December 2014 Briefing - Dermatology

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Here are what the editors at HealthDay consider to be the most important developments in Dermatology for December 2014. 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.

A/BPO + Doxycycline Effective Alternative for Severe Acne

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Oral doxycycline plus adapalene/benzoyl peroxide (D+A/BPO) gel is an effective alternative to oral isotretinoin (ISO) for the treatment of severe nodular acne, according to a study published in the December issue of the British Journal of Dermatology.

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AMA Identifies Top 10 Issues That Affected Docs in 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- The top 10 issues that affected physicians in 2014 include many regulatory issues relating to Medicare and data release, as well as health issues such as overprescribing of antibiotics and the Ebola crisis, according to a report published by the American Medical Association (AMA).

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Ebola, ACA, VA Scandal Top U.S. Health News for 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- It started as a deadly but little-known outbreak in West Africa, but the lethal and unchecked spread of the Ebola virus dominated U.S. headlines for much of 2014, making it one of the year's top health news features.

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2015 Medicare Fee Schedule Offers Payment for Chronic Care

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- The 2015 Medicare Fee Schedule includes a Current Procedural Terminology Code that pays for clinical staff time for developing and implementing a care plan for patients with two or more chronic conditions, according to an article published Dec. 18 in Medical Economics.

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FDA Approves Opdivo for Advanced Melanoma

MONDAY, Dec. 22, 2014 (HealthDay News) -- Opdivo (nivolumab) has received accelerated approval from the U.S. Food and Drug Administration to treat unresectable or metastatic melanoma that no longer responds to other drugs, the agency said Monday.

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CKD, Glomerulonephritis Risk Higher for Those With Psoriasis

MONDAY, Dec. 22, 2014 (HealthDay News) -- Psoriasis is associated with a higher risk of developing chronic kidney disease (CKD) and glomerulonephritis (GN), according to a study published online Dec. 15 in the British Journal of Dermatology.

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Dermoscopically, Melanoma, Spitz Nevi Indistinguishable

MONDAY, Dec. 22, 2014 (HealthDay News) -- Melanoma may be dermoscopically indistinguishable from Spitz nevi, according to a study published in the January issue of the Journal of the American Academy of Dermatology.

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Tips Offered to Docs, Spouses for Maintaining Happy Marriage

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Simple tips can help physicians and their spouses maintain marital happiness, according to an article published in the American Medical Association (AMA) Alliance magazine Physician Family.

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SLNB Doesn't Up Survival in Melanoma Arising in Head, Neck

FRIDAY, Dec. 19, 2014 (HealthDay News) -- For patients with melanoma arising in head and neck subsites (HNM), there is no association between sentinel lymph node biopsy (SLNB) and disease-specific survival (DSS), according to research published in the December issue of JAMA Otolaryngology-Head & Neck Surgery.

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Evidence-Based Recs Issued for Systemic Care in Psoriasis

THURSDAY, Dec. 18, 2014 (HealthDay News) -- For appropriately selected patients with psoriasis, combining biologics with other systemic treatments, including phototherapy, oral medications, or other biologic, may result in greater efficacy with minimized toxicity, according to research published online Dec. 17 in JAMA Dermatology.

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NSAIDs May Lower Risk of Squamous Cell Skin Cancer

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Nonsteroidal anti-inflammatory drugs (NSAIDs) appear to reduce the risk of cutaneous squamous cell carcinoma (SCC) by 15 percent, according to a review published online Dec. 18 in the Journal of Investigative Dermatology.

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Airplane Windshields Don't Block UV-A Radiation

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Airline pilots get as much exposure to ultraviolet A (UV-A) rays in an hour-long flight as they would during 20 minutes in a tanning bed, according to new research published online Dec. 17 in JAMA Dermatology.

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Lack of Evidence for Effect of PT on Venous Leg Ulcer Healing

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Further research is needed to examine the effect of physical therapy or exercise on healing and quality of life in patients venous leg ulcers (VLUs), according to research published online Dec. 17 in JAMA Dermatology.

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Digital Self-Scheduling Set to Increase Considerably by 2019

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Digital self-scheduling is set to increase considerably in the next five years, according to a report published by Accenture.

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An Estimated 2,000 ER Visits Due to Indoor Tanning in 2012

TUESDAY, Dec. 16, 2014 (HealthDay News) -- The first national estimates of indoor tanning-related injuries treated in U.S. hospital emergency departments have been calculated, according to the authors of a research letter published online Dec. 15 in JAMA Internal Medicine.

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Challenges ID'd in Development of the Physician Compare Website

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Under the Affordable Care Act (ACA), information must be made available to allow the public to compare physicians, although there are considerable challenges surrounding the development of the physician performance website, Physician Compare. These challenges are addressed in a health policy brief published online Dec. 11 in Health Affairs.

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Support for Electronic Health Information Varies With Use

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Consent and purpose are important for public support of secondary uses of electronic health information, according to a study published in the Dec. 16 issue of the Annals of Internal Medicine.

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Physicians Reminded of Ethical Obligations Regarding Torture

TUESDAY, Dec. 16, 2014 (HealthDay News) -- With the issuing of the new U.S. Senate report on interrogations, the American Medical Association (AMA) is reminding physicians of their ethical obligations relating to torture and interrogation.

