Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for November 2017. 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.
Mortality Up for Some Cancers in Urban-Dwelling Native Americans
THURSDAY, Nov. 30, 2017 (HealthDay News) — Urban American Indians and Alaskan Natives (AIAN) with cancer have a significantly higher comorbidity burden, and have higher mortality for some cancers, according to a study published online Nov. 29 in Cancer Research.
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Many Seniors Have Not Discussed Avoiding Drug Interactions
WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Older adults report feeling confident that they know how to avoid drug interactions despite only 35 percent having spoken to someone about it in the past year, according to findings from the National Poll on Healthy Aging, published online Nov. 29.
Wait Time Linked to Worse Outcomes in Hip Fracture Surgery
WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Increased wait time is associated with an increased risk of complications and 30-day mortality among adults undergoing hip fracture surgery, according to a study published in the Nov. 28 issue of the Journal of the American Medical Association.
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Over 5 Percent of Incident Cancer Due to Diabetes, High BMI
WEDNESDAY, Nov. 29, 2017 (HealthDay News) — More than 5 percent of all incident cancers in 2012 were attributable to diabetes and high body mass index (BMI), according to a study published online Nov. 28 in The Lancet Diabetes & Endocrinology.
Recommendations Developed for Lymphangioleiomyomatosis
WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Evidence-based recommendations have been developed for the diagnosis and treatment of patients with lymphangioleiomyomatosis (LAM), and published in the Nov. 15 issue of the American Journal of Respiratory and Critical Care Medicine.
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Value-Based Payment Modifier Not Tied to Practice Performance
TUESDAY, Nov. 28, 2017 (HealthDay News) — The Value-Based Payment Modifier (VM) is not associated with performance differences between practices serving higher-risk and lower-risk patients, according to a study published online Nov. 28 in the Annals of Internal Medicine.
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Clinician Denial of Patient Requests Impacts Satisfaction
TUESDAY, Nov. 28, 2017 (HealthDay News) — Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician, according to a study published online Nov. 27 in JAMA Internal Medicine.
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Ablation Cuts Risk of Recurrent Stroke in Patients With A-Fib
TUESDAY, Nov. 28, 2017 (HealthDay News) — For patients with atrial fibrillation (AF) and prior cerebrovascular accident (CVA), ablation is associated with reduced risk of recurrent stroke, according to a study published online Nov. 13 in the Journal of Cardiovascular Electrophysiology.
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Practice Variation in Treatment for Bronchiolitis in Infants
TUESDAY, Nov. 28, 2017 (HealthDay News) — For infants with bronchiolitis, the use of evidence-based supportive therapies (EBSTs) varies by hospital site, according to a study published online Nov. 28 in Pediatrics.
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Abdominal Obesity Linked to All-Cause Mortality in HFpEF
MONDAY, Nov. 27, 2017 (HealthDay News) — For patients with heart failure with preserved ejection fraction (HFpEF), abdominal obesity is associated with increased risk of all-cause mortality, according to a study published in the Dec. 5 issue of the Journal of the American College of Cardiology.
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New Workflows Have Potential to Address Provider Burnout
MONDAY, Nov. 27, 2017 (HealthDay News) — New solutions are needed to address burnout among health care team members, yet, in a catch-22 situation for health industry leaders, change fatigue contributes to burnout, according to a Vocera Communications report entitled In Pursuit of Resilience, Well-Being, and Joy in Healthcare.
Essay Adds to Discourse on Impact of Suggestive Jokes
MONDAY, Nov. 27, 2017 (HealthDay News) — Seemingly benign, recurring patterns of joking around a single theme (joke cycles) can contribute to humorizing and legitimizing sexual misconduct, according to an essay published online Nov. 12 in Communication and Critical/Cultural Studies.
Coffee Consumption Appears to Provide More Benefit Than Harm
MONDAY, Nov. 27, 2017 (HealthDay News) — Coffee consumption seems safe and is associated with reduced risk for various health outcomes, according to a review published online Nov. 22 in The BMJ.
History of Prior Cancer Common in Newly Diagnosed Patients
MONDAY, Nov. 27, 2017 (HealthDay News) — A substantial number of patients diagnosed with incident cancer in the United States have a prior history of cancer, according to a brief report published online Nov. 22 in JAMA Oncology.
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NTproBNP Levels Are Significantly Lower in Blacks
WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Plasma N-terminal pro-B-type natriuretic peptide (NTproBNP) levels are significantly lower for black than white individuals, according to a study published online Nov. 22 in JAMA Cardiology.
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Female Physicians’ Spouses More Likely to Work
WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Spouses of female physicians are on average more educated and work more hours outside the home than spouses of male physicians, according to a research letter published online Nov. 21 in the Annals of Internal Medicine.
