Dermatologists Issue Consensus Guideline for Opioid Prescribing

For most uncomplicated procedures, postop pain can be managed with acetaminophen and/or ibuprofen

Peds Cardiac Surgical Outcomes Improved in Consortium

In-hospital mortality, major complications dropped for hospitals in Pediatric Cardiac Critical Care Consortium

Death Toll in Samoa Measles Epidemic Reaches 25

More than 140 new cases reported within the past day, bringing the total to ~2,200 since epidemic began

Potentially Tainted Marijuana Sold in Colorado

To date, no reports of health problems associated with the affected marijuana have been received

U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults

Life expectancy increased from 1959 to 2016 but began declining in 2014 among 25- to 64-year-olds

Nutritional Deficiencies ID’d in Teens After Bariatric Surgery

Gastric bypass tied to greater nutritional disruption than vertical sleeve gastrectomy

Decline in Primary Care Visits Continued After ACA

Post-Affordable Care Act decline in primary care contact seen for all ages, incomes

Most Toddlers Exceed Screen Time Guidelines

26.7 percent of children have an increasing screen time trajectory from age 1 to 3 years

Endocrine Therapy Lowers QOL for Breast Cancer Patients

Effects of chemotherapy found to be more transient in comparison

Risk for Skin Infections, Diabetes Increase With Statin Use

Study shows mechanism of statins can induce onset of diabetes

Rates of Joint Surgery Higher With Psoriatic Arthritis

After 15 years of follow-up, 29 percent of psoriatic arthritis patients had received surgery

Expansion of Diagnostic Criteria Proposed for COPD

Expanded diagnostic criteria used to classify individuals with possible, probable, definite COPD

Maternal Efavirenz May Up Risk for Microcephaly Among Offspring

Maternal efavirenz use tied to increased risk among children who are HIV-exposed but uninfected

Overall Rate of Pediatric Nonpowder Firearm Injuries Down

From 1990 to 2016, overall rate of these injuries declined, rate of eye injuries increased by one-third

Sleep Deprivation Affects More Than Just Attention

Effect seen on ability to complete a series of steps without losing one's place when interrupted

Elevated Risk for CVD Mortality Observed in U.S. Cancer Patients

Risk highest in the year after diagnosis but remains elevated compared with general population

Racial Differences Found in Gene Panels for Prostate Cancer Prognosis

Gene expression differs for European-American men, African-American men for three commercial panels

Poll: Adults Who Vape Often Buy From Unauthorized Sellers

83 percent of survey respondents who use e-cigarettes or vaping devices report using products with flavoring

Polio Vaccines Causing Polio Cases

Although rare, live virus in oral polio vaccine can mutate into a form that can cause new cases

Obesity Prevalence Decreased Modestly for Children in WIC

Significant decreases seen for children aged 2 to 4 years enrolled in WIC state, territory agencies

CDC: Nearly Half of TBI-Related Deaths Categorized as Intentional

During last 10 years, suicide surpassed motor vehicle crashes as leading category of TBI-related death

Hypertension During Pregnancy May Up CV Risk in Middle Age

Hypertensive disorder of pregnancy tied to higher risk for diverse range of cardiovascular conditions later

Electronic Health Record Usability Graded F by Physicians

Physician-rated EHR usability independently linked to odds of burnout

Most Teens Worldwide Are Not Exercising Enough

Findings consistent worldwide, with boys regularly more physically active than girls

Massachusetts Passes Bill to Ban All Flavored Vaping Products

Bill would also put 75 percent excise tax on vaping products

Testosterone Replacement May Benefit Younger Male Cancer Survivors

Benefits include significant improvement in body composition measurements over six months

Cognition Declines Tied to Hearing Loss Begin Early

Cognitive impairment starts as soon as hearing becomes imperfect, suggesting need for earlier testing, treatment

Policies Limit Medicaid Payment for Transplant in Alcoholic Liver Disease

Since 2011, proportion of Medicaid payment for liver transplant dropped for alcohol-related liver disease

Treatment Beneficial for Nonagenarians With Lung Cancer

Most pronounced survival benefit seen for patients with stage I disease

Use of Peritoneal Dialysis Up Since Medicare Payment Reform

More patients initiated peritoneal dialysis, switched to peritoneal dialysis after PPS initiation

COPD Mortality Rates Decreasing in Many Countries

Number of COPD deaths increased by more than 10 percent in 11 of 24 countries studied

