Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for June 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.
End-of-Life Decision-Making Video Aids Heart Failure Patients
THURSDAY, June 30, 2016 (HealthDay News) — Watching a video about end-of-life care options may help patients with advanced heart failure choose the approach best for them, according to a study published online June 29 in Circulation.
Cardiovascular Disease Mortality Progress Slowing Down in U.S.
WEDNESDAY, June 29, 2016 (HealthDay News) — The rate of decline in cardiovascular disease mortality has decelerated, according to research published online June 29 in JAMA Cardiology.
Too Little, Too Much Sleep Can Impair Insulin Sensitivity in Men
WEDNESDAY, June 29, 2016 (HealthDay News) — Too much or too little sleep may raise the risk of diabetes in men, but not women, according to a study published online June 29 in the Journal of Clinical Endocrinology & Metabolism.
Depression Cuts Adherence to COPD Maintenance Meds
WEDNESDAY, June 29, 2016 (HealthDay News) — In older adults, depression is associated with decreased adherence to maintenance medication regimens for chronic obstructive pulmonary disease (COPD), according to a study published online June 22 in the Annals of the American Thoracic Society.
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Escitalopram Not Beneficial for Heart Failure Patients
WEDNESDAY, June 29, 2016 (HealthDay News) — The antidepressant escitalopram may not help heart failure patients suffering from depression, according to research published in the June 28 issue of the Journal of the American Medical Association.
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Electronic Record Demands Are Overwhelming Many Physicians
WEDNESDAY, June 29, 2016 (HealthDay News) — Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.
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Too Many Elderly, Terminal Patients Getting Unnecessary Tx
TUESDAY, June 28, 2016 (HealthDay News) — Patients dying in old age often receive unnecessary end-of-life medical treatments in hospitals, according to research published online June 27 in the International Journal for Quality in Health Care.
End-of-Life Care Received Varies Based on Type of Disease
TUESDAY, June 28, 2016 (HealthDay News) — Family-reported quality of end-of-life care is significantly better for patients with cancer or dementia than for patients with other chronic conditions, according to research published online June 26 in JAMA Internal Medicine to coincide with presentation at AcademyHealth’s Annual Research Meeting, held from June 26 to 28 in Boston.
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Guidance Updated for Sedation of Pediatric Patients
TUESDAY, June 28, 2016 (HealthDay News) — Guidelines have been updated for monitoring and management of pediatric patients before, during, and after sedation, according to a clinical report published online June 27 in Pediatrics.
Patients Face High Hospital Bills Despite Having Insurance
MONDAY, June 27, 2016 (HealthDay News) — Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.
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2017 Will Bring Premium Rate Increases Under ACA
FRIDAY, June 24, 2016 (HealthDay News) — Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.
CDC: FluMist Nasal Flu Vaccine Should Not Be Used 2016-2017
THURSDAY, June 23, 2016 (HealthDay News) — The nasal spray form of the influenza vaccine should not be used next flu season, according to an announcement late Wednesday by the U.S. Centers for Disease Control and Prevention’s Advisory Panel on Immunization Practices (ACIP).
Early Antibiotic Treatment Can Be Beneficial in Cystic Fibrosis
THURSDAY, June 23, 2016 (HealthDay News) — For patients with cystic fibrosis (CF), early treatment of Pseudomonas aeruginosa (Pa) may be beneficial, according to a study published online June 16 in the Journal of Clinical Pharmacy and Therapeutics.
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CDC: Alternative Medicine a Booming Business in U.S.
WEDNESDAY, June 22, 2016 (HealthDay News) — Americans spent more than $30 billion out of pocket in 2012 on chiropractors and other complementary health practitioners, as well as supplements and other forms of alternative medicine, according to research published online June 22 in the U.S. Centers for Disease Control and Prevention’s National Health Statistics Reports.
Use of Patient Navigators Improves Cancer Screening Rates
WEDNESDAY, June 22, 2016 (HealthDay News) — The use of patient navigators improves cancer screening rates among low-income and ethnic minority patients, according to a study published online June 6 in JAMA Internal Medicine.
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Risk of Cardiovascular Events Up in Black Patients With A-Fib
WEDNESDAY, June 22, 2016 (HealthDay News) — Black Americans with atrial fibrillation are at higher risk than whites for serious cardiovascular complications and death, according to a study published online June 22 in JAMA Cardiology.
APCs, Doctors Order Low-Value Services With Similar Frequency
WEDNESDAY, June 22, 2016 (HealthDay News) — Advanced practice clinicians (APCs) and physicians order low-value health services with similar frequency, according to a study published online June 20 in the Annals of Internal Medicine.
