation in Clinical Practice.
Readmitted Surgery Patients Fare Better at Same Hospital
THURSDAY, June 18, 2015 (HealthDay News) — Surgery patients who suffer complications after discharge from a hospital are more likely to die if they’re readmitted to a different hospital than where they had their original operation, according to a new study published online June 17 in The Lancet.
Virtual Credit Card Fees Amount to 3 to 5 Percent of Payments
THURSDAY, June 18, 2015 (HealthDay News) — Payment with virtual credit cards (VCCs) is associated with considerable fees, although physicians are often unaware of these charges, according to the American Medical Association (AMA).
Increased Sleep Duration Linked to Increased T2DM Risk
THURSDAY, June 18, 2015 (HealthDay News) — Increased sleep duration is associated with increased risk of incident type 2 diabetes, according to a study published online June 11 in Diabetes Care.
Risk Score IDs One-Year Mortality in Elderly With NSTE-ACS
THURSDAY, June 18, 2015 (HealthDay News) — A risk score involving five covariates can predict one-year mortality risk in patients ≥75 years presenting with non-ST-segment elevation (NSTE) acute coronary syndromes (ACS), according to a study published in the July 15 issue of The American Journal of Cardiology.
Community-Acquired Pneumonia Confers Long-Term Risk
THURSDAY, June 18, 2015 (HealthDay News) — Community-acquired pneumonia (CAP) is associated with increased risk of long-term adverse events, according to a study published online June 11 in the American Journal of Respiratory and Critical Care Medicine.
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Exercise May Be Better Than Arthroscopic Sx for Knee Pain
WEDNESDAY, June 17, 2015 (HealthDay News) — Arthroscopic surgery to relieve chronic knee pain in middle-aged and older patients is only temporarily effective and might be harmful, a new analysis suggests. The report was published online June 16 in The BMJ.
Chamomile Linked to Longevity for Mexican-American Women
WEDNESDAY, June 17, 2015 (HealthDay News) — Consumption of chamomile may be linked to a longer lifespan for older Mexican-American women, according to a study published online April 29 in The Gerontologist.
Increased Infection-Linked Mortality in DM Greater for T1DM
WEDNESDAY, June 17, 2015 (HealthDay News) — Patients with diabetes have increased risk of mortality from various infections, and the increased risk appears to be greater for type 1 than type 2 diabetes, according to a study published online June 12 in Diabetes Care.
Direct Messaging Not Yet Widely Adopted by Physicians
TUESDAY, June 16, 2015 (HealthDay News) — Direct secure messaging (Direct), which is a standardized protocol for exchanging clinical messages and attachments, has not been widely adopted by physicians, despite its potential for improving care coordination, according to an article published in Medical Economics.
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GI Antispasmodic, Anticholinergic Rx Use May Raise Injury Risk
TUESDAY, June 16, 2015 (HealthDay News) — Gastrointestinal (GI) antispasmodic and anticholinergic medication use is associated with increased risk of injury in older adults, according to a study published online June 11 in the Journal of the American Geriatrics Society.
Daily Milk or Dark Chocolate Linked to Cardiovascular Benefits
TUESDAY, June 16, 2015 (HealthDay News) — Middle-aged or older individuals who eat as much as 3.5 ounces of chocolate a day may receive cardiovascular benefits, according to a report published online June 15 in Heart.
Review Examines Inappropriate Prescribing of IV Fluids
TUESDAY, June 16, 2015 (HealthDay News) — Inappropriate prescribing of intravenous (IV) fluids most often involves incorrect volumes and types of IV fluids prescribed, according to a review published online June 11 in the Journal of Clinical Pharmacy and Therapeutics.
Testosterone + Fenofibrate Yields Strongest Effect on Cardio Risks
TUESDAY, June 16, 2015 (HealthDay News) — A combination of testosterone and fenofibrate may offer men with high cholesterol and late-onset hypogonadism the most cardiometabolic benefit, according to a study published online May 29 in Cardiovascular Therapeutics.
