Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for December 2016. 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.
Bundled Payment Initiative Had No Effect on COPD Readmissions
FRIDAY, Dec. 30, 2016 (HealthDay News) — Implementation of the Medicare Bundled Payments for Care Improvement (BPCI) initiative has failed to cut readmission rates following hospitalization for acute exacerbation of chronic obstructive pulmonary disease (COPD), according to a study published online Dec. 22 in the Annals of the American Thoracic Society.
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Age-Adjusted Cut-Offs in D-Dimer Testing for PE Cause Concern
THURSDAY, Dec. 29, 2016 (HealthDay News) — D-dimer unit type should be clarified and laboratories interested in implementing age-adjusted D-dimer (AADD) cut-offs should use only specific D-dimer assays that have been adequately assessed in clinical studies, according to an Ideas and Opinions piece published online Dec. 27 in the Annals of Internal Medicine.
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Fish-Oil Fatty Acids in Pregnancy Cut Wheeze, Asthma Risk in Child
WEDNESDAY, Dec. 28, 2016 (HealthDay News) — For women in the third trimester of pregnancy, supplementation with n-3 long-chain polyunsaturated fatty acids (LCPUFAs) is associated with a reduction in the risk of persistent wheeze and asthma in offspring, according to a study published in the Dec. 29 issue of the New England Journal of Medicine.
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Penalties Under ACA Tied to Drop in Medicare Readmission Rates
WEDNESDAY, Dec. 28, 2016 (HealthDay News) — Passage of the Medicare Hospital Readmissions Reduction Program (HRRP) under the Affordable Care Act is associated with a more rapid decrease in 30-day risk-standardized readmission rates (RSRRs), according to a study published online Dec. 27 in the Annals of Internal Medicine.
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Personal Health Care Spending Continues to Soar in the U.S.
TUESDAY, Dec. 27, 2016 (HealthDay News) — From 1996 to 2013 there were considerable increases in personal health care spending in the United States, with the highest amounts for diabetes, ischemic heart disease, and low back and neck pain, according to a study published in the Dec. 27 issue of the Journal of the American Medical Association.
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VA ECHO Program Feasible for Management of Sleep Disorders
THURSDAY, Dec. 22, 2016 (HealthDay News) — A U.S. Department of Veterans Affairs Extension for Community Healthcare Outcomes (VA-ECHO) program is feasible for increasing comfort in managing common sleep complaints, according to research published online Dec. 15 in the Annals of the American Thoracic Society.
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Cured Meat Intake Directly Tied to Worsening Asthma
WEDNESDAY, Dec. 21, 2016 (HealthDay News) — Higher levels of cured meat intake are associated with a direct effect on worsening asthma symptoms over time, according to a study published online Dec. 20 in Thorax.
Health Care Provider Burnout Negatively Affects Quality, Safety
TUESDAY, Dec. 20, 2016 (HealthDay News) — Health care provider burnout is negatively associated with quality and safety of health care, according to a meta-analysis published recently in the Journal of General Internal Medicine.
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DEA Announces Critical Changes in Registration Renewal Process
MONDAY, Dec. 19, 2016 (HealthDay News) — The Drug Enforcement Administration (DEA) has announced critical changes in its registration renewal process, according to a report published by the American Academy of Family Physicians.
Outcomes-Based Pricing Suggested for New, Costly Drugs
WEDNESDAY, Dec. 14, 2016 (HealthDay News) — Outcomes-based pricing for novel and expensive biopharmaceuticals is supported in an Ideas and Opinions piece published online Dec. 13 in the Annals of Internal Medicine.
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Exposure to Mold, Dampness Ups Risk of Asthma, Rhinitis
WEDNESDAY, Dec. 14, 2016 (HealthDay News) — Exposure to mold and dampness during infancy is associated with increased risk of asthma and rhinitis up to age 16 years, according to a study published online Dec. 7 in Allergy.
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Communication Facilitator in ICU Economically Feasible
WEDNESDAY, Dec. 14, 2016 (HealthDay News) — Staffing the intensive care unit (ICU) with a communication facilitator is economically feasible, according to research published in the December issue of the Annals of the American Thoracic Society.
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Atezolizumab Effective in Late-Stage Non-Small-Cell Lung Cancer
TUESDAY, Dec. 13, 2016 (HealthDay News) — The immunotherapy atezolizumab extends the survival of previously treated non-small-cell lung cancer patients for several months and causes fewer side effects than docetaxel, according to a study published online Dec. 12 in The Lancet.
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OSA Is Risk Factor for Recurrent Pulmonary Embolism
TUESDAY, Dec. 13, 2016 (HealthDay News) — For patients who stop oral anticoagulation (OAC) for a first episode of pulmonary embolism (PE), obstructive sleep apnea (OSA) is a risk factor for PE recurrence and restarting OAC for a new thromboembolic event, according to a study published in the December issue of CHEST.
