Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for December 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.
AMA: Burnout Is Top Issue for Physicians in 2015
WEDNESDAY, Dec. 30, 2015 (HealthDay News) — Physician burnout is the top issue for physicians in 2015, according to a report published by the American Medical Association (AMA).
Alcohol Binge Damage May Be Worse Than Previously Thought
WEDNESDAY, Dec. 30, 2015 (HealthDay News) — Chronic drinking combined with binge drinking may be more destructive than previously thought, according to an animal study published online Nov. 20 in Biomolecules.
Characteristics of Compression Stockings May Impact Compliance
WEDNESDAY, Dec. 30, 2015 (HealthDay News) — For patients after deep vein thrombosis (DVT), the most important characteristics of elastic compression stocking (ECS) therapy are risk reduction of post-thrombotic syndrome (PTS) and ability to put on the ECS without assistance, according to a study published online Dec. 16 in the Journal of Thrombosis and Haemostasis.
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Researchers Call for Retraction of Nitroglycerin-Bone Density Study
WEDNESDAY, Dec. 30, 2015 (HealthDay News) — Some authors of a published study that claimed nitroglycerin might boost bone density in older women have asked that the study be retracted, saying the lead researcher falsified data in the report. The research was first published in February 2011 in the Journal of the American Medical Association. The request for a retraction appeared online Dec. 28 on the journal’s website.
Sodium Restriction May Be Detrimental in Heart Failure
TUESDAY, Dec. 29, 2015 (HealthDay News) — Sodium restriction may be harmful in patients with chronic heart failure, according to a study published in the Jan. 1 issue of JACC: Heart Failure.
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Optimism May Improve Outcomes Post Acute Coronary Syndrome
TUESDAY, Dec. 29, 2015 (HealthDay News) — Post-acute coronary syndrome (ACS) optimism is associated with greater physical activity and lower rates of cardiac readmission at six months, according to a study published online Dec. 8 in Circulation: Cardiovascular Quality and Outcomes.
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Surgery, Chemo Best for Elderly With Advanced Ovarian Cancer
TUESDAY, Dec. 29, 2015 (HealthDay News) — Primary debulking surgery and chemotherapy in an optimal timeframe is associated with the longest survival time for elderly women with advanced ovarian cancer, according to a study published in the January issue of Obstetrics & Gynecology.
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Higher Hospital Prices in U.S. ‘Monopoly Markets’
MONDAY, Dec. 28, 2015 (HealthDay News) — Prices at hospitals in monopoly markets are 15 percent higher than those at hospitals in areas with at least four providers, according to research published recently at the Health Care Pricing Project website.
Treating Hypertension Beneficial Regardless of Baseline Pressure
MONDAY, Dec. 28, 2015 (HealthDay News) — Blood pressure lowering treatment reduces the risk of major cardiovascular disease events, with reductions seen regardless of starting blood pressure, according to research published online Dec. 23 in The Lancet.
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Daily INR Measurement Best for Hospitalized Patients on Warfarin
WEDNESDAY, Dec. 23, 2015 (HealthDay News) — For hospitalized patients, international normalized ratio (INR) monitoring less frequently than daily is associated with increased odds of warfarin-associated adverse events, according to a study published online Dec. 14 in the Journal of Hospital Medicine.
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Specific, Consistent ICD-10 Coding Key to Timely Payments
TUESDAY, Dec. 22, 2015 (HealthDay News) — In order to prevent denials, it is important to code correctly within the International Classification of Diseases, Tenth Revision (ICD-10), with specificity matching documentation, according to an article published in Medical Economics.
Many Ignore Warning Symptoms Before Sudden Cardiac Arrest
TUESDAY, Dec. 22, 2015 (HealthDay News) — Patients with sudden cardiac arrest (SCA) frequently have warning symptoms, usually chest pain and dyspnea, in the month prior to the event, according to a study published online Dec. 22 in the Annals of Internal Medicine.