Few Anorexia Nervosa Patients Make Complete Recovery

Caregivers ID seven domains of recovery; physical recovery occurs before social, emotional recovery

Radiation From CT Scans Linked to Thyroid Cancer, Leukemia

Elevated risk stronger in women than men; risk for non-Hodgkin lymphoma increased in patients ≤45

Recommendations Developed for Multidrug-Resistant Tuberculosis

Use of at least five drugs recommended for intensive-phase treatment, four drugs for continuation phase

Inducing Labor at 41 Weeks May Cut Stillbirth Rates

Rates lower compared with a wait-and-see approach with induction at 42 weeks

American Heart Association, Nov. 16-18

The American Heart Association Scientific Sessions 2019 The annual meeting of the American Heart Association was held from Nov. 16 to 18 in Philadelphia and...

New Medicare Online Drug Plan Finder Might Lead to Higher Cost

Program experts and people who help with sign-ups say the tool can obscure out-of-pocket costs

DCNN Software Aids Detection of Malignant Lung Nodules on CXR

Use of software improves sensitivity of radiologists, reduces number of false-positive findings

Threshold for Breast Cancer Recurrence Score Differs by Sex

Increased mortality seen at lower ranges of Oncotype DX Breast Recurrence Score for men versus women

CDC: PCV13 No Longer Routinely Recommended for Adults ≥65

Administration of PCV13 recommended based on shared clinical decision making for older adults

AHA: Impella Use Up for PCI Patients Needing Heart Pump

However, Impella use linked to increased odds of death, bleeding, stroke

Employee Premiums, Deductibles Eating Larger Share of Income

The average deductible for a middle-income family was 4.7 percent of income in 2018

Number of Pregnant Women Taking Antidepressants Down

Findings seen in large, population-based study in Denmark from 1997 to 2016

Most Infants Susceptible to Measles by 3 Months of Age

In elimination study, 92 percent of infants had antibodies below protective threshold by 3 months

H. Pylori Infection Must Be Wiped Out to Cut Gastric Cancer Risk

Risk for gastric cancer tied to H. pylori infection higher in blacks, Asians, Hispanics/Latinos

Negative Impact Persists for Survivors of Firearm Injury

Almost half of those surviving gunshot wound had positive screen for probable PTSD

Infection Likely Cause of One in Eight Stillbirths

E. coli, group B streptococcus, and enterococcus species most common bacterial pathogens

~25 Percent of Adolescents, Young Adults Use Rx Opioids

Focus of prevention should include close friends and family members of teens and young adults

Cardiovascular Disease Rates Dropping in American Indians

Fewer men are dying from heart disease-related events, but women seeing less improvement

Most Infants, Toddlers Consuming Added Sugars

Findings could have implications for public health and long-term dietary habits

Incidence of Squamous Cell Carcinoma of the Anus Increasing

Greater increase seen for distant-stage and regional-stage SCCA than for localized-stage SSCA

Vigorous Activity Weekly May Improve Outcomes in Stable CAD

Vigorous activity once, twice weekly may lower cardiac risk in stable coronary artery disease

Focused Ultrasound Thalamotomy May Reduce Essential Tremor

Lasting benefit seen at three years after transcranial MR-guided focused ultrasound thalamotomy

Rheumatoid Arthritis Linked to Comorbidities Before, After Diagnosis

Increased odds of inflammatory bowel disease, type 1 diabetes, VTE seen before RA diagnosis versus controls

More Appropriate Prostate Cancer Tx Seen at Multidisciplinary Clinic

Patients with low-risk disease more likely to receive nondefinitive therapy at MultiD clinic versus SEER

CDC Updates Interim Guidance on Vaping-Linked Lung Illness

CDC will no longer monitor nonhospitalized patients due to similarities with hospitalized cases

Poll: Parents Cite Barriers to Recognizing Depression in Adolescents

Parents report that one in four teens knows a peer with depression

CDC: 63.5 Percent of 3- to 5-Year-Olds Have Had Vision Tested

Hispanic children less likely to have had vision tested, as are children with public coverage, uninsured

Weight Loss Tied to Loss of Hip Bone Density in Older Adults

Loss of total hip BMD seen in obese older adults who maintain, regain weight after weight loss

