Pulmonology

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Early prophylactic placement of a vena cava filter compared with no placement of a filter after major trauma does not result in a reduced incidence of symptomatic pulmonary embolism or death at 90 days

PE, Death Not Reduced With Early Vena Cava Filter Placement

Findings seen in severely injured patients with a contraindication to prophylactic anticoagulation
A plan to let Medicare patients receive rebates that drug companies currently pay to insurers and middlemen has been withdrawn by the Trump administration.

Medicare Drug Rebate Plan Withdrawn by Trump Administration

Rebates would have been paid directly to seniors in Medicare Part D program when they filled their Rx
Exposure of U.S. physicians to work-hour reforms during residency training is not associated with post-training differences in patient mortality

Capping Work Hours in Residency Does Not Impact Outcomes Later

No differences seen in post-training patient mortality, readmissions, or costs of care
Continuous positive airway pressure treatment reduces depression symptoms in patients with coexisting obstructive sleep apnea and cardiovascular disease

CPAP Alleviates Depression Symptoms in Sleep Apnea Patients

In large trial and literature review, benefit seen for depression but not anxiety symptoms
In-hospital maternal mortality decreased from 1998 to 2015 in systemic lupus erythematosus (SLE) and non-SLE pregnancies

In-Hospital Maternal Mortality Down in Pregnancies With Lupus

Mortality decrease greater in systemic lupus erythematosus pregnancies than in non-SLE pregnancies
A Trump administration rule to force pharmaceutical companies to disclose the list prices of their drugs in television ads was blocked Monday by a federal judge.

Rule Requiring Drug Prices in TV Ads Blocked by Judge

The rule, applying to any drug that costs more than $35 a month, was to take effect this week
Receipt of more than the average number of electronic health record system-generated in-basket messages is associated with an increased probability of physician burnout

EHR System-Generated In-Basket Messages Linked to Burnout

Receiving more than average number of messages linked to increased probability of physician burnout
Multiple sclerosis (MS) patients have an elevated cancer risk compared with non-MS controls

Increased Cancer Risk Seen in Multiple Sclerosis Patients

Cancer risk up for MS patients versus non-MS controls, especially in respiratory, urinary, CNS organs
Use of a threshold of airflow obstruction of forced expiratory volume in one second:forced vital capacity of 0.70 discriminates chronic obstructive pulmonary disease-related hospitalization and mortality

Simple Fixed Threshold IDs Those at Risk for COPD-Related Events

FEV1:FVC of 0.70 not significantly different from optimal threshold, better than LLN threshold
Extended follow-up of the National Lung Screening Trial showed that the number needed to screen to prevent one lung cancer death among patients at high risk for lung cancer is 303

Extended Follow-Up Supports Low-Dose CT for Lung Cancer Screening

303 the number needed to screen in extended follow-up of National Lung Screening Trial