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CDC: U.S. Flu Vaccination Rates Low So Far This Season
MONDAY, Dec. 12, 2016 (HealthDay News) — Only about two out of five Americans had gotten this season’s flu vaccination as of early November, the U.S. Centers for Disease Control and Prevention reports.
Stepped Care Likely to Be Cost-Effective in Head & Neck, Lung CA
MONDAY, Dec. 12, 2016 (HealthDay News) — A stepped care (SC) program is likely to be cost-effective for patients with head and neck cancer or lung cancer who have psychological distress, according to a study published online Dec. 5 in the Journal of Clinical Oncology.
Insomnia Found to Be Highly Prevalent in Adults With Asthma
FRIDAY, Dec. 9, 2016 (HealthDay News) — Insomnia is common in adults with asthma and tied to worse asthma control and other health problems, according to a study published in the December issue of CHEST.
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Even Moderate, Regular Alcohol Consumption Could Cause A-Fib
THURSDAY, Dec. 8, 2016 (HealthDay News) — Regularly drinking even small amounts of alcohol may increase the risk of atrial fibrillation, according to a study published in the Dec. 13 issue of the Journal of the American College of Cardiology.
Suicide Risk Up for Patients With Acute Coronary Syndrome
THURSDAY, Dec. 8, 2016 (HealthDay News) — Patients with acute coronary syndrome (ACS) may face a higher-than-normal risk of suicide, according to a study published online Dec. 7 in the Journal of the American Heart Association.
Sleep Duration, Efficiency Linked to Inpatient Hyperglycemia
THURSDAY, Dec. 8, 2016 (HealthDay News) — For hospitalized patients, additional sleep and increased sleep efficiency correlate with lower odds of hyperglycemia and impaired fasting glucose, according to research published online Nov. 30 in Diabetes Care.
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Learning Interventions Can Improve Med Student Well-Being
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — Specific learning interventions may improve emotional well-being among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Number of Cancer Cases, Deaths Up Globally
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — Cancer cases rose 33 percent worldwide in the past 10 years, according to a report published online Dec. 3 in JAMA Oncology.
Prevalence of Disability 2.7 Percent at U.S. Medical Schools
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — The prevalence of disability is 2.7 percent among medical students at U.S. allopathic medical schools, according to a research letter published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue of medical education.
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State-Specific Variation in Asthma Rates Among Employed Adults
TUESDAY, Dec. 6, 2016 (HealthDay News) — There is state-specific variation in the prevalence of current asthma among employed adults, which depends on industry and occupation, according to a study published online Dec. 2 in Morbidity and Mortality Weekly Report.
Patient Mortality Up With End-of-Rotation Team Transition
TUESDAY, Dec. 6, 2016 (HealthDay News) — Hospitalized patients who are handed off by their original medical team to a new set of caregivers may ultimately face a higher risk of early mortality, according to research published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Depression, Suicide Ideation Prevalent in Medical Students
TUESDAY, Dec. 6, 2016 (HealthDay News) — The prevalences of depression or depressive symptoms and suicide ideation are 27.2 and 11.1 percent, respectively, among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Menopausal Status Linked to Faster Lung Function Decline
TUESDAY, Dec. 6, 2016 (HealthDay News) — Menopausal status is associated with accelerated lung function decline, according to a study published online Dec. 1 in the American Journal of Respiratory and Critical Care Medicine.
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Meds Don’t Cut Trastuzumab-Tied Left Ventricular Remodeling
FRIDAY, Dec. 2, 2016 (HealthDay News) — For patients with human epidermal growth factor receptor 2-overexpressing (HER2-positive) early breast cancer, perindopril and bisoprolol do not prevent trastuzumab-mediated left ventricular remodeling, according to a study published online Nov. 28 in the Journal of Clinical Oncology.
Acute, Noncardiac Mortality Risk Up for CA Patients With STEMI
FRIDAY, Dec. 2, 2016 (HealthDay News) — Cancer survivors with ST-segment elevation myocardial infarction (STEMI) have increased acute in-hospital and long-term noncardiac mortality risk but no increased acute or long-term cardiac mortality risk with guideline-recommended cardiac care, according to a study published in the December issue of the Mayo Clinic Proceedings.
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Web-Based Cognitive Therapy Program Effective for Insomnia
THURSDAY, Dec. 1, 2016 (HealthDay News) — A web-based interactive program can help chronically sleepless individuals get the sleep they need without taking medication or spending time in therapy, according to research published online Nov. 30 in JAMA Psychiatry.
CDC: Fewer U.S. Families Struggling to Pay Medical Bills
THURSDAY, Dec. 1, 2016 (HealthDay News) — The number of people in families having problems paying medical bills fell by nearly 13 million from 2011 through the first six months of 2016, according to a report published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).
Study Supports Smoking Cessation for Smokers of Any Age
THURSDAY, Dec. 1, 2016 (HealthDay News) — Age at smoking initiation and cessation continue to be important predictors of mortality in U.S. adults over age 70, according to a study published online Nov. 29 in the American Journal of Preventive Medicine.
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