Prenatal Antidepressant Use May Up Risk for Gestational Diabetes

Venlafaxine, amitriptyline use during pregnancy associated with increased risk for gestational diabetes

Cervical Cancer Screening Remains Low in Women Ages 45 to 65 Years

Screening rates are insufficient to reduce cervical cancer incidence

Cancer Yield Similar for Dense Breast Ultrasound After DM, DBT

Detection rates for additional cancers similar after digital mammography, digital breast tomosynthesis

Optic Nerve Ultrasound May ID Increased Intracranial Pressure

Optic nerve ultrasonography has high sensitivity and specificity for traumatic, nontraumatic brain injury

AAP: Emergency Contraception Should be Given to Sexually Active Teens

Pediatricians should provide education, prescription, and/or supply of emergency contraceptive pills for future use

VA, DoD Update Guideline for Rehabilitation After Stroke

Systematic review addresses effectiveness of pharmacological, nonpharmacological interventions

CDC: ~20 Percent of U.S. Adults Currently Use Tobacco Products

Prevalence of use higher for men, adults aged ≤65 years, uninsured, those with disability or limitation

Distribution of Self-Test Kits Can Up HIV Awareness

Testing increased for men who have sex with men who received self-testing kits and their social network members

HbA1c Variability Linked to Cardiovascular Disease Risk

Risks increased for all-cause mortality, cardiovascular events, microvascular complications

Cancer Patients Say Ask Before Using Medical Records for Research

Majority comfortable if insurance company uses health information to ensure recommended care is received

Statin Use Not Linked to Rate of Cognitive Decline in Seniors

Rate of decline in memory, global cognition similar for elderly statin users, never users over six-year period

Ubrogepant Superior to Placebo for Migraine Pain Relief

More participants reported pain freedom at two hours with 50-mg, 25-mg ubrogepant versus placebo

Umbilical Cord Milking May Harm Extremely Preterm Infants

Study terminated early due to higher rate of severe intraventricular hemorrhage for umbilical cord milking

Endurance Exercise May Offer Vascular Benefit in Sickle Cell Disease

Increases in capillary density, functional exchange surface seen in microvasculature of skeletal muscle

AHA: Lower-Target LDL Level Beneficial After Stroke, TIA

Subsequent risk for CV events lower among patients with ischemic stroke, TIA, evidence of atherosclerosis

AHA: Neurohormonal Blockade Beneficial for Patients With LVAD

At four years, survival better among patients with LVADs receiving any NHB medication at six months

AMA, AHA Support Refresher Training for Measuring Blood Pressure

Broad support needed for providing BP refresher training for all roles of primary care health care providers

AHA: Predictors for Meeting LDL-C, SBP Goals ID’d in ISCHEMIA

Older age, male sex, high-intensity statin use, lower baseline LDL-C predict LDL-C goal attainment

About Half of Middle-Age Adults Believe They May Develop Dementia

Only 5.2 percent of patients had discussed dementia prevention with their physician

AHA: Impact of Valsartan Recall Examined for Ontario, Canada

Immediate increase in emergency department visits for hypertension seen after generic valsartan recall

AHA: Risk for Ischemic CV Events Lower With Colchicine After MI

Risk for composite efficacy end point reduced with colchicine versus placebo after myocardial infarction

Common TB Vaccine Associated With Lower Lung Cancer Rates

In 60-year follow-up, significantly lower lung cancer rates seen for those with childhood BCG vaccination

Revision, Removal Risks Low for Synthetic Midurethral Slings

Long-term risks for reoperation, recurrence low in women treated for stress urinary incontinence

Cannabis Use Disorder Has Declined Among Teens, Young Adults

Findings seen among those reporting daily/almost daily use, 2002 to 2016

Less Sleep Tied to Lower Bone Mineral Density in Women

Higher risk for osteoporosis also seen with less than five hours of sleep per night

Studies Confirm Safety of 9-Valent HPV Vaccination

Studies based on searching Vaccine Adverse Event Reporting System, six Vaccine Safety Datalink sites

American College of Rheumatology, Nov. 8-13

The 83rd Annual Meeting of the American College of Rheumatology The annual meeting of the American College of Rheumatology was held from Nov. 8...

