Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for May 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.
AHRQ Communication Toolkit Can Help After Patient Harm Occurs
TUESDAY, May 31, 2016 (HealthDay News) — A new communication toolkit created by the Agency for Healthcare Research and Quality (AHRQ) can help health care organizations and providers communicate with patients and families when harm occurs to patients.
DAPT Score Improves Risk Prediction of Continued DAPT
TUESDAY, May 31, 2016 (HealthDay News) — A decision tool (dual antiplatelet therapy [DAPT] score) improves risk prediction for continued DAPT beyond assessment of myocardial infarction (MI) history, according to a study published in the May 31 issue of the Journal of the American College of Cardiology.
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Possible Benefit Found for Betrixaban in Acutely Ill
TUESDAY, May 31, 2016 (HealthDay News) — Betrixaban may be beneficial versus enoxaparin in acutely ill medical patients, according to a study published online May 27 in the New England Journal of Medicine. The research was published to coincide with the annual meeting of the International Society on Thrombosis and Haemostasis Scientific and Standardization Committee, held from May 25 to 28 in Montpellier, France.
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Intermittent Steroids Reduce Some Asthma Exacerbations
FRIDAY, May 27, 2016 (HealthDay News) — There is strong evidence to support intermittent inhaled corticosteroids (ICS) for prevention of wheeze exacerbations in preschool children with intermittent asthma or viral-triggered wheezing, according to a review published online May 26 in Pediatrics.
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Remaining Uninsured May Be Difficult to Reach Via ACA
FRIDAY, May 27, 2016 (HealthDay News) — Uninsurance rates have decreased since the introduction of the Affordable Care Act (ACA), but reaching the remaining uninsured may prove challenging, according to a health policy brief published online May 23 in Health Affairs.
Recognition of Patient Expertise Can Improve Adherence
FRIDAY, May 27, 2016 (HealthDay News) — Recognizing the unique role of patients and their expertise within the physician-patient interaction can help to prevent non-adherence based on disagreement, according to an article published online May 18 in the Journal of Evaluation in Clinical Practice.
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Wells Rule Beats ‘Gestalt’ in Ruling Out Pulmonary Embolism
WEDNESDAY, May 25, 2016 (HealthDay News) — Both a physician’s own probability estimate (“gestalt”) and the Wells rule can be combined with D-dimer testing to safely rule out pulmonary embolism (PE) in primary care; however, the Wells rule is more efficient, according to a study published in the May/June issue of the Annals of Family Medicine.
Two New Drugs Added to Heart Failure Clinical Practice Guideline
MONDAY, May 23, 2016 (HealthDay News) — An updated clinical guideline adds two new types of drugs to the list of treatment options for heart failure. The updated guideline was published online May 20 in the Journal of the American College of Cardiology, Circulation, and the Journal of Cardiac Failure.
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Urine Metabolomics Linked to Clinical Parameters of Asthma
MONDAY, May 23, 2016 (HealthDay News) — Increased urine metabolomic lipid metabolites are associated with clinical parameters in non-obese asthma patients, according to a study published online May 18 in Allergy.
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Strategies Can Help Streamline Revenue-Related Processes
THURSDAY, May 19, 2016 (HealthDay News) — Strategies can be employed to maximize the amount of time available for patient care by streamlining revenue-related processes, according to the American Medical Association (AMA).
Burnout, Lack of Job Satisfaction Driving Doctors to Cut Hours
WEDNESDAY, May 18, 2016 (HealthDay News) — Full-time physicians reporting worsening burnout or decreased job satisfaction are more likely to reduce their work hours, according to a study published in the April issue of Mayo Clinic Proceedings.
Physicians, Patient Families Often Disagree on Prognosis
WEDNESDAY, May 18, 2016 (HealthDay News) — In more than half of recently studied cases, doctors and family members acting on behalf of critically ill patients disagreed about whether the patient would die or not, according to a study published in the May 17 issue of the Journal of the American Medical Association.
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Sexual Harassment Experienced by One-Third of Female Doctors
WEDNESDAY, May 18, 2016 (HealthDay News) — Thirty percent of female physicians face sexual harassment on the job, while close to three-quarters perceive gender bias at work and two-thirds say they have actually experienced it, according to survey findings published in the May 17 issue of the Journal of the American Medical Association.
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Rehab Beneficial in Spontaneous Coronary Artery Dissection
WEDNESDAY, May 18, 2016 (HealthDay News) — Many patients with spontaneous coronary artery dissection (SCAD) participate in cardiac rehabilitation (CR), and most patients report benefit, according to a study published in the May 15 issue of The American Journal of Cardiology.
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Recent Improvement in Heart Failure Process of Care Measures
TUESDAY, May 17, 2016 (HealthDay News) — Adherence to heart failure process of care measures has improved significantly over the last 10 years for patients with acute decompensated heart failure with reduced ejection fraction (HFrEF) and end-stage renal disease (ESRD), according to a study published online May 11 in JACC: Heart Failure.