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Combined Patient, Physician Intervention Ups Function in OA
TUESDAY, Dec. 22, 2015 (HealthDay News) — For patients with hip and knee osteoarthritis, a combined patient and provider intervention is associated with modest improvements in function, according to a study published online Dec. 22 in the Annals of Internal Medicine.
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Affordable Care Act Has Improved Access to Care, Affordability
MONDAY, Dec. 21, 2015 (HealthDay News) — Implementation of the Affordable Care Act has improved access to care and affordability of care for many adults, according to a study published in the December issue of Health Affairs.
Pay-for-Performance to PCPs May Improve Disease Management
MONDAY, Dec. 21, 2015 (HealthDay News) — Pay-for-performance (P4P) measures have an overall positive effect on disease management, according to a review published online Dec. 12 in the Journal of Evidence-Based Medicine.
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Many Patients With Diagnosed OSA Not Receiving Treatment
FRIDAY, Dec. 18, 2015 (HealthDay News) — Many patients with diagnosed obstructive sleep apnea (OSA) are not being treated, with only 42 percent reporting adherence to positive airway pressure (PAP) treatment, according to research published in the November issue of Otolaryngology-Head and Neck Surgery.
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Greater Effort Needed to Prevent Epilepsy-Related Mortality
THURSDAY, Dec. 17, 2015 (HealthDay News) — The importance of preventing epilepsy-related mortality is highlighted in an article published online Dec. 16 in Neurology.
Industry Outpacing NIH in Funding Research
WEDNESDAY, Dec. 16, 2015 (HealthDay News) — There’s been a sharp rise in the number of industry-funded clinical trials and a significant decline in those financed by the U.S. government in recent years, according to findings published in the Dec. 15 issue of the Journal of the American Medical Association.
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Distribution of Opioid Prescribing ID’d for Different Providers
WEDNESDAY, Dec. 16, 2015 (HealthDay News) — The top 10 percent of Medicare prescribers account for more than 50 percent of opioid claims, compared with almost 80 percent for the top 10 percent of the California Workers’ Compensation providers, according to a research letter published online Dec. 14 in JAMA Internal Medicine.
Risk of CV Events Up After Shingles Diagnosis in Seniors
WEDNESDAY, Dec. 16, 2015 (HealthDay News) — Stroke risk appears to more than double in the first week following a shingles diagnosis, with myocardial infarction (MI) risk also climbing, though not by quite as much, according to research published online Dec. 15 in PLOS Medicine.
Perceived Stress May Increase Risk of Cognitive Decline
TUESDAY, Dec. 15, 2015 (HealthDay News) — High levels of perceived stress could be a risk factor for cognitive impairment and Alzheimer’s disease, according to a study published online Dec. 11 in Alzheimer Disease & Associated Disorders.
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New Model of Inpatient Care Can Improve Outcomes
MONDAY, Dec. 14, 2015 (HealthDay News) — Implementation of a new model of care can improve outcomes of care in medical and surgical units, according to a study published in the December issue of the Journal of Hospital Medicine.
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Moderate Drinking May Benefit Early-Stage Alzheimer’s Patients
MONDAY, Dec. 14, 2015 (HealthDay News) — Patients with early-stage Alzheimer’s disease who consume two to three alcoholic drinks a day may have a reduced risk of mortality compared to those who consume one or fewer drinks a day, according to a study published online Dec. 11 in BMJ Open.
Herpes Zoster Risk in RA Up With Older Age, Prednisone Dose
FRIDAY, Dec. 11, 2015 (HealthDay News) — Patients with rheumatoid arthritis (RA) have increased herpes zoster (HZ) risk with older age and higher prednisone dose, according to a study published in the December issue of Arthritis Care & Research.
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Leg Muscle Power Predicts Pain, Quality of Life in Knee OA
FRIDAY, Dec. 11, 2015 (HealthDay News) — For patients with knee osteoarthritis (OA), leg muscle power independently predicts pain and health-related quality of life, according to a study published in the December issue of Arthritis & Rheumatology.