Article Weighs Paying Off Student Loans Versus Investment
MONDAY, June 15, 2015 (HealthDay News) — Newly-minted physicians should consider the issues relating to paying off their loans versus investing for retirement, according to an article published in Medical Economics.
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Half of Cancer Deaths Due to Past, Current Smoking
MONDAY, June 15, 2015 (HealthDay News) — About half of U.S. deaths caused by certain cancers — including lung, colorectum, and pancreatic tumors — can be attributed to smoking, a new American Cancer Society study estimates. The report was published online June 15 as a research letter in JAMA Internal Medicine.
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Asthma Rx Deemed Less Likely to Work in Patients Aged 30 and Up
MONDAY, June 15, 2015 (HealthDay News) — Asthma treatments, especially inhaled corticosteroids, are less likely to work for older patients, according to a study published online June 11 in the American Journal of Respiratory and Critical Care Medicine.
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Low-Salt Diet Boosts Efficacy of Antihypertensives
MONDAY, June 15, 2015 (HealthDay News) — A low-salt diet further improves the efficacy of antihypertensive drug regimens, according to a study published May 29 in the Journal of Clinical Pharmacology.
Use of Novel Oral Anticoagulants Increasing in A-Fib
MONDAY, June 15, 2015 (HealthDay News) — For patients with atrial fibrillation hospitalized with stroke or transient ischemic attack, use of novel oral anticoagulants (NOACs) has increased over time, according to a study published online June 9 in Circulation: Cardiovascular Quality and Outcomes.
Mental, Physical Activities Don’t Ward Off Alzheimer’s Biomarkers
FRIDAY, June 12, 2015 (HealthDay News) — Physical and cognitive activity don’t appear to prevent the brain from developing the biomarkers that are a hallmark of Alzheimer’s disease, a new study suggests. The report was published online June 10 in Neurology.
CDC Advises U.S. Health Professionals to Be Alert for MERS
FRIDAY, June 12, 2015 (HealthDay News) — Government officials are advising U.S. health professionals to be alert for signs and symptoms of Middle East respiratory syndrome (MERS) following an outbreak in South Korea.
Car Crash Risk Up for New Users of Sedating Sleep Meds
FRIDAY, June 12, 2015 (HealthDay News) — Sedating sleep medications increase the risk for car accidents among new users compared with nonusers, with risk continued for up to a year among regular users, according to a new report published online June 11 in the American Journal of Public Health.
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Some Graduating Seniors Not Matching to Residency Positions
THURSDAY, June 11, 2015 (HealthDay News) — More than 250 of this year’s graduating seniors from U.S. medical schools did not match to a residency position, according to the American Medical Association.
Lysosomal Proteins May Benefit Alzheimer’s Diagnosis, Treatment
THURSDAY, June 11, 2015 (HealthDay News) — Lysosomal proteins may offer a way to diagnose and treat Alzheimer’s disease earlier, a new study suggests. The findings were published online June 10 in Neurology.
Different Protein Sources Vary in Effect on Elderly Muscle
WEDNESDAY, June 10, 2015 (HealthDay News) — Older adults need a protein-rich diet to maintain lower body muscle mass and strength, a new study suggests, and different types of protein may have differing effects. Findings from the study, funded by the U.S. National Institutes of Health, were published online May 27 in the Journal of Nutrition.
Proton Pump Inhibitors Linked to Increased Risk of MI
WEDNESDAY, June 10, 2015 (HealthDay News) — For U.S. adults with gastroesophageal reflux disease (GERD), the risk of myocardial infarction (MI) is slightly elevated among those using proton pump inhibitors, according to a review published online June 10 in PLOS ONE.
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Geographic Location Most Important for Residents
WEDNESDAY, June 10, 2015 (HealthDay News) — For residents, the most important element in a future practice is geographic location, with lifestyle, adequate call hours and personal time, and a good financial package also cited as being important, according to the American Medical Association (AMA).