White House Wants Hospitals, Insurers to Provide Actual Costs of Care

Government officials say the objective is to encourage competition and reduce costs

Bipartisan Bill to Curb Drug Costs Backed by White House

Senate bill does not give Medicare bargaining power but would cap out-of-pocket payments by beneficiaries

AHA: Many With Atherosclerotic CVD Not Meeting LDL-C Goals

Of those patients receiving only a statin, 67.0 percent did not achieve recommended LDL-C goal

Some Progress Made in Slowing Antibiotic Resistance-Linked Deaths

Deaths decreased 18 percent since 2013 report, but more than 2.8 million infections occur each year

Pembrolizumab Prolongs Survival in Advanced Head, Neck Cancer

Authors recommend pembrolizumab, with or without chemotherapy, as first-line treatment

Higher Waist Circumference Tied to Increased Risk for Dementia

Waist circumference more accurate indicator of abdominal visceral fat level than body mass index

Childhood Episode of Pancreatitis May Up Risk for Diabetes Later

Findings independent of adolescent obesity and further tied to diabetes diagnosis at younger age

12 Cases of Vaping-Related Lung Injury Described in One Hospital

Eight of the patients required ICU admission for hypoxemic respiratory failure, but no deaths reported

Treatment Response Rates High for Seniors With Hep C Infection

Sustained virologic response rates similar for patients 65 years and older, patients younger than 65 years

About 2.7 Million ED Visits Reported for Sports Injuries in 2010 to 2016

Analgesics were given or prescribed at 63.9 percent of ED visits; percentage increased with age

Risk for Disability Worsening Increased for MS With Comorbid Depression

Risk increased for persons with depression defined by ICD-10, those exposed to antidepressants

Too Few Medicare Beneficiaries With Diabetes Getting Eye Exams

Variation in prevalence of eye exams from 43.9 percent in Puerto Rico to 64.8 percent in Rhode Island

American College of Allergy, Asthma & Immunology, Nov. 7-11

The 2019 Annual Meeting of the American College of Allergy, Asthma & Immunology The annual meeting of the American College of Allergy, Asthma & Immunology...

CDC: Number of Vaping-Linked Lung Illnesses Up to 2,172

Meanwhile, Apple has removed 181 vaping-related apps from its mobile App Store worldwide

FDA Panel: Expand Use of Fish Oil Drug Vascepa

Research shows drug can reduce rates of dangerous cardiovascular events in high-risk patients

FDA Sends Warning Letter About OTC Drugs to Dollar Tree

Letter outlines corrective actions company needs to take, including ensuring they do not import impure drugs

First Ebola Vaccine Approved by European Commission

Vaccine being used in 'compassionate use' capacity in eastern Democratic Republic of Congo

Minimum Age to Buy Tobacco, E-Cigarettes Raised in NY State

State police and Department of Health will conduct undercover investigations of retailers to enforce law

AHA: Risk for Death Cuts Benefit of Oral Anticoagulants for A-Fib

Findings seen among older patients with incident atrial fibrillation receiving warfarin or apixaban

AHA: Vitamin D, Omega-3 Do Not Cut Heart Failure Hospitalization

However, marine n-3 supplementation appears to reduce recurrent heart failure hospitalization

Tobacco Cessation Programs May Up Quit Rates in Cancer Patients

Study reveals high tobacco abstinence rates remain consistent with the help of counseling, therapy

Surgery for Congenital Heart Disease Tied to Kidney Disease

Higher risk for ESKD, death suggests closer monitoring needed, especially in first year after surgery

Four Studies Look at Global Burden of Digestive Diseases

Global burdens of colorectal, pancreatic, stomach cancers and inflammatory bowel disease examined

Few Women With Chronic Health Issues Use Reliable Birth Control

Nearly a third of women of reproductive age found to have one or more chronic health conditions

Illiteracy Tied to Dementia in Older Adults With Low Education

But literacy not associated with rate of cognitive decline among seniors with fewer years of schooling

Secondary Surgical Cytoreduction Not Superior in Ovarian Cancer

Addition of surgery prior to chemotherapy does not prolong overall survival in recurrent ovarian cancer

Insomnia Symptoms Associated With Increased Risk of CVD

Adults with individual symptoms, all three symptoms have increased risk for CVD, IHD, ischemic stroke

Higher Skeletal Muscle Mass May Lower Long-Term Risk for CVD

Compared with the lowest tertile, those in highest SMM tertile had 81 percent lower risk for CVD event

1999 to 2016 Saw Increase in U.S. Adults Trying to Lose Weight

Parallel trends seen for increasing current measured body mass index and weight among adults

American Society of Nephrology, Nov. 7-10

The Annual Meeting of the American Society of Nephrology, Kidney Week 2019 The annual meeting of the American Society of Nephrology was held from Nov....