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Researchers ID Microbiome Genes Tied to Asthma
WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Functional genes in the upper airway microbiome may be tied to childhood asthma, according to a study published Nov. 20 in Allergy.
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Intranasal Omalizumab Does Not Increase Serum IgE Levels
TUESDAY, Nov. 21, 2017 (HealthDay News) — In patients with birch pollen allergy, intranasal administration of omalizumab does not result in relevant change of allergen-specific and total immunoglobulin E (IgE) levels, according to a pilot study published online Oct. 30 in Allergy.
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High Costs Associated With Physician Burnout, Attrition
TUESDAY, Nov. 21, 2017 (HealthDay News) — Physicians who are experiencing burnout are more than twice as likely to leave their organization within two years, and this is associated with significant economic costs, according to a report from the American Medical Association.
NOACs Show Lower Risk of Adverse Renal Outcomes in A-Fib
TUESDAY, Nov. 21, 2017 (HealthDay News) — For patients with atrial fibrillation (AF), non-vitamin K antagonist oral anticoagulants (NOACs) are associated with lower risks of adverse renal outcomes than warfarin, according to a study published in the Nov. 28 issue of the Journal of the American College of Cardiology.
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Increased Repolarization Dispersion Seen in SCD Survivors
TUESDAY, Nov. 21, 2017 (HealthDay News) — Survivors of sudden cardiac death (SCD) with structurally normal hearts have increased dispersion of repolarization after exertion, and this is detectable on non-invasive electrocardiographic imaging (ECGi), according to a study published online Nov. 1 in the Journal of Cardiovascular Electrophysiology.
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Higher β-Blocker Dose Linked to Lower Mortality Risk
TUESDAY, Nov. 21, 2017 (HealthDay News) — An increased β-blocker dose is associated with a greater prognostic advantage in patients with chronic heart failure (CHF) and diabetes than in those with CHF but no diabetes, according to a study published online Oct. 25 in Diabetes Care.
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Chronic Conditions Increasing Among Childbearing Women
MONDAY, Nov. 20, 2017 (HealthDay News) — Between 2005 and 2014, the prevalence of chronic conditions increased across all segments of the childbearing population, according to a study published online Nov. 7 in Obstetrics & Gynecology.
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SMS Reminders Moderately Effective for Flu Vaccination
MONDAY, Nov. 20, 2017 (HealthDay News) — Short message service (SMS) reminders are a moderately effective way to increase the rate of influenza vaccination among high-risk patients, according to a study published in the November/December issue of the Annals of Family Medicine.
Many Health Care Providers Work While Sick
FRIDAY, Nov. 17, 2017 (HealthDay News) — More than 40 percent of health care personnel (HCP) with influenza-like illness (ILI) work while ill, according to a study published in the November issue of the American Journal of Infection Control.
Simple Checklist Can Identify Useful Clinical Practice Guidelines
FRIDAY, Nov. 17, 2017 (HealthDay News) — A simple, easy-to-use checklist, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST), can identify useful clinical practice guidelines, according to a study published in the September/October issue of the Annals of Family Medicine.
Higher Positive End-Expiratory Pressure No Benefit in ARDS
FRIDAY, Nov. 17, 2017 (HealthDay News) — For patients with acute respiratory distress syndrome (ARDS), higher positive end-expiratory pressure (PEEP) levels are not likely to improve clinical outcomes, according to a review published in the October issue of the Annals of the American Thoracic Society.
Docs’ Preparedness Influences Exercise Recommendations
FRIDAY, Nov. 17, 2017 (HealthDay News) — Primary care providers who feel prepared are more likely to recommend physical activity to patients with disabilities, according to a study published online Nov. 16 in Preventing Chronic Disease.
Simpler Tool Promising for Atherosclerosis Prediction
THURSDAY, Nov. 16, 2017 (HealthDay News) — The ideal cardiovascular health score (ICHS) and the Fuster-BEWAT (blood pressure, exercise, weight, alimentation, and tobacco) score (FBS) are similar in their ability to predict subclinical atherosclerosis, according to a study published online Nov. 13 in the Journal of the American College of Cardiology.
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HPV Vaccine Tied to Reduced Respiratory Papillomatosis Rate
THURSDAY, Nov. 16, 2017 (HealthDay News) — The incidence of juvenile-onset recurrent respiratory papillomatosis (JORRP) in Australia decreased from 2012 to 2016 after implementation of a quadrivalent human papillomavirus (HPV) vaccination program for females aged 12 to 26 years in 2007-2009, according to a study published online Nov. 9 in The Journal of Infectious Diseases.