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Specific Language Important in Heart Failure Communication
MONDAY, May 16, 2016 (HealthDay News) — Specific language is important for patient experience and shared decision-making in heart failure, according to research published in the June 1 issue of The American Journal of Cardiology.
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Complementary Medicine Use Up With Chronic Conditions
MONDAY, May 16, 2016 (HealthDay News) — Adults with multiple chronic conditions frequently use complementary and alternative medicine (CAM), according to a study published online May 5 in the U.S. Centers for Disease Control and Prevention’s Preventing Chronic Disease.
Persistent Asthma in Childhood Tied to COPD Risk As Young Adult
THURSDAY, May 12, 2016 (HealthDay News) — Children with persistent asthma and reduced growth of lung function may be at increased risk for chronic obstructive pulmonary disease (COPD) in early adulthood, according to a study published in the May 12 issue of the New England Journal of Medicine.
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Depressive Symptoms for Many Caregivers of Critically Ill
WEDNESDAY, May 11, 2016 (HealthDay News) — Many caregivers of critically ill patients receiving mechanical ventilation in an intensive care unit (ICU) report high levels of depressive symptoms, according to a study published in the May 12 issue of the New England Journal of Medicine.
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Late Reactions in Food Challenges Common
WEDNESDAY, May 11, 2016 (HealthDay News) — Late reactions in children undergoing food challenges are common and poorly predicted but generally not severe, according to a study published online May 10 in Allergy.
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Cutting Brand-Name Drug Use Could Save U.S. $73 Billion
TUESDAY, May 10, 2016 (HealthDay News) — Americans could save tens of billions of dollars with more efficient drug use, replacing brand-name drugs with their generic equivalents whenever possible, according to a study published online May 9 in JAMA Internal Medicine.
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CDC Establishes New ‘Clean Hands Count’ Campaign
MONDAY, May 9, 2016 (HealthDay News) — The U.S. Centers for Disease Control and Prevention has introduced a new campaign, “Clean Hands Count,” to encourage health care professionals, patients, and patients’ families to keep their hands clean in order to prevent health care-associated infections.
New Rule Extends FDA Authority Over Tobacco, Nicotine Products
THURSDAY, May 5, 2016 (HealthDay News) — The U.S. Food and Drug Administration said Thursday that it is banning the sale of electronic cigarettes to minors, as part of its long-awaited plan to extend the agency’s regulatory powers across all tobacco products.
Lung Cancer Resection Linked to Longer Survival for Older Patients
THURSDAY, May 5, 2016 (HealthDay News) — Older lung cancer patients are surviving longer when they have lung cancer surgery, according to a study published online May 5 in the Annals of Thoracic Surgery.
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No Benefit Found for Perioperative Statin Therapy
THURSDAY, May 5, 2016 (HealthDay News) — Taking statins right before cardiac surgery, once touted as a way to prevent common postoperative complications, has no benefit and may even cause harm, according to a study published in the May 5 issue of the New England Journal of Medicine.
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Physician Leadership Training May Help Counteract Burnout
WEDNESDAY, May 4, 2016 (HealthDay News) — Physician leaders with good leadership qualities are more likely to have employees who are satisfied and do not show signs of burnout, according to a study published in the April issue of the Mayo Clinic Proceedings and a report published by the American Medical Association.
Price Transparency Tool Doesn’t Cut Health Care Spending
WEDNESDAY, May 4, 2016 (HealthDay News) — Employee use of a price transparency tool does not cut health care spending, according to a study published in the May 3 issue of the Journal of the American Medical Association.
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Still Too Many Antibiotic Prescriptions Being Written
TUESDAY, May 3, 2016 (HealthDay News) — Nearly one-third of the antibiotics prescribed in the United States aren’t appropriate for the conditions being treated, according to research published in the May 3 issue of the Journal of the American Medical Association.
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Report: Why Health Care Costs Are Lower in Europe Than U.S.
TUESDAY, May 3, 2016 (HealthDay News) — European residents have access to the same health care services as U.S. residents but pay much less, and this is related to several specific factors, according to a report published by INDIGOMED on April 25.
Cognitive Behavioral Therapy Advised for Chronic Insomnia
TUESDAY, May 3, 2016 (HealthDay News) — Cognitive behavioral therapy is recommended as the initial treatment for all adults with chronic insomnia disorder, according to a clinical practice guideline published online May 3 in the Annals of Internal Medicine.
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2017 May Offer Fewer Choices for Affordable Care Act Enrollees
MONDAY, May 2, 2016 (HealthDay News) — With the nation’s largest health insurer exiting all but a few Affordable Care Act exchanges next year, some Americans may be left with fewer choices and some might see higher monthly premiums.
Markers That Predict Omalizumab Response Identified
MONDAY, May 2, 2016 (HealthDay News) — Baseline serum periostin levels and levels of serum free immunoglobulin E (IgE) during treatment follow-up may be useful in assessing response to omalizumab treatment for asthma, according to a study published online April 26 in Allergy.
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