Survey of U.S. Registered Nurses Points to Worsening Shortages

Problem likely will be exacerbated with one in five nurses saying they will retire in the next five years

WHO to Test, Approve Generic Insulin

Agency says new generic versions could create competition that would drive down prices

Syringe Exchange Program Has Positive Impact on HIV Diagnoses

Estimated 10,592 HIV diagnoses averted in Philadelphia, 1,891 diagnoses in Baltimore over 10 years

Smartwatch App Shows Promise for Identifying Atrial Fibrillation

Among those notified of irregular pulse, positive predictive value 0.84 for observing a-fib on ECG

Cannabis Use Disorder Up With Recreational Pot Legalization

Past-year cannabis use disorder increased among those aged 12 to 17 years, those aged 26 years and older

Invasive Melanoma Incidence Decreasing in Teens, Young Adults

From 2006 to 2015, melanoma rates increased among adults ≥40 years, decreased in younger populations

AHA: Intensive BP Control May Increase Life Expectancy

Implementation of treatment according to ACC/AHA 2017 guidelines is cost-effective for high-risk

ASN: Encephalopathy Up in CKD Patients on Higher-Dose Baclofen

Risk for hospitalization with encephalopathy higher for baclofen starting dose of ≥20 versus <20 mg/day

ACR: Few Serious Infections Seen in Infants Exposed to non-TNFis, Tofacitinib

Findings observed for offspring of mothers receiving tofacitinib, non-TNFis for inflammatory disease

U.S. States Can Do More to Prevent, Treat Lung Cancer

Considerable variation found between states in five-year survival, treatment, early diagnosis, screening

Imaging Rates Continue to Rise Despite Efforts to Reduce

Estimates show 30 percent or more of imaging exams across United States and Canada unnecessary

More Hospital Days Seen With Antipsychotic Use in Alzheimer Disease

Number of hospital days up by more than 50 percent in AD patients initiating antipsychotic medication

High-Risk Surgical Patients Benefit From Teaching Hospitals

Better outcomes per cost seen for general and vascular surgery, but not orthopedic surgery

Physical Activity After Cancer Diagnosis Improves Survival

Findings seen among postmenopausal breast cancer patients regardless of activity level prediagnosis

Early Childhood High BMI Tied to Maternal Prepregnancy Factors

Early childhood weight gain strongly tied to prepregnancy weight, moderately tied to maternal diabetes status

Injecting Illegal Drugs Ups Risk for Death After Heart Surgery

Those who inject drugs have twice the chance of having to undergo subsequent surgery from infective endocarditis

Health Groups Urge President to Ban All Flavored E-Cigarettes

Public health advocates launch television, print, and social media campaign

AHA: About One in Three With ASCVD Not Receiving Flu Shot

Vaccine coverage significantly lower among non-Hispanic blacks, those with lower education, income

EPA Proposal Would Limit Use of Science in Public Health Rules

Critics say the proposal would impede new clean air and water rules

Double Lung Transplant Performed for Vaping-Related Illness

At least 40 deaths linked with vaping-related lung damage have been reported by state health departments

Less Weight Regain With EHR-Based Tracking Plus Coaching

More participants in the coaching group maintained weight loss of at least 5 percent at 24 months

Pediatric Liver Transplant Recipients Often Undervaccinated

Only 19 percent of children were up to date on immunizations by IDSA accelerated schedule

AHA: Cannabis Use Disorder Tied to Arrhythmia Hospitalization

And, marijuana use associated with increased odds of young-onset stroke in individuals aged 18 to 44

AHA: Cardiovascular Risk Factors Tied to Increased Cancer Risk

Risk for subsequent cancer up with development of interim CV events, including heart failure, MI

ACR: Opioids Offer Only Minor Pain Relief in Osteoarthritis

Opioids have no impact on QoL or depression; smaller benefits seen for pain for strong versus weak opioids

ACR: Age at Psoriasis Onset Sets Course for Psoriatic Arthritis

Pustular psoriasis linked to arthritis onset two years earlier; increased delay seen for plaque psoriasis