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Physicians Should Scrutinize Job Offers Before Accepting

MONDAY, Dec. 15, 2014 (HealthDay News) -- Physicians should scrutinize job offers and pay attention to specific issues before accepting a job, according to an article published Dec. 3 in Medical Economics.

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Webcast Scheduled to Discuss Maintenance of Certification

MONDAY, Dec. 15, 2014 (HealthDay News) -- New data relating to Maintenance of Certification (MOC) will be discussed in a free webcast to be held Dec. 17 by the Journal of the American Medical Association (JAMA).

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Gene-Environment Connection Seen in Peanut Allergy Study

MONDAY, Dec. 15, 2014 (HealthDay News) -- Infants of a particular generation born in Australia to Asian-born parents appeared to have an increased risk of peanut allergy compared with those of Australian-born parents, according to research published in the December issue of Allergy.

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Tips Offered for Docs to Manage Their Online Reputation

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Physicians can manage their online reputation, according to a report from the American Medical Association (AMA).

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FDA: Ziprasidone Can Cause Rare, Serious Adverse Drug Reaction

FRIDAY, Dec. 12, 2014 (HealthDay News) -- The antipsychotic medicine ziprasidone (Geodon) and generic versions of the drug can cause a rare, serious skin reaction that can progress to affect other parts of the body, the U.S. Food and Drug Administration says.

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Mortality Not Up With Pregnancy-Associated Malignant Melanoma

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Cause-specific mortality does not differ significantly for women and girls with malignant melanoma (MM) diagnosed during pregnancy and up to two years postpartum (pregnancy-associated MM [PAMM]) and with non-PAMM, according to a study published in the December issue of the Journal of the American Academy of Dermatology.

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Guidelines Developed for Use of Adjunct Tx in Atopic Dermatitis

THURSDAY, Dec. 11, 2014 (HealthDay News) -- For patients with atopic dermatitis, adjunctive and complementary therapies are available, although evidence is limited for many of these approaches, according to guidelines published in the December issue of the Journal of the American Academy of Dermatology.

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Researchers Estimate Number of Nevi Biopsied in U.S. Children

THURSDAY, Dec. 11, 2014 (HealthDay News) -- During 2009 through 2013, there were an estimated 2,007,423 biopsies of nevi among children in the United States, according to a research letter published online Dec. 10 in JAMA Dermatology.

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More Students Enrolling in U.S. Medical Schools

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- More students are enrolling in medical schools, and enrollees are more diverse than before, according to a report from the Association of American Medical Colleges (AAMC) published by the American Medical Association (AMA).

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More Docs, Patients Not Speaking Same Language

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- People applying to become medical residents in the United States speak a wide range of non-English languages, but many aren't the languages spoken by patients with limited English skills, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Higher Paid Docs Earn More Money From More Procedures

TUESDAY, Dec. 9, 2014 (HealthDay News) -- High-income doctors make more money by ordering more procedures for each patient rather than by seeing more patients, according to an analysis of 2012 Medicare data published in a research letter Dec. 8 in JAMA Internal Medicine.

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Docs Trained in High-Cost Areas Practice More Costly Medicine

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Doctors who were trained in high-cost areas of the United States may be more likely to practice expensive medicine, a new study suggests; however, that effect gradually decreases over time. The study was published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Work-Hour Restrictions Have Not Improved Outcomes

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Reducing medical residents' work hours hasn't improved mortality rates, hospital readmission rates, or outcomes of surgery, according to two new studies published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Vitiligo, Alopecia Areata May Up Atopic Dermatitis Risk

FRIDAY, Dec. 5, 2014 (HealthDay News) -- The prevalence of atopic dermatitis (AD) is higher among patients with vitiligo or alopecia areata (AA), according to research published online Dec. 3 in JAMA Dermatology.

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AMA: Social Determinants of Health to Be Taught in Med School

THURSDAY, Dec. 4, 2014 (HealthDay News) -- A new policy implemented by the American Medical Association (AMA) supports integrating more training on the social determinants of health into undergraduate medical education, according to a report published by the AMA.

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Treatment Recommendations Developed for Nail Psoriasis

THURSDAY, Dec. 4, 2014 (HealthDay News) -- Treatment recommendations have been developed for patients with nail psoriasis. The recommendations were published online Dec. 3 in JAMA Dermatology.

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Too Much Patient Care Tied to Faculty Members' Intent to Leave

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Spending "far too much/too much" time/effort on patient care is associated with increased intent to leave the institution, according to research published in Academic Medicine.

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Doctor Discusses Ways to Keep Morale in Medicine High

MONDAY, Dec. 1, 2014 (HealthDay News) -- Despite the many frustrations for doctors in medical practice, there are ways to keep morale high, according to an article published Nov. 20 in Medical Economics.

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Many Physicians Report Their Incomes Have Plateaued

MONDAY, Dec. 1, 2014 (HealthDay News) -- Many physicians report that their personal income has not changed since last year, according to the results of the Physicians Practice 2014 Physicians Compensation Survey.

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