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November 2017 Briefing – Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for November 2017. This roundup includes the latest...
An estimated 42.0 percent of all incident cancers and 45.1 percent of cancer deaths in the United States are attributed to potentially modifiable risk factors

>40% of Cancers, Cancer Deaths Due to Modifiable Risk Factors

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Cigarette smoking accounts for highest proportion of cancer cases (19.0 percent), deaths (28.8 percent)
Urban American Indians and Alaskan Natives with cancer have a significantly higher comorbidity burden

Mortality Up for Some Cancers in Urban-Dwelling Native Americans

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Urban American Indians and Alaskan Natives with cancer have significantly higher comorbidity burden
Evidence-based recommendations have been developed for the diagnosis and treatment of patients with lymphangioleiomyomatosis

Recommendations Developed for Lymphangioleiomyomatosis

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Advise against clinical diagnosis for women with cystic changes on CT, with no additional features
Increased wait time is associated with an increased risk of complications and 30-day mortality among adults undergoing hip fracture surgery

Wait Time Linked to Worse Outcomes in Hip Fracture Surgery

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Patients receiving surgery after 24 hours have higher risk of 30-day mortality, complications
More than 5 percent of all incident cancers in 2012 were attributable to diabetes and high body mass index

Over 5 Percent of Incident Cancer Due to Diabetes, High BMI

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In 2012, 5.6 percent of all incident cancers due to combined effects of diabetes, high BMI
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

Many Seniors Have Not Discussed Avoiding Drug Interactions

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69 percent of patients see multiple doctors, 21 percent use multiple pharmacies, complicating issue
For patients with atrial fibrillation and prior cerebrovascular accident

Ablation Cuts Risk of Recurrent Stroke in Patients With A-Fib

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Patients with AF with no ablation have increased five-year risk of CVA, death versus ablated patients
For infants with bronchiolitis

Practice Variation in Treatment for Bronchiolitis in Infants

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Variation in evidence-based supportive therapies by site, ranging from 6 to 99 percent
The Value-Based Payment Modifier is not associated with performance differences between practices serving higher-risk and lower-risk patients

Value-Based Payment Modifier Not Tied to Practice Performance

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Performance differences between practices narrowed after adjustment for patient characteristics