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Accuracy of Clinical Diagnosis in TIA Called Into Question
FRIDAY, Dec. 11, 2015 (HealthDay News) — The presence of diffusion-weighted imaging (DWI) lesions is similar in patients clinically diagnosed with transient neurological attack (TNA) and transient ischemic attack (TIA), calling into question the accuracy of clinically diagnosing TIA, according to research published in the December issue of the Annals of Neurology.
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Seven Behaviors Suggested to Improve ‘Art of Medicine’
FRIDAY, Dec. 11, 2015 (HealthDay News) — Seven behaviors should be implemented to improve the art of medicine, which can help improve relationships with patients, according to an article published in Family Practice Management.
Radiographs Not Picking Up Osteoarthritis in Hip
THURSDAY, Dec. 10, 2015 (HealthDay News) — X-rays don’t detect hip osteoarthritis (OA) in many patients, resulting in delayed diagnosis and treatment, according to findings published online Dec. 2 in The BMJ.
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Nitrates in Heart Failure May Harm More Than Help
THURSDAY, Dec. 10, 2015 (HealthDay News) — Nitrates don’t improve quality of life or everyday activity levels as intended in patients with heart failure, according to research published in the Dec. 10 issue of the New England Journal of Medicine.
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Excessive Testing May Be Compromising T2DM Care
THURSDAY, Dec. 10, 2015 (HealthDay News) — Many Americans with type 2 diabetes may be getting unnecessary tests — and, in some cases, needless changes in medication, according to a study published online Dec. 8 in The BMJ.
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Cognitive Therapy, Meds Equally Effective for Major Depression
THURSDAY, Dec. 10, 2015 (HealthDay News) — Cognitive behavioral therapy and antidepressants could both be equally effective as stand-alone treatments for major depressive disorder, according to a review published online Dec. 8 in The BMJ.
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Percentage of Graduates Entering GME Stable Over Past Decade
WEDNESDAY, Dec. 9, 2015 (HealthDay News) — Despite an increase in the number of U.S. medical school graduates, over the past decade the percentage entering graduate medical education (GME) training has remained stable, according to a research letter published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Expiratory Snoring Predicts COPD in Sleep Disordered Breathing
WEDNESDAY, Dec. 9, 2015 (HealthDay News) — For patients with sleep disordered breathing (SDB), expiratory snoring predicts obstructive airway disorders, according to a study published online Dec. 2 in the Annals of the American Thoracic Society.
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Depression Not Uncommon Among Resident Physicians
WEDNESDAY, Dec. 9, 2015 (HealthDay News) — More than one in four doctors-in-training may be depressed, which could put their patients at risk, according to a study published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Med Ed Can Be Improved for High-Value, Cost-Conscious Care
TUESDAY, Dec. 8, 2015 (HealthDay News) — The combination of effective transmission of knowledge, facilitation of reflective practice, and a supportive environment can educate physicians to deliver high-value, cost-conscious care, according to a review published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.
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CDC: Fewer Americans Struggling With Medical Bills
TUESDAY, Dec. 8, 2015 (HealthDay News) — Fewer American families are struggling to pay medical bills, according to a report from the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).
ADT for Prostate CA Tied to Increased Alzheimer’s Risk
TUESDAY, Dec. 8, 2015 (HealthDay News) — Androgen deprivation therapy (ADT) for prostate cancer might dramatically increase a man’s risk of developing Alzheimer’s disease, a large-scale analysis of health data suggests. The study was published online Dec. 7 in the Journal of Clinical Oncology.
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U.S. Health Care Spending Increased in 2014
TUESDAY, Dec. 8, 2015 (HealthDay News) — The expansion of insurance coverage and increases in retail prescription drug spending contributed to an increase in total national health care expenditures in 2014, according to a report published online Dec. 2 in Health Affairs.
Survey: U.S. PCPs Feel Ill-Prepared for Complex Care
TUESDAY, Dec. 8, 2015 (HealthDay News) — Compared to their international peers, doctors on the front lines of U.S. medicine feel they aren’t prepared to treat the sickest patients, according to the results of a survey published in the December issue of Health Affairs.