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Health Care Experts in Favor of Patient Contribution to Notes
WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Health care experts are supportive of OurNotes, an intervention in which patients and families co-produce medical notes with clinicians, according to a research letter published online Nov. 13 in the Annals of Internal Medicine.
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PCP Care in Hospital Linked to Resource Use, Outcome
WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Patients cared for in the hospital by their own primary care physician (PCP) have longer length of stay and are more likely to be discharged home than those cared for by hospitalists or other generalists, according to a study published online Nov. 13 in JAMA Internal Medicine.
AHA: Noninvasive Testing Ups LOS in Patients With Chest Pain
WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Noninvasive cardiac testing leads to longer length of stay (LOS) for patients presenting to the emergency department with chest pain, according to a study published online Nov. 14 in JAMA Internal Medicine to coincide with the American Heart Association’s Scientific Sessions, being held Nov. 11 to 15 in Anaheim, California.
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Perioperative Aspirin May Benefit Patients With Prior PCI
TUESDAY, Nov. 14, 2017 (HealthDay News) — For patients with prior percutaneous coronary intervention (PCI), perioperative aspirin seems to be beneficial, according to a study published online Nov. 13 in the Annals of Internal Medicine.
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Eating More Nuts Associated With Lower Heart Disease Risk
TUESDAY, Nov. 14, 2017 (HealthDay News) — Nut consumption is tied to a decreased risk of cardiovascular disease and coronary heart disease (CHD), according to a study published online Nov. 13 in the Journal of the American College of Cardiology.
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Extended Breastfeeding May Cut Later Flexural Dermatitis Risk
TUESDAY, Nov. 14, 2017 (HealthDay News) — Promotion of prolonged and exclusive breastfeeding may reduce the risk of flexural dermatitis in adolescence but does not affect lung function or questionnaire-derived measures of asthma or atopic eczema, according to a study published online Nov. 13 in JAMA Pediatrics.
Inhaled Corticosteroids Not Linked to Fracture in Children
TUESDAY, Nov. 14, 2017 (HealthDay News) — Inhaled corticosteroids are not associated with increased odds of fracture in the pediatric asthma population, according to a study published online Nov. 13 in JAMA Pediatrics.
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More Laboratory Tests Performed at Major Teaching Hospitals
TUESDAY, Nov. 14, 2017 (HealthDay News) — For inpatients with a primary diagnosis of bacterial pneumonia or cellulitis, significantly more laboratory tests are performed per day at major teaching hospitals versus nonteaching hospitals, according to a study published online Nov. 13 in JAMA Internal Medicine.
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About 20 Percent of U.S. Adults Currently Use Tobacco Products
MONDAY, Nov. 13, 2017 (HealthDay News) — About one in five U.S. adults currently uses any tobacco product, according to a study published online Nov. 9 in Morbidity and Mortality Weekly Report.
Soluble Interleukin 2 Receptor IDs Sarcoidosis in Uveitis
MONDAY, Nov. 13, 2017 (HealthDay News) — Soluble interleukin 2 receptor (sIL-2R) has slightly better diagnostic value than angiotensin-converting enzyme (ACE) for sarcoidosis in patients with uveitis, according to a study published online Nov. 9 in JAMA Ophthalmology.
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CPAP May Be Superior to Gastric Banding for Severe Sleep Apnea
THURSDAY, Nov. 9, 2017 (HealthDay News) — Continuous positive airway pressure (CPAP) may be a more effective treatment than laparoscopic gastric banding (LGB) for control of severe obstructive sleep apnea (OSA), according to a study published online Oct. 16 in the American Journal of Respiratory and Critical Care Medicine.
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Doctors Have Extra Two Weeks to Preview Performance Data
WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Physicians have two extra weeks to preview their 2016 performance information as a result of a mistake related to the Centers for Medicare & Medicaid Services’ Physician Compare online resource, according to a report published by the American Academy of Family Physicians.
Sodium Oxybate Promising for Parkinson’s, Daytime Sleepiness
WEDNESDAY, Nov. 8, 2017 (HealthDay News) — For patients with Parkinson’s disease (PD) and excessive daytime sleepiness (EDS), sodium oxybate seems effective and well-tolerated, according to a study published online Nov. 6 in JAMA Neurology.
ASCO Issues Statement Regarding Alcohol and Cancer
WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Alcohol use is associated with certain types of cancer, and the risk of cancer can be reduced by strategies to prevent excessive use of alcohol, according to a statement published online Nov. 7 in the Journal of Clinical Oncology.
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Increases in U.S. Health Spending Tied to Health Service Price
WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Factors including increases in health care service price and intensity are associated with increases in U.S. health care spending from 1996 to 2013, according to a study published online Nov. 7 in the Journal of the American Medical Association.