ASN: Difelikefalin Improves Itch in CKD-Linked Pruritus

Findings seen among patients on hemodialysis with moderate-to-severe pruritus

ACAAI: Family History of Cancer Risk Factor for Childhood Asthma

More than 20 percent of those with family history of cancer had childhood asthma

Cholesterol Levels Have Been Dropping Since 2013 Guidelines

Total cholesterol, triglycerides, LDL-C levels decreased; proportion of eligible adults taking statins increased

Patient, Graft Survival Excellent for Twin Kidney Transplant

About half of kidney transplant recipients of identical-twin transplants did not get immunosuppression

Testosterone Therapy Tied to Increase in Short-Term VTE Risk

Among men with and without hypogonadism, testosterone therapy linked to elevated VTE risk

MENACTRIMS Guidelines for Multiple Sclerosis Updated

IFN-beta, glatiramer acetate, teriflunomide, dimethyl fumarate can be started in treatment-naive patients

Patients With Cirrhosis Have Considerable Financial Burden

Lack of insurance, financial distress resulting in delayed medical care tied to lower odds of HCC surveillance

ASN: Models Can Predict Risk for Incident Chronic Kidney Disease

Risk equations had median C-values of 0.845 and 0.801 for cohorts with, without diabetes, respectively

High Birth Number May Harm Cardiovascular Health in Women

Association also seen between more births, less ideal body mass

Sesame-Specific IgE Levels May Help Diagnose Allergies

Sesame allergy affects 17 percent of children with IgE-mediated food allergy

ASN: Vitamin D, Omega-3 Do Not Benefit Kidney Health in T2DM

eGFR did not significantly change with supplementation versus placebo in patients with type 2 diabetes

Crowd Diagnosis of STDs Frequently Sought Online

Many requests for second opinions after seeing a health care professional

CA125 Can Detect Ovarian Cancer in General Practice

And elevated CA125 indicates higher risk for other cancers, especially in women aged ≥50 years

Chemical Analysis Links Kratom to Cases of Severe Liver Injury

Patients used kratom for psychotropic effects and joint pain; injury onset occurred after median of 22 days

Juul Stops Sales of Mint-Flavored E-Cigarettes

Juul is the most popular brand and mint the favorite flavor among high schoolers who vape

Plastic Surgery Trainees May Delay Plans to Have Children

Many childbearing female trainees report pregnancy complications, shortened breastfeeding

Test of Vascular Function May Predict Solid-Tumor Cancer Risk

Reactive hyperemia peripheral arterial tonometry index ≤2.0 predicted incidence of solid-tumor cancer

Hematology Experiences Linked to Hematology-Only Career Plan

Clinical, research, mentorship experiences in hematology influence fellows' career plans

Many Multiple Sclerosis Patients Considering Stem Cell Transplant

However, many are not well-informed regarding stem cell transplants

Lung Cancer Incidence Rates Generally Declined From 2007 to 2016

Smallest decline seen among women living in nonmetropolitan counties -- from 61 to 58 per 100,000

Exercising More Often May Lower CVD Risk in Older Adults

Maintaining, increasing frequency of moderate-to-vigorous physical activity level may reduce CVD risk

Ibuprofen Does Not Increase Postpartum Blood Pressure

NSAIDs do not up postpartum BP in women with hypertensive disorders of pregnancy and mild HTN

Risk for Suicide Increased After Hospital Discharge for Self-Harm

Authors say there is need for early follow-up care and attention to risk reduction strategies

CDC: Number of Vaping-Linked Lung Illnesses Tops 2,000

Cases have been reported in every state except Alaska; nine fatalities across 24 states, D.C.

More Awareness of Choosing Wisely Campaign Needed for Nurses

Only 38.3 percent of nurses who were members of AACN reported being familiar with Choosing Wisely

Poorer Neighborhood Walkability May Increase Cardiovascular Risk

People in less walkable areas up to 33 percent more likely to have a high 10-year cardiovascular risk

SNAP Participation May Reduce Premature Deaths in the U.S.