Report Offers Guidance on Medical Ethics Education
WEDNESDAY, June 10, 2015 (HealthDay News) — An analysis of the current state of medical ethics education in the United States has been published in the June issue of Academic Medicine. The article, the Romanell Report, also offers guidance to assist medial ethics educators in meeting expectations.
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Extra Time During MCAT Linked to Less Success in Med School
WEDNESDAY, June 10, 2015 (HealthDay News) — Medical school applicants with Medical College Admission Test (MCAT) scores obtained with extra test administration time have lower rates of success in medical schools, according to a study published in the June 9 issue of the Journal of the American Medical Association.
Spinal Cord Injuries Up Among the Elderly in U.S.
WEDNESDAY, June 10, 2015 (HealthDay News) — While the overall rate of traumatic spinal cord injuries was stable from 1993 to 2012, an increasing number of older Americans have experienced this injury, according to research published in the June 9 issue of the Journal of the American Medical Association.
Professional Guidelines Have Limited Impact on Pre-Op Testing
TUESDAY, June 9, 2015 (HealthDay News) — The publication of 2002 professional guidelines on routine preoperative testing correlated with a reduction in routine electrocardiogram testing, but not in the incidence of radiography, hematocrit, urinalysis, or cardiac stress testing, according to research published online June 8 in JAMA Internal Medicine.
Over 2 Million More Long-Term Care Workers Needed by 2030
TUESDAY, June 9, 2015 (HealthDay News) — At least 2.5 million more workers will be needed to provide long-term care for older Americans by 2030, according to a new study published in the June issue of Health Affairs.
Review: Cognitive Behavioral Techniques Benefit Insomnia
TUESDAY, June 9, 2015 (HealthDay News) — Cognitive behavioral therapy for insomnia (CBT-i) helps patients fall asleep faster and stay asleep longer, according to a review published online June 9 in the Annals of Internal Medicine.
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Analysis Targets U.S. Hospitals With Highest Markups
TUESDAY, June 9, 2015 (HealthDay News) — The 50 U.S. hospitals with the highest charge-to-cost ratio have markups approximately 10 times the Medicare-allowable costs, and most of these hospitals are for profit, according to a study published in the June issue of Health Affairs.
AMA Offers Guidance for Physician-Hospital Relationships
MONDAY, June 8, 2015 (HealthDay News) — New guidelines can enable successful physician hospital relationships and integrated leadership, according to a report published by the American Medical Association (AMA).
Scoring System Helps Predict Post-Hospital Mortality
MONDAY, June 8, 2015 (HealthDay News) — A fairly simple scoring system appears to accurately estimate patients’ risk of dying within a year of hospitalization, according to research results reported online June 8 in CMAJ, the journal of the Canadian Medical Association.
CDC: Vaccine Production for 2015-16 Flu Season Underway
MONDAY, June 8, 2015 (HealthDay News) — Having acknowledged that the 2014-15 flu vaccine was mismatched to the circulating influenza strains, U.S. health officials have strengthened next season’s vaccine for broader protection.
Obesity Has Negative Impact on Metabolic Quality of Muscle
FRIDAY, June 5, 2015 (HealthDay News) — Among older men, obesity has a negative effect on the metabolic quality of skeletal muscle, according to a study published online May 26 in Diabetes.
Gastritis Linked to Metformin-Related GI Side Effects in T2DM
FRIDAY, June 5, 2015 (HealthDay News) — For patients with type 2 diabetes, asymptomatic gastritis is associated with metformin-related gastrointestinal side effects, according to a study published online May 29 in the Journal of Clinical Pharmacy and Therapeutics.
Intervention Boosts Hospital Discharge Communication
FRIDAY, June 5, 2015 (HealthDay News) — Implementation of standardized communication processes can improve the reliability of verbal communication between hospitalists and primary care physicians (PCPs) at hospital discharge, according to a study published online May 29 in the Journal of Hospital Medicine.
Statin + Ezetimibe May Benefit After Acute Coronary Syndrome
THURSDAY, June 4, 2015 (HealthDay News) — In treatment following acute coronary syndrome, ezetimibe added to statin therapy appears beneficial, according to a study published online June 3 in the New England Journal of Medicine.