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Surgery Tied to Longer Survival for Lung Cancer Patients
TUESDAY, June 21, 2016 (HealthDay News) — Many patients with advanced stage non-small-cell lung cancer (NSCLC) might live longer if treated surgically, but few patients are actually undergoing surgery, according to a study published online June 9 in the Annals of Thoracic Surgery.
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Tips Provided for Leveraging Social Media
TUESDAY, June 21, 2016 (HealthDay News) — During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.
Too Many A-Fib Patients Taking Aspirin Instead of Anticoagulant
TUESDAY, June 21, 2016 (HealthDay News) — More than one-third of U.S. patients with atrial fibrillation who need anticoagulation to prevent strokes aren’t receiving it, according to a study published in the June 28 issue of the Journal of the American College of Cardiology.
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Three-Drug Tx Ups Survival in Light-Chain Amyloidosis
TUESDAY, June 21, 2016 (HealthDay News) — For patients with heart failure due to light-chain amyloidosis (AL), three-drug therapy with bortezomib, dexamethasone, and an alkylating agent (BDex+AA) is associated with improved survival, according to a study published in the June 28 issue of the Journal of the American College of Cardiology.
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Persistent High Spending Common in Year Before Death
TUESDAY, June 21, 2016 (HealthDay News) — Almost half of older Medicare beneficiaries have high persistent spending throughout the full year before death, according to a study published in the June issue of Health Affairs.
Sleep Apnea Could Worsen Cognitive Deficits in MS Patients
TUESDAY, June 21, 2016 (HealthDay News) — Obstructive sleep apnea (OSA) may be associated with cognitive dysfunction in patients with multiple sclerosis (MS), according to a study published in the May issue of SLEEP.
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One Free Meal From Industry Ups Brand-Name Rx Among Doctors
MONDAY, June 20, 2016 (HealthDay News) — Physicians who receive even one free meal, valued at less than $20 on average, are more likely to prescribe a promoted brand-name drug than a cheaper generic alternative, compared with doctors who did not accept a meal, according to a study published online June 20 in JAMA Internal Medicine.
TAVI Can Be Performed Without ICU Admission
MONDAY, June 20, 2016 (HealthDay News) — Transcatheter aortic valve implantation (TAVI) can be performed in low-risk patients without admission to the intensive care unit (ICU), according to a study published in the July 1 issue of The American Journal of Cardiology.
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Reset Room Can Help Address Physician Burnout
MONDAY, June 20, 2016 (HealthDay News) — The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.
Strategy Needed to Address Impending Physician Shortage
FRIDAY, June 17, 2016 (HealthDay News) — Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.
Potential Impact of Single-Payer Health Care Discussed
THURSDAY, June 16, 2016 (HealthDay News) — Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.
Prices for Care Rise Significantly As Multi-Hospital Systems Emerge
THURSDAY, June 16, 2016 (HealthDay News) — Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.
Sleep-Disordered Breathing Ups Risk of Complications After PCI
THURSDAY, June 16, 2016 (HealthDay News) — Sleep-disordered breathing (SDB) may increase the risk of serious complications in patients who have undergone percutaneous coronary intervention (PCI), according to research published online June 15 in the Journal of the American Heart Association.
Several Heart Conditions Affected Differently by Alcohol
WEDNESDAY, June 15, 2016 (HealthDay News) — Texans living in “dry” counties are more likely to suffer myocardial infarction and congestive heart failure than those living in nearby “wet” counties, where alcohol sales are legal; however, atrial fibrillation is less likely in dry counties, according to a study published online June 14 in The BMJ.
Many PCPs Discuss Low-Dose CT Screening With Patients
WEDNESDAY, June 15, 2016 (HealthDay News) — Many family physicians discuss low-dose computed tomography (LDCT) screening for lung cancer with patients at high risk, although referrals remain low, according to a study published online June 13 in Cancer.
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Four-Step Strategy Suggested for Boosting Practice Quality of Care
WEDNESDAY, June 15, 2016 (HealthDay News) — Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).
Long-Acting Opioids May Increase Risk of All-Cause Mortality
TUESDAY, June 14, 2016 (HealthDay News) — Opioid use may significantly increase mortality risk, according to a study published in the June 14 issue of the Journal of the American Medical Association.
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USPSTF Finds Evidence Lacking for Sleep Apnea Screening
TUESDAY, June 14, 2016 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has found insufficient evidence for the benefit of obstructive sleep apnea (OSA) screening in asymptomatic populations. These findings form the basis of a draft recommendation statement, published online June 14 by the USPSTF.
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Anaphylaxis Risk Up for Siblings of Peanut Allergic Children
TUESDAY, June 14, 2016 (HealthDay News) — The risk of anaphylaxis is increased upon peanut introduction in siblings of children with peanut allergy, according to a study published online June 13 in Allergy.