Among adults aged 40 to 64 years, reduction also seen in mortality from specific causes of death

Number of Potentially Excess Deaths Up in Nonmetropolitan Counties

Percentage of potentially excess deaths from five leading causes higher for nonmetropolitan counties

Cancer Risk Halved With Bariatric Surgery-Linked Weight Loss

Hazard ratio 0.44 for incident cancer with loss of at least 20 to 35 versus <20 percent of total body weight

Race, Poverty Not Tied to Knee Replacement Outcomes

Low surgeon volume and low pre-op expectations for improvement tied to higher risk of failure

Lenalidomide Delays Progression in Smoldering Multiple Myeloma

Progression-free survival significantly longer with lenalidomide compared with observation

2009 to 2016 Saw Drop in 30-Day Mortality Tied to Emergency Care

Adjusted 30-day mortality trend was −0.198 per year after adjustment for confounding factors

Early Postop Infection Ups One-Year Infection, Mortality Risk

Patients with 30-day postoperative infection have an increased risk for long-term infection, mortality

PSA Levels No Different With Exposure to Antidiabetes Meds

Regardless of PSA levels triggering biopsy, no difference in prostate cancer detection at biopsy

Tx Choice for T2DM in Obese Teens Tied to Later Kidney Disease Risk

Odds of diabetic kidney disease higher in obese teens receiving medical therapy versus bariatric surgery for T2DM

Women Less Likely to Receive Treatment for Myocardial Infarction

Sex-specific thresholds for hs-cTnI ID more additional cases of myocardial injury in women than men

Weight-Loss Counseling With Group Visits Improves HbA1c

Weight management/group medical visit arm had lower diabetes medication use, greater weight loss

Menopause Occurs at Median Age of 48 in Canadian Women With HIV

Lower education, hepatitis C coinfection independently linked to menopause at <45 years

ASN: Most Nephrology Fellows Would Recommend Specialty

Median base starting salary $190,000 before incentives, although median starting salary lower for women

San Francisco Vaping Ban Upheld by Voters

Tuesday's vote makes San Francisco the first major U.S. city to ban all e-cigarette sales

Those With Mental Illness Die Earlier

Large Danish study examined mortality rates for 10 mental disorders, 11 specific causes of death

Mailing HPV Kits to Underscreened Women Can Up Screening

No significant difference found in detection of CIN2+ or treatment with intervention versus usual care

Many Adult Health Problems Due to Adverse Childhood Experiences

Adverse childhood experiences significantly linked to poorer health outcomes, health risk behaviors

Risk Calculator Predicts Morbidity in T2DM, Obesity

Risk score allows calculation of morbidity, mortality rates with and without undergoing bariatric surgery

Exercise Should Be Prescribed to Cancer Survivors

Key stakeholders are urged to create the infrastructure and necessary cultural adaptations

Few Eligible Patients Receive Rx for Weight-Loss Medications

Women, black patients, those in higher BMI classes have higher prescription rates

Cardiorespiratory Fitness May Improve Lung Cancer Outcomes

In fit men, mortality lower in smokers with lung cancer, lung cancer risk lower in former smokers

Focus on ED Utilization Misses Whole-Person Perspective

Data sharing between medical, behavioral, and social care data systems needed

Serious Eating Disorder Possible Even at Normal Body Weight

Markers of malnutrition and psychological problems common with atypical anorexia nervosa

Exercise Mitigates Risk for Depression, Even With Genetic Risk

Higher levels of physical activity linked to reduced odds of depression, even with highest polygenic risk

Number of Cancer Patients Using Gabapentinoids Up Since 2005

Authors say more long-term studies of risks, efficacy of gabapentinoids needed

All-Cause Mortality Up With Loneliness in Cardiac Patients

Loneliness associated with significantly poorer patient-reported outcomes across cardiac diagnoses

Running Participation Linked to Reduced Risk for Mortality

Based on data from 232,149 participants, significant reductions seen in all-cause, CV, cancer mortality

Effect of Legislation on School Vaccination Rates May Be Limited

By 2027, CA exemption rate set to stabilize at 1.87 percent with SB277, drop to 1.41 percent with SB276

American College of Surgeons, Oct. 27-31

The 104th Annual American College of Surgeons Clinical Congress The annual meeting of the American College of Surgeons was held from Oct. 27 to 31...

Medical Practices Burdened by Regulatory Requirements

Vast majority of survey respondents believe regulatory burden is increasing

FDA: Biotin Supplements Could Affect Results of Medical Tests

Agency particularly concerned about biotin interference causing a falsely low result for troponin

2010 to 2016 Saw Increase in Teens Admitted to ED for Abuse

Numbers increased from 6.93 to 11.97 admissions per 100,000 children younger than 18 years