Vaccine Tied to Less Postherpetic Neuralgia in Shingles
THURSDAY, June 4, 2015 (HealthDay News) — Even when herpes zoster vaccination does not prevent the disease, it reduces the risk of postherpetic neuralgia (PHN), according to a new study published June 1 in the Journal of Infectious Diseases.
Hyperhomocysteinemia Linked to Worse Cognitive Status
THURSDAY, June 4, 2015 (HealthDay News) — For older adults, hyperhomocysteinemia is associated with worse cognitive status, even after accounting for B group vitamin (BGV) status, according to a study published online June 1 in the Journal of the American Geriatrics Society.
Morbidity, Mortality Up for Patients With Delirium in ICU
THURSDAY, June 4, 2015 (HealthDay News) — Intensive care unit patients who develop delirium have a higher mortality risk, longer hospital stays, and are more likely to have cognitive impairment after hospital discharge, according to a review published online June 3 in The BMJ.
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Interstate Medical Licensure Compact Formed
THURSDAY, June 4, 2015 (HealthDay News) — Nine states have enacted the Interstate Medical Licensure Compact law, with the seventh state’s enactment triggering formation of a commission to administer a process for physicians seeking licensure in multiple states, according to a report published by the American Academy of Family Physicians.
CMS: Hospital Charges for Common Procedures Up
WEDNESDAY, June 3, 2015 (HealthDay News) — The prices hospitals charge patients for a number of common procedures rose more than 10 percent between 2011 and 2013, more than twice the rate of inflation, according to data released by the federal government Monday.
Nearly 3 in 10 Americans Have Alcohol Use Disorder
WEDNESDAY, June 3, 2015 (HealthDay News) — Nearly 30 percent of Americans have a problem with alcohol at some point in their lives, ranging from binge drinking to full-blown alcoholism, but fewer than 20 percent are ever treated, according to a report published online June 3 in JAMA Psychiatry.
Most Part D Plans Cover at Least One Biologic DMARD
WEDNESDAY, June 3, 2015 (HealthDay News) — Although most Medicare Part D plans cover at least one biologic disease-modifying antirheumatic drug (DMARD), copayments are high, according to a study published in the June issue of Arthritis & Rheumatology.
6-Minute Walk Test Predicts Pulmonary HTN Outcomes
WEDNESDAY, June 3, 2015 (HealthDay News) — For patients with pulmonary hypertension associated with heart failure and preserved ejection fraction (PH-HFpEF), the six-minute walk distance (6-MWD) test can independently predict outcome, according to a study published in the June issue of JACC: Heart Failure.
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24-Hour Diastolic BP Linked to Cognitive Performance in T2DM
WEDNESDAY, June 3, 2015 (HealthDay News) — Among individuals with type 2 diabetes there is a quadratic association for 24-hour diastolic blood pressure (BP) with information processing speed and memory, according to a study published online May 27 in Diabetes Care.
TBI Linked to Parkinson’s Risk in Patients Aged ≥55 Years
TUESDAY, June 2, 2015 (HealthDay News) — Patients aged 55 years and older presenting to an inpatient/emergency department setting with traumatic brain injury (TBI) have an increased risk of developing Parkinson’s disease (PD), according to a study published in the June issue of the Annals of Neurology.
Revisits for 8.3 Percent of Patients With Index ER Visit
TUESDAY, June 2, 2015 (HealthDay News) — Overall, 8.3 percent of patients with an index emergency department visit have a revisit within three days, according to a study published in the June 2 issue of the Annals of Internal Medicine.
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Review: Diet-Linked Weight Loss Tied to Drop in Hip BMD
MONDAY, June 1, 2015 (HealthDay News) — Diet-induced weight loss is associated with a decrease in total hip, but not lumbar spine, bone mineral density (BMD), according to a review published online May 25 in the Journal of Bone and Mineral Research.
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