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Senior Runners Expend Similar Energy As Younger Runners
FRIDAY, June 10, 2016 (HealthDay News) — Runners over age 65 could burn oxygen at nearly the same rate as much younger runners, according to a study published in the April issue of Medicine & Science in Sports & Exercise.
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Pediatric Unanticipated Admission Incidence 0.97 Percent
FRIDAY, June 10, 2016 (HealthDay News) — The incidence of pediatric unanticipated admissions is 0.97 percent, with about half of admissions related to anesthesia, according to a study published online June 1 in Pediatric Anesthesia.
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CDC: Cigarette Smoking Rates Down Among U.S. Adolescents
FRIDAY, June 10, 2016 (HealthDay News) — Smoking among high school students is at an all-time low: Slightly more than one in 10 high schoolers used cigarettes in 2015, down from more than one in four in 1991, according to a report from the U.S. Centers for Disease Control and Prevention.
Risk of S. aureus Bacteremia Up in Patients on Glucocorticoids
FRIDAY, June 10, 2016 (HealthDay News) — Patients taking systemic glucocorticoids are at higher risk for community-acquired Staphylococcus aureus bacteremia (CA-SAB), according to research published online June 8 in Mayo Clinic Proceedings.
California’s Right-to-Die Law Now in Effect
THURSDAY, June 9, 2016 (HealthDay News) — California on Thursday becomes the fifth and largest state in the country to allow terminally ill patients to end their own lives.
Temporal hs-cTnT Increase Linked to Risk of CHD, CHF
THURSDAY, June 9, 2016 (HealthDay News) — Temporal increases in high-sensitivity cardiac troponin T (hs-cTnT) are associated with increased risk of coronary heart disease (CHD), heart failure, and all-cause mortality, according to a study published online June 8 in JAMA Cardiology.
Shift Work ‘Unwinds’ Body Clock, May Lead to More Severe Stroke
WEDNESDAY, June 8, 2016 (HealthDay News) — Circadian rhythm disruption associated with shifted light:dark (LD) cycles exacerbates stroke outcomes in a rat model, according to an experimental study published online June 2 in Endocrinology.
Clonidine Has Antipyretic Effect in ICU Patients
WEDNESDAY, June 8, 2016 (HealthDay News) — For mechanically ventilated intensive care unit (ICU) patients, clonidine in addition to commonly used sedative agents has an antipyretic effect, according to a study published online June 6 in the Journal of Clinical Pharmacology.
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15.5 Million Americans Now Surviving Cancer
FRIDAY, June 3, 2016 (HealthDay News) — Cancer survivors in the United States reached record numbers this year — 15.5 million — and the American Cancer Society predicts they’ll total more than 20 million in another decade. The report, prepared by the American Cancer Society in collaboration with the U.S. National Cancer Institute, was published online June 2 in CA: A Cancer Journal for Clinicians.
Post-CABG Infection Risk Up Significantly for Severely Obese
FRIDAY, June 3, 2016 (HealthDay News) — Severely obese patients may have a higher risk of certain complications after coronary artery bypass grafting (CABG) surgery than normal-weight patients, according to a study published online June 1 in the Journal of the American Heart Association.
Chemical Reactions Can Create Health Hazards in Pools, Hot Tubs
THURSDAY, June 2, 2016 (HealthDay News) — The disinfectants used to keep pools clean can create dangerous disinfection byproducts (DBPs) when combined with sweat, personal care products, and urine, according to research published online April 28 in Environmental Science & Technology.
AMA Module Promotes Training of Medical Assistants
THURSDAY, June 2, 2016 (HealthDay News) — A new training module can improve training for medical assistants (MAs), according to a report from the American Medical Association (AMA).
Decline in Complex Congenital Heart Defects in Down Syndrome
THURSDAY, June 2, 2016 (HealthDay News) — For infants diagnosed with Down syndrome there has been a reduction in the risk of complex congenital heart defects, according to a study published online June 1 in Pediatrics.
Patients Like to See Physicians Wearing White Coats
THURSDAY, June 2, 2016 (HealthDay News) — Most patients prefer that physicians wear white coats, according to research published online June 1 in JAMA Dermatology.
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Many Parents Know Too Little About Their Child’s Asthma Meds
WEDNESDAY, June 1, 2016 (HealthDay News) — Only half of parents of children with asthma fully understand the use of their child’s asthma medications, according to research published online May 17 in the Journal of Allergy and Clinical Immunology.
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More Evidence That Air Pollution Raises Blood Pressure
WEDNESDAY, June 1, 2016 (HealthDay News) — There is more evidence linking air pollution with increased risk of developing hypertension, according to a review published online May 31 in Hypertension.
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