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Evidence Scant for Treatment of Cough With the Common Cold
WEDNESDAY, Nov. 8, 2017 (HealthDay News) — There has been little change in the treatment recommendations for cough due to the common cold since publication of guidelines in 2006, according to a review published online Nov. 7 in Chest.
Warfarin Use Linked to Reduced Incidence of Cancer
TUESDAY, Nov. 7, 2017 (HealthDay News) — For adults older than 50 years, warfarin use is associated with reduced incidence of cancer, according to a study published online Nov. 6 in JAMA Internal Medicine.
Intensity of Exercise Affects Impact on Mortality Risk
TUESDAY, Nov. 7, 2017 (HealthDay News) — Total physical activity (PA) and moderate- to vigorous-intensity PA (MVPA) are inversely associated with mortality, though light-intensity PA and sedentary behavior are not associated with mortality, according to a research letter published online Nov. 6 in Circulation.
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Rates of IVC Filter Placement Decreased from 2010 to 2014
TUESDAY, Nov. 7, 2017 (HealthDay News) — The rates of inferior vena cava (IVC) filter placement increased from 2005 until 2010 and then decreased through 2014, according to a research letter published online Nov. 6 in JAMA Internal Medicine.
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Legal Aspects to Consider in Voluntary Refusal to Eat, Drink
TUESDAY, Nov. 7, 2017 (HealthDay News) — Voluntarily stopping eating and drinking (VSED) is a course that patients may choose to hasten their death, although there are clinical, ethical, and legal aspects to consider, according to a special communication published online Nov. 6 in JAMA Internal Medicine.
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Completion Likely With Self-Administration of TB Treatment
TUESDAY, Nov. 7, 2017 (HealthDay News) — Most people complete treatment for latent tuberculosis (TB) without direct observation, according to a study published online Nov. 6 in the Annals of Internal Medicine.
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PCI Does Not Improve Exercise Time in Angina Patients
MONDAY, Nov. 6, 2017 (HealthDay News) — Percutaneous coronary intervention (PCI) does not increase exercise time more than a placebo procedure in patients with medically treated angina and severe coronary stenosis, according to a study published online Nov. 2 in The Lancet.
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Pricing Interventions Increase Sales, Intake of Healthy Foods
FRIDAY, Nov. 3, 2017 (HealthDay News) — Pricing interventions seem to improve access to healthy food and beverage options with increases in stocking and sales of these items, according to a review published online Nov. 2 in Preventing Chronic Disease.
Current Practice Not Cost-Effective for Air Medical Triage
FRIDAY, Nov. 3, 2017 (HealthDay News) — Current practice is not cost-effective compared with the Air Medical Prehospital Triage (AMPT) score for trauma patients, and the field triage system undertriage rate for patients with severe injuries exceeds 20 percent, according to two studies published online Nov. 1 in JAMA Surgery.
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Driving Impairment Warnings Often Not Given With Rx Meds
THURSDAY, Nov. 2, 2017 (HealthDay News) — Not all prescription drug users report receiving warnings about driving impairment, according to a study published online Nov. 1 in the Journal of Studies on Alcohol and Drugs.
CMS Launches Initiative to Examine Impact of Regulations
WEDNESDAY, Nov. 1, 2017 (HealthDay News) — The Centers for Medicare & Medicaid Services (CMS) has launched an initiative to examine which provider regulations should be discarded or revamped amid concerns that the regulations are reducing the amount of time that physicians spend with patients, according to an article published in Modern Healthcare.
Promising Pneumonia Vaccine Under Development
WEDNESDAY, Nov. 1, 2017 (HealthDay News) — A pneumonia vaccine under development provides the “most comprehensive coverage” to date and alleviates antimicrobial concerns, according to a study published online Oct. 18 in Science Advances.
RA Associated With Higher Risk of COPD Hospitalization
WEDNESDAY, Nov. 1, 2017 (HealthDay News) — Individuals with rheumatoid arthritis (RA) have an increased risk of incident chronic obstructive pulmonary disease (COPD) hospitalization compared with those in the general population, according to a study published online Oct. 19 in Arthritis Care & Research.
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With ARDS, Doctors Should Keep Ventilator-Induced Injury in Mind
WEDNESDAY, Nov. 1, 2017 (HealthDay News) — When applying evidence-based recommendations for mechanical ventilation in patients with acute respiratory distress syndrome (ARDS), clinicians should be aware of the mechanisms of ventilator-induced lung injury and the rationale behind interventions to mitigate injury, according to a literature review published in the October issue of the Annals of the American Thoracic Society.
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