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Statin Treatment Linked to Reduced Risk of Cataracts
MONDAY, Dec. 7, 2015 (HealthDay News) — Statin treatment is associated with reduced risk of incident cataract development, according to a study published in the Dec. 15 issue of The American Journal of Cardiology.
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Low-Risk Prostate CA Patients May Not Be Monitored Properly
FRIDAY, Dec. 4, 2015 (HealthDay News) — Many men with low-risk prostate cancer who choose active surveillance may not be followed as closely as they should be, according to a study published in the Dec. 1 issue of Cancer.
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Higher TENS Dose May Ease Low Back Pain in Older Adults
FRIDAY, Dec. 4, 2015 (HealthDay News) — Transcutaneous electrical nerve stimulation (TENS) devices may offer some relief for adults with chronic back pain, with higher-frequency, higher-intensity application more effective for older patients, according to research published in the December issue of The Journal of Pain.
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Glove-Related Hand Urticaria May Be Rising in Health Care Workers
FRIDAY, Dec. 4, 2015 (HealthDay News) — Health care workers are at high risk of glove-related hand urticaria, an occupational issue that may be increasing, according to a research letter published online Nov. 27 in the British Journal of Dermatology.
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Poor PCI Outcomes Up for Very Old With STEMI
FRIDAY, Dec. 4, 2015 (HealthDay News) — Very old patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI) have increased rates of PCI failure, bleeding complications, and mortality, but successful PCI still benefits mortality risk across all age groups, according to a study published in the Dec. 15 issue of The American Journal of Cardiology.
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CDC: Too Few Taking Needed Cholesterol-Lowering Drugs
FRIDAY, Dec. 4, 2015 (HealthDay News) — Nearly half of American adults who should be taking cholesterol-lowering drugs don’t, according to research published in the Dec. 4 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
AMA: Case Before Supreme Court Threatens Patient Privacy
THURSDAY, Dec. 3, 2015 (HealthDay News) — A case before the Supreme Court is potentially threatening patient confidentiality, according to the American Medical Association (AMA).
Slow Gait in Seniors May Be Indicative of Alzheimer’s
THURSDAY, Dec. 3, 2015 (HealthDay News) — Seniors who walk more slowly may have higher amounts β-amyloid (Aβ) in their brains, according to research published online Dec. 2 in Neurology.
IV Diuretics Deemed Safe in Outpatient Heart Failure Care
THURSDAY, Dec. 3, 2015 (HealthDay News) — Intravenous (IV) diuretics appear to be safe and effective for outpatient volume management in heart failure, according to a study published online Dec. 2 in JACC: Heart Failure.
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Depression Ups Readmission Odds for COPD Exacerbation
WEDNESDAY, Dec. 2, 2015 (HealthDay News) — Depression is independently associated with increased risk of readmission for acute exacerbation of chronic obstructive pulmonary disease (COPD), according to a study published online Nov. 24 in the Annals of the American Thoracic Society.
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Burnout Rates on the Rise for Physicians
WEDNESDAY, Dec. 2, 2015 (HealthDay News) — Burnout is a growing problem among American doctors, according to research published in the December issue of the Mayo Clinic Proceedings.
USPSTF: Insufficient Evidence for Visual Skin Cancer Screening
WEDNESDAY, Dec. 2, 2015 (HealthDay News) — The U.S. Preventive Services Task Force has found that there is currently insufficient evidence to weigh the benefits and harms of visual skin cancer screening in adults. These findings form the basis of a draft recommendation statement published online Nov. 30 by the USPSTF.
Draft Evidence Review
Draft Recommendation Statement
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CDC: Cholesterol Levels Improving But More Work Needed
TUESDAY, Dec. 1, 2015 (HealthDay News) — About one in every eight American adults continue to have high levels of total cholesterol, while even more have low levels of high-density lipoprotein (HDL) cholesterol, according to a December data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.
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